3-20 - Personality Disorders ~ cognitive theorists say...

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3/20/08 Personality Disorders ~ cognitive theorists say personality develops by how ~ typical mode of interacting with the world is problematic in some way ~ less concern for how it affects others, narcissistic ~ personalities should be multi-dimensional, focus on both others and ourselves ~ causes problems in their work and love ~ personality may be disordered if in a chronic way causes problems with who they love and work ~ people come in because problems are dystonic (inconsistent with normal behavior) not syntonic ~ ego syntonic - referring to behaviors or feelings that are perceived as natural parts of the self ~ ego dystonic - referring to behaviors or feelings that are perceived to be alien to one’s self-identity ~ personality disorders strongly have their roots in psychodynamic theory ~ most personality disorders begin to emerge in adolescence, not diagnosed until 18 ~ personality disorder - excessively rigid pattern of behavior or ways of relating to others which prevents people from adjusting to external demands ~ 3 different areas: A - disorders that are characterized as odd or eccentric (paranoid PD, schizoid PD, schizotypal PD) B - dramatic erratic or overemotional (narcissistic, histrionic, borderline PD, anti-social PD) C - people who are anxious or fearful (avoidant PD, dependent PD, obsessive compulsive PD) ~ people think personality is more dimensional Personality Disorders Characterized by Odd or Eccentric Behavior (Cluster A) ~ people have difficulty or lack of interest in developing social relationships ~ paranoid PD - pervasively suspicious, tend to misinterpret others’ motives, more mistrusting, tend to characterize others, problems getting close to others because of suspicions ~ tend to overreact, hold grudges, hard time forgiving ~ end up with fewer friends, harder to trust and open up to others, hyper concerned with partner cheating ~ not psychotic, but the way they relate to others is very mistrusting ~ more often in men than women, won’t come into therapy ~ schizoid PD - tend to be very socially isolated, hermits, loners, limite emotional expression, rarely laugh and cry, narrow range of emotion ~ unaffected by social reinforcement, maintain contact with reality, don’t have an interest in interacting with others socially ~ men usually don’t marry, women may marry but there is not a high degree of investment in the relationship ~ socially aloof and much more connected with animals than people ~ schizotypal PD - people who are really odd, have weird mannerisms, thinking may be odd or peculiar
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