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MCCC PSY 210 - PSY210-Lecture13-Chapter 11- Personality Disorders

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4/8/20091Can my personality be a disorder?!Chapter 11- Personality DisordersWhat is Personality?• How would YOU describe your own personality?• There are many characteristics of personality:– “George is shy”– “Karen is outgoing”– “Missy is such a drama queen”– “Jane has the personality of a wet-mop!” – Dan is SO suspicious of everyone”A personality refers to a distinctive set of behavior patterns that make up our individuality.______________________________________________________________________________________________________________________________________________________4/8/20092Defining Personality• Personality disorders are displayed in a wide range of social and personal _________________________________ ____________________________________________________________________________________________________________• People with personality disorders have a great difficulty dealing with other people.– They tend to be rigid, inflexible, and unable to respond to changes and demands of life.Defining Personality Disorders• The DSM IV defines 10 specific personality disorders, based on category. These disorders are different than most of the previously discussed disorders because they are classified _______________– The DSM IV divides the personality disorders into 3 ___________________________________________________________Cluster A- Odd or Eccentric Disorders:– Paranoid- suspicious, distrustful, hostile attributions– Schizoid- interpersonally and emotionally cut-off, constricted, unresponsive (the loner)– Schizotypal- odd thoughts, feelings, behaviors, experiences, poor interpersonal functioningCluster B-Dramatic, Emotional or Erratic Disorders:– Histrionic- dramatic, attention-seeking, emotionally shallow– Narcissistic- inflated sense of self-importance, entitled, low empathy, hidden vulnerability– Antisocial- pattern of behaviors that disregard laws and norms and rights of others– Borderline- instability in thoughts, feelings, behavior and sense of selfCluster C- Anxious or Fearful Disorders:– Obsessive-Compulsive- rigid, controlled, perfectionistic– Avoidant- fear of negative evaluation and abandonment– Dependent- submissive, dependent on others for self-esteem, fear of abandonment4/8/20093Prevalence• Personality disorders are relatively common, found in 0.5% to 2.5% of the general population.• The personality disorder forms as the personality itself is developing, making these maladaptive patterns ingrained into the sense of self.– ____________________________________________________________Cluster A Personality Disorders• People with paranoid personality disorder are excessively ___________________________________________________________without justification.• They assume that people are out to trick or harm them, and they tend to not confide in others. Even events that have nothing to do with them are seen as personal attacks (Phillips & Gunderson, 2000).– These people would view the neighbor’s dog barking or a flight delay as a deliberate attempt to annoy them.Borderline Personality Disorder(Cluster B)• Borderline Personality Disorder is characterized by a pervasive pattern of _______________________________ __________________________________________________________________________________________________________• People with this disorder are highly impulsive and have a fear of abandonment.4/8/20094Understanding BPD• A person with BPD may experience intense bouts of ________________________________________________________________________________________________________________________________________________________________________• BPD is one of the most common personality disorders; it is seen in every culture and affects 2-3% of the general population, mostly affecting young women (Gunderson, 2001).“But, it’s a good pain…”• People with BPD often engage in ___________________ _______________________________________________________– Cutting, burning or punching themselves– Self-inflicted cigarette burns– Carving initials into their arm• Self-injurious behaviors, like cutting are sometimes described as ___________________________ for those who report feeling empty (Bohus et al., 2000).Self-Injury• There is a high rate of self-injury without suicide intent, as well as a significant rate of suicide attempts and completed suicide in severe cases.– A significant proportion succeed at suicide-6% (Stone, 1989).4/8/20095Comorbidity• BPD is often comorbid with many other mood disorders.– 24-74% have ___________________________________________________– 4-20% have bipolar disorder– 25% of people with bulimia have BPD– And up to 67% of people with BPD are also diagnosed with at least one ________________________________________________________A link to abuse?• Studies show that many, but not all individuals with BPD report a __________________________________ _______________________________________________________– _____________% of BPD patients report having been sexually abused.• Researchers believe that BPD results from a combination of _____________________________________ __________________________________________________________that trigger the onset of the disorder as young adults.Always Onstage• Histrionic Personality Disorder involves a pervasive pattern of ________________________________________________________________• People with this disorder are overly dramatic and often seem like they are acting. Often expressing their emotions in an exaggerated fashion.– Hugging someone they have just met or crying uncontrollably at a sad movie.• ________________________________________________________________________________________________________________________________________________________________________________________________4/8/20096Is this disorder accurately diagnosed?• There is a high rate of diagnosis among women, which has raised some questions about the nature of this disorder.• Research has shown that there is some bias among psychologists and psychiatrists who tend to __________________________________________________ _____________________________________________________“psychopath”• ____________________________________________ is a condition in which people show a pervasive disregard for the law and the rights of others. • People with antisocial personality disorder _________________


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MCCC PSY 210 - PSY210-Lecture13-Chapter 11- Personality Disorders

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