Due today Page 1516 in packet Disorder Packet

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Due today Page 15/16 in packet. Disorder Packet. Due tomorrow page 13. Disorder Packet.

Due today Page 15/16 in packet. Disorder Packet. Due tomorrow page 13. Disorder Packet. Abnormal Psychport (page 17 in Packet) due over the weekend. No quiz tomorrow in class. Abnormal Quiz will be online and due Tuesday night.

Personality Disorder Personality disorders, it is characterized by a consistent pattern of thinking, feeling,

Personality Disorder Personality disorders, it is characterized by a consistent pattern of thinking, feeling, and interacting with others and with the world that tends to cause significant problems for the sufferer They don’t see the problem. ◦ Start at a young age ◦ Are enduring patterns of behavior in a person ◦ Chronic

Psychological Disorders- Axis II Personality Disorders Cluster A- Schizoid, Paranoid, Schizotypal Cluster B- Histrionic,

Psychological Disorders- Axis II Personality Disorders Cluster A- Schizoid, Paranoid, Schizotypal Cluster B- Histrionic, Narcissistic, Borderline, Antisocial, Psychopathic Cluster C- Avoidant, Dependent, Obsessive Compulsive 3

Cluster A- Odd or Eccentric Behavior 4

Cluster A- Odd or Eccentric Behavior 4

Paranoid Personality Disorder Distrust and suspicion of others Believing that others are trying to

Paranoid Personality Disorder Distrust and suspicion of others Believing that others are trying to harm you Emotional detachment Hostility

Schizoid Personality Disorder Lack of interest in social relationships Limited range of emotional expression

Schizoid Personality Disorder Lack of interest in social relationships Limited range of emotional expression Inability to pick up normal social cues Appearing dull or indifferent to others

Schizotypal Personality Disorder Odd behavior, peculiar dress, thinking, beliefs or behavior Discomfort in close

Schizotypal Personality Disorder Odd behavior, peculiar dress, thinking, beliefs or behavior Discomfort in close relationships Flat emotions or inappropriate emotional responses Deviant interests "Magical thinking" — believing you can influence people and events with your thoughts Believing that messages are hidden for you in public speeches or displays

Cluster B- Dramatic, Emotional, Erratic Behavior 8

Cluster B- Dramatic, Emotional, Erratic Behavior 8

Antisocial (formerly called sociopathic) personality disorder Disregard for others Persistent lying or stealing Recurring

Antisocial (formerly called sociopathic) personality disorder Disregard for others Persistent lying or stealing Recurring difficulties with the law Repeatedly violating the rights of others Aggressive, often violent behavior Disregard for the safety of self or others

Borderline personality disorder Impulsive and risky behavior Volatile relationships Unstable mood Suicidal behavior Fear

Borderline personality disorder Impulsive and risky behavior Volatile relationships Unstable mood Suicidal behavior Fear of being alone

Histrionic personality disorder Constantly seeking attention Excessively emotional Extreme sensitivity to others' approval Unstable

Histrionic personality disorder Constantly seeking attention Excessively emotional Extreme sensitivity to others' approval Unstable mood Excessive concern with physical appearance

Narcissistic personality disorder Believing that you're better than others Fantasizing about power, success and

Narcissistic personality disorder Believing that you're better than others Fantasizing about power, success and attractiveness Exaggerating your achievements or talents Expecting constant praise and admiration Failing to recognize other people's emotions and feelings ◦ Megalomania

Cluster C- Anxious Fearful Behavior 13

Cluster C- Anxious Fearful Behavior 13

Avoidant personality disorder Hypersensitivity to criticism or rejection Feeling inadequate Social isolation Extreme shyness

Avoidant personality disorder Hypersensitivity to criticism or rejection Feeling inadequate Social isolation Extreme shyness in social situations Timidity

Dependent personality disorder Excessive dependence on others Submissiveness toward others A desire to be

Dependent personality disorder Excessive dependence on others Submissiveness toward others A desire to be taken care of Tolerance of poor or abusive treatment Urgent need to start a new relationship when one has ended

Obsessive-compulsive personality disorder Preoccupation with orderliness and rules Extreme perfectionism Desire to be in

Obsessive-compulsive personality disorder Preoccupation with orderliness and rules Extreme perfectionism Desire to be in control of situations Inability to discard broken or worthless objects Inflexibility Not the same as obsessivecompulsive disorder, a type of anxiety disorder.

