Podcast
Questions and Answers
What distinguishes Major Depressive Disorder from Persistent Depressive Disorder?
What distinguishes Major Depressive Disorder from Persistent Depressive Disorder?
How long do symptoms of Persistent Depressive Disorder typically last in adults?
How long do symptoms of Persistent Depressive Disorder typically last in adults?
What aspect differentiates individuals with dysthymia from those with schizoid personality disorder?
What aspect differentiates individuals with dysthymia from those with schizoid personality disorder?
Which of the following best describes the mood state in Persistent Depressive Disorder?
Which of the following best describes the mood state in Persistent Depressive Disorder?
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What characterizes Autism Spectrum Disorder?
What characterizes Autism Spectrum Disorder?
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What aspect of schizoids’ emotional experience contrasts with those suffering from persistent depressive disorder?
What aspect of schizoids’ emotional experience contrasts with those suffering from persistent depressive disorder?
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Which of the following statements is true regarding Persistent Depressive Disorder?
Which of the following statements is true regarding Persistent Depressive Disorder?
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Which finding is most likely associated with Autism Spectrum Disorder?
Which finding is most likely associated with Autism Spectrum Disorder?
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What is a key characteristic of a personality disorder?
What is a key characteristic of a personality disorder?
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Which cluster of personality disorders is characterized by unusual behaviors?
Which cluster of personality disorders is characterized by unusual behaviors?
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What is the prevalence of personality disorders according to the provided information?
What is the prevalence of personality disorders according to the provided information?
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Which of the following is NOT one of the criteria for diagnosing a personality disorder?
Which of the following is NOT one of the criteria for diagnosing a personality disorder?
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Which of the following personality disorders falls under Cluster B?
Which of the following personality disorders falls under Cluster B?
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What does construct validity refer to in the context of the MMPI-2?
What does construct validity refer to in the context of the MMPI-2?
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Why is the categorical model of personality disorders criticized?
Why is the categorical model of personality disorders criticized?
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Which of the following symptoms is part of the criteria for personality disorders?
Which of the following symptoms is part of the criteria for personality disorders?
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Which attachment style is associated with a view of self as inadequate and a view of others as positive?
Which attachment style is associated with a view of self as inadequate and a view of others as positive?
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What is true about the diagnosis of personality disorders in adolescents?
What is true about the diagnosis of personality disorders in adolescents?
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Which personality disorder is characterized by both positive self-view and inadequate & not trustworthy view of others?
Which personality disorder is characterized by both positive self-view and inadequate & not trustworthy view of others?
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From which study did researchers find that certain personality traits remained stable from adolescence to adulthood?
From which study did researchers find that certain personality traits remained stable from adolescence to adulthood?
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Which attachment style is typically viewed as inadequate both in self and others, while still being associated with certain personality disorders?
Which attachment style is typically viewed as inadequate both in self and others, while still being associated with certain personality disorders?
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Which personality disorder is specifically noted for its existence on a continuum from Oppositional Defiant Disorder?
Which personality disorder is specifically noted for its existence on a continuum from Oppositional Defiant Disorder?
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What is a common characteristic of individuals with the Dismissing attachment style concerning their view of others?
What is a common characteristic of individuals with the Dismissing attachment style concerning their view of others?
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What describes the emotional impact of personality disorders during adolescence?
What describes the emotional impact of personality disorders during adolescence?
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Which personality trait is associated with being flexible and open to new experiences?
Which personality trait is associated with being flexible and open to new experiences?
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What characteristic is typical of someone with high conscientiousness?
What characteristic is typical of someone with high conscientiousness?
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How does high neuroticism typically affect an individual's emotional responses?
How does high neuroticism typically affect an individual's emotional responses?
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Which trait reflects an individual's tendency to be cooperative and compassionate?
Which trait reflects an individual's tendency to be cooperative and compassionate?
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Which of the following is NOT a characteristic of low extroversion?
Which of the following is NOT a characteristic of low extroversion?
