WEEK 10 Flashcards
Personality Disorders
What is personality?
-Attributes, motives, values and behaviours unique to each person.
- A unique pattern of Inner experience and Outward behaviour
- Often described in terms of “traits” –> characteristics way of thinking, feeling and
acting.
The ‘Big 5’
OCEAN
- Personality trait model
- Openness
- Conscientiousness
- Extraversion
- Agreeableness
- Neuroticism
Definition personality disorders in the DSM- 5
“Persistent pattern of emotions, cognitions, and
behaviours that results in enduring emotional
distress for the person affected and/or for others and
may cause difficulties in relationships and work”
- individual may not feel subjective distress
- observed in different contexts
- originate in childhood, diagnosed adolescence or adulthood
Categorical v Dimensional
DSM mainly views disorders in terms of categories (i.e., criteria are met or unmet).
DSM- 5 Personality Disorders
A,B,C
- 10 PD in DSM 5
- Cluster A: “Odd or eccentric behaviour”
◦ Paranoid, schizoid, and schizotypal personality disorders - Cluster B: “Dramatic, emotional, or erratic behaviour”
◦ Antisocial, borderline, narcissistic, and histrionic personality disorders - Cluster C: “Anxious or fearful behaviour”
◦ Avoidant, dependent, and obsessive-compulsive personality disorder
A: Paranoid PD
- Definition and Criteria
A pervasive distrust and suspiciousness of
others such that their motives are interpreted as malevolent.
Four or more:
- Suspects that others are exploiting, harming or deceiving. - Preoccupied with unjustified doubts about loyalty or trustworthiness of friends. - Reluctant to confide in others (unwarranted fears that information could be used against them).
- Reads hidden demeaning/threatening meanings into remarks or events.
- Persistently bares grudges.
- Perceives attacks on reputation that are not apparent to others and quick to react angrily.
- Has recurrent (unjustified) suspicions regarding fidelity of partner
A: Paranoid PD
Causes
- Biological- link to family with schizophrenia- not strong
- Psychological: trauma, style of parenting
- Cultural factors: certain groups may be more at risk due to their experiences (eg. prisoners, refugees)
A: Paranoid PD
Treatment
- Unlikely to seek help; a crisis can be the catalyst for seeking help
- CBT: challenge assumptions
- Currently no evidence for any interventions for paranoid PD
A: Schizoid PD
Definition and Criteria
A pervasive pattern of detachment from social relationships and a
limited range of expression of
emotions in interpersonal situations.
Four or more:
- Neither desires or enjoys close relationships.
- Almost always chooses solitary activities.
- Has little interest in sexual experiences with another person.
- Takes pleasure in few (if any) activities.
- Lacks close friends (other than immediate family).
- Appears indifferent to praise or criticism.
- Emotional, detachment or flattened affect.
A: Schizoid PD
Causes
- Childhood shyness- precursor
- Abuse and neglect- sometimes reported
- Some overlap with the occurrence of autism
A: Schizoid PD
Treatment
- Rare to seek treatment (in some cases treatment is sought at a time of crises).
- Social skills training.
- Limited evidence demonstrating effectiveness.