Novaco++P102+2010+Fall+lecture+7 - 1 Personality Disorders...

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Unformatted text preview: 11/15/2010 1 Personality Disorders Raymond W. Novaco University of California, Irvine Abnormal Behavior P102, Fall 2010 Personality Disorders : General Diagnostic Features c An enduring pattern of inner experience and behavior that deviates markedly from the expectations of the individual’s culture. c This pattern is manifested in at least two areas: cognition, affectivity, interpersonal functning, impulse control • the pattern in inflexible and pervasive • significant clinical distress or impairment in functioning • the pattern is stable and of long duration, with onset in adolescence or early adulthood • rule out other disorders, substances, general medical condition c personality traits generally do not meet the threshold for “personality disorder” Personality Traits or Characteristics Five Factor Model [ Costa & McCrae, 1990; Widiger & Costa, 1994 ] Openness • active imagination & sensitivity versus practicality & routine oriented Conscientiousness • self-disciplined & achievement oriented versus not goal-directed/laid back Extraversion • socially gregarious versus introverted Agreeableness • compassionate & cooperative versus suspiciousness & antagonism Neuroticism • tends to express negative emotionality versus emotional stability Personality Disorders: Types • paranoid - pervasive suspiciousness; hyper-sensitive to criticism • schizoid - detached from social relationships; lack emo. express. • schizotypal – acute discomfort with social relationships, cognitive distortions, and behavioral eccentricity • antisocial – social/legal norm violations, aggression, impulsivity, irresponsibility, deceitfulness, reckless, lack of remorse • borderline – instability in relationships, self-image, & emotions; marked impulsivity, sensitivity to abandonment, self-harm • histrionic – excessive emotionality and need for attention • narcissistic – grandiosity, admiration-seeking, lacking empathy • avoidant – fear rejection/criticism, thus shun social relationships • dependent – excessively need for nurturance, overly submissive • obsessive-compulsive – rigidly perfectionistic, inflexible on rules Personality Disorders c in contrast to the clinical syndromes of Axis I disorders, the personality disorders are enduring and “rigid” behavior patterns, hence they are separately classified as Axis II disorders Personality Disorders Clusters: A. odd/eccentric • paranoid, schizoid, schizotypal B. dramatic/emotional/erratic • antisocial, borderline, histrionic, narcissistic C. anxious/fearful • avoidant, dependent, obsessive-compulsive Personality Disorders enduring patterns of inner experience and behavior Cluster A (odd/eccentric) • paranoid pervasive distrust and suspiciousness; overly sensitive to criticism; reluctant to confide in others; preoccupied w/ unjustified doubts of loyalty; readily perceives others as malicious; harbors grudges; • schizoid pervasive detachment from social relationships -neither desires nor enjoys;...
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This note was uploaded on 11/29/2010 for the course PSYCH SY BEH 102 taught by Professor Raymondw.novaco during the Spring '10 term at UC Irvine.

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Novaco++P102+2010+Fall+lecture+7 - 1 Personality Disorders...

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