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Chapter 12

PSY240H1 Chapter 12: Week 9 Reading Notes

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Christine Burton

Paranoid PD These people have suspicions in events where most people would think the suspicion is unjustified. Even if the events have nothing to do with them directly they are interpreted as personal attacks (neighbour’s dog barks is their way of trying to annoy me). These people are very sensitive to criticism and have an excessive need for autonomy. Having this disorder increases the risks of suicide attempts and violent behaviour. Note that these suspicions do not reach delusional proportions. Hallucinations are never experienced. If you have a relative with schizophrenia you are more likely to have paranoid PD (therefore genetic component). Early mistreatment or traumatic childhood experiences may play role in development of paranoid PD (however we can’t say for sure because these people view the world as a threat so when asked to “recall as many events as you can from your childhood” they bias those types). One explanation of this disorder is that these people have a mistaken schema of the world (People are deceptive and they’ll attack you every chance they. You can only survive only if you stay on your toes). We’re not sure why they have these schemas but it could stem from early upbringing (parents teach kids to be careful about making mistakes) 0.5-2.5% prevalence and more common in men. Cultural factors also implicated: Prisoners, refugees, people with hearing impairments, and the elderly are thought to be particularly susceptible because of their unique experiences. Treatment: These people unlikely to seek help since they are mistrustful of people. Thus therapeutic alliance is an essential first step. They seek help usually as another problem such as anxiety or depression. Use CBT to counter their mistaken schema. Unfortunately dropping out of treatment is common. However no current evidence about effectiveness of any paranoid PD treatment. Histrionic PD (the word histrionic means theatrical) These people are inclined to express their emotions in an exaggerated fashion (hugging someone they just met or crying uncontrollably during a sad movie). These people are also very concerned about their lo
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