Personality disorders

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  • 1. Personality traits are long-lasting patterns of perceiving, relating to, and thinking about the environment and oneself that are seen in a large number of social and personal contexts. 2. Only when the personality traits are inflexible and maladaptive and cause significant functional impairment or distress do they constitute a personality disorder. 3. With respect to Emily in the case vignette, the evidence suggests that she might warrant a personality disorder. However, to properly diagnosis the personality disorder, the professional assigning the diagnosis will need to establish that the maladaptive behaviors/personality traits are stable and of long duration. Further, theonset must date back to adolescenceor early adulthood. ***More?
  • Personality disorders

    1. 1. Personality Disorders Ashraf Tantawy Professor of Psychiatry Suez Canal University
    2. 2. Conscious Preconscious EGO ID Unconscious SUPER EGO
    3. 3. EMOTIONAL STABLE INTROVERTED EXTRAVERTED Anxious Rigid Sober Pessimistic Reserved Unsociable Quiet Careful Thoughtful Peaceful Controlled Reliable Even-tempered Calm Passive Outgoing Talkative Responsive Easygoing Lively Carefree Leadership Sociable Moody Restless Aggressive Excitable Changeable Impulsive Optimistic Active Touchy Melancholic Phlegmatic Choleric Sanguine
    4. 4. DEFINITIONS Personality - Usual Emotional + Behavioral Characteristics Personality Traits - Components of Personality Temperament - Affective Tone, Intensity, Reactivity Character - Moral + Personality Traits
    5. 5. DSM IV PD Axis II 10 Diagnoses + NOS + Appendix Clusters
    6. 6. Definition of Personality Disorder 1. It is an enduring pattern of inner experience and behavior that deviates markedly from the expectations of the individual’s culture, 2. It is pervasive and inflexible, 3. It has on onset in adolescence or early adulthood, 4. It is stable over time, 5. It leads to distrust or impairment.
    7. 7. What are Personality Disorders Like? People with personality disorders typically have problems in many areas of their lives, including social skills, moods, and emotional states. People with these disorders has difficulty establishing normal, health relationships.
    8. 8. Personality Disorders In many of the disorders, sufferers lack the ability to have genuine emotions including empathy for others. In some disorders, some have no desire to have social relationships or they want relationships, but are scared to reach out to people. Personality disorder symptoms stem from basic personality traits that developed over time. That is means: A person does not “get” a personality disorder.
    9. 9. Cluster A Individuals appear odd or eccentric Paranoid Schizoid Schizotypal
    10. 10. Cluster B Individuals appear dramatic, emotional or erratic Antisocial Borderline Histrionic Narcissistic
    11. 11. Cluster C Individuals appear anxious or fearful Avoidant Dependent Obsessive- Compulsive
    12. 12. Paranoid Personality Disorder Pervasive distrust and suspiciousness of others such that their motives are interpreted as malevolent.
    13. 13. Schizoid Personality Disorder Pervasive pattern of detachment from social relationships and a restricted range of expression of emotions.
    14. 14. Schizotypal Personality Disorder Pervasive pattern of social and interpersonal deficits marked by acute discomfort with close relationships as well as by cognitive or perceptual distortions and eccentricities of behavior.
    15. 15. Antisocial Personality Disorder The essential feature is a pervasive pattern of disregard for the violation of the rights of others. Since age 15 Sociopathy, psychopathy
    16. 16. Borderline Personality Disorder Pervasive pattern of instability of interpersonal relationships, self-image, and affects. Marked impulsivity
    17. 17. Histrionic Personality Disorder Pervasive Pattern of excessive emotionality and attention- seeking behavior.
    18. 18. Narcissistic Personality Disorder Pervasive pattern of grandiosity, need for admiration and lack of empathy that begins by early adulthood.
    19. 19. Avoidant Personality Disorder Pervasive pattern of social inhibition, feelings of inadequacy and hypersensitivity to negative evaluation.
    20. 20. Dependent Personality Disorder Pervasive need to be taken care of that leads to submissive and fears of separation.
    21. 21. Obsessive-Compulsive Personality Disorder Preoccupation with orderliness, perfectionism and mental and interpersonal control.
    22. 22. PASSIVE-AGGRESSIVE PD Negative Attitudes with Passive Resistance to Demands.
    23. 23. 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.
    24. 24. 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
    25. 25. Psychiatric Impact of Personality Disorders Psychology Physician Assistant Physical Therapy Occupational Therapy Vocational Therapy Nursing Assistance Legal Assistance Social Work
    26. 26. Conclusion We have all personality traits integrated with each other. If one trait dominates on the other traits then we have a personality disorder. Personality disorders have no onset. Personality disorders need a long time to treat. Psychotherapy is the main therapy for personality disorders.

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