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Personality Disorders (PDOs). Personality. Unique and long-term pattern of inner experience and outward behavior Often described in terms of “traits ” Comes from combination of genetics and environment. Personality Disorders (PDOs).
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Personality • Unique and long-term pattern of inner experience and outward behavior • Often described in terms of “traits” • Comes from combination of genetics and environment
Personality Disorders (PDOs) OLD DSM: Psychological disorders characterized by disruptive,inflexible and enduring behavior patterns that impair social functioning and deviate from the expectations of one’s culture. NEW DSM: impairments in personality (self and interpersonal) functioning and the presence of pathological personality traits
Based on New DSM Criteria Problems with Self-function (SF) Problems with Inter-personal function (IPF) Pathological Personality Traits (PPT)
5 specific types of PDOs Anti-social Avoidant Borderline Narcissistic Obsessive-Compulsive Schizotypal Overall: 9.1% adults over 12 mo. period
Anti-Social PDO (@ 1%) • Problems with SF: Ego-centrism • Problems with IPF: • X Pro-social behaviors • X Intimacy • X Empathy • PPT: • Antagonism • Lack of inhibition
Anti-Social PDO Causes • Biological & psychological • X gene code for complex behavior • Show little ANS arousal • Can detect behavior for children as young as 3 • Boys who become anti-social adults were: • Impulsive • Uninhibited • Unconcerned with social rewards • Low anxiety • Socio-cultural factors (nature and nurture interact)
Avoidant PDO (5.2%) Problems with SF: Low self-esteem Problems with IPF: Fear of rejection PPT: Withdrawal, Intimacy avoidance, inability to feel pleasure or take interest in life Anxiousness
Borderline PDO (1.6%) Problems with SF: Unstable self-image; instability in goals, aspirations or values Problems with IPF: b/c of hypersensitivity, X feel empathy with others; worries @ abandonment PPT: frequent mood changes, anxiousness, separation anxiety, depressive tendencies, lack of inhibition, antagonism
Narcissistic PDO • Problems with SF: Exaggerated self-esteem • Problems with IPF: superficial relationships • PPT: Grandiosity
Obsessive Compulsive PDO • Problems with SF: perfectionism • Problems with IPF: relationships secondary to work • PPT: Negative Affectivity
Schizotypal • Problems with SF: Distorted self-concept • Problems with IPF: Mis-interpretations • PPT: Eccentricity, Odd thought process, detachment