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Paranoid Personality

Apr 04, 2018

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Jorge Deolarte
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    By: David, George, Jensen,Marina,

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    Joe is the third child of four, and unlike his older brothers he always didexceptionally well in school.

    Because he academically excelled he attended the top schools and wasput under a lot of pressure to meet very high expectations.

    While other students were afraid of failure, Joe was always very selfconfident. This quality made him known to his peers as a condescendingand over achieving person. Joe had a tendency to always correct histeachers and then make fun of them once he pointed out their mistakes.

    Joe is a classic example of Dish it out but never take it.

    One day, one of his peers made a comment about his over achievingqualities and Joe became infuriated and poured sugar in the peers enginefor it to be ruined.

    He is always very defensive and never likes to admit when he is wrong.

    He never participated in organized sports or student organizations andtends to avoid group activities. Joe has only 2 close friends who he judgedto be his intellectual equals.

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    After graduating high school, Joe enrolledat an Ivy League University where hemajored in chemistry.

    He was described as a workaholic by hisfriends.

    When he was given a project, Joe practicallylived in the laboratory. Relaxation and

    recreation where never a part of hisschedule

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    Joe never dated the same woman twice because he always described her to beeither weird or boring. The truth of the matter is that the girls would have

    probably never given him a second chance because of his arrogance andrudeness.

    During his sophomore year he was in a steady relationship with a girl namedCarla. Joe thought his relationship with Carla was ideal seeing as how she lived ina different city, didnt demand much of his time and wasnt able to control hisschedule or daily activities.

    Their relationship came to an end when Carla informed him she was involved inanother relationship.

    Joe acted as though he didnt care and was only interested in her physically.

    He wanted revenge. His attempts at getting her back in order to leave her againcontinuously failed so he began to spread rumors about Carlas promiscuoussexual behavior.

    After this break up he began to become more deeply involved in his laboratoryand developed cynical views towards women.

    When Joe began to date again his behavior was no longer normal. He went to aparty with one woman and when he saw her speaking to another man he beganto insult her by making fun of her clothing and make up.

    Joe later dated another women and had the notion that she might be seeing one

    of his friends at the same time. Joe then decided to sit outside of her apartmentfor two nights to determine where that was true.

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    Graduate School-More Independent Study

    Biochemistry Ruth- Plain, Bland, Mousy, easy to control

    Married 1 yearr later

    PHD

    Drug Company- Research Chemist

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    Dr. Daniels- Head of Lab Respected Neurochemistry of Depression Paranoid, about discussing research Wanted credit all to himself to overcome

    Joe was told they were dissatisfied with hisworkJoe assumed it was jealousy and conspiracy

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    Forced to resign after 3 years

    Wanted to sue, paranoid Research Associate at state university

    Perfectionist

    Hated job but allowed lab use when free

    2 yr old daughter

    Dr. Willner

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    Asked to stop research to expensive, didt

    Hired new associate, though he was a spy Relationship, became more strained

    Ruth was accused of helping Drug Companyand University

    Divorce out of fear 2 weeks later first panic attack

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    Went to Psychiatrist Dr. Fein

    Recommended- Tofranil (Antidepressant,helps with panic attacks)

    Argued about Nuerolochemistry

    Ignored

    Radiation Fired

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    Cab Driver

    Wendy Nobel Prize- Athmostpheric Chemistry

    Believed University stole idea

    Did nothing but complain to Wendy

    Went back to Isolation

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    Treatment is difficult for patients with Paranoid PersonalityDisorder.

    Because of the nature of the disorder its hard to establish a levelof trust between the patient and therapist.

    Client centered approach developed by Carl Rogers could be aneffective treatment if therapist isn't over friendly or sympathetic, b/cclient could perceive it as deception.

    Accurate empathy and unconditional positive regard could bolsterpatients self esteem and reduce sensitivity to potentialembarrassment.

    A way to improve social understanding and better response tosituational demands is by constructing many different social settingsand practice interactions in each.

    Identify maladaptive thoughts that influence a patients behavior,then test those thoughts validity and in time be able to replace themwith more adaptive thoughts and accurate attributions.

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    Aside from client centered treatments there's theoption of antipsychotic medication for whenparanoia reaches a delusional state.

    Benefits of antipsychotic medication can be the

    handling of auditory hallucinations anddisorganized speech.

    But results can be varied depending on how manysymptoms they are experiencing from

    schizophrenia.

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    The earliest hypothesis regarding paranoia was suggested bySigmund Freud in 1909 when he was studying a lawyernamed Daniel Paul Schreber.

    Daniel Paul Schreber spent 14 years in a mental hospital. Schrebers problem was that he had an elaborate set of

    persecutory and grandiose delusions.

    He believed that he was going to be transformed into awoman and then become Gods mate, and soon produce a

    healthier and better race of people.

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    Freud believed that the content of Schrebers delusionsstemmed from an unconscious homosexual wish-fantasy,

    which motivated the paranoid ideas. Freud believed that it started with an unacceptable idea such

    as I (a man) love him (another man).

    To avoid the anxiety dealt with the unacceptable idea, theidea is then transformed to its opposite: I do not love himI

    hate him because he persecutes me.

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    Joe occasionally made comments on other mens sexualorientation when he was trying to embarrass them.

    These comments may have been a result of his own sexualdesires.

    Joes panic attack may have been a result of the defensemechanism projection. He may have tried to avoid the anxietywith unconscious homosexual desires. The panic attack may

    have resulted from the spilling over of anxiety that mayhave not been handled well with projection or any otherdefense mechanisms, such as repression.

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    Cameron proposed an explanation in 1959 saying thatpredelusional patients are anxious, fearful, sociallywithdrawn, and reluctant to confide in other people.

    Cameron also said that predelusional patients are inept atunderstanding the motivations of other people. Theymisinterpret peoples behaviors and peoples behaviors thatdisprove the initial misinterpretations.

    From time to time, we may have interpreted someones

    actions as trying to harm us or that they are angry at us, butthese interpretations are worked out through interactionswith other people and we realize our mistakes.

    People with paranoid PD may interpret his relatives actionsas a conspiracy against him. Then his relatives may becomeangry and irritable at him for think such way, which will

    confirm that paranoid PD individuals beliefs.

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    Camerons theory can explain Joe's situation because Joe wasreluctant to confide other people. Joe was usually a loner

    and was socially awkward. Joes habit of laughing at people and provoking arguments

    suggest that he was not sensitive about other peoplesemotion.

    Also, Joe was not able to consider that other people talked

    about him and that they avoided him because of hisbelligerence and hostility.

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    Colby proposed in 1977 and information-processing view ofparanoid thinking, which revolved around sensitivity to shameand humiliation.

    The model focused solely on verbal interactions.

    When in paranoid mode, the individual scans linguistic inputfor substance that might lead to experiences of shame.

    When faced with a potential experience of shame, theindividual denies self inadequacies and blames others.

    This model suggest that paranoia is based on low self-esteem and paranoid episodes may be engendered byenvironmental stimuli that increase the threat of shame andhumiliation.

    Observations have shown that people with paranoid PD havelow self-esteem.

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    Joe, a brilliant chemist, was offered a position of independentwork at the drug company, but failed to live up to

    expectations. Because of his lack of progress, Joe's supervisordemoted him.

    Joe blames his colleagues for his failures rather than his owninadequacies.

    When Joe was a cab driver, there was little professional

    competition, therefore, no spark for hostile behavior. Hisself-esteem also did not suffer.

    But his paranoid behaviors resurfaced when a professor wonthe Nobel Prize. The professors success may have reminded

    Joe of his inadequacies and failures.

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