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Personality Disorders

Dr. Ashlea Smith. Personality Disorders. Pick out topics for individual in-class presentation small group pair Personality disorders Charades of different personality disorders Worksheet on PD. Agenda. Personality disorder. Falls under AXIS II

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Personality Disorders

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  1. Dr. Ashlea Smith Personality Disorders

  2. Pick out topics for individual in-class presentation small group pair Personality disorders Charades of different personality disorders Worksheet on PD Agenda

  3. Personality disorder • Falls under AXIS II • A rigid pattern of inner experience and outward behavior • Visible in how a person acts, thinks, and feels • Usually accompanied by AXIS I • DSM-IV-TR=10 personality disorders, 3 groups (clusters) • Table 13-1 • Pattern of behavior that deviates from the individual’s culture(cognition, affect, interpersonal functioning, impulse control • Pattern inflexible & pervasive in personal and social situations • Onset in adolescence early adulthood • Significant distress or impairment

  4. Vanity Smurf • Vanity Smurf is never without a mirror in sight. Vain to an extreme, Vanity is constantly worried about his appearance. Vanity wears a flower in his cap and is demonstrably effete.

  5. Batman • Schizoid personality disorder

  6. Joker • Antisocial personality disorder sociopath

  7. Tweety & Sylvester

  8. Pepe Le Pew • Pepe LePew is another sadly disturbed character. He is preoccupied with fantasies of ideal love and therefore follows and victimizes a helpless feline.He lacks the empathy to see that his feelings are unrequited and shows an unreasonable sense of entitlement to the affections of the poor cat. Obviously we are dealing with a narcissistic personality disorder here, cluster B, diagnostic code 301.81.The cat herself shows signs of pathological passivity in that she does not seem to express her rejection in an effective and assertive manner to Pepe. Her half-hearted attempts to escape make one wonder if she enjoys the victim role. Perhaps at a subconscious level she enjoys the attention.

  9. Daffy Duck • Moving on to Daffy Duck, the diagnosis of paranoia immediately takes wing. This whining, overbearing, insecure creature must surely be more pitied than blamed. He has strong goal-seeking behavior and yet his poor social skills and outbursts of temper often sabotage his success.Daffy thinks the world is out to get him. He is suspicious of everyone's motives, bears grudges and trusts no one. This behavior consistently alienates him from others, only further exacerbating his paranoid ideation.Clearly he has had some bad experiences as a duckling. Label him paranoid personality disorder, cluster A, diagnostic code 301.0.

  10. Cinderella’s Stepmother • OBSESSIVE COMPULSIVE PERSONALITY DISORDER

  11. Jessica Rabbit • http://ca.youtube.com/watch?v=C79tfgiiXDI&feature=related • Histrionic Personality Disorder

  12. Betty Boop • Betty Boop began as dog. By 1930 she had evolved into a coy flapper whose innocent skirt-lifting and trademark line "boop-boop-a-doop" were sweetly suggestive of more than just singing and dancing. She starred in over 100 cartoons from 1931 to 1939, getting increasingly less saucy • Borderline Personality Disorder

  13. “Odd” Personality disorders • Odd, eccentric behaviors • Suspicious, socially withdrawn, strange ways of thinking & perceiving world • Schizotypal personality disorder • Paranoid personality disorder • Schizoid personality disorder

  14. Distrust others and suspicious of motives Harm/threats Avoid relationships Grudges Critical 0.5-3% of adults more men than women Paranoid Personality Disorder

  15. What the experts say & treatment of paranoid personality disorder • Lack of research • Psychodynamic-demanding parents, distant, rigid fathers, over-controlling rejecting mothers • Abuse during childhood • People are evil, People will attack you if given the chance • Do not see as a problem • Patients viewed as inferior/distrust for therapists • Object relations therapist-view relationships • CBT-faulty beliefs and cognitions • Drug therapy limited help

  16. Schizoid Personality Disorder • Avoid social relationships • Show little to no EMOTION • Prefer to be alone, not suspicious of others, “Loners” • No effort to start/keep friends/significant others • No interest in intimate relationships • Lack social skills • Focus on self • No need for acceptance or attention • Dull or cold • Less than 1% of pop, mostly men

  17. Theorists on Schizoid Personality disorder/treatment • Psychodynamic-unsatisfied need for human contact • Unaccepting and abusive parents • Cope by avoiding relationships • Difficulty reading emotions of others • Rarely enter therapy unless self medicating ex: use of alcohol and drugs • CBT-list work, social skills, and group therapy