The Schizotypal Patient George 22 yrs old Abducted by aliens Own language Only trust

The Schizotypal Patient George 22 yrs old Abducted by aliens Own language Only trust close relatives, no friends

Schizotypal Personality Disorder A pervasive pattern of social and interpersonal deficits marked by acute

Schizotypal Personality Disorder A pervasive pattern of social and interpersonal deficits marked by acute discomfort with, and reduced capacity for, close relationships as well as by cognitive or perceptual distortions and eccentricities of behavior, beginning by early adulthood and present in a variety of contexts. Causes: -Emotionally Distant Family -Humiliation by Family or Peers

Symptoms of Schizotypal Personality Disorder Lack of close friends or confidants other than first-degree

Symptoms of Schizotypal Personality Disorder Lack of close friends or confidants other than first-degree relatives. Failure to conform to social norms with respect to lawful behaviors as indicated by repeatedly performing acts that are grounds for arrest. Deceitfulness, as indicated by repeated lying, use of aliases, or conning others for personal pr. Reckless disregard for safety of self or others. Consistent irresponsibility, as indicated by repeated failure to sustain consistent work behavior or honor financial obligations. Odd thinking and usage of words. Suspiciousness or paranoid ideation. Odd beliefs or magical thinking that influences behavior and is inconsistent with subcultural norms.

The Schizoid Patient Mark 36 yrs old Disconnected No relationships Chooses solitude No care

The Schizoid Patient Mark 36 yrs old Disconnected No relationships Chooses solitude No care for sex Does not like to change habits

Schizoid Personality Disorder A pervasive pattern of detachment from social relationships and a restricted

Schizoid Personality Disorder A pervasive pattern of detachment from social relationships and a restricted range of expression of emotions in interpersonal settings, beginning by early adulthood and present in a variety of contexts. Causes: • Emotionally Reserved Family • Lack of Emotional Stimulus

Symptoms for Schizoid Personality Disorder Patients must have at least (4) of the following

Symptoms for Schizoid Personality Disorder Patients must have at least (4) of the following Symptoms to be diagnosed with the Disorder: Does not desire or enjoy close relationships, even be part of a family. Would rather choose a solitary activity than an engaging one. Has little or no interest in having sexual experiences with another person. Is very hard to please with activities, interested in very few. Fails to maintain close friends or other confidants besides first-degree relatives Does not show interest to the praise or criticism of others. Expresses feelings of emotional coldness and detachment from the community and even family.

The Paranoid Patient Dale G. 46 yrs old Fear of government Wife is “one

The Paranoid Patient Dale G. 46 yrs old Fear of government Wife is “one of them” No close friends Listening to everything

Paranoid Personality Disorder A pervasive distrust and suspiciousness of others such that their motives

Paranoid Personality Disorder A pervasive distrust and suspiciousness of others such that their motives are interpreted as malevolent, beginning by early adulthood and present in a variety of contexts. Causes: • Families with 1 or more who have PPD • Childhood experiences with anger

Symptoms for Paranoid Personality Disorder • • • Patients must have at least (4)

Symptoms for Paranoid Personality Disorder • • • Patients must have at least (4) of the following Symptoms to be diagnosed with the Disorder: The patient suspects others are exploiting, harming or trying deceiving him or herself without a sufficient cause. Preoccupied with doubts that his or her friends are not loyal and questions the trustworthiness of friends and associates If they hold persistent grudges and is unforgiving to those that have caused harm such as insults, injuries, or slighting of their character
 They accuse others of attacking his reputation with no evidence of these “attack’s” and are hasty to counterattack. Has recurrent suspicions without justification, regarding fidelity of spouse or sexual partner’s.

Histrionic Personality Disorder (HPD) is personality disorder in which the individual displays an ongoing

Histrionic Personality Disorder (HPD) is personality disorder in which the individual displays an ongoing pattern of attentionseeking and excessively dramatic behaviors beginning in early adulthood and present across a broad range of situations.

