Book Notes (3) - Chapter8:PersonalityDisordersand...

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Chapter 8: Personality Disorders and Impulse Control Disorders 18:43 The Personality Disorders Personality Disorders – Characterized by inflexible, long-standing, and maladaptive personality traits that cause significant functional impairment or subjective distress for the individual. o People display: Temperamental deficiencies or aberrations Rigidity in dealing with life problems Defective perceptions of self and others People often function well enough to get along without aid from others. o Rarely seek help o Treatment usually ends prematurely Statistics: o 5-15% of admissions to hospitals and outpatient clinics are personality disorders o Lifetime prevalence – 10-13% = Relatively common Gender Distribution: o Men more likely to be diagnosed with paranoid, obsessive-compulsive and antisocial personality disorders. o Women more likely to be diagnosed with borderline, dependent or histrionic personality disorders. Culture and Ethnicity: o Asians – exhibit shyness and collectivism o Americans – exhibit assertiveness and individualism o Japanese and Asian Indians – exhibit over dependent behaviors characteristic of dependent personality more than Americans or Europeans Become evident during adolescence o Features of certain childhood disorders persist into adulthood diagnosis may change to a personality disorder DSM-IV-TR o Recorded on Axis II May receive diagnoses on both Axis I and Axis II May also be diagnosed with schizophrenia or alcohol dependency (Axis I disorders) o People with personality disorders are ONLY hospitalized when a second, superimposed disorder so impairs social functioning that they require inpatient care.
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Diagnosing Personality Disorders is difficult because: o 1. To varying degrees and at various times, we all exhibit some of the traits that characterize personality disorders. Personality disorders are the extremes of underlying dimensions of normal personality traits. o 2. Diagnosis is often difficult because symptoms of tone personality disorder may also be symptoms of other disorders. Lower reliability when a diagnostician must precisely diagnosis a type of personality disorder. Many individuals have symptoms that do not neatly characterize a particular disorder and that overlap with different disorders. o 3. Clinicians may not adhere to diagnostic criteria. A number of traits, not just one, must be considered in determining whether a disorder exists. Personality pattern: 1. Must characterize the person’s current, as well as long-term, functioning. 2. Must not be limited to episodes of illness. 3. Must either notably impair social or occupational functioning or cause subjective distress. Etiological and Treatment Considerations for Personality Disorders
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Book Notes (3) - Chapter8:PersonalityDisordersand...

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