Personality

1. Personality

2. Gordon Alport defined personality as the; “Dynamic organization within the individual of those psychophysical systems that determine his or her unique adjustment to the environment”

3. Personality = temperament + character + intelligence

4. Basic functions of personality are : to feel, to think, and to perceive, and to incorporate these into purposeful behaviors.

5. Regarding BEHAVIOUR: • Temperament • HOW • Character • WHAT • WHY

6. Four major temperament traits have been identified: • Harm avoidance دوری از خطر • Novelty seeking تنوع طلبی • Reward dependence وابستگی به نظر دیگران • Persistence مداومت

7. Ancient four temperaments: Melancholic (harm avoidance), Choleric (novelty seeking), Sanguine (reward dependence), and Phlegmatic (persistence).

10. Character

11. Character • Self – directedness • Cooperativeness • Self - transcendence

14. DSMIV-TR defines personality disorders as: An enduring pattern of inner experience and behavior that deviates markedly from the expectations of the individual`s culture.

15. Personality disorder is manifested in two (or more) of the following areas: • Cognition (i.e. ways of perceiving and interpreting self, other people, and events) • Affectivity (i.e.the range, intensity, liability and appropriateness of emotional response) • Interpersonal functioning • Impulse control

16. The pattern is stable and of long duration and its onset can be traced back at least to adolescence or early adulthood.

17. It is inflexible and pervasive across a broad range of personal and social situations and leads to clinically significant distress or impairment in social, occupational or other important areas of functioning.

18. Cluster A (detachment,  reward dependence) • Schizoid • Paranoid • schizotypal

19. Cluster B (impulsivity, novelty seeking) • Borderline • Antisocial • Histrionic • Narcissistic

20. Cluster C (fearfulness,  harm avoidance) • Avoidant • Dependent • Obsessive - compulsive

21. Personality disorders are ego-syntonic and Alloplastic

22. Schizoid p.d Social detachment and restricted range of expressed emotions

24. Men> Women 7.5% of general population may progress to delusional disorder or schizophrenia

25. Paranoid p.d Excessive suspiciousness and distrust of others Men > Women 0.5-2.5% in general population may progress to delusional disorder

27. Schizotypal p.d. Social and interpersonal deficit plus cognitive and perceptual disturbances and eccentric behavior

29. Sex. Ratio is unknown • 3 percent of gen.pop • May progress to schizophrenia, delusional disorder, brief psychotic disorder

30. Borderline p.d Instability of affects , self – image, interpersonal relationships + marked impulsiveness Female > male 2 percent of g.p. are at increased risk M.D.D , substance abuse and eating disorder

32. Antisocial p.d Disregard for and violation of rights of others Male > Female 1-3 percent of g.p.

34. Narcissistic p.d Sense of grandiosity, need for admiration lack of empathy, chronic intense envy M>F 1% of g.p.

36. Histrionic p.d. Self – dramatization , excessive emotionality and attention seeking F>M 2-3% of g.p.

38. Avoidant p.d hypersensitivity to negative evaluation, social inhibition and feelings of inadequacy. F=M 0.5-1 of g.p.

40. Dependent p.d Excessive need to be taken care, clinging behavior, submissiveness, fear of separation, interpersonal dependency. F=M most frequent of p.d.s

42. Obsessive – compulsive p.d. Preoccupation with orderliness, perfectionism mental and interpersonal control. M>F 1% of g.p.

44. Treatment: Psychotherapy pharmacotherapy

45. Pharmacotherapy: Aggression • Low dose antipsychotic • Lithium • SSRIS • Auticonvulsants • B-Blockers Emotional liability • Lithium • antipsychotics

46. Depression • Antidepressants • Emotional detachment • Atipical antipsychotics • Anxiety • SSRIS • MAOIS • BZDs • B-Blockers • Low dose antipsychotics • Psychotic symptoms • Antipsychotics