Lecture 7: Personality Disorders

True or False: There is little agreement about how to understand and treat

personality disorders

true

True or False: PD diagnoses sometimes DO take social context and (traumatic) experiences into account

false

answer: they DO NOT

True or False: The term can be limiting and stigmatizing (esp. among clinicians); others find it validating and helpful

true

Personality Disorders

an enduring pattern of inner experience and behavior that deviates markedly from the expectations 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

Estimated that ____% of the general population would meet criteria for a

personality disorders

10-15%

The prevalence of personality disorders within clinical settings is estimated to be well above ___%

50%

Five Factor Model of Personality

1. Openness

2. Conscienciousness

3. Extraversion

4. Agreeableness

5. Neuroticism

General Personality Disorder

An enduring pattern of inner experience and behavior that deviates markedly from the expectations of the individual’s culture

GPD is manifested in two (or more) of the following

1. Cognition (ways of perceiving and interpreting self, other people, and events)

2. Affectivity (range, intensity, lability, and appropriateness of emotional response)

3. Interpersonal functioning

4. Impulse control

Cluster A

• Odd or eccentric personalities

• Paranoid Personality Disorder

• Schizoid Personality Disorder

• Schizotypal Personality Disorder

Cluster B

• Dramatic, emotional, or erratic

• Antisocial Personality Disorder

• Borderline Personality Disorder

• Histrionic Personality Disorder

• Narcissistic Personality Disorder

Cluster C

• Anxious or fearful

• Avoidant Personality Disorder

• Dependent Personality Disorder

• Obsessive-compulsive Personality Disorder

Antisocial Personality Disorder

pattern of disregard for, and violation of, the rights of others by three or more (of 7) symptoms

Borderline Personality Disorder

pattern of instability in interpersonal relationships, self-image, and affects,

and marked impulsivity by five or more (of 9) symptoms

ASPD is more common in ____ than _____

• men

• women

True or False: ASPD is associated with low socioeconomic status and urban settings

true

________ _______ account for 15–20% of variation in criminality or delinquency

environmental influences

True or False: Substantial empirical support for a childhood history of physical and/or sexual abuse, parental conflict, loss, and neglect in BPD

true

Approximately 75% of persons diagnosed with BPD are _____

female

True or False: there is higher co-morbidity of other disorders in those who have BPD

true