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NUR 448 Personality Disorders
Definition <ul><li>Extreme exaggerations of personality traits or styles. </li></ul><ul><li>Essential features are: </li><...
Three clusters <ul><li>Cluster A  (Odd, eccentric) </li></ul><ul><ul><li>Paranoid, Schizoid, Schizotypal </li></ul></ul><u...
Cluster A - Paranoid <ul><li>Distrustful, suspicious </li></ul><ul><li>Bears grudges </li></ul><ul><li>Jealous, envious, h...
Cluster A - Schizoid <ul><li>Loner </li></ul><ul><li>Odd thoughts, perceptions & speech </li></ul><ul><li>Aloof, no social...
Cluster A - Schizotypal <ul><li>Odd, peculiar speech </li></ul><ul><li>Bizarre fantasies and behavior </li></ul><ul><li>Ma...
Cluster B - Antisocial <ul><li>Disregard for the rights of others </li></ul><ul><li>Instant gratification </li></ul><ul><l...
Cluster B - Borderline <ul><li>Theory-problems with separation-individuation </li></ul><ul><li>Bad mother-good mother </li...
Borderline <ul><li>Difficulty being alone, mood swings </li></ul><ul><li>Explosive anger, self-mutilation </li></ul><ul><l...
Cluster B - Histrionic <ul><li>Needs to be center of attention </li></ul><ul><li>Seductive, provocative behavior </li></ul...
Cluster B- Narcissistic <ul><li>Grandiose self importance </li></ul><ul><li>Unlimited fantasies of power, wealth, </li></u...
Narcissistic <ul><li>Exploitive </li></ul><ul><li>Lacks empathy </li></ul><ul><li>Envious </li></ul><ul><li>Haughty, arrog...
Cluster C - Avoidant <ul><li>Social inhibition </li></ul><ul><li>Fear of close relationships </li></ul><ul><li>Anxious, lo...
Cluster C - Dependent <ul><li>Difficulty with decision making </li></ul><ul><li>Seeks excessive advice and reassurance  </...
Cluster C - Obsessive-compulsive <ul><li>Preoccupied with details, rules, lists and order </li></ul><ul><li>Perfectionism ...
<ul><li>Obsessive Compulsive Personality </li></ul><ul><li>Obsessive Compulsive Disorder </li></ul><ul><li>Fastidious </li...
Treatment <ul><li>Symptom specific </li></ul><ul><li>Some improve with time (borderline and antisocial) </li></ul><ul><li>...
Questions <ul><li>Which personality disorders are more disruptive? </li></ul><ul><li>What is the difference between schizo...
<ul><li>Which axis of the DSMIV includes personality disorders? </li></ul><ul><li>What are the culture issues of personali...
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Unit 10 personality disorders 1

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Transcript of "Unit 10 personality disorders 1"

  1. 1. NUR 448 Personality Disorders
  2. 2. Definition <ul><li>Extreme exaggerations of personality traits or styles. </li></ul><ul><li>Essential features are: </li></ul><ul><ul><li>chronicity </li></ul></ul><ul><ul><li>pervasiveness </li></ul></ul><ul><ul><li>maladaption </li></ul></ul>
  3. 3. Three clusters <ul><li>Cluster A (Odd, eccentric) </li></ul><ul><ul><li>Paranoid, Schizoid, Schizotypal </li></ul></ul><ul><li>Cluster B (Dramatic, erratic) </li></ul><ul><ul><li>Antisocial, Borderline, Histrionic, Narcissistic </li></ul></ul><ul><li>Cluster C (Anxious, fearful) </li></ul><ul><ul><li>Avoidant, Dependent, Obsessive-compulsive </li></ul></ul>
  4. 4. Cluster A - Paranoid <ul><li>Distrustful, suspicious </li></ul><ul><li>Bears grudges </li></ul><ul><li>Jealous, envious, hypersensitive </li></ul><ul><li>Hypervigilent, ideas of reference </li></ul><ul><li>Restricted affect, controlling </li></ul><ul><li>Defense mechanism—projection </li></ul><ul><li>Often racist </li></ul>
