PSYC 3830 1st EditionExam # 2 Study Guide Lectures: 11-14Lecture 11 Feeding and Eating Disorders Anorexia Nervosa-most serious of all eating disorders, most deadly of all mental disordersCriteria:-Restriction of energy intake leading to significantly low body weight-Intense fear of gainging weight or persistent behavior preventing weight gain -Cognitive issues  either a disturbance in weight/body shape, OR the person has undue influence of weight/body shape on self evaluation, OR there is a persistent lack of recognition about the severity of their low body weight-No distress and impairment like in other disordersTypes:1.Restricting  diets, fasts, excessive exercise2.Binge Eating/Purging  eating more than expected then purgingBulimia NervosaCriteria:-Recurrent episodes of binge eating where the person eats more than the average person wouldover a discreet period of time-Sense of lack of control during the episode-The person may plan for binge eating by buying certain foods-Recurrent, nappropriate behaviors to prevent weight gain-Usually of a more normal weight-Undue influence of weight/body shape on self evaluationBinge Eating DisorderCriteria:-Recurrent episodes of binge eating-Sense of lack of control during the episode-Eats more rapidly, until uncomfortably full, alone due to embarrassment, or when not hungry-Results in disgust and guilt, causing distress-Occurs at least 1x a week for 3 monthsRumination DisorderCriteria:-Repeatedly regurgitates food for a month-Food may then be re-eaten or spit out-Does not occur during any of the prior disordersAvoidant/Restrictive Food Intake Disorder-common in children who aren’t concerned about being thinCriteria:-Eating or feeding disturbance due to lack of interest in food, avoidance of food due to characteristics, etc.-Persistent failure to meet energy/nutritional needs-Significant weight loss or failure to gain weight-Dependence on supplements or tube feeding-Interferes with psychosocial functioning-Not explained by lack of food, cultural practice, or another disorderPicaCriteria:-Persistent eating of non-food, non-nutritional substances (often chalk, detergent, crayons)-Lasts at least 1 month-Doesn’t match up with developmental stage-Not socially and culturally supported-Not socially and culturally supportedPersonality Disorders:-Individual characteristics-The person has an enduring pattern of inner experience and behavior-Observable to others and self-Inflexible and pervasive-Stable and of long duration-Carried through several situations-Onset can be traced back to adolescence or early adulthood-Manifested in 2 or more of the following areas  cognition, affectivity, interpersonal functioning, impulse controlMain Categories:Cluster A  odd, eccentric, strange1.Paranoid Personality Disorder:a. Pervasive distrust and suspiciousness of othersb. Views other’s motives as evilc. Thinks they are being deceivedd. Preoccupied with trustworthinesse. Reluctant to confide in othersf. Holds grudges2.Schizoid Personality Disorder:a. Pervasive pattern of detachment from social relationshipsb. Restricted range of emotions in interpersonal settingsc. No desire for close relationships (even with family)d. Choose solitary activitiese. No interest in sex3.Schizotypal Personality Disordera. Most serious of cluster Ab. Pervasive pattern of social and interpersonal deficits marked by discomfort and reduced capacity for close relationshipsc. Cognitive or perceptual distortions and eccentricities of behaviord. Ideas of reference (ideas that something is aimed at them)e. Bodily illusionsf. Magical thinkingg. Suspiciousness of othersh. Lack of close friendsi. Social anxiety that doesn’t diminish with experiencej. ParanoiaLecture 12 Main Categories of Personality Disorders ContinuedCluster B1. Antisocial Personality Disordersa. Pervasive pattern of disregard for and violation of rights of othersb. 3 or more of the following:i. Failure to conform to social norms (could result in arrest)ii. Deceitfulnessiii. Impulsivity iv. Failure to make plansv. Irritability, aggressionvi. Lack of remorsevii. Willing to step on people to get ahead 2. Narcissistic Personality Disordera. Pervasive pattern of grandiosity in fantasy or actual behaviorb. Need for admirationc. Lack of empathyd. Exaggerated talents and accomplishmentse. Preoccupied with fantasies of power, success, etc. f. Require excessive admirationg. Interpersonally exploitativeh. Envious of others or think that other people are envious of themi. Arrogant behaviors or attitudes3. Histrionic Personality Disordera. Pervasive pattern of excessive emotionality and attention seekingb. Uncomfortable in situations where they aren’t the center of attention c. Interaction with other people is usually inappropriate sexual behaviord. Displays rapidly shifting, shallow emotionse. Uses physical appearance to draw attentionf. Impressionisticg. Self dramatizationh. Suggestible and influenced by othersi. The person may consider relationships to be more intimate than they really are 4. Borderline Personality Disordera. Pervasive pattern of instability of interpersonal relationships, self image, and affects AND marked impulsivity b. Engages in frantic efforts to avoid abandonmentc. Unstable and intense relationships characterized by alternating between extremes of idealizing and degrading a person d. Identity disturbancee. The person is impulsive in at least 2 areas that can be self destructing i. Cheating, sex, money, etc.f. Thoughts of suicide and self harmg. Lots of mood swings due to the way the person experiences emotionh. Chronic feelings of emptinessi. Anger and trouble controlling angerj. Short term hallucinationsk. Dialect behavioral therapy – the person learns to balance opposing emotionsCluster C 1. Avoidant Personality Disordera. Similar social phobiasb. Pervasive pattern of social inhibition, feelings of inadequacy, and hypersensitivityto negative evaluationc. Avoids interpersonal contact because of fears of criticism or rejection d. Views themselves as unappealinge. Doesn’t engage in new activities because they might be embarrassing2. Dependent Personality Disordera. Pervasive and excessive pattern of need to be taken care of that leads to submissive and clingy behavior and fear of separationb. Difficulty making everyday decisions without advice from othersc. Needs others to assume responsibilityd. Difficulty expressing differences because they fear they will be rejectede. Go to