Chapter 6 - Personality Disorders and DSM Clusters

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Questions and Answers

Which characteristic distinguishes personality disorders from other mental health conditions?

  • They are primarily treated with medication.
  • They are easily recognized by the affected individual.
  • They involve inflexible patterns of behavior. (correct)
  • They typically develop in late adulthood.

Which statement accurately contrasts ego-syntonic and ego-dystonic behaviors?

  • Ego-syntonic behaviors cause distress, while ego-dystonic behaviors align with one's self-image.
  • Ego-syntonic behaviors are seen as natural parts of oneself, while ego-dystonic behaviors are viewed as disturbing. (correct)
  • Ego-syntonic behaviors are easier to treat because they are recognized as problematic, unlike ego-dystonic behaviors.
  • Ego-syntonic behaviors are more commonly associated with anxiety disorders, while ego-dystonic behaviors are linked to personality disorders.

Which of the following behaviors is most indicative of paranoid personality disorder?

  • Difficulty making everyday decisions.
  • Intense discomfort in social situations.
  • Consistent need for reassurance from others.
  • Excessive distrust of others' motives. (correct)

How does schizoid personality disorder primarily manifest in an individual's behavior?

<p>Through detachment from social relationships. (C)</p> Signup and view all the answers

What is a key difference between schizotypal personality disorder and schizophrenia?

<p>Schizotypal personality disorder does not involve psychotic breaks from reality as seen in schizophrenia. (A)</p> Signup and view all the answers

Which behavior is most characteristic of individuals with antisocial personality disorder (APD)?

<p>Persistent violation of the rights of others. (C)</p> Signup and view all the answers

What is the role of emotional responsiveness in individuals with antisocial personality disorder?

<p>They often lack emotional responsiveness, particularly in stressful situations. (C)</p> Signup and view all the answers

Which factor is most closely associated with the development of borderline personality disorder?

<p>Experiences of childhood abuse or neglect. (A)</p> Signup and view all the answers

How do individuals with borderline personality disorder typically view their relationships with others?

<p>As characterized by intense and shifting emotions. (A)</p> Signup and view all the answers

Which behavior is most characteristic of histrionic personality disorder?

<p>Excessive emotionality and attention-seeking behavior. (D)</p> Signup and view all the answers

What is a primary characteristic of narcissistic personality disorder?

<p>An inflated sense of self-importance. (C)</p> Signup and view all the answers

What is the main feature of avoidant personality disorder that differentiates it from schizoid personality disorder?

<p>A fear of social rejection despite a desire for social interaction. (C)</p> Signup and view all the answers

Which behavior is most indicative of dependent personality disorder?

<p>Seeking excessive reassurance and advice from others. (A)</p> Signup and view all the answers

How does obsessive-compulsive personality disorder (OCPD) primarily affect an individual's behavior?

<p>Through a preoccupation with orderliness and perfectionism. (A)</p> Signup and view all the answers

According to psychodynamic theory, what role does childhood narcissism play in the development of personality?

<p>It is a normal stage that should gradually give way to realistic appraisals of self and others. (A)</p> Signup and view all the answers

According to Otto Kernberg, what is the core issue in borderline personality disorder?

<p>Failure to develop a sense of constancy and unity in one's image of self and others. (D)</p> Signup and view all the answers

What is the focus of treatment for personality disorders from a behavioral perspective?

<p>Changing behavior through techniques like reinforcement and modeling. (B)</p> Signup and view all the answers

How do psychodynamic therapists typically address borderline personality disorder?

<p>By helping clients understand their emotional responses in the context of relationships. (B)</p> Signup and view all the answers

Which class of medications is most commonly used to treat emotional distress and aggressive behavior in individuals with personality disorders?

<p>Antidepressants. (C)</p> Signup and view all the answers

In the context of antisocial personality disorder, what does the ‘craving-for-stimulation model’ suggest?

<p>Individuals with APD have a lower threshold for boredom and seek exciting activities. (B)</p> Signup and view all the answers

A person consistently misinterprets innocent remarks as personal attacks and struggles to trust colleagues. While exhibiting no delusional thoughts or hallucinations, they remain convinced of hidden agendas against them. Which personality disorder is most consistent with these behaviors?

