FMU PSY 631 - PERSONALITY DISORDERS (79 pages)

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PERSONALITY DISORDERS



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PERSONALITY DISORDERS

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Pages:
79
School:
Francis Marion University
Course:
Psy 631 - Psychological Testing and Measurements
Unformatted text preview:

Personality Disorders William P Wattles Ph D Francis Marion University 1 Personality Disorders are generalized inflexible patterns of inner experience and behavior of long standing 2 Personality Disorders are long term maladaptive patterns of perception emotional regulation anxiety and impulse control 3 Personality 1 The enduring pattern of inner experiences and outward behavior that is unique to each individual 4 Personality Disorders Enduring pattern of inner experience Deviates markedly from the expectations of the person s society Pervasive and inflexible Onset in adolescence or early adulthood Is stable over time Leads to distress or impairment 5 Personality Traits Enduring patterns of perceiving relating to and thinking about the environment and oneself exhibited over a wide range of social and personal contexts Stable across Time Place Situation Only disorders if maladaptive 6 Personality disorder Involves long term functioning difficult to assess in one interview not organic substance induced or situational must go back at least to early adulthood may be ego syntonic 7 PD s frequently overlooked Client may express more concern with Axis I Problems Personality styles often hidden and must be inferred Can be difficult to distinguish between state clinical elevations and trait personality scales 8 Cluster A Individuals appear odd or eccentric Paranoid Schizoid Schizotypal 9 Cluster B Individuals appear dramatic emotional or erratic Antisocial Borderline Histrionic Narcissistic 10 Cluster C Individuals appear anxious or fearful Avoidant Dependent Obsessive Compulsive 11 Paranoid Personality Disorder Pervasive distrust and suspiciousness of others such that their motives are interpreted as malevolent 12 Paranoid Personality Disorder Four of Suspects others exploiting harming or deceiving preoccupied with unjustified doubts of loyalty of friends and associates Reluctant to confide in others Reads hidden demeaning of threatening meanings into benign events persistently bears grudges perceives attacks not apparent to others recurrent suspicions w o cause regarding fidelity of partner 13 Paranoid P D Overreact to minor slights Hold grudges Constantly vigilant Quick to counterattack 14 Dichotomy Normal Paranoid 15 Points on Continuum Paranoid Traits Normal Gullible Paranoid P D Delusional Disorder Paranoid Schizophrenic 16 Delusional Disorder Persecutory Type Central theme of being conspired against cheated spied on followed poisoned Maligned harassed or obstructed May engage in repeated attempts to get satisfaction by appeal to courts and government agencies 17 Delusions Erroneous beliefs that usually involve misinterpretation of perceptions or experiences Vapor trails Delusions are deemed bizarre is they are clearly implausible Thought broadcasting 18 Delusional Disorder vs Schizophrenia Bizarre versus nonbizarre delusions Bizarre if clearly implausible not understandable not derived from ordinary life experience Nonbizarre involves thing that can occur in real life being followed poisoned loved at a distance deceived by one s spouse 19 Schizophrenia Paranoid type Preoccupation with prominent delusions or hallucinations 20 Schizoid Personality Disorder Pervasive pattern of detachment from social relationships and a restricted range of expression of emotions 21 Schizoid Personality Disorder Four of neither desires nor enjoys close relationships Usually chooses solitary activities Has little interest in sex with another person Take pleasure in few if any activities Lacks close friend or confidants appears indifferent to praise or criticism shows emotional coldness and flat affect 22 Schizotypal Personality Disorder Pervasive pattern of social and interpersonal deficits marked by acute discomfort with close relationships as well as by cognitive or perceptual distortions and eccentricities of behavior 23 Schizotypal Personality Disorder Five of Ideas of reference odd beliefs unusual perceptual experiences odd thinking and speech suspiciousness or paranoid ideation Inappropriate or constricted affect odd behavior or appearance lack of close friends or confidants excessive social anxiety based on paranoid ideation 24 Antisocial Personality Disorder The essential feature is a pervasive pattern of disregard for the violation of the rights of others Since age 15 Sociopathy psychopathy 25 Antisocial Personality Disorder Failure to conform to social norms deceitfulness lying aliases conning Impulsivity and failure to plan ahead irritability and aggressiveness reckless disregard for the safety of self and others consistent irresponsibility lack of remorse 26 Borderline Personality Disorder Pervasive pattern of instability of interpersonal relationships selfimage and affects Marked impulsivity KM 27 Borderline Personality Disorder Frantic efforts to avoid abandonment unstable and intense relationships identity disturbance impulsivity sex substance abuse reckless driving binge eating Recent suicidal behavior or threats affective instability chronic feelings of emptiness 28 Histrionic Personality Disorder Pervasive Pattern of excessive emotionality and attention seeking behavior 29 Histrionic Personality Disorder Uncomfortable if not the center of attention Inappropriate sexually seductive or provocative behavior Rapidly shifting and shallow emotions Uses physical appearance to draw attention Speech is excessively impressionistic and lacking in detail Self dramatization theatricality and exaggerated expression of emotion Suggestible Considers shallow relationships intimate 30 Narcissistic Personality Disorder Pervasive pattern of grandiosity need for admiration and lack of empathy that begins by early adulthood 31 Narcissistic Personality Disorder Grandiose sense of self importance Preoccupied with fantasies of unlimited success Believes he or she is special requires excessive admiration Sense of entitlement interpersonally exploitative lacks empathy envious arrogant behavior and attitudes 32 Narcissistic Personality Disorder Baughman article Sense of entitlement Lack of empathy or conscience No lack of intelligence No lack of social skills 33 Uconn President spending in hard times There was the 170 000 inauguration with regal fireworks the half million dollar office renovation the decision to have the state pay 49 000 in rent on a house near campus rather than live in the recently restored presidential mansion the reason cited was health issues related to mold and the 3 500 for six life size


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