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StudyGuide_test3 - Chapter 12 Personality Disorders...

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Chapter 12: Personality Disorders Defining and diagnosing personality disorders Characteristics of a personality disorder and differences between personality disorders and other disorders Personality disorder – long-standing pattern of maladaptive behaviors, thoughts, and feelings 3 clusters Cluster A: three disorders characterized by odd or eccentric behaviors and thinking. o Paranoid P.D., schizoid P.D., and Schizotypal P.D. Cluster B: four disorders characterized by dramatic, erratic, and emotional behavior and interpersonal relationships. o Antisocial P.D., histrionic P.D., borderline P.D., and narcissistic P.D. Cluster C: three disorders characterized by anxious and fearful emotions and chronic self doubt. o Dependent P.D., obsessive-compulsive P.D., and avoidant P.D. o Problems with the DSM categories 4 of them DSM-IV-TR treats these disorders as categories; each is described as if it represents something qualitatively different from a “normal” personality, yet there is substantial evidence that several of the disorders represent the extreme versions of normal personality traits. There is a great deal of overlap in the diagnostic criteria. Diagnosing a personality disorder often requires information that is hard for a clinician to obtain. The personality disorders are conceptualized as stable characteristics of an individual. o Gender and ethnic biases in construction and application Over/under-diagnosis in women, over/under-diagnosis in men Responses and arguments Histrionic, dependent, and borderline pds, which are characterized by flamboyant behavior, emotionality, and dependence on others, are simply extreme versions of negative stereotypes of women’s personalities—clinicians quick to diagnose women with these disorders. Antisocial, paranoid, and obsessive-compulsive pds, which are characterized by violent, hostel, and controlling behaviors, represent extremes of negative stereotypes of men—clinicians quick to diagnose men with these disorders.
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DSM-IV-TR may be biased in not recognizing that the expressions of the symptoms of a disorder may naturally vary between groups. DSM-IV-TR ignores or downplays possible masculine ways of expressing dependent, histrionic, and borderline pds, and this bias contributes to an under diagnosis of these disorders. DSM-IV-TR biased in application DSM-IV-TR criteria should be balanced to include equal numbers of symptoms and diagnoses that are pathological variants of masculine and feminine personality traits. Odd-eccentric personality disorders: characteristics— behave in ways that are similar to the behaviors of people with schizophrenia or paranoid psychotic disorder, but they retain their grasp on reality to a greater degree than do people who are psychotic. o
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StudyGuide_test3 - Chapter 12 Personality Disorders...

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