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Lecture 24 - Lecture24HD370 19:14 ,,Hamlet Gertrude 1 2 3 4...

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Lecture 24- HD 370 19:14 Personality Disorders II, Research on Borderline “cognition,” Hamlet &  Gertrude Today’s Lecture: 1. More Categories of Personality Disorders 2. Conceptual Difficulties 3. Research on Borderline Personality Disorder cognition – memories and  interpersonal expectations 4. What is Psychotherapy? (a beginning …) 5. Play Within the Play - Hamlet & Gertrude - focus on Cluster B personality disorders - Cluster C are more disorders that are in development Histrionic Personality Disorder- characteristics Borderline Personality Disorder- look at slide Dependent Personality Disorder- look at slide Antisocial Personality Disorder Characteristics common to all personality disorders 1. Except those suffering from the Schizoid or the Avoidant Personality Disorders,  they are insistent and demand preferential and privileged treatment. They  complain about numerous symptoms, though they frequently second guess the  diagnosis and disobey the physician, his treatment recommendations and  instructions.  2. They feel unique, are affected with grandiosity and a diminished capacity for  empathy. Consequently, they regard the physician as inferior to them, alienate  him and bore him with their self-preoccupation.  3.  They are manipulative and exploitative, trust no one and find it difficult to love or  share. They are socially maladaptive and emotionally labile. 4. Disturbed cognitive and, mainly, emotional development peaks in adolescence. 5.  Personality disorders are stable and all-pervasive – not episodic or transient.  They affect all the dimensions of the patient's life: his career, his interpersonal  relationships, his social functioning. 
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6. Though the patient is sometimes depressed and suffers from mood and anxiety  disorders - defenses - splitting, projection, projective identification, denial,  intellectualization - are so strong, that the patient is unaware of the reasons for  his distress. The character problems, behavioral deficits and emotional  deficiencies and instability encountered by the patient with personality disorder  are, mostly, ego-syntonic. This means that the patient does not, on the whole,  find his personality traits or behavior objectionable, unacceptable, disagreeable,  or alien to his self. 
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