<p>Paranoid personality disorder (D)</p> Signup and view all the answers

An individual displays extreme discomfort in social situations, odd beliefs, and eccentric behavior, but, unlike those with schizophrenia, they maintain a grasp on reality. How does this presentation align with schizotypal personality disorder?

<p>This presentation aligns with schizotypal personality disorder due to the combination of social discomfort, odd beliefs, and eccentric behavior. (A)</p> Signup and view all the answers

Jane consistently seeks to be the center of attention, expresses emotions dramatically, and is excessively concerned with her appearance. How might a mental health professional differentiate between histrionic personality disorder and borderline personality disorder in Jane's case?

<p>By assessing whether Jane demonstrates a pattern of unstable relationships and marked impulsivity, characteristics more indicative of borderline personality disorder. (C)</p> Signup and view all the answers

A therapist is treating a client with a personality disorder who consistently violates the rights of others, shows no remorse, and has a history of deceitfulness. What additional information would most strongly suggest a diagnosis of antisocial personality disorder rather than narcissistic personality disorder?

<p>A documented pattern of impulsivity and disregard for the safety of self or others. (D)</p> Signup and view all the answers

An individual with borderline personality disorder (BPD) is undergoing Dialectical Behavior Therapy (DBT). Which core skill taught in DBT would be most helpful in managing the intense and unstable relationships often seen in BPD?

<p>Mindfulness techniques to increase awareness of current emotions without judgment. (D)</p> Signup and view all the answers

An individual displays a grandiose sense of self-importance, a need for excessive admiration, and a lack of empathy, which suggests narcissistic personality disorder. How would a psychodynamic theorist, like Kohut, explain the development of these traits?

<p>As a defense against deep-seated feelings of inadequacy due to a lack of parental validation. (C)</p> Signup and view all the answers

During a therapy session, a client with avoidant personality disorder expresses a strong desire for intimacy but consistently avoids social situations due to fear of criticism. How might a cognitive-behavioral therapist address this conflict?

<p>By encouraging the client to confront their fears through gradual exposure to social situations, while also challenging negative thoughts about themselves. (A)</p> Signup and view all the answers

A person with suspected obsessive-compulsive personality disorder (OCPD) exhibits extreme preoccupation with orderliness, perfectionism and control. How would you differentiate this from Obsessive Compulsive Disorder (OCD)?

<p>OCPD involves intrusive thoughts and compulsions aimed at reducing anxiety, whereas OCPD has a focus on perfectionism without specific obsessions or compulsions. (C)</p> Signup and view all the answers

A young adult from a collectivist culture is diagnosed with a personality disorder characterized by excessive independence and disregard for social norms. How might sociocultural factors influence the presentation and diagnosis of this disorder?

<p>The individual's behavior may be seen as more deviant within the collectivist culture, leading to earlier identification and intervention. (C)</p> Signup and view all the answers

Which of the following scenarios best illustrates the 'manipulation for attention' aspect of how learning perspectives explain the development of personality disorders?

<p>A child consistently throws tantrums to gain parental attention, gradually escalating the behavior to control their parents' actions. (A)</p> Signup and view all the answers

How does the concept of 'pervasiveness' relate to diagnosing personality disorders?

<p>It suggests the problematic behaviors manifest across a broad range of personal and social situations. (A)</p> Signup and view all the answers

What is the primary distinction between ego-syntonic and ego-dystonic personality traits?

<p>Ego-syntonic traits are seen as acceptable by the individual, whereas ego-dystonic traits are viewed as unwanted or alien. (A)</p> Signup and view all the answers

An individual displays a rigid pattern of distrust and suspicion, interpreting others' motives as malevolent. How would this presentation align with paranoid personality disorder?

<p>It aligns with the criteria, because individuals with the disorder exhibit an expectation of being exploited or deceived. (A)</p> Signup and view all the answers

How does schizoid personality disorder differ from other personality disorders in terms of social interaction?

<p>Individuals with schizoid personality disorder show a pervasive pattern of social detachment and restricted emotional expression. (C)</p> Signup and view all the answers

Which of the following best describes the relationship between schizotypal personality disorder and schizophrenia?

<p>Schizotypal personality disorder is thought to have genetic similarities and is observed more frequently in families with schizophrenia. (D)</p> Signup and view all the answers

What core characteristic is central to understanding individuals diagnosed with antisocial personality disorder (APD)?

