This review has material as of 4/20/14Check 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- ChildAlso review YouTube Video on Childhood Schizophrenia and on Autism (see Black Board for Yputubr addresses).PersonalityWhat 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? - DimensionalDefine in three sentences the primary characteristics of the following?- Obsessive-Compulsive Personality Disorderi. preoccupied with details, rules, lists, order, organization, or schedules to the extent that the major point of the activity is lost ii. 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) iii. is excessively devoted to work and productivity to the exclusion of leisure activities and friendshipsiv. is over conscientious, scrupulous, and inflexible about matters of morality, ethics, or values (not accounted for by cultural or religious identification)v. is unable to discard worn-out or worthless objects even when they have no sentimental value vi. is reluctant to delegate tasks or to work with others unless they submit to exactly his or her way of doing thingsvii. adopts a miserly spending style toward both self and others; money is viewed assomething to be hoarded for future catastrophes viii. shows rigidity and stubbornness - Anti-sociali. 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 withconduct 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 Disorderi. 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 ofa 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 disorderi. 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.- Avoidanti. 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 depressionWhat 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 Ao Paranoid, schizoid, and schizotypalo Odd or eccentrico Low social involvement- Cluster Bo Antisocial, borderline, histrionic, and narcissistico Dramatic emotional, or erratico Low on affect control and high on acting out- Cluster Co Avoidant, dependent, and obsessive-compulsiveo Appears anxious or fearfulo Low in social involvemento Low in assertion (passive and submissive)Antisocial Personality DisorderHow 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
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