Help seeking - Chapter 9

General population

• an estimated WHAT% meet criteria for at least one of the ten personality disorders — and more have maladaptive traits not covered by any of the ten.

General population

• an estimated 10–15% meet criteria for at least one of the ten personality disorders — and more have maladaptive traits not covered by any of the ten.

Clinical settings

• prevalence is estimated well above WHAT%.

Clinical settings

• prevalence is estimated well above 50%.

Inpatient settings

• as many as WHAT% of inpatients in some settings are diagnosed with borderline personality disorder.

Inpatient settings

• as many as 60% of inpatients in some settings are diagnosed with borderline personality disorder.

Correctional settings

• antisocial personality disorder may be diagnosed in as many as WHAT% of inmates.

Correctional settings

• antisocial personality disorder may be diagnosed in as many as 50% of inmates.

Overlap with other disorders

• Many people with substance use disorders show WHAT traits

• Many with mood disorders show WHAT traits.

• Many people with substance use disorders show ANTISOCIAL traits

• Many with mood disorders show BORDERLINE traits.

Ego-syntonic

• instincts or ideas acceptable to the WHAT — compatible with one's WHAT and ways of WHAT, even when that thinking is highly WHAT.

• Personality disorders are often WHAT: the person is largely WHAT with their characteristic way of being.

Ego-syntonic

• instincts or ideas acceptable to the SELF — compatible with one's VALUES and ways of THINKING, even when that thinking is highly DISTORTED.

• Personality disorders are often EGO-SYNTONIC: the person is largely COMFORTABLE with their characteristic way of being.

Ego-dystonic

• thoughts, impulses, and behaviors felt as repugnant, WHAT, or WHAT with one's self-concept.

Ego-dystonic

• thoughts, impulses, and behaviors felt as repugnant, DISTRESSING, or INCONSISTENT with one's self-concept.

The consequence

• Many people lack insight into the WHAT of their personality; awareness often arrives only through repeated relationship WHAT at home and at work.

The consequence

• Many people lack insight into the MALADAPTIVITY of their personality; awareness often arrives only through repeated relationship PROBLEMS at home and at work.

Rarely seek treatment

• WHAT

• WHAT

• WHAT

• WHAT

• WHAT

• Because arrogance, suspicion, and criminality are not experienced as WHAT to fix.

Rarely seek treatment

• antisocial

• narcissistic

• histrionic

• paranoid

• schizoid

• Because arrogance, suspicion, and criminality are not experienced as PROBLEMS to fix.

The exceptions

• WHAT and WHAT personality disorder. Both involve WHAT neuroticism — the domain of inherent EMOTIONAL pain: distress, anxiety, depression, self-consciousness, helplessness, vulnerability.

The exceptions

• BORDERLINE and AVOIDANT personality disorder. Both involve HIGH neuroticism — the domain of inherent EMOTIONAL pain: distress, anxiety, depression, self-consciousness, helplessness, vulnerability.

Why it matters

• People with very high neuroticism experience life as WHAT and WHAT, and seek treatment to relieve that WHAT

• Avoidant clients also seek help for WHAT, self-WHAT, and social WHAT.

Why it matters

• People with very high neuroticism experience life as PAIN and SUFFERING, and seek treatment to relieve that DISTRESS

• Avoidant clients also seek help for ANXIOUSNESS, self-CONSCIOUSNESS, and social ISOLATION.