This review has material as of 4 20 14 Check BB for additional Information Abnormal Crib Final Thursday 7 30 9 30 a m For each 10 minutes late 1 point On Exam Personality PowerPoint Eating Disorder Child Also review YouTube Video on Childhood Schizophrenia and on Autism see Black Board for Yputubr addresses Personality What are some of the reasons that the DSM is thought to have poor reliability for the diagnosis of personality disorders Heterogeneity many individuals with a personality disorder exhibit a wide range of symptoms that make several diagnoses applicable Is the DSM 5 approach to personality disorders Categorical or dimensional Dimensional Define in three sentences the primary characteristics of the following Obsessive Compulsive Personality Disorder i preoccupied with details rules lists order organization or schedules to the extent that the major point of the activity is lost shows perfectionism that interferes with task completion e g is unable to complete a project because his or her own overly strict standards are not met is excessively devoted to work and productivity to the exclusion of leisure activities and friendships is over conscientious scrupulous and inflexible about matters of morality ethics or values not accounted for by cultural or religious identification ii iii iv v vi is unable to discard worn out or worthless objects even when they have no sentimental value is reluctant to delegate tasks or to work with others unless they submit to exactly his or her way of doing things vii adopts a miserly spending style toward both self and others money is viewed as something to be hoarded for future catastrophes viii shows rigidity and stubbornness Anti social i To major components Adult component and conduct disorder before 15 1 Adult a pervasive pattern of disregard for others manifested since the age of 15 Bad Behavior includes not working consistently breaking laws irritable physically aggressive defaulting on debts recklessness impulsiveness fails to plan ahead and no regard for truth 2 Conduct disorder Truancy running away frequent lying theft arson cruelty to animals and deliberate destruction of property Children with conduct disorder may go on to develop patterns of antisocial behavior in adulthood Borderline Personality Disorder BPD i Reveals instability in relationships mood and self image Individuals have not developed a clear and coherent sense of self cannot bear to be alone and have fears of abandonment Includes frantic efforts to avoid real or imagined abandonment a pattern of unstable and intense interpersonal relationships altering between idealization and devaluation identity disturbance unstable self image or sense of self impulsivity in at least 2 areas that are potentially self damaging spending sex substance abuse reckless driving binge eating etc recurrent suicidal behavior gestures or threats or self mutilating behavior tattoos or piercings affective instability due to marked reactivity of mood chronic feelings of emptiness intense anger or difficulty controlling anger and stress related paranoid ideation or severe dissociative symptoms Schizotypal Personality Disorder i Have interpersonal difficulties of schizoid personality A number of other more eccentric symptoms not severe enough to warrant a diagnosis of schizophrenia Includes odd beliefs magical thinking recurrent illusions sense the presence of a force speech used in unclear and unusual fashion and paranoid ideation and ideas of reference and illusion ii Characterized by cognitive or perceptual distortions an inability to tolerate close friendships and odd behavior but not psychosis Narcissistic personality disorder i A pervasive pattern of grandiosity in fantasy or behavior need for admiration and lack of empathy ii Has a grandiose sense of self importance e g exaggerates achievements expects to be recognized as superior without commensurate achievements is preoccupied with fantasies of unlimited success power brilliance beauty or ideal love believes that he or she is special and unique and can only be understood by or should associate with other special or high status people or institutions requires excessive admiration has a sense of entitlement expecting others to do special not to be reciprocated favors for them is interpersonally exploitative i e takes advantage of others Is often envious of others or believes that others are envious of him her and interpersonal relationships are disturbed by lack of empathy feelings of envy arrogance and taking advantage of others Avoidant i People who are keenly sensitive to criticism rejection or disapproval who are fearful in social settings reluctant to enter into relationships afraid of saying something foolish believe they are incompetent inferior and exaggerate risk in doing something outside usual routine ii Majority comorbid with depression What is a Personality disorder e g Longstanding from adolescence pervasive inflexible patterns of behavior Defined by the extremes of several personality traits which impair social and occupational functioning and cause emotional stress Describe each personality Cluster A B C Cluster A Cluster B o Paranoid schizoid and schizotypal o Odd or eccentric o Low social involvement Cluster C o Antisocial borderline histrionic and narcissistic o Dramatic emotional or erratic o Low on affect control and high on acting out o Avoidant dependent and obsessive compulsive o Appears anxious or fearful o Low in social involvement o Low in assertion passive and submissive Antisocial Personality Disorder How is anti social and psychopathy different Don t email asking me the answer read Cleckley s criteria for psychopathy refers less to antisocial behavior and more to the psychopath s psychology or personality Who was Cleckley An American psychiatrist and pioneer in the field of psychopathy His book The Mask of Sanity provided the most influential clinical description of psychopathy in the twentieth century The term mask of sanity derived from Cleckley s belief that a psychopath can appear normal and even engaging but the mask conceals a mental disorder Describe Kohut s theory of Narcissism Kohut s theory of self psychology which suggested that narcissism allows people to suppress feelings of low self esteem and develop a sense of self Ch 11 Eating Disorders Define Anorexia Nervosa normal o Restriction of behaviors that promote healthy weight body weight is significantly below Approximately BMI Body Mass Index
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