Midterms Personality Disorder

8/6/2019 Midterms Personality Disorder

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PERSONALITYPERSONALITY

DISORDERSDISORDERS


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Personality DisordersPersonality Disordersy

Borderline state of personalitycharacterized by defects in its

development or by pathologic trends in

its structure.

Three ClustersThree Clusters

y Cluster A: odd/eccentricy Cluster B: dramatic/erratic

y ClusterC: anxious/fearful


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Cluster A:Cluster A:

Odd or EccentricOdd or Eccentric

y

paranoidyschizoid

yschizotypal


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Paranoid Personality DisorderParanoid Personality Disorder

CHARACTERISTICS:

y Suspicious & distrustful

y Loneliness suspicious

& pathologic jealousy

INTERVENTIONS:

y Passive friendliness

y Consistency

y Proxemics


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Schizoid Personality DisorderSchizoid Personality Disorder

CHARACTERISTICS:

Socially distant, detached, low

IQ

Introvert, loner, aloof,

humorless

Avoids close relationships with

family, friends, peers

Flat affect

Functional when works alone Shy but with fair contact with

reality

Autistic thinking & dreaming


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SchizotypalSchizotypal Personality DisorderPersonality Disorder

CHARACTERISTICS:y Odd, eccentric, low IQ

y Magical thinking

y Ideas of reference or delusion of

referencey Cold & aloof

y Peculiarity in speech but nolooseness of association

y Withdrawn, unattached

y Diminished affective &intellectual skills, vague, overelaborate speech

y Frequent part of vagabonds


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Cluster B:Cluster B:

Dramatic or ErraticDramatic or Erratic

yantisocialyborderline

yhistrionic

ynarcissistic


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Antisocial Personality DisorderAntisocial Personality DisorderCHARACTERISTICS:

y Impulsive, aggressive, manipulative, coprolaliay Low self-esteem

y Lack of remorse

y Hates rule / regulations, authority figures

y

Kills, cheats, steals, rapes, destroysy Underdeveloped superego lack of guilt

y Life-long disturbances that conflict with laws and customs

y Unable to postpone gratification, immature, irresponsible

y

Randomly acting out aggressive egocentric impulses on society reckless, unlawful

y Appears charming, intellectual, smooth talker

INTERVENTIONS:

y Setting of limits matter of fact

y Consistency


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Borderline Personality DisorderBorderline Personality Disorder

CHARACTERISTICS:

y Impulsive, self-destructive, unstable

y Self-mutilation & suicidal

y Unpredictable behavior

y Disturbance in self-concept

y Identity disturbance with chronic feelings of

emptiness

y

Marked mood swingsy Intense, brief, unstable interpersonal relationships

with impulsiveness, manipulation, physical fights

and temper tantrums


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Histrionic Personality DisorderHistrionic Personality Disorder

CHARACTERISTICS:

y Emotional, dramatic, theatrical

y Wants to be the center of attention

y Manipulative, sexually seductive orprovocative

y Exaggeration of emotion impressionistic

y

Labile emotiony Extroverted, manipulative

y Emotionally unstable


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Narcissistic Personality DisorderNarcissistic Personality Disorder

CHARACTERISTICS:

y Vanity in appearance

y Exaggerated or grandiose sense of self-

importance

y Boastful, egotistical, superiority complex

y Preoccupied with fantasies

y Excessive admirations

y Overblown sense of importance,

grandiosity


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Avoidant Personality DisorderAvoidant Personality Disorder

CHARACTERISTICS:

y Shy, timid, inferiority complex

y Avoid open forum

y Over sensitive to rejection / criticism

y Social withdrawal

y Depression, anxiety, anger are common

y

Withdrawn, loner, lacks self-confidencey Unwilling to get involved with others and in

situations where negative evaluation, rejection and

failure are a possibility


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Dependent Personality DisorderDependent Personality Disorder

CHARACTERISTICS:

y Submissiveness, clinging

y Lacks self-confidence, low self-esteem,helpless, good follower

y Pre-occupied with fear of being alone

y Fails to make decisions and acceptresponsibility


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ObsessiveObsessive--Compulsive Personality DisorderCompulsive Personality Disorder

CHARACTERISTICS:

y Ritualistic

y Rigid, over-conscientious, perfectionist, inflexible, cold

affect

y Driven by obsessive concerns

y Sets high standards for self and others

y Pre-occupation with details, rules & organization

INTERVENTIONS:

y Give appropriate time to do rituals

y Do not abruptly stop rituals

y Setting of limits

y

Tricyclics anti-depressants as ordered


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PassivePassive--AggressiveAggressive

Person

ality Disorder

Person

ality Disorder

CHARACTERISTICS:

y

Helpless and indecisivey Frequent outburst and temper tantrums

with frustrations

y Passive obstructionism while clinging

y Insecure

y Loves to procrastinate

Midterms Personality Disorder

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