MEDI2022 Lecture : MEDI3004 MENTAL HEALTH ROTATION -YEAR 3 MBBS. Topic 4 - Personality Disorders.docx
6 Nov 2013
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Dividing line for disorder: statistical, social the individual suffers from his personality of others suffer from it. Many persons exhibit traits that are not limited to a single personality disorder. 50% of psychiatric patients frequently comorbid with axis i disorders. Predisposing disorder for substance use, suicide, affective disorders, impulse- control disorders, eating disorders and anxiety disorders. Interfers with treatment outcomes; affects attitude to therapists. Genetics: cluster a disorders more common in relative of patients with schizophrenia, especially schizotypal pd, cluster b disorders. Antisocial disorders are associated with alcohol use disorders. Child hood development: patterns of attachment affect future adult emotional relationship. 5 core personality traits that don"t change: extraversion, neuroticism, agreeableness, openness to experience, conscientiousness. Alloplastic: able to adapt to and alter the external environment. Do not feel anxiety about maladaptive behaviour. Pd vs mental illness: always behaved abnormally personality disorder, always behaved normally and stated behaving abnormally mental illness, personality can change in injury or organic disease, mental illness.
