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Personality and family correlates of addiction

Borderline Personality Disorder. Pervasive and excessive instability of affects, self image and interpersonal relationships, as well as marked impulsivitySelf damaging behavior, suicidal gestures, self- mutilationChronic feelings of emptinessInappropriately intense anger . Aggressiveness. Any beh

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Personality and family correlates of addiction

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    1. Personality and family correlates of addiction Nahaleh Moshtagh, PhD. University of Social Welfare and Rehabilitation Sciences

    2. Borderline Personality Disorder Pervasive and excessive instability of affects, self image and interpersonal relationships, as well as marked impulsivity Self damaging behavior, suicidal gestures, self- mutilation Chronic feelings of emptiness Inappropriately intense anger

    3. Aggressiveness Any behavior intended to inflict discomfort, hurt, harm, injure or destroy Physical or verbal Directed at others, self, animals or inanimate objects Is seen in different psychiatric disorders, the most relevant with addiction : Borderline Personality Disorder

    4. Aggressiveness (contd.) Male gender, youth, low SES and substance abuse increase the probability of aggressive act Aggressive behavior is stable across the situations and from the childhood to adulthood But declines with age in BPD

    5. Emotional Instability When the mood and behavior of the individual is not predictable Lowered response threshold coupled with increased response intensity Direct abuse and trauma, parental variables including lack of positive interaction, neglect, hostility, inconsistency

    6. Impulsiveness A personality trait that is related to the control of thought and behavior Thinking before acting, making the mind quickly, doing things on the spur of the moment, impatient Motor impulsiveness, cognitive impulsiveness, non planning Intolerant of tension and frustration Acting instead of thinking

    7. Sensation Seeking Adventure seeking, Experience seeking, Disinhibition, Boredom susceptibility Type A abusers: late onset, precipitated by environmental stressors Type B abusers: early onset, family hx of addiction, childhood behavior symptom, job loss, criminal behavior, arrests, drunken driving

    8. Common Problems Help rejecting complaints Manipulating behavior (victim and/or seductive) Threats ( suicide / harm to self-others) Acts (suicide / harm to self -others) gfchghgfchgh

    9. When the family should be engaged A codependent mother / wife Stigmatization of addiction, treatment specially maintenance treatments High Expressed Emotion

    10. Family Dynamics The homeostatic model : Addiction and family cycle Pseudo-individuation The marital-parental system interface Extra familial system

    11. Biopsychosocial pathways Deviance proneness pathway Negative affect pathway Sensitivity to reinforcing effects pathway

    12. Interpersonal vulnerability model Disturbance in early child- care taker relationship Insecure attachment Disturbance in self (Social self – disturbance) (Low self esteem) Affective Dysregulation Addictive behavior

    13. Deviance Proneness and Conduct Problems Deficits in self regulation and socialization: Ineffective parenting+ temperamental characteristics School failure & emotional distress Affiliation with a deviant peer network

    14. Deviance Proneness and Conduct Problems Deficits in self regulation and socialization: Ineffective parenting+ temperamental characteristics School failure & emotional distress Affiliation with a deviant peer network

    15. Deviance Proneness and Conduct Problems Deficits in self regulation and socialization: Ineffective parenting+ temperamental characteristics School failure & emotional distress Affiliation with a deviant peer network

    16. Negative affect pathway Motive to regulate negative affect : High in Neuroticism and/or low in stress resilience High levels of environmental stress

    17. Negative affect pathway Motive to regulate negative affect : High in Neuroticism and/or low in stress resilience High levels of environmental stress

    18. Sensitivity to reinforcing effects pathway Certain individuals are hypothesized to be more sensitive to the reinforcing effects

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