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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 individuals 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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