PSYCH 215 Lecture 12: Personality Disorder

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Elizabeth Eustis

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Personality Disorder • What is personality? o Long term pattern of inner experience and outward behavior o Consistent, "traits" o Also flexible, we learn and adapt to new environment • This flexibility tens to be missing in personality disorders; inflexible o Can help with finding out who you are o Personality is more seen around adolescence • What is a personality "disorder"? o Ongoing rigid pattern of inner experience and outward behavior that: • Impairs: sense of self, emotional experience, goals, and capacity for empathy and/or intimacy ▪ Present in most interactions ▪ Different from experiences and behaviors typically expect within person's CULTURE ; compare their norms and their interaction with them ▪ Leads to psychological pain (distress); typically leads to distress to the person but since they are not aware of these personality disorders, they will cause distress towards other people as well • Onset & Prevalence o Recognized in adolescence/early adulthood o Symptoms last for years o Many people with personality disorders are not aware of their personality difficulties o Among most difficult disorders to treat, but DBT being the most helpful o 10-15% of adults o Often co-morbid with other disorders • Other disorders are usually harder to treat and see the same benefits compared to someone that does not struggle with the disorder Personality Disorder • Separated into 3 clusters in the DSM-5 o We will focus on cluster b: "dramatic, emotional, or erratic behavior" • Antisocial personality disorder • Borderline personality disorder • Histrionic personality disorder • Narcissistic personality disorder Borderline Personality Disorder • Symptoms o Intense emotions, difficulty regulating emotions… • Having a hard time noticing, labeling, and responding to these emotions o Relationships • Intense, high conflict, often short term • Fear of abandonment ▪ Intense worry that the relationship will end • Difficulties with boundaries o Impulsive/"reckless" behaviors • Self-injury (cutting, burning, banging head, ingesting something that is not meant to be ingested, etc.) • Substances • Ris
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