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Lecture

Chapter 9- Personality Disorders.docx

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Department
Psychology
Course Code
PSYC 353
Professor
Richard Yi

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Chapter 9: Personality Disorders Personality- typical ways of acting, thinking, believing and feeling - Personality traits are complex pattern of behavior, thought and feeling - Five- Factor Model- OCEAN - Personality Disoders - Coded on Axis II of DSM - Problems in two or more areas: cognitions, affectivity, interpersonal functioning, impulse control - (first cluster) Cluster A: odd or eccentric disorders Paranoid - interprets others actions as demeaning or threatening - Results in: o Expectation of being harmed o Pathological jealousy o Hypervigilance o Restricted affect o No sense of humor Associated Features: unlikely to come in for treatment b/c suspicious of it, - .7- 5.1% of population, more common in men - comorbidity (can be outside of cluster), genetic etiology (prevalence in families that have disorder) Schizoid - indifference to social relationships, emotionally cold - Not likely to come in for treatment - .8- 1.7% of population, slightly more in men - Comorbidity, genetic etiology - Looks like prodromal (isolate themselves before schizo) and residual phases of schizophrenia - Treat through training and modeling interpersonal relationship Schiotypal- peculiarities of cognition (paranoia, suspicious, ideas of reference, illusions, odd beliefs like clairvoyance or telepathy) - Vague speech, odd expressions, distracted/ fixated, may appear unkempt - .6- 1.1% of population, slightly more common in men - Comorbidity, genetic etiology - Stable course, small group go on to develop Schizo or other psychotic disorders - Cognitive deficits Cluster B: dramatic, emotional, erratic Antisocial- adult version of conduct disorder (in children) - [[Poor impulse control]], inability to form positive relationships, violate social norms, irresponsible, deceitful, violent, lack remorse, indifferent to suffering of others - 3-5% of population, higher in men - High percentage of convicted felons - Overlap w/ other cluster B disorders - High sensation seeking, low inhibition of behavior - Comorbid substance abuse/ dependence Etiology- strong genetic component, physiological differences (low arousal, muted response), social environment (engage in actions like crime to get arousal b/c lack thereof is uncomfortable), emotional deficiency (no empathy) - Treatment: help client control anger, Borderline Personality Disorder - Instability in self- image/ identity, Interpersonal relationships (idealize someone but then resent them later), unstable mood, fear of abandonment (ambiguous stimuli) - Impulsivity- Self- injury, suicide Epidemiology: prevalence up to 4%, higher in women - 30- 60% of Personality Disorder diagnoses, comorbid mood disorder, genetics Etiology: - Biosocial Theory- dysfunction of emotional regulation o Emotional vulnerability, invalidation, family characteristics o experience becomes stronger if invalidated (if parents say you
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