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Lecture 9

Lecture 9: Personality Disorders.docx
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Department
Psychology
Course
PSYB32H3
Professor
Konstantine Zakzanis
Semester
Fall

Description
Lecture 9 Personality Disorders - Heterogeneous group disorders - Longstanding, pervasive (way they approach life – dictated by these personality traits), & inflexible patterns of behavior & inner experience - Deviate from expectations of a person’s culture - Impair social & occupational functioning o Dysfunctional NOT disabled o Are agnasynosic (aka. ego-syntonic): Person unaware of symptoms & how they are problematic Stats & Facts - Many clinicians diagnose personality disorder but not specify which one o Personality Disorders Not Otherwise Specified - During clinic interview – client may lie or deny symptoms (positive impression management) Assessment & Diagnosis - Issues o Variable test-retest reliability o Comorbidity among different Personality Disorder o Table 13.1  Those most/least reliable  2 clinicians diagnosing same conditions o Avoidant o Narcissistic  Least reliable o OCD o Dependent  Those most/least stable  Most o Antisocial Lecture 9 o Paranoid  Least o Schizotypal o Schizoid 3 Clusters Odd/Eccentric Cluster (Oddness & Avoidance of Social Contact) - Paranoid Personality Disorder o Suspicious of others  Trickery  Abuse o Expect to be mistreated by others  Exploited o Secretive  Unable to confide in others o Not many relationships o May read hidden messages in trivial things o Jealous o Differs from delusional disorder b/c full-blown delusions are not present - Schizoid Personality Disorder o Does not desire or enjoy social relationships o Characterized by negative symptoms of schizophrenia  Flat affect  Aloof  Dull  Bland  Ahedonic  Indifferent to praise & criticism - Schizotypal Personality Disorder o Odd beliefs or magical thinking `  Superstitious Lecture 9  Clairvoyant  Illusions  I sense there’s something in my room at night o Display schizoid negative symptoms Dramatic/Erratic Cluster - Borderline Personality Disorder o Impulsivity & instability in relationships, mood & self-image  Indiscriminate sex/spending  Instability in relationships (friends, family)
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