<p>A pervasive disregard for the rights of others, often manifested through deceit and manipulation. (C)</p> Signup and view all the answers

How could you differentiate between narcissistic personality disorder and histrionic personality disorder?

<p>Those with narcissistic personality disorder seek admiration to validate their grandiosity, while individuals with histrionic personality disorder seek attention for validation. (B)</p> Signup and view all the answers

What core feature is most characteristic in individuals with Histrionic Personality Disorder?

<p>A pervasive pattern of excessive emotionality and attention-seeking behavior. (A)</p> Signup and view all the answers

What is the dominant characteristic that defines Narcissistic Personality Disorder?

<p>A sense of entitlement, need for admiration, arrogance, and lack of empathy. (D)</p> Signup and view all the answers

What distinguishes avoidant personality disorder from social anxiety disorder (social phobia)?

<p>Avoidant personality disorder is characterized by a broader range of social anxieties. (D)</p> Signup and view all the answers

What central need characterizes dependent personality disorder?

<p>An excessive need to be taken care of leading to submissive behavior. (C)</p> Signup and view all the answers

Which of the following represents a key feature of Cluster A personality disorders?

<p>Odd or eccentric behaviors. (D)</p> Signup and view all the answers

What is a core characteristic that defines Cluster B personality disorders?

<p>Dramatic, emotional, or erratic behavior. (A)</p> Signup and view all the answers

How do personality disorders generally manifest, according to the definition provided?

<p>As an enduring pattern of inner experience and behavior that deviates from cultural expectations. (D)</p> Signup and view all the answers

What is a key consideration when diagnosing personality disorders, especially in adolescence?

<p>It is not uncommon for someone to have more than one diagnosis, but they are not usually diagnosed in children. (C)</p> Signup and view all the answers

How might social or occupational challenges manifest in a person diagnosed with avoidant personality disorder?

<p>Difficulty maintaining stable employment due to fear of negative evaluation. (A)</p> Signup and view all the answers

What differentiates the social fears experienced by individuals with Social Anxiety Disorder (SAD) from those with Avoidant Personality Disorder?

<p>Individuals with SAD fear intimate social relationships, while those with Avoidant Personality Disorder fear specific social circumstances. (A)</p> Signup and view all the answers

An individual with dependent personality disorder is offered a promotion that requires independent decision-making. Which reaction would be most consistent with their diagnosis?

<p>Refusing the promotion due to fear of failure and inability to handle tasks without guidance. (A)</p> Signup and view all the answers

How might an individual with dependent personality disorder behave in a romantic relationship when faced with a disagreement?

<p>They would likely avoid expressing their own opinion and quickly agree with their partner to avoid conflict. (A)</p> Signup and view all the answers

In what way does the rigidity associated with obsessive-compulsive personality disorder (OCPD) typically manifest?

<p>Difficulty accepting new ideas or alternative perspectives (D)</p> Signup and view all the answers

An individual with obsessive-compulsive personality disorder (OCPD) is assigned to a group project. What behavior would be most characteristic?

<p>Insisting on controlling every aspect of the project and micromanaging team members. (B)</p> Signup and view all the answers

Why is it problematic that up to 60% of individuals diagnosed with one personality disorder also meet the criteria for another?

<p>It suggests that current diagnostic categories may not accurately capture the complexities of personality pathology. (A)</p> Signup and view all the answers

What does the proposed research model focusing on functional impairment aim to address in personality disorder classification?

<p>Providing a more dimensional perspective on the severity and impact of personality pathology. (D)</p> Signup and view all the answers

How might socialization processes contribute to potential biases in the diagnosis of dependent personality disorder?

<p>Cultural norms emphasizing compliance and submissiveness in women may result in overdiagnosis of the disorder. (C)</p> Signup and view all the answers

What is one of the potential consequences of labeling stereotypical feminine behavior as abnormal through diagnoses such as histrionic personality disorder?

<p>It can reinforce harmful gender stereotypes and pathologize normal variations in personality. (A)</p> Signup and view all the answers

Flashcards

Personality Disorders

Pervasive and inflexible patterns of behavior or ways of relating that cause distress and impair functioning.

Cluster A Personality Disorders

Cluster of personality disorders characterized by odd or eccentric behaviors, including paranoid, schizoid, and schizotypal.

