personality disorders

personality disorders - Psyc380 Personality Disorders...

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Psyc380 Personality Disorders - Enduring and relatively stable predispositions - Inflexible and maladaptive, causing distress and or impairment - Left untreated, don’t get better, hard to treat Difficulties in diagnosing personality disorder - five factor model of personality o Openness to experience o Conscientiousness o Extraversion o Agreeableness o Neuroticism Personality Disorder Clusters - Cluster A: odd or eccentric cluster o Paranoid personality disorder o Schizotypal personality disorder May desire, but struggles with relationships and socializing. Social anxiety Cognitive distortions Odd communication o Schizoid personality disorder Not interested in relationships and socializing. Includes family Not necessarily cognitive distortions Intact communications, can carry out communication but don’t want - Cluster b: dramatic, emotional, erratic o Antisocial personality disorder Lack of moral or ethical development Inability to follow approved models of behavior Deceitfulness Shameless manipulation of others History of conduct problems as a child Neurobiology of APD Under arousal hypothesis- cortical arousal is too low Cortical immaturity hypothesis- cerebral cortex is not fully developed Fearful hypothesis – fail to respond to danger cues Grays model of behavior inhibition and activation Females are more likely to be diagnosed as histrionic than antisocial personality disorder than men o Borderline personality disorder Unstable moods and relationships Impulsivity, fear of abandonment, very poor self-image Self-mutilation and suicidal gestures Comorbidity rates are high
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Causes: Runs in families Early trauma and abuse seem to play some etiologic role Treatment options – few good outcomes:
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  • Fall '08
  • Staff
  • Schizophrenia, Borderline personality disorder, Antisocial personality disorder, paranoid personality disorder

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