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What is one of the criticisms regarding personality assessments like the MBTI?
What is one of the criticisms regarding personality assessments like the MBTI?
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In the OCEAN model, which trait involves being imaginative and curious?
In the OCEAN model, which trait involves being imaginative and curious?
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Individuals with low levels of conscientiousness are likely to be perceived as:
Individuals with low levels of conscientiousness are likely to be perceived as:
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What is a possible effect of high levels of extraversion?
What is a possible effect of high levels of extraversion?
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How is neuroticism primarily characterized?
How is neuroticism primarily characterized?
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Which trait is aligned with being organized and reliable?
Which trait is aligned with being organized and reliable?
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What is a common misconception about personality according to the content?
What is a common misconception about personality according to the content?
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Which of the following best describes an individual high in agreeableness?
Which of the following best describes an individual high in agreeableness?
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What aspect does the OCEAN model NOT measure?
What aspect does the OCEAN model NOT measure?
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What is the primary focus of the dimensional model of personality pathology?
What is the primary focus of the dimensional model of personality pathology?
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Which of the following personality traits is associated with high levels of anxiety?
Which of the following personality traits is associated with high levels of anxiety?
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Which level of impairment in personality functioning is characterized by successful functioning but with observable difficulties?
Which level of impairment in personality functioning is characterized by successful functioning but with observable difficulties?
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What is a required characteristic for diagnosing one of the six specific personality disorders?
What is a required characteristic for diagnosing one of the six specific personality disorders?
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In the context of personality traits, what does detachment primarily refer to?
In the context of personality traits, what does detachment primarily refer to?
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Which of the following is NOT considered a pathological personality trait?
Which of the following is NOT considered a pathological personality trait?
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What is the main distinction between temperament and character in personality development?
What is the main distinction between temperament and character in personality development?
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Which type of interpersonal functioning is directly related to the ability to form deep and meaningful relationships?
Which type of interpersonal functioning is directly related to the ability to form deep and meaningful relationships?
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What characteristics define the trait of disinhibition?
What characteristics define the trait of disinhibition?
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Which of the following best describes the purpose of trait-specific diagnosis?
Which of the following best describes the purpose of trait-specific diagnosis?
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Study Notes
Perceiving vs. Judging
- Perceiving: Preferring new information, flexible, less structured
- Judging: Preferring conclusions, structured, ordered, planned, decisive
Research Behind MBTI
- Not entirely accepted in the research community
- Based on theory rather than empirical evidence
- Critiques:
- Personality is on a spectrum, not a dichotomy
- Studies show inconsistent reliability
Neuroticism - Extraversion - Openness - Agreeableness - Conscientiousness
- Personality Index Revised (NEO-PI-R) questionnaire & Five Factor Model (OCEAN)
- Uses factor analysis for 5 personality domains
- Openness
- High: curious, adventurous, independent
- Low: practical, prefer routine
- Conscientiousness
- High: hardworking, dependable, organized
- Low: impulsive, careless, disorganized
- Extraversion
- High: outgoing, warm, adventurous
- Low: quiet, reserved, withdrawn
- Agreeableness
- High: helpful, trusting, empathetic
- Low: critical, uncooperative, suspicious
- Neuroticism (Negative Affectivity)
- High: Anxious, unhappy, negative emotions
- Low: Calm, even-tempered, secure
- Openness
Openness
- Appreciation for art, emotions, adventure, unusual ideas, imagination, curiosity, and variety of experience.
