PERSONALITY AND PERSONALITY DISORDERS Personality Enduring pattern of

PERSONALITY AND PERSONALITY DISORDERS

Personality Enduring pattern of feeling thinking and behavior that make individual unique person

Elements of personality � Since early age � Consistent over time � Recognized by friends � Stable in different situations

Personality disorders � Deeply ingrained maladaptive pattern � From adolescence � Person or society suffers � Extreme variation of trait not due to mental illness

Relation between mental illness and personality � all people with personality disorder have mental illness � 2 -personality disorders are mental illness � 3 - coincidental

Approach personality trait model dimensional approach type model clinical types

Dimensional approach Eysenck Costa and Mc. Cair Clonninger cattle

Eysenck Neuroticism – psychoticism Extraversion – Introversion Costa and Mc. Cairy OCEAN O openness C conscientiousness E extraversion A agreeability N neuroticism

Clonninger Novelty seeking Harm avoidance Reward dependence

Clinical types � Cluster A odd eccentric Paranoid, schizotypal � Cluster B dramatic antisocial (psychopathic), histrionic, borderline, impulsive, and narcissistic � Cluster C anxious Avoidant, obsessive, dependent

Schizoid personality disorder � Distance from social relations � Few interests and pleasures � Emotionally cold

Paranoid personality disorder � Sense of exploitation � Preoccupied with mistrust � No confidant � Sensitivity to insult

Schizotypal personality disorder � Eccentric � Unusual believes � Speak vague circumstantial � Problems with close relations

Antisocial personality disorder � Intolerance to frustration � Seek urgent satisfaction � Lack of guilt or remorse � Breaking rules and norms � Impulsive � Substance abuse

Borderline personality disorder � Fear of abandonment � Feeling of emptiness � Suicidal and self harming � impulsive � Brief psychotic episodes � Childhood sexual abuse

Histrionic personality disorder � Center of attention � Excessive display of emotions � Manipulative

� Narcissistic personality disorders � Inflated sense self importance � Cant see others non appreciation � Associate with important people as they see

Avoidant personality disorder � Avoid situation criticism � Chronic feeling of inadequacy � Shy restrains � Seek praise

Obsessive compulsive personality disorder (anankastic) � Inflexible � One way to do things stubborn obstnaid � Meticulous � Check rechecks � Indecisive

Dependant personality disorder � Fear of being alone � Subordinate responsibility to others � Difficulty in making decision alone

� Note � personality change � affective personality disorders

Determinants of personality � genetic � family � society

Management � Presenting problem � psychotherapy