  18. Schizotypal personality disorder • Discomfort in close/intimate relationships • Anxious around others • Isolation • Few friends • More Severe than paranoid & schizoid • Having Special powers, “Magic” • Belief that unrelated events pertain to them • 2-4% of pop mostly men • Humorless • Idle unproductive life • Undemanding jobs w/ little to no social interaction

  19. Theorists view on schizotypal & Treatment • Resemble schizophrenia • Linked to family conflict • Mental illness in parents • Defects in attention & short term memory • High levels of dopamine • Enlarged brain ventricles • Smaller temporal lobes • Loss of gray matter • CBT-reconnect with others • Antipsychotics

  20. Dramatic personality disorders • Antisocial personality disorder • Borderline personality disorder • Histrionic personality disorder • Narcissistic personality disorder • Dramatic • Emotional • Erratic • Impossible to have satisfying relationships • More common • Only antisocial & borderline received research

  21. Antisocial personality disorder • Psychopaths,sociopaths • Disregard for others, and their rights • Linked to criminal behavior • Truancy, running away, cruelty to animals or people, & destroying property • “moral insanity” • Lie repeatedly • Difficulty working • Impulsive • Aggressive • Reckless • Profit at the expense of others • 3.5% of pop, Anglo more than African Americans • 4X more common in men

  22. What theorists say & treatment • Psychodyamic-absence of parents • Stressful childhoods • Behavioral-learned • Less anxiety • Low arousal levels • ¼ receive treatment but ineffective-lack of desire • No insight • Treatment forced by judicial system • Cognitive therapy

  23. Borderline personality disorder • Impulsive in at least 2 areas: spending, sex, substance abuse, reckless driving, and eating disorders • Recurrent suicidal behavior, gestures, threats, or self mutilation • 8-10% complete suicide • All or none thinking • Staff splitting • 1.5-2.5%, pop, 75% women • Self mutilation =relieve anxiety, emotional pain, punish self • Chronic feelings of emptiness • Inappropriate intense anger/difficulty controlling anger • 70% positive hx of childhood abuse • Disturbance in relationships

  24. Theorists/treatment and bpd • Psychodynamic-parental relationship, abandonment issues • Lack of acceptance • Antidepressants • Antianxiety • Antipsychotic • Dialectical Behavior Therapy (DBT)

  25. Histrionic personality disorder • “Hysterical personality disorder” • Emotional “Emotionally charged” • Center of Attention • Mood Swings • “On stage” • Approval & Praise • Overreact • Sexual Seduction • Feign illness • Self centered • More common in women, 2% of pop

  26. HPD Theories & Treatment • Explain Hysteria • Cold controlling parents • Cognitive therapy • Psychodynamic therapy • Group therapy

  27. Narcissistic Personality Disorder • Grandiose • No empathy • Need admiration • Convinced by own success, power, beauty • Expect attention • Exaggerate their achievements • Arrogant • Not interested in the feelings of others • Take advantage of others • 1% pop, 75% men

  28. Theorists Narcissistic Personality disorder • Cold rejecting parents • CBT • Family values and social ideals • Difficult to treat • Depression

  29. Anxious personality disorders • Avoidant • Dependent • Obsessive compulsive • Anxiety • Fear

  30. Avoidant personality disorder • Uncomfortable in social settings • Hypersensitive Rejection • Disapproval • No close friends • Depressed and lonely

  31. Theorists apd & treatment • Same cause as anxiety disorders • Trauma, fears, upsetting beliefs • Psychodynamic • CBT

  32. Dependent personality disorder • Want to be taken care of • Clingy • Fear separation • Needs assistance with everything • Inadequate/helplessness • 2% of pop, more women

  33. Dependent pd theory & treatment • Conflicts during oral stage Freud • Parents • Reward clingy behavior • Behavior therapy assertiveness training • Group therapy

  34. Obsessive compulsive personality disorder • Order, perfection, control • Doing everything just right • Unreasonable high standards • Rigid • Stubborn • Trouble expressing affection • Stingy • Pack rats • 2-5% of pop • Anglo, educated, married, employed highest

  35. Oc pd theory and treatment • Not likely to seek treatment • Anxiety/depression • Fixated in the anal stage • CBT

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