Lecture 20: Personality Disorders

Question 1

when is something considered a disorder

Answer 1

• departs significantly rom Norma range for a given culture
• causes major distress
• limits a personals ability to function in normal society

Question 2

personality disorders (5)

Answer 2

• stable and enduring
• board pervasive
• abnormal in a statistical sense
• not social acceptable
• psychological (i.e. ineffective)

Question 3

DSM criteria for personality dx (6)

Answer 3

• deviates from the cultures norm
• inflexible
• leads to distress
• long and enduring tracked to adolescence
• not a manifestation of another mental disorder
• not from substances

Question 4

erratic/ impulsive cluster (4)

Answer 4

• antisocial personality disorder: disregard for social norms, aggression, sadistic, lying, irresponsible, lack of remorse and empathy,
• borderline personality disorder: unstable behaviours, intense emotions, unpredictable, fear of abandonment
• histrionic personality disorder: excessive attention seeking and emotionality, sexually provocative
• narcissistic personality disorder: need for admiration, superiority, entitled, lack of empathy, fragile self esteem

Question 5

eccentric cluster (3)

Answer 5

• schizoid personality disorder: socially detached, apathy for social relationships, solitary, emotionally bland
• schizotypal personality disorder: social awkward, odd, eccentric, distrustful, suspicious, unusual perceptions
• paranoid personality disorder: suspicious, jealous, distrustful, threatened, argumentative and hostile

Question 6

anxious cluster

Answer 6

• avoidant personality disorder: fear of rejection, shy, inadequacy, criticism sensitive
• dependent personaity disorder: wants to be taken care of, reassurance, submissive
• Obsessive compulsive personality disorder: need for order, perfectionistic, rigid, inflexible, not ocd

Question 7

categorical system

Answer 7

• if one meets criteria than one has the dc
• suggests a prototype for each dx
• validity issues

Question 8

dimensional system

Answer 8

• keep 6: antisocial, avoidant, borderline, narcissistic, obsessive and schizotypal
• drop 4: histrionic, schizoid, paranoid, dependent
• add: personality disorder - trait sepcified
• personality disorder are extreme or maladaptive variants of common personality traits
• not an issue of present or absent but degree of extremity and impairment

Question 9

HiTOP

Answer 9

• hierarchical taxonomy of psychopathology
• variable centered (like-with-like): if symptoms tend to cluster together but with no others they define a syndrome
• data driven (rather than expert driven)