personality

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Personality Disorders: 

Personality Disorders Marc A. Schuckit, M.D. University of California, San Diego VA San Diego Healthcare System

GREEK TEMPERAMENTS: 

GREEK TEMPERAMENTS Sanguine Melancholic Choleric Phlegmatic

FREUD: 

FREUD Oral Anal Phallic Genital

DEFINITIONS: 

DEFINITIONS Personality - Usual Emotional + Behavioral Characteristics Personality Traits - Components of Personality Temperament - Affective Tone, Intensity, Reactivity Character - Moral + Personality Traits

PERSONALITY DISORDERS: 

PERSONALITY DISORDERS Totality of Emotional + Behavioral Traits Onset Teens Enduring, Inflexible, Consistent, Maladaptive Causes Significant Impairment and/or Distress

DSM IV PD: 

DSM IV PD Axis II 10 Diagnoses + NOS + Appendix Polythetic Clusters

DSM IV PERSONALITY DISORDERS: 

DSM IV PERSONALITY DISORDERS Paranoid Schizoid Schizotypal Antisocial Borderline Histrionic Narcissistic Avoidant Dependent Obsessive-Compulsive

CLUSTERS: 

CLUSTERS A. Odd or Eccentric Paranoid Schizotypal Schizoid B. Dramatic or Erratic Antisocial Histrionic Borderline Narcissistic C. Anxious Avoidant Obsessive - Compulsive Dependent

CHARACTERISTICS OF PD: 

CHARACTERISTICS OF PD Relation to Axis I 10% - 20% of General Population Gender : ASPD, Schizoid Avoidant, Dependent Etiological Theories Dynamic Biological / Genetic

PERSONALITY DISORDERS: 

PERSONALITY DISORDERS Totality of emotional + behavioral traits Onset teens Enduring, inflexible, consistent, maladaptive Causes significant impairment and/or distress

PARANOID PD: 

PARANOID PD Pervasive Distrust + Suspiciousness, Interpret Motives as Evil 4 + of : Suspicious Feels Attacked Preoccupation with Distrust Jealous Won’t Confide Grudges Misinterprets Motives

SCHIZOID PD: 

SCHIZOID PD Detached + Few Emotions 4 + of : Eschew Closeness No Close Friends Solitary Indifferent No Sex Interest Cold Not Enjoy Activities

SCHIZOTYPAL PD: 

SCHIZOTYPAL PD Discomfort with Relationships, Cognitive Distortions + Eccentric 5 + of : Ideas of Reference Odd Magical Beliefs Perceptual Disturbances Odd Thoughts/Speech Paranoia Inappropriate Affect Odd Behavior/Appearance Loner Anxious Socially

ANTISOCIAL PD (ASPD): 

ANTISOCIAL PD (ASPD) Disregard Rights of Others (and meet Conduct Disorder) 3 + of : Unlawful Reckless Deceitful Irresponsible Impulsive Lack Remorse Aggressive

BORDERLINE PD: 

BORDERLINE PD Unstable Relationships, Affect, Self-Image Plus Impulsiveness 5 + of : Fears Abandonment Mood Shifts Unstable Relationships Feels Empty Changing Self-Image Anger Impulsive Sex, Spending, Temporary Etc Paranoia Suicidal Behavior

HISTRIONIC PD: 

HISTRIONIC PD Excessive Emotionality, Attention Seeking 5 + of : Needs Attention Preens Seductive Dramatic Mood Shifts Suggestible Impressionistic, Exaggerates Vague Speech Relationships

NARCISSISTIC PD: 

NARCISSISTIC PD Grandiose, Needs Admiration, Without Empathy 5 + of : Self Important Exploitative Fantasies of Success Lacks Empathy Feels Special Envious Needs Admiration Arrogant Entitled

AVOIDANT PD: 

AVOIDANT PD Inhibited, Inadequate, Sensitive 4 + of : Avoids Social Activity Reluctant Relationships Fears Intimacy Fears Criticism Avoids New Activities Sees Self Inferior Fears Embarrassment

DEPENDENT PD: 

DEPENDENT PD Needs to be Taken Care of, Fears Separation 5 + of : Indecisive Seeks Nurturance Avoids Responsibility Fears Solitude Avoids Frantic for Disagreements Relationships Lacks Initiative Fears Abandonment

OBSESSIVE-COMPULSIVE PD: 

OBSESSIVE-COMPULSIVE PD Orderliness, Perfectionist, Inflexible 4 + of : Detail Oriented Unable to Discard Perfectionism Can’t Delegate Work Oriented Miserly Over Conscientious Rigid

PASSIVE-AGGRESSIVE PD: 

PASSIVE-AGGRESSIVE PD Negative Attitudes with Passive Resistance to Demands 4 + of : Passive Envious, Resentful Misunderstood, Exaggerated Unappreciated Complaints Sullen, Argumentative Defiant then Contrite Scorns Authority

Slide22: 

PERSONALITY DISORDERS Totality of Emotional + Behavioral Traits Onset Teens Enduring, Inflexible, Consistent, Maladaptive Causes Significant Impairment and/or Distress

SUMMARY PART I: 

SUMMARY PART I Paranoid Suspicious, Jealous, But Not Psychotic or Unlawful Schizoid Unemotional, Cold, Indifferent Schizotypal Odd + Magical Beliefs, Behaviors, Not Paranoid ASPD Aggressive, Unlawful, Impulsive Borderline Unstable, Chaotic, Impulsive Not Aggressive or Unlawful Histrionic Dramatic, Seductive But Not Chaotic

SUMMARY PART II: 

SUMMARY PART II Narcissistic Self-Centered, Entitled, Lacks Empathy But Not Unlawful or Chaotic Avoidant Needs People But Fears Relationships Dependent Needs Relationships, Indecisive, Fears Abandonment Obsessive- Rigid, Perfectionist + Inefficient Compulsive Passive- Negative Attitudes with Passive Aggressive Resistance to Demands

INSTRUMENTS FOR PD: 

INSTRUMENTS FOR PD Mostly Current Status Some Focus on Temperament or Personality Components Few Consider Full Diagnostic Syndrome

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