Chapter 12 Personality Disorder, Lecture notes of Psychiatry

Chapter 12 Personality Disorder Abnormal Psychology Barlow

Typology: Lecture notes

2017/2018

Uploaded on 09/27/2018

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personality disorder - have certain traits that are so
inexible and
maladaptive that they are unable
to perform
adequately at least some of
the varied roles
expected of them by
their society
- pattern of behavior must be
pervasive and inexible, as well as
stable and of long duration.
- cause either clinically signicant
distress or impairment in
functioning and be manifested
in at least two of the following
areas: cognition,
aectivity, interpersonal functioning,
or impulse control
- largely from the gradual
development of inexible and
distorted personality and behavioral
patterns that result in persistently
maladaptive ways of perceiving,
thinking about, and relating to the
world
Antisocial Personality Disorder - results in
extreme and often
unethical “acting out” against
society
THREE CLUSTERS OF personality disorder
1. Cluster A: Includes paranoid, schizoid, and
schizotypal personality
disorders
- they seem odd or eccentric, with
unusual behavior ranging from distrust and
suspiciousness to social detachment.
2. Cluster B: Includes histrionic, narcissistic,
antisocial,
and borderline
personality disorders.
- they share a tendency to be dramatic,
emotional, and erratic.
3. Cluster C: Includes avoidant, dependent, and OC
- they often show anxiety and fearfulness.
epidemiological study - comprehensively
examining all
the pers
onality disorders
Cluster A Personality Disorders
*Paranoid Personality Disorder - pervasive
suspiciousness
and distr
ust of others, leading
to
numerous interpersonal diculties
- see themselves as blameless, instead blaming others
for their own mistakes and failures—even to the point
of ascribing evil motives to others
- chronically tense and “on guard,” constantly
expecting trickery and looking for clues to validate
their expectations while disregarding all evidence to
the contrary.
- often preoccupied with doubts about the loyalty of
friends and hence are reluctant to conde in others
- bear grudges, refuse to forgive perceived insults and
slights, and are quick to react with anger and
sometimes violent behavior
Causal Factors of PPD
~genetic liability to paranoid personality disorder
itself that may occur through the heritability of high
levels of antagonism (low agreeableness) and
neuroticism (angry-hostility)
~parental neglect or abuse and exposure to violent
adults
*Schizoid Personality Disorder - unable to form
social relationships
and usually lack much interest in
doing so
- tend not to have good
friends, with the possible
exception of a close relative
- unable to express their
feelings and are seen by others
as cold and distant
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personality disorder - have certain traits that are so inflexible and maladaptive that they are unable to perform adequately at least some of the varied roles expected of them by their society

  • pattern of behavior must be pervasive and inflexible, as well as stable and of long duration.
  • cause either clinically significant distress or impairment in functioning and be manifested in at least two of the following areas: cognition, affectivity, interpersonal functioning, or impulse control
  • largely from the gradual development of inflexible and distorted personality and behavioral patterns that result in persistently maladaptive ways of perceiving, thinking about, and relating to the world Antisocial Personality Disorder - results in extreme and often unethical “acting out” against society THREE CLUSTERS OF personality disorder

1. Cluster A: Includes paranoid, schizoid, and

schizotypal personality disorders

  • they seem odd or eccentric, with unusual behavior ranging from distrust and suspiciousness to social detachment.

2. Cluster B : Includes histrionic, narcissistic,

antisocial, and borderline personality disorders.

  • they share a tendency to be dramatic, emotional, and erratic.

3. Cluster C : Includes avoidant, dependent, and OC

  • they often show anxiety and fearfulness. epidemiological study - comprehensively examining all the pers onality disorders *Cluster A Personality Disorders Paranoid Personality Disorder - pervasive suspiciousness and distr ust of others, leading to numerous interpersonal difficulties
  • see themselves as blameless, instead blaming others for their own mistakes and failures—even to the point of ascribing evil motives to others
  • chronically tense and “on guard,” constantly expecting trickery and looking for clues to validate their expectations while disregarding all evidence to the contrary.
  • often preoccupied with doubts about the loyalty of friends and hence are reluctant to confide in others
  • bear grudges, refuse to forgive perceived insults and slights, and are quick to react with anger and sometimes violent behavior Causal Factors of PPD ~genetic liability to paranoid personality disorder itself that may occur through the heritability of high levels of antagonism (low agreeableness) and neuroticism (angry-hostility) ~parental neglect or abuse and exposure to violent adults *Schizoid Personality Disorder - unable to form social relationships and usually lack much interest in doing so
  • tend not to have good friends, with the possible exception of a close relative
  • unable to express their feelings and are seen by others as cold and distant
  • often lack social skills
  • classified as loners or introverts, with solitary interests and occupations, although not all loners or introverts have this disorder
  • tend not to take pleasure in many activities, including sexual activity, and rarely marry CAUSAL FACTORS of SdPD ~ modest heritability ~s evere impairment in an underlying affiliative system ~ maladaptive underlying schemas that lead them to view themselves as self-sufficient loners and to view others as intrusive *Schizotypal Personality Disorder - excessively introverted & have pervasive social& interpersonal deficits
  • have cognitive and perceptual distortions, as well as oddities and eccentricities in their communication and behavior
  • contact with reality is usually maintained, highly personalized and superstitious thinking
  • under extreme stress they may experience transient psychotic symptoms
  • often believe that they have magical powers and may engage in magical rituals
  • ideas of reference (the belief that conversations or gestures of others have special meaning or personal significance), odd speech, and paranoid beliefs CAUSAL FACTORS of StPD ~ heritability is moderate

~biological associations of schizotypal personality disorder with schizophrenia are remarkable ~show numerous other mild impairments in cognitive functioning, including deficits in their ability to sustain attention and deficits in working memory *Cluster B Personality Disorders Histrionic Personality Disorder - Excessive attention-seeking behavior and emotionality are the key characteristics of individuals

  • tend to feel unappreciated if they are not the center of attention
  • their lively, dramatic, and excessively extraverted styles often ensure that they can charm others into attending to them
  • not lead to stable and satisfying relationships because others tire of providing this level of attention
  • In craving stimulation and attention, their appearance and behavior are often quite theatrical, emotional, sexually provocative and seductive
  • attempt to control their partners through seductive behavior and emotional manipulation
  • show a good deal of dependence
  • their speech is often vague and impressionistic
  • usually considered self-centered, vain, and excessively concerned about the approval of others, who see them as overly reactive, shallow, and insincere CAUSAL FACTORS ~highly comorbid with borderline, antisocial, narcissistic, and dependent personality disorder