Introduction and Perspectives. Personality – three definitions 1) Persona – mask 2) Outer...
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Transcript of Introduction and Perspectives. Personality – three definitions 1) Persona – mask 2) Outer...
![Page 1: Introduction and Perspectives. Personality – three definitions 1) Persona – mask 2) Outer appearance 3) Inner characteristics.](https://reader030.fdocuments.in/reader030/viewer/2022032708/56649e6b5503460f94b69fc3/html5/thumbnails/1.jpg)
Personality Disorders in Modern Life
Introductionand
Perspectives
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Personality – three definitions
1) Persona – mask 2) Outer appearance 3) Inner characteristics
What is personality?
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Personality: Characteristic ways of thinking, feeling and behaving
Personality Disorder: personality that is not necessarily disorganized, but a way of being that is maladaptive in a variety of ways
Defined
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Cognition Interpersonal relationships Impulse control Affect
2/4 areas affected at minimum
Areas affected (2/4)
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Personality and Psychiatry
Personology Psychiatry
Personality Disorders
Abnormal PsychologyPersonality Psychology
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Inflexible traits Maladaptive behavior Long-standing Pervasive Difficult to treat Ego syntonic
Characteristics of PDs
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1952
2000◦ Diagnostic Criteria
DSM
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Polythetic, Monothetic Format
Personality Disorders 7, 8, or 9 criteria
DSM
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schizoid, paranoid, schizotypal narcissistic, histrionic, borderline, antisocial avoidant, compulsive, dependent
self-defeating, sadistic (1987 – cut 1994)
depressive, negativistic (1994)
Types of Personality Disorders
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Apathetic, remote solitary, indifferent Little need for attachment Not aware of feelings Few drives or ambitions
Schizoid
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Schizoid
withdrawn, emotional suppression, spouses complain of lack of intimacy
Develop anxiety, somatoform reactions, brief reactive psychosis
Check for alcohol abuse or PTSD
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Hesitant, self-conscious, embarrassed Fears rejection, anxious Inept, inferior, unappealing, lonely
AvoidantClick here
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Avoidant Hypersensitive to evaluation
Profound feelings of inadequacy
Sensitive to signs of disapproval
Use fantasy as defense (if only…)
Risk for developing social phobia
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Somber, pessimistic, fatalistic, brooding
Valueless, guilty, impotent
Worthy of criticism and contempt
Depressive
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Depressive New scale, not a lot of validity
Gloomy, passive, quiet, pessimistic
Down, hard to please, defeatist
Difficulty expressing anger
High scores could be due to major depression or dysthymia
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Helpless, incompetent, submissive Irresponsible, Weak, fragile
Dependent
What about Bob?
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Submissive, acquiescent, concerns about being abandoned, fears of rejection, self-blame, insecure
Co-morbid with depression and anxiety
DependentClick here
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Dramatic, seductive, shallow
Attention seeking, exhibitionistic
“attractive”, “charming”
Colourful
HistrionicVivian Leigh
A Street Car Named Desire
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Center of attention
Shallow emotions
Might be a style…
More common with substance abusers
Histrionic
Vivian Leigh
Gone with the Wind
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Egotistical, arrogant, entitled, grandiose
“Admirable”, “superior”
Narcissistic
Jack Nicholson
A Few Good Men
Click here
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Egocentricity, independence, grandiosity, feelings of superiority
Self-centered, entitled, constant praise
Bubble bursts… prone to depression, paranoia, substance abuse
Might be a style
Narcissistic
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A Few Good Men
JackTom
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Impulsive, irresponsible, deviant, unruly Non-reflective, self-serving Disrespectful, free, independent
AntisocialCape Fear
Robert DeNiro
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Antisocial Motivated to avoid control and domination
Competitive, blunt, intimidating
Prone to legal, vocation and marital difficulties
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Hostile, abrasive, cruel, dogmatic Explosive, intimidating, dominating opinionated and close-minded
SadisticVincent D'OnofrioLaw and Order
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Top Dog persona Publicly “ok” – successful Private “monster” Type A personalities Not official PD, diagnosis – PD NOS
Sadistic
Warning Very violent
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Restrained, conscientious, respectful
Rigid, conventional, regulated
“Reliable, efficient, productive”
Compulsive
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Compulsive Organized, perfectionistic, impatient, good
morals, obedient behavior, suppression of emotions
Fears disapproval
Might be a style
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Resentful, skeptical, discontented
Resisting, inefficient
Angry, moody, irritable, sullen
Negativistic
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twisted, conflicted irritable, hostile, negativistic
complaining, disgruntled feel unappreciated, pout
disillusioned vacillate Not official, PD NOS
Negativistic
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effacing, servile, blameful
defeatist, self-condemning
Masochistic
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Self-sacrificing, deserve to suffer
Martyr-like, endures abuse
Look for victimization
Not a well-validated scale
Not official anymore – PD NOS
Self-defeating PD
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Guarded, defensive, distrustful
“persecuted”
Paranoid
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Hypervigilance Sensitive Rigid and argumentative Annoyance with others Grandiosity Edgy defensiveness Secretive
Paranoid PD
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Eccentric, bizarre, absent
Peculiar, odd, disconnected
Schizotypal
Click here
WarningFoul Language
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Cognitive impairments
Self-absorbed in own thoughts
Ideas of reference
Detachment, social isolation
Self-conscious and anxious
Schizotypal PD
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Borderline
Unpredictable, manipulative, unstable
Fears abandonment
Moody, contrary
Types of PDs
Click here
WarningFoul Language
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Theron
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Unstable mood, anger, guilt, dependency seeking, Impulsive, self-damaging
Suicidal
Constantly seek approval
Prone to brief psychotic reactions
Poor sense of self and boundaries
Borderline PD
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Rent or click on following Next slide to view this movie…
Do a Character Analysis of Annie.
What PD(s) does she have?
Misery
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Part I Part II Part III
Part IV Part V Part VI
Part VII Part VIII Part IX
Part X Part XI
Misery (warning, violent)