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SOCC31H3 Lecture Notes - Psychoanalytic Theory, Histrionic Personality Disorder, Emotional Dysregulation

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Caroline Barakat

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Family studies provide some evidence that these are clustered to schizophrenia
Schizotypal personality disorder people have deficits in cognitive and
neuropsychological functioning (similar to schizophrenia)
Schizoptypal people have enlarged ventricles and less temporal-lobe grey matter
Dramatic/Erratic Cluster
They have a wide variety of symptoms inflated self-esteem exaggerated
emotional display & antisocial behaviour
Borderline Personality Disorder
Impulsivity and instability in relationships, mood and self image
Emotions are erratic and can shift abruptly, from passionate idealizations to
contemptuous anger
They are argumentive, irritable, sarcastic, quick to take offence and very hard to live
Unpredictable/impulsive behaviour gambling, spending, indiscriminate sexual
activity and eating sprees (potentially self damaging)
They have not developed a clear and coherent sense of self and remain uncertain
about their values, loyalties and career choices
Cannot bear to be alone, have fears of abandonment, and demand attention
May have feelings of depression and emptiness and often attempt suicide and self
mutilating behaviour
Most who kill themselves are females
Originally borderline personality was meant for a personality between neurosis and
Begins early adulthood
Prevalence 1-2% & more common in women
Co-occur with Axis 1 mood disorders, substance abuse, PTSD, eating disorders and
odd/eccentric cluster
Etiology of Borderline Personality Disorder
Object-relations theory
o Concerned with the way children incorporate (or introject) the values and
images of important people, such as their parents they manner which
children identify with people whom they have strong emotional attachments
o They hypothesize that people react to their world through the perspectives of
people from their past, primarily their parents (this sometimes conflict with
their own wishes)
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