April 15

April 15 - Lecture 23, 4/15/08 Girl In ter rupted- Wynona...

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Lecture 23, 4/15/08 Girl Interrupted- Wynona Ryder Personality Disorders, Early Development, Research on Borderline “cognition”, Hamlet and Gertrude Today’s Lecture 1. Categories of Personality Disorders 2. Conceptual Difficulties 3. Early Development- primitive defenses and primitive levels of object relationship 4. Case Study” Nick 5. Research on Borderline Personality Disorder cognition- memories and interpersonal expectations 6. Gertrude and Hamlet Personality Disorder- DSM-IVR TR The ( American Psychiatric Association ) defines a personality disorder as an enduring pattern of inner experience and behavior that deviates markedly from the expectation of the individual's culture, is pervasive and inflexible, has an onset in adolescence or early adulthood, is stable over time, and leads to distress or impairment. Three Clusters of Personality Disorders Cluster A: Schizoid Personality Disorder Schizotypal Personality Disorder Paranoid Personality Disorder - spectrum disorders of schizophrenia, more genetically based, more stable then flexible over time Cluster B: Borderline Personality Disorder - have a sense of frantic emptiness, don’t cohere as a person in some ways, frantically chasing after attachment to relationships (friends, romantic, parents), often engage in impulsive behaviors (spending, stealing, binging) as a away of containing their anxiety and rage and depression , idealize and devalue, have a hard time finding an in between
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- cling to an idealized experience, say that you are the best therapist they have ever had - more women then men but now more men are being diagnosed with it - in hospitals often make suicidal gestures (girl interrupted is a movie about borderline women in a psychiatric hospital) Narcissistic Personality Disorder - is not fragmented but is so vigilant about being superior or perfect or feels inferior at all times - the only way they can experience themselves is by comparing themselves to others, appear perfect, cant have imperfections Antisocial Personality Disorder - sociopathic, certain criminals, hardened criminals, people who act only on their own behalf and cant establish empathy, no guilt, no conscious about conflicting harm or steeling from others Histrionic Personality Disorder - extremely dramatic, makes drama out of everything, often overwhelmed or exhausted in a way that seems exaggerated or false, what we call “neurotic” right now Cluster C: Dependent Personality Disorder - impossible to make decisions for him/herself, doesn’t seem to ever have confidence over time in anything they do, can’t ever be alone, pay for
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This note was uploaded on 09/27/2011 for the course HD 370 taught by Professor Segal during the Spring '08 term at Cornell.

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April 15 - Lecture 23, 4/15/08 Girl In ter rupted- Wynona...

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