Personality Disorders PDF

Personality Disorders Paranoid Histrionic Avoidant Schizoid Narcissistic Dependent Schizotypal Antisocial Obsessive- Borderline compulsive  The Anxious, Fearful Personality Disorders Avoidant Personality Disorder hypersensitivity...

Personality Disorders Paranoid Histrionic Avoidant Schizoid Narcissistic Dependent Schizotypal Antisocial Obsessive- Borderline compulsive  The Anxious, Fearful Personality Disorders Avoidant Personality Disorder hypersensitivity to criticism & rejection Dependent Personality Disorder submissive and passive Obsessive-Compulsive Personality Disorder rigid perfectionism  Avoidant Personality D/O (hypersensitivity to criticism & rejection) Fears criticism and rejection Wants to be in close relationships, but fearful Deeply conflicted re. intimate relationships May seem aloof, like a loner, socially isolated Waits for others to seek them out; unassertive Avoidant p.d. = afraid of relationships compare to: Social anxiety disorder = afraid of social situations.  Dependent Personality D/O (submissive and passive) Attaches self to a strong other person Dependent on other(s) for happiness, welfare Seek lots of advice & reassurance for decisions Feel helpless when alone Devastated if relationship ends Fear being abandoned May subordinate self to keep relationship Obsessive-Compulsive Personality D/O (rigid perfectionism) Wants to control things Excessively organized and scheduled Inflexible, strict, stiff, not tolerant of others; perfectionistic May seem judgmental of self & others Preoccupied with details, rules Not warm; may seem stingy Sheldon Cooper, The Big Bang Theory Diagnostic criteria do NOT include obsessions OR compulsions! Passive-aggressive personality disorder?? (is not in the DSM since DSM-IV)  DSM-5-TR Alternative Model; Personality Disorder – Trait Specified Q1: Is there disturbance in sense of self (identity & self-direction) and interpersonal relationships (capacity for empathy & intimacy?) Q2: Are there any pathological traits? – Negative affectivity (high N) – Detachment (tend to withdraw; like low E) – Antagonism (at odds w other people; low A) – Disinhibition (impulsivity; low C) – Psychoticism (odd thinking, bizarre experiences) Q3: Do they meet criteria for any of 6 specific p.d.’s? (specified on next slide)  Alternative Model, cont.: The Six Personality Disorders Specified Schizotypal p.d. Antisocial p.d. Borderline p.d. Avoidant p.d. Obsessive-compulsive p.d. Narcissistic p.d. (by popular demand!) Case Conference: Amanda (see handout for questions)