Abnormal Psychology Wednesday December 2 2015 Exam 3 Notes Personality Disorder Not episodic part of the character structure of the person Enduring Pattern of inter experience or behavior that deviates from expectation of one s culture Cognition the way the person thinks Affectivity emotionality experience and expression of emotion Interpersonal functioning how they engage with others Impulse control lack thereof Antisocial personality disorder psychopath disregard for and violation of rights of others 3 unlawful engages in activity deceitful liar Impulsive Irritable and Aggressive when things don t go their way Reckless disregard for safety of self and others Irresponsibility Lack of remorse Borderline Personality Disorder usually women Instability in relationships self image affects and impulse control 5 on the border of emotional and dissociative psychotic Abandonment Fear overlooking my needs Unstable and intense relationships idealization devaluation Identity disturbance Who am I Self damaging impulsivity sex substances driving binging spending Suicidal behavior gestures threats self mutilating 1 Wednesday December 2 2015 Affective instability and reactivity Chronic emptiness Inappropriate intense anger Paranoid ideation or dissociation hyper sensitivity Think off people with BPD as re survivors suffering from burns tender scars Walking on eggshells Interpersonal Danger Signals Forced Teaming we re in the same boat into your case a little too much Charming and Nice manipulatively charming seductive Too many details sign that people are lying Typecasting individual is slightly critical with aim to be disproven I m not like that Loan sharking offers to help so you feel indebted to them notes food money Unsolicited promises I promise I m not going to hurt you Discounting no Rescue Fantasy Therapist can save their patient Dialectical Behavior Therapy DBT Dr Linehan Team interactions Validation yes it s distressing and benevolent demanding actions to prevent why didn t they invite you Aim to support and confront 23 year old student Matthew Antisocial Personality Disorder Meticulously dressed rolex divorced parents No nancial support from dad Adopted Greek family Schizophrenic mother Owes money on his car not able to pay tuition creative money making strategies Trouble with the law arrested swallowed 100 tabs of LSD and jumped out a window 12 years old accused of setting re to a chair Father scared him because he believed he was lying scar to serve as a reminder not to lie Police report photos glass enclosure pet boa animal torture stacks of boxes of technology to sell 2 Wednesday December 2 2015 Fired from his job and Howard Johnson s 2 weeks dating a few girls at the same time Factory nightwatchman Sandra Formerly Marie Borderline Personality Disorder referred by her employer Temp forgot to give her a memo and she FREAKED OUT Cutting burning identity confusion 1 year came in every week Biological emotionally reactive baby grows up in an invalidating environment shut up wrapped up in hyper emotionality Psychologically abusive mother Substance Use Disorders Pattern of use leading to impairment or distress 2 Impaired control over substance abuse Larger amounts or use over longer periods than intended Desire effort to cut down Excessive time devoted to obtaining using or recovering Craving Social Impairment Failed obligations at work school home Continued use despite social or interpersonal problems Important activities are given up or reduced because of use Risky use Use of substances in physically hazardous situations Continued use despite physical or psychological problems due to substance Pharmacological Criteria Tolerance increased dose to achieve effect Withdrawal symptoms 3 Wednesday December 2 2015 Jared Substance Use Disorder 21 UMass Student September caught treatment for ADHD disorganized forgetful sessions going nowhere In November asks to print out a paper and Halgin says no Jared freaks out and leaves Radio silence until December Jared s friend if murdered by Jared s other friend Oxycontin use abuse CVS wouldn t carry it but Southwest was rolling in it In and out of treatment until May 30 Day treatment Got better living in Boston Would continue to make therapy appointments with 2 hour drive Relapse 30 days in treatment Moves from the area Narcotic s anonymous alcoholic s anonymous Massachusetts 1000 people 1 year opioid deaths November 1st April 1st Phenomenon Halgin stress cannot complete the semester exams are coming up going to fail the semester Schizophrenia 1 of the population Clorozil Clorozoril anti psychotic mediation used to treat schizophrenia A for one moth 2 or more of the following including either 1 2 or 3 1 Delusions false beliefs grandiose control reference Grandiose Jesus Christ Control Something is controlling me Reference Radio TV references patient personally 2 Hallucinations false perceptions Two types of voices talking to you or talking about you Command Hallucination Voce that directs patient to do bad murder rare 3 Disorganized Speech word salad 4 Disorganized or Catatonic behavior quirky lose of control 5 Negative symptoms diminished emotional expression avolition looking like depression 4 Wednesday December 2 2015 B Impaired Functioning work relations self care C Continued disturbance for at least 6 months D Not due to another disorder E Not due to substances or medical condition Stages of Schizophrenia Prodromal acting in peculiar ways becoming overly religious Active getting better improvement Residual symptomatic like prodromal phase Beverly 19 Schizophrenic Freshman from Central Mass Paul McCartney told her to murder her mom communication with the Beatles 5 weeks missed sessions Failed all classes academic probation Moved to a halfway house hallway between independence and inpatient unit 5