Paranoid Personality Disorder

Pervasive suspiciousness and distrust of others, interpreting their motives as malevolent.

Schizoid Personality Disorder

Detachment from social relationships and a restricted range of emotional expression.

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Schizotypal Personality Disorder

Acute discomfort in close relationships, cognitive or perceptual distortions, and eccentric behavior.

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Cluster B Personality Disorders

Cluster of personality disorders characterized by dramatic, emotional, or erratic behaviors, including antisocial, borderline, histrionic, and narcissistic.

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Antisocial Personality Disorder (APD):

Disregard for and violation of the rights of others, often involving deceitfulness and impulsivity.

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Borderline Personality Disorder (BPD)

Instability in relationships, self-image, and affect, with marked impulsivity and fears of abandonment.

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Histrionic Personality Disorder

Excessive emotionality and attention-seeking behavior; needs to be the center of attention.

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Narcissistic Personality Disorder

Grandiosity, need for admiration, and lack of empathy; believes they are special and entitled.

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Cluster C Personality Disorders

Cluster of personality disorders characterized by anxious or fearful behaviors, including avoidant, dependent, and obsessive-compulsive personality disorders.

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Avoidant Personality Disorder

Social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation.

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Dependent Personality Disorder

Excessive need to be taken care of, leading to submissive and clinging behavior and fears of separation.

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Obsessive-Compulsive Personality Disorder

Preoccupation with orderliness, perfectionism, and control at the expense of flexibility, openness, and efficiency.

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Kohut's Self Psychology

Theory that people with narcissistic personalities mask deep feelings of inadequacy.

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Psychodynamic Therapy Role

Therapy helps clients better understand own and other people's emotional responses in the context of close relationships.

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Behavior Therapy

Therapy uses techniques such as extinction, modelling, and reinforcement.

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Antidepressant Use

Medications that may help aggressive behavior related to serotonin deficiencies.

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Dialectical behavior therapy (DBT)

Includes mindfulness techniques, distress tolerance, emotion regulation strategies, and interpersonal effectiveness.

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Cluster C disorders

Personality disorders grouped by anxious or fearful behavior.

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Cluster A disorders

Personality disorders grouped by odd or eccentric behavior.

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Cluster B disorders

Personality disorders grouped by dramatic, emotional, or erratic behavior.

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Antisocial Personality Disorder

A personality disorder marked by violating others' rights and lacking empathy.

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Borderline Personality Disorder

A personality disorder with extreme emotional instability and unstable relationships.

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Obsessive-Compulsive Personality Disorder (OCPD)

A personality disorder with a preoccupation with order, perfection, and control.

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Psychodynamic Perspective

Unresolved childhood conflicts shape adult personality.

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Learning Perspective

Maladaptive behaviors reinforced in early life lead to personality disorders.

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Family Perspective

Dysfunctional dynamics impact development.

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Cognitive-Behavioral Perspective

Negative thought patterns reinforce maladaptive behaviors.

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Biological Perspective

Genetic factors and neurobiological abnormalities contribute to personality disorders.

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Sociocultural Perspective

Cultural and societal factors influence personality traits.

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Psychodynamic Therapy

Therapy that unearths unconscious conflicts and resolves early trauma.

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Cognitive-Behavioral Therapy (CBT)

Therapy that modifies dysfunctional thought patterns and behaviors.

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Biological Approaches

Medications can help manage aggressive or impulsive symptoms.

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Canadian Treatment Services

Specialized treatment programs employing DBT effectively treat some personality disorders.

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Personality Disorders Definition

Pervasive and inflexible patterns causing distress/impairment in social, occupational, or other life areas; long-term and resistant to change.

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Paranoid Personality Traits

Pervasive suspiciousness, belief others are deceptive, misinterprets actions as malicious, holds grudges, hypersensitive to criticism.

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Schizoid Personality Traits

Extreme social detachment, lack of interest in relationships; appears cold, prefers solitary activities, limited emotional expression.

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Schizotypal Personality Traits

Odd beliefs, magical thinking, eccentric behavior, unusual experiences, social anxiety tied to paranoia (not rejection).

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Antisocial Personality Traits

APD involves violating others' rights, lack of remorse. Manipulative, charming, emotionally detached. More common in males with criminal behavior.

