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Dependent Personality Disorder. Denzel Smith Psychology Period, 6. Dependent Personality Disorder.
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Dependent Personality Disorder Denzel Smith Psychology Period, 6
Dependent Personality Disorder • Individuals with dependent personality disorder use their submissive and clinging behavior toward others to elicit care, depending on them for initiative, reassurance, decision making, and advice. (DSM IV-TR) • Basically the need to be taken care of or to depend others to set their major goals.
Associated Features • DSM IV-TR criteria • A pervasive and excessive need to be taken care of that leads to submissive and clinging behavior and fears of separation, beginning by early adulthood and present in a variety of contexts, as indicated by five (or more) of the following: • (1) has difficulty making everyday decisions without an excessive amount of advice and reassurance from others. • (2) needs others to assume responsibility for most major areas of his or her life. • (3) has difficulty expressing disagreement with others because of fear of loss of support or approval. Note: Do not include realistic fears of retribution.
Associated Features • (4) has difficulty initiating projects or doing things on his or her own (because of a lack of self-confidence in judgment or abilities rather than a lack of motivation or energy). • (5) goes to excessive lengths to obtain nurturance and support from others, to the point of volunteering to do things that are unpleasant. • (6) feels uncomfortable or helpless when alone because of exaggerated fears of being unable to care for himself or herself. • (7) urgently seeks another relationship as a source of care and support when a close relationship ends. • (8) is unrealistically preoccupied with fears of being left to take care of himself or herself.
Associated Features • Seeks overprotection and dominance from others. • Takes criticism as proof of their worthlessness and lose faith in them selves. • Also has difficulty doing things on their own, because they lack self confidence. • Feels uncomfortable or helpless when alone because they fear being unable to take care of them selves.
Etiology • Biological • People with DPD appear to have a biological, inborn temperament, sometimes referred to as harm avoidance, that is characterized by a tendency to worry about the outcome of a variety of situations that many others take for granted. • Family & Social Environment • Sexually humiliated by others in their development years. • Caretakers reject attempts the child makes towards independence. • Result of over involvement of caretakers.
Prevalence • Rarely diagnosed in children or adolescents. • Showed in women and men, but women are most common. • American society reward dependent behavior in women but punish the same behavior in men, social pressures may contribute to the fact females appear to have it more. • 9.1% 0f the United States population(1 in every 11) meet the DSM IV-TR criteria for dependent personality disorder.
Treatment • Psychotherapy is considered to be the most effective treatment for gradually helping people with this condition make more independent choices in life. • Helps person be more active and independent. • Learn to form healthy relationships. • Assertiveness training, builds self confidence. • However, while helping a client, the therapist avoids becoming an authority figure to the client.
Treatment • Anti-anxiety agents • Anti depressants
Prognosis • Improvements for DPD are usually seen in long term therapy. • People with DPD commonly turn to alcohol and drugs, which eventually leads to abuse. • People with DPD and do drugs or alcohol depend on them. • Depression
Discussion • Is it possible to overcome dependent personality disorder in a short term period of time? • How common are personality disorders worldwide?
Reference • Theclevelandclinic.(2012).Retrieved from http://my.clevelandclinic.org/disorders/personality_disorders/hic_dependent_personality_disorder.aspx • Reference from A.D.A.M.(2010).Dependent personality disorder. http://health.nytimes.com/health/guides/disease/dependent-personality-disorder/overview.html • Halgin,R.P.&Whitbourne,S.K.(2005).Abnormal psychology clinical perspectives on psychological disorders.NewYork,NY: McGraw-Hill.