- High: Flexible perspectives to form creative connections, novelty seeking, inherently curious
- High: Greater emotional breadth and depth but not necessarily more positive or negative emotions
- High: Eccentricity, unusual beliefs, perceptual dysregulation
Conscientiousness
- Motivation, control, and organization in goal-directed behavior
- High: Self-directed, diligent, ambitious, rigid perfectionism, perseverance
- Low: Aimless, lazy, unreliable, careless, irresponsibility, distractibility, impulsivity, risk-taking
Extraversion
- Engaging with the world over inner thoughts
- High: Social, warm, stimulation from others, attention-seeking
- Very Low: Socially withdrawn, lack of pleasure from company of others
- Low: Intimacy avoidance, social withdrawal, anhedonia, restricted affectivity
- Very High: Sexual promiscuity, thrill-seeking behaviors, emotional intrusiveness
Agreeableness
- Compassionate and cooperative rather than suspicious and antagonistic
- High: Compassionate, trusting, forgiving, empathetic, submissiveness
- Low: Antagonistic, cynical, suspicious, rude, grandiosity, callousness, deceitfulness, manipulativeness
Neuroticism (Negative Affectivity)
- How an individual responds to threat, frustration, or loss
- Tendency towards negative feelings: anger, sadness, fear
- Unrealistic ideas
- Poor frustration tolerance
- Higher levels of neuroticism correlated with anxiety, depression, separation insecurity, hostility, emotional lability, and personality disorders.
The Research Behind MMPI-2
- Empirically created
- Demonstrated construct validity
- Highly researched measure
- Highly respected measure
- Validity supported by cross-reference partner questionnaires
What Is a Personality Disorder?
- Enduring pattern of inner experience and behavior that deviates significantly from the patient's culture manifested in 2 or more of the following areas:
- Cognition (thinking)
- Affectivity (emotional experience)
- Interpersonal functioning (how society is affecting people engaging with others)
- Impulse control (impulse control)
General Personality Disorder Criteria
- Stable, long-duration, inflexible, pervasive across settings
- Onset by adolescence or early adulthood
- Leads to significant distress or impairment in social, occupational, or other areas of functioning
- The personality disorder is not better explained by something else:
- Another mental disorder
- Substance intoxication
- Medical conditions
- Individual's culture
- A developmental stage
Categorical Model of Personality Disorders
- 9-15% prevalence
- Categorized into three clusters:
- Cluster A (Unusual behaviors)
- Schizoid
- Schizotypal
- Paranoid (5.7% prevalence)
- Cluster B (Dramatic, emotional, or erratic behaviors)
- Histrionic
- Borderline
- Narcissistic
- Antisocial (1.5% prevalence)
- Cluster C (Anxious thoughts and behaviors)
- Avoidant
- Dependent
- Obsessive compulsive (6.0% prevalence)
- Cluster A (Unusual behaviors)
- Diagnosis requires number of symptoms for a diagnosis
Limitations & Criticism of the Categorical Model
- Comorbidities:
- Double counting or two or more personality disorders?
- Binary model when personality pathology lies on a spectrum
- Heterogeneity
Dimensional (Alternative) Model
- Looks at the degree of impairment
- Self-functioning:
- Identity
- Self-direction
- Interpersonal Functioning:
- Empathy:
- Understanding emotions of others
- Caring about the emotions other people are experiencing
- Understanding motivation of other people
- Intimacy:
- Emotional intimacy
- Developing deep and meaningful relationships with others
- Empathy:
- Self-functioning:
- Degree of Impairment:
- None
- Mild
- Moderate
- Severe
- Extreme
Pathological Personality Traits
- Negative affectivity (Neuroticism)
- Detachment (Low extroversion)
- Antagonism (Low Agreeableness)
- Disinhibition (Low conscientiousness)
- Psychoticism
- Negative Affectivity: Emotional liability, separation insecurity, submissiveness, hostility, perseveration, depressivity, suspiciousness, restricted affectivity (lack of)
- Detachment: Withdrawal, intimacy avoidance, anhedonia, depressivity, suspiciousness, restricted affectivity (lack of)
- Antagonism: Manipulativeness, deceitfulness, grandiosity, callousness, hostility
- Disinhibition: Irresponsibility, impulsivity, distractibility, risk taking, rigid perfection (lack of)
- Psychoticism: Unusual beliefs and experiences, eccentricity, cognitive and perceptual dysregulation
Making a Diagnosis (Dimensional Model)
- 6 diagnoses
- Schizotypal
- Antisocial
- Borderline
- Narcissistic
- Avoidant
- Obsessive-Compulsive
- Each disorder is characterized by typical types of at least moderate impairments in 2 of the 4 personality functions (identity, self-direction, empathy, intimacy) and a set of pathological personality traits (3 of the 4 traits, and one of them has to be anxiousness).
