Introduction and Perspectives. Personality – three definitions 1) Persona – mask 2) Outer...

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Personality Disorders in Modern Life Introduction and Perspectives

Transcript of Introduction and Perspectives. Personality – three definitions 1) Persona – mask 2) Outer...

Page 1: Introduction and Perspectives.  Personality – three definitions  1) Persona – mask  2) Outer appearance  3) Inner characteristics.

Personality Disorders in Modern Life

Introductionand

Perspectives

Page 2: Introduction and Perspectives.  Personality – three definitions  1) Persona – mask  2) Outer appearance  3) Inner characteristics.

Personality – three definitions

1) Persona – mask 2) Outer appearance 3) Inner characteristics

What is personality?

Page 3: Introduction and Perspectives.  Personality – three definitions  1) Persona – mask  2) Outer appearance  3) Inner characteristics.

Personality: Characteristic ways of thinking, feeling and behaving

Personality Disorder: personality that is not necessarily disorganized, but a way of being that is maladaptive in a variety of ways

Defined

Page 4: Introduction and Perspectives.  Personality – three definitions  1) Persona – mask  2) Outer appearance  3) Inner characteristics.

Cognition Interpersonal relationships Impulse control Affect

2/4 areas affected at minimum

Areas affected (2/4)

Page 5: Introduction and Perspectives.  Personality – three definitions  1) Persona – mask  2) Outer appearance  3) Inner characteristics.

Personality and Psychiatry

Personology Psychiatry

Personality Disorders

Abnormal PsychologyPersonality Psychology

Page 6: Introduction and Perspectives.  Personality – three definitions  1) Persona – mask  2) Outer appearance  3) Inner characteristics.

Inflexible traits Maladaptive behavior Long-standing Pervasive Difficult to treat Ego syntonic

Characteristics of PDs

Page 7: Introduction and Perspectives.  Personality – three definitions  1) Persona – mask  2) Outer appearance  3) Inner characteristics.

1952

2000◦ Diagnostic Criteria

DSM

Page 8: Introduction and Perspectives.  Personality – three definitions  1) Persona – mask  2) Outer appearance  3) Inner characteristics.

Polythetic, Monothetic Format

Personality Disorders 7, 8, or 9 criteria

DSM

Page 9: Introduction and Perspectives.  Personality – three definitions  1) Persona – mask  2) Outer appearance  3) Inner characteristics.

schizoid, paranoid, schizotypal narcissistic, histrionic, borderline, antisocial avoidant, compulsive, dependent

self-defeating, sadistic (1987 – cut 1994)

depressive, negativistic (1994)

Types of Personality Disorders

Page 10: Introduction and Perspectives.  Personality – three definitions  1) Persona – mask  2) Outer appearance  3) Inner characteristics.

Apathetic, remote solitary, indifferent Little need for attachment Not aware of feelings Few drives or ambitions

Schizoid

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Page 11: Introduction and Perspectives.  Personality – three definitions  1) Persona – mask  2) Outer appearance  3) Inner characteristics.

Schizoid

withdrawn, emotional suppression, spouses complain of lack of intimacy

Develop anxiety, somatoform reactions, brief reactive psychosis

Check for alcohol abuse or PTSD

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Page 12: Introduction and Perspectives.  Personality – three definitions  1) Persona – mask  2) Outer appearance  3) Inner characteristics.

Hesitant, self-conscious, embarrassed Fears rejection, anxious Inept, inferior, unappealing, lonely

AvoidantClick here

Page 13: Introduction and Perspectives.  Personality – three definitions  1) Persona – mask  2) Outer appearance  3) Inner characteristics.

Avoidant Hypersensitive to evaluation

Profound feelings of inadequacy

Sensitive to signs of disapproval

Use fantasy as defense (if only…)

Risk for developing social phobia

Page 14: Introduction and Perspectives.  Personality – three definitions  1) Persona – mask  2) Outer appearance  3) Inner characteristics.

Somber, pessimistic, fatalistic, brooding

Valueless, guilty, impotent

Worthy of criticism and contempt

Depressive

Page 15: Introduction and Perspectives.  Personality – three definitions  1) Persona – mask  2) Outer appearance  3) Inner characteristics.

Depressive New scale, not a lot of validity

Gloomy, passive, quiet, pessimistic

Down, hard to please, defeatist

Difficulty expressing anger

High scores could be due to major depression or dysthymia

Page 16: Introduction and Perspectives.  Personality – three definitions  1) Persona – mask  2) Outer appearance  3) Inner characteristics.

Helpless, incompetent, submissive Irresponsible, Weak, fragile

Dependent

What about Bob?

Page 17: Introduction and Perspectives.  Personality – three definitions  1) Persona – mask  2) Outer appearance  3) Inner characteristics.

Submissive, acquiescent, concerns about being abandoned, fears of rejection, self-blame, insecure

Co-morbid with depression and anxiety

DependentClick here

Page 18: Introduction and Perspectives.  Personality – three definitions  1) Persona – mask  2) Outer appearance  3) Inner characteristics.

Dramatic, seductive, shallow

Attention seeking, exhibitionistic

“attractive”, “charming”

Colourful

HistrionicVivian Leigh

A Street Car Named Desire

Page 19: Introduction and Perspectives.  Personality – three definitions  1) Persona – mask  2) Outer appearance  3) Inner characteristics.

