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Psych 257 Chap 12 Psych 257 Psychopathology Barlow et Al: Abnormal Psychology 2nd CDN edition Chapter 12

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University of Waterloo
Uzma Rehman

Personality Disorders enduring patterns of perceiving relating to and thinking about env And onselfexhibited in a wide range of socialpersonal contexts inflexible maladaptive significant functional impairmentsubjective distress An Overview PDs are chronic pervade all aspects of persons life may distress affected person or relative friend etc PDS are in Axis II traits more ingrainedinflexible less likely to be successfully modified Categorical and Dimensional Models difficulty in degree extreme versions of problems many people experience on temp basis diff dimensions not categories like using cms and inches dim not tall short for height cat PDSextremes on one personality dimensions due to DSM people end up viewed as categories thus DSM needs dimensional model idea for fivefactor model of personality help distinguish PDS iextraversion iiagreeableness iii conscientiousness ivneuroticism v openness to experience Personality Disorder Clusters PDs into 3 groups clusters A odd eccentric B dramatic emotional erratic C anxious fearful Statistics and Development US studies PDs in 0525 of gen pop 1030 in inpatient setting 210 in outpatient rare1 schizoid narcissistic avoidant PDsLess rare14 paranoid schizotypal histrionic dependent OCD PDs usu start in childhood maladaptive characteristics develop into maladaptive behaviours in adulthood Gender Differences BPD 75 female Histrionic and dependent PDs are equal poss Disparity due to cliniciancriteria bias ex More likely to diagnose a female than a male ex Histrionic symptoms more frequent in females Comorbidity people tend to be diagnosed w 1 PD maybe need to rethink categories Specific Personality Disorders 10 PDS in DSMIVTR some categories being considered for inclusion as well Cluster A Disorders Paranoid Personality Disorder excessively mistrustful and suspicious of other wo justification assume others out to get themCD defining characteristic pervasive unjustified distrust in situations others see as unfounded hostile to others tense sensitive to criticism high need for autonomy sim To schizdelusional PDs causes low evidence for biopsych Contribution but more likely to have PPD if have schiz Relative maybe just indivs thoughts have bad assumptions of people or cultural aspect treatment need to develop atmosphere of trust use CT to counter mistaken assumptions only 11 of therapists who treat PPD thought indivs continue therapy long enough to be helped Schizoid Personality Disorder pattern of detachment from social relationships low range of emotions in interpersonal associations schizoid term for people w tendency to turn inward away from outside world CD dont desireenjoy closeness w others not affected by praisecriticismposs Homelessness see self as observers sim to PPD in social deficiencies share social isolation poor rapport low affect causes and treatment little research on gen neurobio psychosocial factors resembles autism in preference for social isolationmaybe sim Bio dysfunctionearly learning problems w interpersonal relationshipsSPD treatment is rarely requested usu start by pointing out value of social relationships learn empathy treat w roleplaying helping patient to establishmaintain relationships though low outcome research
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