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Borderline Personality Traits

Extreme emotional instability, fear of abandonment, unstable relationships, impulsivity in spending/sex/substance abuse/driving/self-harm, mood swings.

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Histrionic Personality Traits

Excessive emotionality, needs attention, uncomfortable when not center stage, dramatic, exaggerated emotions, uses appearance for attention.

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Narcissistic Personality Traits

Grandiosity, sense of entitlement, lacks empathy, exploits others, preoccupied with fantasies of success/power/beauty.

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Avoidant Personality Traits

Avoids social situations due to fear, views self as inept, yearns for relationships but fears initiating, often overlaps with social anxiety.

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Dependent Personality Traits

Excessive need to be taken care of; clinging, submissive, struggles with decisions, fears separation, tolerates mistreatment.

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Ego-dystonic

Inconsistent with ego; the person is aware something is wrong.

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Ego-syntonic

Consistent with ego; the person is unaware of the disorder, making it difficult to treat.

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Three 'Ps' of Personality Disorders

Persistence, pervasiveness, and pathology.

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Four Key Features of Personality Disorders (APA)

Distorted thinking patterns, problematic emotional response, over/under-regulated impulse control, interpersonal difficulties.

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Cluster C Behavior

Characterized by anxious or fearful behavior; includes avoidant, dependent, and obsessive-compulsive personality disorders.

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Obsessive Personality Disorder

A personality disorder involving preoccupation with orderliness, perfectionism, and control.

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Avoidant vs SAD

Condition when people with SAD fear social circumstances while people with avoidant disorder fear social relationships.

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Personality Disorder Overlap

Individuals meet criteria for multiple personality disorders, suggesting shared underlying aspects.

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Sexist Bias

The belief that stereotypical feminine behavior is abnormal, but not stereotypical masculine behavior.

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Study Notes

Cluster C: Anxious or Fearful Behavior

  • Cluster C personality disorders include avoidant, dependent and obsessive-compulsive personality disorders.
  • Individuals with these disorders are often perceived as cautious.

Avoidant Personality Disorder

  • Avoidant personality disorder is characterized by discomfort and inhibition in social situations.
  • Feelings of inadequacy and sensitivity to negative evaluations typically overwhelm individuals.
  • Fear of rejection, criticism, or disapproval contributes.
  • Social and occupational impairment are outcomes.
  • Avoidant personality disorder overlaps with social anxiety disorder.
  • Some suggest avoidant personality disorder is a more extreme version of social anxiety disorder, with more severe symptoms and greater functional impairment.
  • People with social anxiety disorder fear social circumstances, and people with avoidant personality disorder fear social relationships (Comer & Comer).
  • There is no gender difference in avoidant personality disorder diagnosis.

Dependent Personality Disorder

  • Dependent personality disorder involves a pervasive, excessive need to be taken care of, resulting in submissive, obedient, and clingy behavior.
  • A core feature is fear of separation from loved ones.
  • People with this disorder cannot tolerate independence and fear being alone.
  • Decision-making is difficult; tasks require constant guidance and reassurance.
  • Distress, loneliness, depression, and suicidal ideation are symptoms.
  • Common comorbidities include major depressive disorder, borderline personality disorder, and eating disorders.
  • The prevalence rate is greater than 1%.

Obsessive-Compulsive Personality Disorder

  • Obsessive-compulsive personality disorder is marked by a pervasive need for order, perfectionism, and meticulousness.
  • Individuals show a high degree of rigidity and difficulty dealing with ambiguity, and expressing emotions.
  • There are also strong feelings of self-doubt.
  • This disorder is more common in men.

Problems with Classifying Personality Disorders

  • Overlap exists within the personality disorder clusters.
  • As many as 60% of individuals with a personality disorder meet the criteria for another personality disorder, which may represent different aspects of the same disorder.
  • A proposed research model focuses on functional impairment, considering antisocial, avoidant, borderline, narcissistic, obsessive-compulsive, and schizotypal disorders.
  • Distinguishing between what is normal and what is abnormal is another challenge in classifying personality disorders.
  • Sexist bias is also a factor in diagnosis.
  • Labelling stereotypical feminine behavior as abnormal occurs, but there is no diagnosis for stereotypical masculine behavior.
  • Socialization towards dependent personality disorder can occur.
  • Bias exists in the diagnosis of borderline personality disorder and antisocial personality disorder.

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