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Lecture 10

Lecture 10 - Personality Disorders (Axis-II). In two columns per page, printing two pages (in total four columns) per page side works well =)

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University of Toronto St. George

PSY240 Lecture 10 Personality Disorders Often have difficulty forming repor w Features therapist Pattern manifested in: Cognition, affect, oSchizoid pervasive pattern of detachment from social relationships interpersonal functioning, andor impulse control, differs from cultural expectations and restricted range of expression of Pervasive : Long-standing pattern evident emotions in interpersonal settings across wide range of personal, social, and Neither desires not enjoys close occupational situations relationships Clinically significant impairment : Personal Almost always chooses solitary distress or impairment in social and activities occupational functioning, may distress others Has little, if any, interest in sexual Must have early onset and stability : Evident relationships since at least late adolescence, stable and often Takes pleasure in few, in any, activities life-long, so need documentation of history Lacks close friends or confidants Low interatability, low reliability: clinicians Appears indifferent to praise or often disagree criticism of others Axis II- much overlap to Axis I disorders Shows emotional coldness, detachment, or flattened affectivity Classification Can have overlap w Aspergers PDs = long-standing, maladaptive, inflexible Not distressing since have low interest oSchizotypal pervasive pattern of social ways of relating to world Diagnosed on DSM Axis-II and interpersonal deficits marked by Many problems with this classification acute discomfort w, and reduced argued as to atheroretical capacity for, close relationships as Hard to define cut-offs, not much evidence well as by cognitive or perceptual Not much known about origins distortions or eccentricities of bhvr Not much research except on borderline + antisocial since hard to assess Ideas of reference Odd beliefs or magical thinking Not much empirical support for clusters (Important to keep cultural Cluster A: Odd or Eccentric background in mind) Unusual perceptual experiences oParanoid pervasive distrust and Odd thinking and speech suspiciousness of others motives Suspiciousness or paranoid ideation Suspects others are exploiting, Inappropriate or constricted affect harming, or deceiving himher Bhvr or appearance that is odd, Preoccupied w doubts about loyalty + eccentric, or peculiar trustworthiness of others Lack of close friends or confidants Reluctant to confide in others fear Excessive social anxiety associated w info will be released paranoid fears Misinterprets neutral comments or events No acute phases of schizophrenia but can become schizophrenia, might be Persistently bears grudges prodomal symptoms Perceives attacks on hisher character Prevalence: 3%, more common in or reputation males, tends to be stable over time Has recurrent suspicions regarding fidelity of partner Cluster B: Dramatic, Emotional, or Erratic Prevalence: .5 2%, more frequently in males especially in clinical studies oHistrionic pervasive pattern of excessive emotionality + attention Fairly stable over time, starts early seeking
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