Center of attention

Shallow emotions

Might be a style…

More common with substance abusers

Histrionic

Vivian Leigh

Gone with the Wind

Page 20: Introduction and Perspectives.  Personality – three definitions  1) Persona – mask  2) Outer appearance  3) Inner characteristics.

Egotistical, arrogant, entitled, grandiose

“Admirable”, “superior”

Narcissistic

Jack Nicholson

A Few Good Men

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Page 21: Introduction and Perspectives.  Personality – three definitions  1) Persona – mask  2) Outer appearance  3) Inner characteristics.

Egocentricity, independence, grandiosity, feelings of superiority

Self-centered, entitled, constant praise

Bubble bursts… prone to depression, paranoia, substance abuse

Might be a style

Narcissistic

Page 23: Introduction and Perspectives.  Personality – three definitions  1) Persona – mask  2) Outer appearance  3) Inner characteristics.

Impulsive, irresponsible, deviant, unruly Non-reflective, self-serving Disrespectful, free, independent

AntisocialCape Fear

Robert DeNiro

Page 24: Introduction and Perspectives.  Personality – three definitions  1) Persona – mask  2) Outer appearance  3) Inner characteristics.

Antisocial Motivated to avoid control and domination

Competitive, blunt, intimidating

Prone to legal, vocation and marital difficulties

Page 26: Introduction and Perspectives.  Personality – three definitions  1) Persona – mask  2) Outer appearance  3) Inner characteristics.

Hostile, abrasive, cruel, dogmatic Explosive, intimidating, dominating opinionated and close-minded

SadisticVincent D'OnofrioLaw and Order

Page 27: Introduction and Perspectives.  Personality – three definitions  1) Persona – mask  2) Outer appearance  3) Inner characteristics.

Top Dog persona Publicly “ok” – successful Private “monster” Type A personalities Not official PD, diagnosis – PD NOS

Sadistic

Warning Very violent

Page 28: Introduction and Perspectives.  Personality – three definitions  1) Persona – mask  2) Outer appearance  3) Inner characteristics.

Restrained, conscientious, respectful

Rigid, conventional, regulated

“Reliable, efficient, productive”

Compulsive

Page 29: Introduction and Perspectives.  Personality – three definitions  1) Persona – mask  2) Outer appearance  3) Inner characteristics.

Compulsive Organized, perfectionistic, impatient, good

morals, obedient behavior, suppression of emotions

Fears disapproval

Might be a style

Page 30: Introduction and Perspectives.  Personality – three definitions  1) Persona – mask  2) Outer appearance  3) Inner characteristics.

Resentful, skeptical, discontented

Resisting, inefficient

Angry, moody, irritable, sullen

Negativistic

Page 31: Introduction and Perspectives.  Personality – three definitions  1) Persona – mask  2) Outer appearance  3) Inner characteristics.

twisted, conflicted irritable, hostile, negativistic

complaining, disgruntled feel unappreciated, pout

disillusioned vacillate Not official, PD NOS

Negativistic

Page 32: Introduction and Perspectives.  Personality – three definitions  1) Persona – mask  2) Outer appearance  3) Inner characteristics.

effacing, servile, blameful

defeatist, self-condemning

Masochistic

Page 33: Introduction and Perspectives.  Personality – three definitions  1) Persona – mask  2) Outer appearance  3) Inner characteristics.

Self-sacrificing, deserve to suffer

Martyr-like, endures abuse

Look for victimization

Not a well-validated scale

Not official anymore – PD NOS

Self-defeating PD

Page 34: Introduction and Perspectives.  Personality – three definitions  1) Persona – mask  2) Outer appearance  3) Inner characteristics.

Guarded, defensive, distrustful

“persecuted”

Paranoid

Page 35: Introduction and Perspectives.  Personality – three definitions  1) Persona – mask  2) Outer appearance  3) Inner characteristics.

Hypervigilance Sensitive Rigid and argumentative Annoyance with others Grandiosity Edgy defensiveness Secretive

Paranoid PD

Page 36: Introduction and Perspectives.  Personality – three definitions  1) Persona – mask  2) Outer appearance  3) Inner characteristics.

Eccentric, bizarre, absent

Peculiar, odd, disconnected

Schizotypal

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WarningFoul Language

Page 37: Introduction and Perspectives.  Personality – three definitions  1) Persona – mask  2) Outer appearance  3) Inner characteristics.

Cognitive impairments

Self-absorbed in own thoughts

Ideas of reference

Detachment, social isolation

Self-conscious and anxious

Schizotypal PD

Page 38: Introduction and Perspectives.  Personality – three definitions  1) Persona – mask  2) Outer appearance  3) Inner characteristics.

Borderline

Unpredictable, manipulative, unstable

Fears abandonment

Moody, contrary

Types of PDs

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WarningFoul Language

Page 39: Introduction and Perspectives.  Personality – three definitions  1) Persona – mask  2) Outer appearance  3) Inner characteristics.

Theron

Page 40: Introduction and Perspectives.  Personality – three definitions  1) Persona – mask  2) Outer appearance  3) Inner characteristics.

Unstable mood, anger, guilt, dependency seeking, Impulsive, self-damaging

Suicidal

Constantly seek approval

Prone to brief psychotic reactions

Poor sense of self and boundaries

Borderline PD

Page 41: Introduction and Perspectives.  Personality – three definitions  1) Persona – mask  2) Outer appearance  3) Inner characteristics.

Rent or click on following Next slide to view this movie…

Do a Character Analysis of Annie.

What PD(s) does she have?

Misery