- Trait Specific Diagnosis: For those who do not meet criteria for a disorder, must have moderate or greater impairment in 2 of the 4 personality functions and specific personality trait domain facet
- Example: Personality disorder -- disinhibition trait
Strengths and Weaknesses of the Dimensional Model
- Categorical model looks at specific symptoms, dimensional model looks at domains of difficulty
Temperament & Character
- Temperament: Nature, biological determinants of personality, what is innate to an individual
- Character: Nurture, learned, psychological influences on personality, based on environment
The First Attachment & Internal Working models
- Infant Primary Caregiver
- Infant Attachment:
- Secure: Some distress when left with a stranger
- Insecure: Inadequate & Not Trustworthy
- Attachment Styles: Secure, Preoccupied, Fearful, Dismissing, Preoccupied-Fearful, Fearful-Dismissing, Disorganized
Adolescents & Personality Disorders
- Some degree of impairment in functioning or distress during adolescence
- Personality disorders are persistent through many developmental stages
- Clinicians are careful to diagnose in adolescents
- “Emerging Personality Traits”
- Diagnosis before age 18 if symptoms are persistent for 1 year
- Exception is Antisocial Personality Disorder which exists on a continuum from Oppositional Defiant Disorder & Conduct Disorder, which are diagnoses reserved for patient < 18 years old
Can We Predict Which Adolescents will go on to Develop Personality Disorders?
- The Children in the Community Study (2000)
- Longitudinal research project exploring the development of personality traits and personality disorders from childhood to adulthood
- Some variability in personality traits across time but certain traits remained relatively stable, especially between adolescence and adulthood.
Persistent Depressive Disorder
- Major Depressive Disorder
- Recurrent episodes
- Full interepisode recovery
- Severity: More severe than Persistent Depressive Disorder (PDD)
- Persistent Depressive Disorder (PDD or Dysthymia):
- Chronic, long-lasting symptoms
- No full recovery
- Mild but persistent
Persistent Depressive Disorder (Dysthymia) vs. Schizoid PD
- Those with dysthymia are unhappy by their chronic low state of mood
- Those with schizoid PD do not appear bothered by being distant, solitary, and having limited pleasure in life
Autism Spectrum Disorder vs. Schizoid PD
- Autism Spectrum Disorder
- Neurodevelopmental disorder
- Symptoms present in early childhood
- Poor social reciprocity, limited peer relationships, poor nonverbal communication skills, difficulty creating and maintaining social relationships
- Restricted interests and stereotypes
- Schizoid PD
- Personality Disorder
- Diagnosed typically in adulthood
- Similar symptoms of limited social interactions, often engage in solitary activities
On the Continuity Between Autistic and Schizoid Personality Disorder Trait Burden: A Prospective Study in Adolescence (Cook, Zhang, Constantino) -- ARTICLE
- Study design:
- Study population: 72 high-functioning verbal males
- Autistic traits positively associated with later schizoid personality disorder symptoms
- The presence of autistic traits, but not the presence of an ASD diagnosis, predicted future schizoid traits.
- Schizoid personality disorder emerged at the higher strata of the autistic trait continuum.
- The presence of autistic traits seems to predict future schizoid traits, even without an autism spectrum disorder diagnosis.
- This suggests some continuity between these two conditions.
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Description
Test your knowledge on personality theories and traits, including the differences between perceiving and judging preferences. Explore the Five Factor Model and the critiques of the MBTI framework. This quiz covers key concepts in personality psychology.