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personality disorders
persistent pattern of emotions, cognitions, and behavior that results in enduring emotional distress for the person affected and/or for others and may cause difficulties w/work and relationships
big five factor model
mix of dimensional and categorical > this is prototypical approach
personality disorder clusters
Cluster A - odd/eccentric, Cluster B - dramatic/emotional/erratic, Cluster C - anxious cluster
statistics and development
personality disorders were thought to originate in childhood and continue into the adult years
statistics and development
a person could receive as diagnosis of one personality disorder at point in time and then years later no longer meet the criteria for his original problem but now have characteristics of a second (or third) personality disorder
gender differences: men
men diagnose w/personality disorder tend to display traits characterized as more aggressive, structured, self-assertive, and detached
gender differences: women
women tend to present with characteristics that are more submissive, emotional, and insecure
comorbidity
people tend to be diagnosed w/more than one, overlap symptoms are common (antisocial and narcissistic)
personality disorders: under study
sadistic personality disorder and passive-aggressive personality disorder
sadistic personality disorder
includes people who receive pleasure by inflicting pain on other
passive-aggressive personality disorder
includes people who are defiant and refuse to cooperate w/request attempting to undermine authority figures
cluster A: paranoid personality disorder
excessively mistrustful and suspicious of others, without any justification. people w/this disorder may be argumentative, may complain, or may be quiet > related to schizophrenia
paranoid personality disorder: causes
having the following basic mistaken assumptions (schema) about others: "they'll attack you if they get the chance" "you can be okay only if you stay on your toes"
paranoid personality disorder: treatment
often use cognitive therapy to counter the person's mistaken assumptions about others
cluster A: schizoid personality disorder
show a pattern of detachment from social relationships and a limited range of emotions in interpersonal situations. seem neither to desire nor to enjoy closeness w/others including romantic or sexual relationships
schizoid personality disorder: causes
childhood shyness, abuse and neglect in childhood, biological overlap w/autism spectrum disorder (same genetic markers w/schizoid)
schizoid personality disorder: treatment
often receive social skills training, takes a part of a friend or significant other in a technique known as role-playing and helps the patient practice establishing and maintaining social relationships
cluster A: schizotypal personality disorder
addition to their social isolation, they also behave in ways that would seem unusual to many of us, and they tend to be suspicious and to have odd beliefs, schizotypal personality disorder is considered by some to be on a continuum (that is, on the same spectrum) w/schizophrenia, considered as odd or bizarre because of how they think and behave even how they dress
schizotypal personality disorder: cultural considerations
clinicians must be aware that different cultural beliefs or practices may lead to a mistaken diagnosis of this disorder some people who practice certain religious rituals EX: ed caluag
schizotypal personality disorder: causes
some people thought to have "schizophrenia genes" (set of genes) or environmental stresses > damage in left hemisphere
schizotypal personality disorder: treatment
often seek assistance due to anxiety and depression when they request clinical help, treatment includes medical and psychological treatments for depression, combination of antipsychotic drugs and social skills training