Lecture Notes (3) - PersonalityDisorders 15:03 Personality

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Personality Disorders 15:03 Personality General patterns of behavior that are persistent across time and situations Qualities that characterize an individual’s approach to himself and his  relationships Personality traits appear early in life and manifest across development Make no assumptions about etiology The Big Five Big Five (Five Factor Model of Personality) Neuroticism Extraversion Openness to experience Agreeableness Conscientiousness Personality Disorders Inflexible, maladaptive pattern of thoughts, emotions, behaviors, and  interpersonal functioning that are stable over time and across situations and  deviate from the expectations of the individual’s culture, causing extensive  long-term interference in social and occupational functioning. Personality Disorders: DSM General Dx Criteria for a PD o A. An enduring pattern of inner experience and behavior that deviates  markedly from the expectations of the individual’s culture.  This pattern is  manifested in two or more of the following areas:
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(1) cognition (perception, interpretation) (2) affectivity (range, intensity, lability, appropriateness) (3) interpersonal functioning (4) impulse control o B. The enduring pattern of is inflexible and pervasive across a broad range  of personal social situations. o C. The enduring pattern leads to clinically significant distress or  impairment in social, occupational, or other important areas of functioning. o D. The pattern is stable and of long duration, and its onset can be traced  to adolescence or at least young adulthood. o E. The pattern is not better accounted for by another mental disorder. o F. The enduring pattern is not due to direct effects of a substance or a  general medical condition. Three Clusters (Categories) of PD o Cluster A Odd, eccentric behavior Paranoid (<1%) Suspicious, mistrustful, hypersensitive, aloof Schizoid (<1%) Cold, flat, detached, emotionally indifferent, hermit-like Schizotypal (2-3%) Like mild schizophrenia; bizarre beliefs, distortions All more prevalent in males All isolated; disinterested in relationships o Cluster B
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Dramatic, erratic emotional behavior Histrionic (1-3%) Even gender distribution Dramatic, attention-seeking, shallow, egocentric Narcissistic (<1%) More males Self-important, exploitative, lack empathy Anti-Social (Psychopathic) (2%) More males Law-breaking, lack of guilt/remorse, superficially charming Borderline (1-2%) More females Intense fluctuations in mood, self-image, relationships;  emptiness; unstable and intense o Cluster C Anxious, fearful behavior
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Lecture Notes (3) - PersonalityDisorders 15:03 Personality

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