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Chapter 12

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Psychology 2030A/B
David Vollick

Chapter 12personality disorders PERSONALITY DISORDERSPersonality o Enduring and relatively stable predispositions ie Ways of relating and thinking5 factor model o Agreeableness extraversion conscientiousness trying to do a good job or not keep your word neuroticism negative emotions openness to experiencePersonality disorders o Predispositions are inflexible and maladaptive causing distress andor impairmento Coded on axis II of the DSMIVTRCategorical vs dimensional views of personality disorders Facts and stats o About 05 to 25 of the general population USCanadian data is scarce Origins and course of personality disorders o Thought to begin in childhoodfew studies on developmentnot seek treatment in early stageso Tend to run a chronic course unless treated poor outcome even when treated o Comorbidity with other psychological disorders rates are higher poorer prognosiso Gender bias in diagnosis Gender differences may be due to bias on the part of the diagnosing clinicianmay be due to societys bias against feminine traits CLUSTER A Paranoid personality disorder o Overview and clinical featuresPervasive and unjustified mistrust and suspiciono The causesBiological and psychological contributions unclear Early learning that ppl in the world is a dangerous place o Treatment optionsFew seek professional help on their ownTreatment focuses on development of trust this therapy needs to be long term1 yearCognitive therapy to counter negativistic thinking No evidence of treatment success Schizoid personality disorder o Pervasive pattern of detachment in interpersonal situationso Limited range of emotions in interpersonal situationso Normal behaviour beliefs and thought patterns vs paranoid and schizotypalo The causes etiology is unclear o Treatment optionsFew seek professional help on their own Focus on the value of interpersonal relationships empathy and social skills Treatment prognosis generally poornot motivated Lack good outcomes studiesre treatment efficacy Schizotypal personality disorder o Overview and clinical featuresBehaviour and dress if odd and unusualMost are socially isolated and may be highly suspicious of othersmay have the feeling someones in the room vs schizophrenic who9 strongly believes there is when no one isMagical thinking ideas of reference but sense they are unreal and illusions are common but sense that are unreal Risk for developing a schizophrenia is high Many also meet criteria for major depressiono The causesSchizoid personalitya phenotype of a schizophrenia genotype Left hemisphere and more generalized brain deficitso Treatment optionsMain focus is on developing social skills Treatment also addresses and comorbid depression Medical treatment is similar to that used for schizophrenia ie Antipsychotics Treatment prognosis is generally poor CLUSTER BAntisocial personality disorder APD o Overview and clinical features
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