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PSYB32 Ch 13

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Konstantine Zakzanis

PSYB32 Ch 13 Personality DisordersPersonality disorder a group of disorders that are regarded as longstanding pervasive and inflexible patterns of bhvr and inner experience that deviate f the expectations of a persons culture and that impair social and occupational functioning some but not all can causes emotional distressPpl w personality disorders exhibit extremes of several traits and are often rigid in their bhvr and cannot change it in response to changes in the situations they experience Mary girl in the beginning example demod borderline personality disorder w her frequent mood swings periods of depression and extreme irritability The reliability of personality disorder diagnoses had improved due to the publication of specific diagnostic criteria and the dvlpt of structured interviews designed for assessing personality disorders Antisocial personality disorder is a stable diagnosis a patient given the diagnosis is very like to receive the same diagnosis when evaluated later but schizotypal and dependent personality disorders are not stable over timePersonality disorder is a failure or inability for one to come up w adaptive solutions to life tasks 3 types of life tasks are 1 to form stable integrated and coherent representations of self and others 2 to dvlp the capacity for intimacy and positive affiliations w other ppl and 3 to function adaptively in society by engaging in prosocial and cooperative bhvrs Many disorders are egosyntonicthe person w a personality disorder is unaware that a problem exists and may not be experiencing significant distress Ppl who interact w these individuals become informants and disorders need to diagnosed via clinical interviews led by trained personnel 5 Personality constructs that reflect psychopathology negative emotionalityneuroticism lack of positive emotionality aggressiveness lack of constraint and psychoticism Personality Disorder Clusters 1 Cluster A paranoid schizoid and schizotypal seem odd or eccentric these disorders reflect oddness and avoidance of social contact Paranoid personality type one is suspicious of others these ppl expect to be mistreated or exploited by others and thus are secretive and always on the lookout for possible signs of trickery and abuseThey are reluctant to confide in others and tend to blame then even when they themselves arefaultThey can be very jealous and may unjustifiably question the fidelity of a spouseloverTheyre preoccupied w unjustified doubts about the trustworthiness or loyalty of others They may read hidden negative or threatening messages into eventsDifferent f schizophrenia bc there is not hallucinations and less social and occupational impairmentDifferent f delusional disorder bc fullblown delusions arent Schizoid personality disorder patients have no desire or seem to enjoy social relsh and usually have no close friendsThey are dull bland and aloof and have no warm feelings for others
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