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Ch12 Textbook Notes

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CHAPTER 12 PERSONALITY DISORDER personality is all the ways we have of acting thinking believing and feeling that makes each of us uniquea personality trait is a complex pattern of behaviour thought and feeling that is stable across time and many situationsDefining and Diagnosing Personality Disorders personality disorder is a longstanding pattern of maladaptive behaviours thoughts feelingsadult must have shown these symptoms since adolescence or early adulthoodDSMIVTR places personality disorders on axis IIpeople diagnosed with a personality disorder often experiences an acute disorder at sometime in their lifethree clusters oddeccentric behaviour and thinking dramatic erratic emotional behaviour and interpersonal relationships and anxious and fearful emotions and chronic selfdoubtProblem with the DSM Categoriessubstantial evidence from John Livesleys and others work that several disorders recognized by the DSMIVTR represent extreme versions of normal personality traitsdemonstrated that all DSM Axis II disorders can be represented by a restricted list of normal personality traits and much of overlap is due to common underlying traitsgreat deal of overlap in diagnostic criteriadiagnosing a personality disorder often requires information that is hard for a clinician to obtaineg how an individual treats others how they behave in a wide variety of situationspersonality disorders are conceptualized as stable characteristics of an individuallongitudinal students found that people diagnosed vary over time in number and severity of symptoms go in and out of diagnosisproblems make it difficult for clinicians to be confident of diagnosis makes research difficultGender and Ethnic Biases in Construction and Applicationdifferences in frequency with which different ethnic groups or gender groups are diagnosedclaims that these differences come from biases in the construction of the disorders or in clinicians applications of diagnostic criteriaPaul Kaplan 1983 argued that diagnoses of dependent borderline personality disorders are extreme versions of negative stereotypes of womens personalitiesdiagnostic criteria for antisocial paranoid obsessivecompulsive personality disorders which are characterized by violent hostile controlling behaviour represent extremes of negative stereotypes of menDSM constructions doesnt recognize that expressions of symptoms may vary between groupsWidiger 1998 when a clinician is presented with the description of a person exhibiting symptoms of a histrionic personality disorder more likely to make diagnosis if person described is a female
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