DSM Criteria According to the DSM-IV-TR, HPD is indicated by five (or more) of

DSM Criteria According to the DSM-IV-TR, HPD is indicated by five (or more) of the following symptoms: (1) Is uncomfortable in situations in which he or she is not the center of attention. (2) Interaction with others is often characterized by inappropriate sexually seductive or provocative behavior. (3) Displays rapidly shifting and shallow expression of emotions. (4) Consistently uses physical appearance to draw attention to self. (5) Has a style of speech that is excessively impressionistic and lacking in detail. (6) Shows self-dramatization, theatricality, and exaggerated expression of emotion. (7) Is suggestible, i. e. , easily influenced by others or circumstances. (8) Considers relationships to be more intimate than they actually are.

Borderline Personality Disorder According to the DSM-TR-IV, BPD interferes with an individual's ability to

Borderline Personality Disorder According to the DSM-TR-IV, BPD interferes with an individual's ability to regulate emotion Symptoms: ◦ dramatic and abrupt shifts in mood, impulsivity, poor self-image and tumultuous interpersonal relationships ◦ People with this disorder are prone to unpredictable outbursts of anger, which sometimes manifests in self-injurious behavior

AVOIDANT PERSONALITY DISORDER A psychiatric condition in which a person has a lifelong pattern

AVOIDANT PERSONALITY DISORDER A psychiatric condition in which a person has a lifelong pattern of feeling extremely shy, inadequate, and sensitive to rejection. Nearly 3, 000 of Americans are affected by this disorder. Ø Causes The direct cause is unknown Ø Be easily hurt by criticism or disapproval Ø Abuse as a child causing detachment form parents and other people Ø Hold the view they are socially inept, inferior, or unappealing to other people

SYMPTOMS Social Inhibition Ø Feelings of Inadequacy Ø Hypersensitivity Ø Too preoccupied wit their

SYMPTOMS Social Inhibition Ø Feelings of Inadequacy Ø Hypersensitivity Ø Too preoccupied wit their own personal life Ø Only form relationships with people they believe they won’t get rejected by Ø Loss and rejection is very painful to these subjects Ø Would rather be lonely than risk trying to connect with others. Ø

DSM-IV-TR • The subject must display at least 4 of these symptoms Øis unwilling

DSM-IV-TR • The subject must display at least 4 of these symptoms Øis unwilling to get involved with people unless certain of being liked Øshows restraint within intimate relationships because of the fear of being shamed or ridiculed Øis preoccupied with being criticized or rejected in social situations Øis inhibited in new interpersonal situations because of feelings of inadequacy Øviews self as socially inept, personally unappealing, or inferior to others Øis unusually reluctant to take personal risks or to engage in any new activities because they may prove embarrassing

TREATMENTS Ø Ø Av. PD causes high levels 0 f anxiety and often patients

TREATMENTS Ø Ø Av. PD causes high levels 0 f anxiety and often patients are given anti-depressants Talk Therapy, Psychotherapy, social skills therapy, and cognitive therapy Ø Exposure treatment Ø Group therapy Ø Occasionally Drug therapy Ø http: //www. youtube. com/watch? v=OCKOQUs 6 w. Uk

Dependent Disorder • Is one of the most frequently diagnosed • personality disorders •

Dependent Disorder • Is one of the most frequently diagnosed • personality disorders • Occurs both in men and women • People become attached to other people Is one of the most frequently diagnosed personality disorders • Occurs both in men and women

 • There is no exact cause of DPD • It is thought to

• There is no exact cause of DPD • It is thought to involve both environmental and developmental factors • Some researchers believe that overprotective parenting could cause DPD

 • People with DPD become emotionally attached to other people • Have inability

• People with DPD become emotionally attached to other people • Have inability to make decisions • They will avoid jobs that require independent functioning • Have intense fear of abandonment • People are willing to be abused by others

