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Lecture 9

PSYB32 - Lecture 9.docx

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Mark Schmuckler

PSYB32Lecture 9Profs SpeechPurpleSlide 3Personality DisordersPersonality disorders o Heterogeneous group of disordersContradictory because there is a lot of overlap in personality disordersGreat deal of comorbidity o Longstanding pervasive and inflexible patterns of behaviour and inner experience Very difficult to treatMaybe even more so to treat than axis I disordersPersonality disorders are axis II disorders o Deviate from the expectations of a persons cultureDifferent behaviours are abnormal in different cultural contexts o Impair social and occupational functioningThere has to be distress and disability in some wayo Extreme of traits that we all haveo DSM 5 might get rid of personality disorders on the whole and will have a trait dimensional approach rather than categorical approach o Agerelated decline o Longstanding in early adulthood but tend to fizzle out with age o Acute symptoms will go away as patient gets oldero Patients dont seek treatment because they are egodystonicunaware that they have a personality disorder they dont recognize their distress is because of their personalitySlide 4Personality Disorder ClustersCluster AOdd or eccentric avoidance of social contactCluster BDramatic emotional or erraticCluster CFearful Slide 5Assessment and DiagnosisIssues o Variable testretest reliabilityMost stable personality disorderantisocialLeast stableschizotypal because it often gets misdiagnosed as schizophrenia dependent personality disordero Highest interrater reliabilitynarcissistic personality disorder avoidant personality disorder o Lowest interrater reliabilitydependent personality disorder often characterized by someone who looks depressed obsessivecompulsive personality disorder could be diagnosed as OCD o Comorbidity among different Personality Disorders Slide 6OddEccentric ClusterParanoid personality disorder PPD o People who expect to be mistreated exploited by others very secretive always on the lookout for signs of trickery or abuse may misread the simplest random things
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