Lecture 20: Personality Disorders Flashcards
what is personality?
what is nature vs nurture
nature= innate temperament (disposition), genetic
nurture= character is acquired
nature and nurture elicit traits– these traits become personality
what is important for diagnosis
social interaction
what are core features of personality disorders
- functional inflexibility= can’t adapt to situations
- self-defeating= other people’s reactions are damaging to self
- unstable when stressed= emotional, beh and cog instability
what is overall PDs feature
- lack of insight: can’t realise dysfunctional part of their personality
- can’t reflect
- don’t realise they’re causing trouble
- don’t think they’re wrong
DSM-5 PD
enduring pattern of inner experience + beh that:
- deviates from expectations of ind. culture
- inflexible
- onset in childhood
- stable overtime
- leads to distress (distress from consequences of beh)
ex. why aren’t people listening to me, my ideas are so
great
DSM-5 General PD
- sig. impairment in self (identity) + interpersonal (empathy or intimacy) functioning
- 1 or more pathological personality trait domains
- these features must be:
- stable over time, consistent across situations
- not better understood as normative for person’s env
- not due to direct physiological effects of substance or
general medical condition
what are the 2 classifications systems
DMS-5 + ICD-10
DSM-5
10 PDs categorised in 3 clusters
ICD-10
9 PDs– but not clustered + with diff labels
- ex. antisocial= dissocial
cluster A (DSM-5 PDs)
(odd, eccentric– abnormal)
- paranoid, schizoid, schizotypal
cluster B
(dramatic, emotional)
- antisocial
- borderline
- histrionic
- narcissistic
cluster C
(anxious, fearful)
- avoidant
- dependent
- obsessive-compulsive
what is categorical approach to PDs
categorical= DSM-5
- assumes that PD represents distinct clinical syndromes
- advantage= clear, easy to tell info
dimensional approach?
healthy personality functioning–> some problematic traits–> many problematic traits–> PD–> serious PD–> extreme PD
DSM-IV: multi-axial system
Axis 1 + Axis 2
what is Axis 1
major clinical disorders w/ acute symptoms= need treatment