DSM IV: A pervasive and excessive need to be taken care of that leads

DSM IV: A pervasive and excessive need to be taken care of that leads to submissive and cli behavior and fears of separation, beginning by early adulthood and present in a var contexts, as indicated by five (or more) of the following: (1) has difficulty making everyday decisions without an excessive amount of advice and reassurance from others (2) needs others to assume responsibility for most major areas of his or her life (3) has difficulty expressing disagreement with others because of fear of loss of support or approval. Note: Do not include realistic fears of retribution. (4) has difficulty initiating projects or doing things on his or her own (because of a lack of self-confidence in judgment or abilities rather than a lack of motivation or energy) (5) goes to excessive lengths to obtain nurturance and support from others, to the point of volunteering to do things that are unpleasant (6) feels uncomfortable or helpless when alone because of exaggerated fears of being una to care for himself or herself (7) urgently seeks another relationship as a source of care and support when a close relat ends (8) is unrealistically preoccupied with fears of being left to take care of himself or herself

 • Psychotherapy (personal counseling) is one of the main types of therapy for

• Psychotherapy (personal counseling) is one of the main types of therapy for DPD • This therapy helps people become more independent • Normally short term therapy • Long term normally makes the person dependent on therapist

OCPD Very similar to OCD A person with this is going to be preoccupied

OCPD Very similar to OCD A person with this is going to be preoccupied with rules, control, order It can be compared to a perfectionist, but to the extent that they need it to be perfect in their eyes Anything is going to need to meet their standards Is going to work a lot and never have leisure time, on their own account

DSM-IV Diagnostic criteria for 301. 4 Obsessive-Compulsive Personality Disorder (cautionary statement) A pervasive pattern

DSM-IV Diagnostic criteria for 301. 4 Obsessive-Compulsive Personality Disorder (cautionary statement) A pervasive pattern of preoccupation with orderliness, perfectionism, and mental and interpersonal control, at the expense of flexibility, openness, and efficiency, beginning by early adulthood and present in a variety of contexts, as indicated by four (or more) of the following: (1) is preoccupied with details, rules, lists, order, organization, or schedules to the extent that the major point of the activity is lost (2) shows perfectionism that interferes with task completion (e. g. , is unable to complete a project because his or her own overly strict standards are not met) (3) is excessively devoted to work and productivity to the exclusion of leisure activities and friendships (not accounted for by obvious economic necessity) (4) is overconscientious, scrupulous, and inflexible about matters of morality, ethics, or values (not accounted for by cultural or religious identification) (5) is unable to discard worn-out or worthless objects even when they have no sentimental value (6) is reluctant to delegate tasks or to work with others unless they submit to exactly his or her way of doing things (7) adopts a miserly spending style toward both self and others; money is viewed as something to be hoarded for future catastrophes (8) shows rigidity and stubbornness *4 or more

Symptoms/Causes Abnormal obsession with rules, lists, and orders Not very generous Perfectionist Pack-rat Inflexible

Symptoms/Causes Abnormal obsession with rules, lists, and orders Not very generous Perfectionist Pack-rat Inflexible to morality Not going to let others to their jobs Causes Men more likely Genetics has been brought up, never proven Runs in families Parenting Styles Children punished for various bad things and never praised Is trying to avoid punishment so they set up strict rules in themselves

OCPD Video http: //www. youtube. com/watch? v=B 3 R 6 Vjr. SX d 8&feature=related

OCPD Video http: //www. youtube. com/watch? v=B 3 R 6 Vjr. SX d 8&feature=related 1: 45 -2: 30 4: 45 -5: 30

Case Study 15 year-old girl Julianne More focused on school the farther she was

Case Study 15 year-old girl Julianne More focused on school the farther she was in it Kept all previous notes “In case she needed them” Worked on homework instead of playing with family/friends Spent increasing time on school, and didn’t believe it was a problem Worked on things way ahead of time Chose to study for a History exam weeks ahead instead of seeing her family

Personality Disorder Nicknames Cluster A Paranoid- Out to get me disorder Schizoid- loner disorder

Personality Disorder Nicknames Cluster A Paranoid- Out to get me disorder Schizoid- loner disorder Schizotypal- magic dragon disorder Cluster B Antisocial- mean disorder Histrionic- look at me disorder Borderline- teeter-totter disorder Narcissistic superior disorder Cluster C Avoidant they are all going to laugh at me disorder Dependent needy disorder OCPD work-a-holic disoder