The Dance of Power…Frustrating the DRAMA!
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The Dance of Power… Frustrating the DRAMA! Presented by: Josh Smith, LMSW, BCD Co-Owner of The DBT Center of Michigan Owner of The DBT Center of Western Kentucky [email protected]
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The Dance of Power…Frustrating the DRAMA!. Presented by: Josh Smith, LMSW, BCD Co-Owner of The DBT Center of Michigan Owner of The DBT Center of Western Kentucky [email protected]. Normal Personality vs. Disordered Personality. Primary Characteristics of Normal Personality - PowerPoint PPT Presentation
Transcript of The Dance of Power…Frustrating the DRAMA!
The Dance of Power…Frustrating the DRAMA!
Presented by:Josh Smith, LMSW, BCD
Co-Owner of The DBT Center of MichiganOwner of The DBT Center of Western
Normal Personality vs. Disordered Personality
Primary Characteristics of Normal Personality
Problem solving process:1)Problem is defined “operationally” (all the things
that lead to this happening)2)Possible solutions are thought about3)Solution(s) selected• Implement solution•Results are evaluated•Adjustments are made
Process called: Problem SolvingGoal of process: Create solutions and adaptations
Normal Personality vs. Disordered Personality
Primary Characteristics of Disordered Personality
Problem Solving Process1)Problem is defined “personally”2)Agreement and disagreement is generated3)Responses and behaviors are justified 4)Problem remains unaddressed, enhanced or multiple problems occur
5)Identity is validated and gains additional agreement
Process called: DRAMAGoals of process: Validate position (identity)
Rescuer
Persecutor
Victim
The Drama Triangle
Primary Traits of DRAMA
A)Overt (what they want others see) purpose:– To show you that my behaviors are
justifiable, reasonable and understandable
B) Covert (what I want to see in myself) purpose:– To validate or verify my own
position/identity rather than reach a workable outcome
Primary Traits of DRAMA, cont.
C) We enter into the drama triangle through one of the positions and will “switch” to get back to or end up in our “home” (covert) position
D) This creates stimulation in order to substantiate their identity (existential position)
E) This produces new problems or to intensify current problems
Primary Traits of DRAMA, cont.
F) To resist being exposed to intervention or exposed to change
G) Designed to propagate itself and to get others to participate in the DRAMA
The severity of a personality disorder is identified by the intensity of the
DRAMA3 degrees of drama
1st degree: Socially acceptable– Traits
2nd degree: Socially unacceptable– Breaks social rules– Hides, sneaks, denies or rationalizes– No self-observational capacity
3rd degree: Life-Threatening– Breaks survival rules
Cluster B Personality Disorders
“The Immature Type”
Antisocial Personality Disorder
• Published in DSM-II (replaced “psychopath”)• 1% -3% of general population• 3% - 30% of clinical population (obviously
higher in forensic settings)• Violates agreements which violates society• Do not keep commitments/agreements• Functional trait: EXPLOITATION**A pervasive pattern of disregard for and
violation of the rights of others**
More stats on APD•94% have a history of trouble with employment and jobs•85% have history of some violence•72% have multiple moving violations•67% have severe marital problems•47% have a significant arrest record
Psychotherapy outcomes: Only helps when they are able to be made to feel guilty
Drama Pattern of APD• Drama entry point: RESCUER or VICTIM
• Drama switch: RESCUER to PERSECUTOR VICTIM to PERSECUTOR
• Home position: PERSECUTORExample: “I’m smart. I didn’t sign the bottom line. He should of known better. He made the mistake and he got what he deserved.”
The Drama Triangle
Rescuer
Persecutor
Victim
Deception of trustworthiness (RESCUER) or neediness (VICTIM)
Opens the door for exploitation and take advantage of (PERSECUTOR)
Borderline Personality Disorder
• .4% - 5.5% of general population• 10% of outpatient clients• 20% of inpatient clients• 9 – 11% will die by completed suicide• A disorder of the emotion regulation
system• Functional trait: INTENSE
changeability/instability in moods***A pervasive pattern of instability of mood, affect, impulsivity, interpersonal
relationships and self-image***
Drama pattern of BPD
•Drama entry point: VICTIM or RESCUER
•Drama switch: VICTIM to PERSECUTOR RESCUER to PERSECUTOR
•Home position: VICTIMEx: “I hurt myself because you didn’t return my phone call.”
The Drama Triangle
Rescuer
Persecutor
Victim
Feeling attacked and victimized of self (VICTIM) or others (RESCUER)
Have the right to get even with or back at (PERSECUTOR)
Histrionic Personality Disorder
• Most common Cluster B disorder• 1.6% - 3.9% of general population• 10% - 15% of clinical population• No long-term studies• Functional trait: EXPRESSIVENESS
***A pervasive pattern of excessive emotionality and attention seeking”
Drama Pattern of HPD
•Drama entry point: VICTIM
•Drama switch: VICTIM to PERSECUTOR PERSECUTOR to VICTIM
•Home position: VICTIMEx: “Are you kidding me!?!?” “WOW! I don’t believe it!” “I just can’t do that. It’s too much.”
The Drama Triangle
Rescuer
Persecutor
VictimImmature/Childlike neediness (VICTIM)
Over-the-top/Excessive demands (PERSECUTOR)
Whiny complaints (VICTIM)
Narcissistic Personality Disorder
• Least common of the Cluster B PDs • .4% - 5.5% of the general population• 2% - 16% of clinical population• “Arrogant, haughty behaviors” are the most
reliable diagnostic criteria• Deficient in equality and empathy• Norway twin study found 77% of traits
appear to biological• Functional trait: Self-Exaggeration
***A pervasive pattern of grandiosity in behavior or fantasy***
Drama Pattern of NPD
• Drama entry point: RESCUER
• Drama switch: RESCUER to PERSECUTOR
• Home position: PERSECUTOREx: “I’m everything and untouchable;
you’re nothing.”
The Drama Triangle
Rescuer
Persecutor
Victim
Being important and held in high regards (RESCUER)
Others are less than and belittled (PERSECUTOR)