  5. 5. Cluster A - Schizoid <ul><li>Loner </li></ul><ul><li>Odd thoughts, perceptions & speech </li></ul><ul><li>Aloof, no social involvement </li></ul><ul><li>Indifferent to praise or criticism </li></ul><ul><li>Bouts of mini psychosis </li></ul><ul><li>Cognitive impairment </li></ul>
  6. 6. Cluster A - Schizotypal <ul><li>Odd, peculiar speech </li></ul><ul><li>Bizarre fantasies and behavior </li></ul><ul><li>Magical thinking </li></ul><ul><li>Ideas of reference </li></ul><ul><li>Unusual beliefs, clairvoyant </li></ul><ul><li>Fortune tellers, street people </li></ul>
  7. 7. Cluster B - Antisocial <ul><li>Disregard for the rights of others </li></ul><ul><li>Instant gratification </li></ul><ul><li>No remorse </li></ul><ul><li>Lying, stealing, revengeful </li></ul><ul><li>Truant as children, cruelty to animals </li></ul><ul><li>Firesetting, substance abuse </li></ul><ul><li>Rx. Restrictive settings (jail, prison) </li></ul><ul><li>Qualitative difference to soci0pathic personality </li></ul>
  8. 8. Cluster B - Borderline <ul><li>Theory-problems with separation-individuation </li></ul><ul><li>Bad mother-good mother </li></ul><ul><li>Unstable and impulsive on eating, spending, and sexuality </li></ul><ul><li>Unstable personal relationships </li></ul><ul><li>Clinging, demanding, controlling </li></ul>
  9. 9. Borderline <ul><li>Difficulty being alone, mood swings </li></ul><ul><li>Explosive anger, self-mutilation </li></ul><ul><li>Mini-psychoses, eating disorders </li></ul><ul><li>Splitting (pitting one person against another) </li></ul><ul><li>Projection, suicide gestures </li></ul><ul><li>Cutting, carving or other self abuse actions (never the face) </li></ul><ul><li>Rx: Small doses of antipsychotic medication </li></ul>
  10. 10. Cluster B - Histrionic <ul><li>Needs to be center of attention </li></ul><ul><li>Seductive, provocative behavior </li></ul><ul><li>Shallow emotional expression </li></ul><ul><li>Dramatic, theatrical </li></ul><ul><li>Suggestible </li></ul><ul><li>Focused on physical appearance </li></ul><ul><li>Often show “la belle indifference”- disconcern for personal problems </li></ul>
  11. 11. Cluster B- Narcissistic <ul><li>Grandiose self importance </li></ul><ul><li>Unlimited fantasies of power, wealth, </li></ul><ul><li>brilliance, beauty </li></ul><ul><li>Feels special or unique-associates with people of high status </li></ul><ul><li>Demands admiration, entitlement, special treatment </li></ul><ul><li>Able to break laws-severe cases act as anti-social personalities </li></ul>
  12. 12. Narcissistic <ul><li>Exploitive </li></ul><ul><li>Lacks empathy </li></ul><ul><li>Envious </li></ul><ul><li>Haughty, arrogant </li></ul>
  13. 13. Cluster C - Avoidant <ul><li>Social inhibition </li></ul><ul><li>Fear of close relationships </li></ul><ul><li>Anxious, lonely, fearful of criticism or rejection </li></ul><ul><li>Views self as socially inept, reluctant to take risks </li></ul>
  14. 14. Cluster C - Dependent <ul><li>Difficulty with decision making </li></ul><ul><li>Seeks excessive advice and reassurance </li></ul><ul><li>Difficulty expressing disagreement </li></ul><ul><li>Fear of having to take care of self </li></ul><ul><li>Excessive lengths to obtain nurturance </li></ul><ul><li>Feels uncomfortable when alone </li></ul>
  15. 15. Cluster C - Obsessive-compulsive <ul><li>Preoccupied with details, rules, lists and order </li></ul><ul><li>Perfectionism that interferes with task completion </li></ul><ul><li>Over-conscientious and inflexible </li></ul><ul><li>Reluctant to delegate </li></ul><ul><li>Miserly spending </li></ul><ul><li>Rigid and stubborn </li></ul>
  16. 16. <ul><li>Obsessive Compulsive Personality </li></ul><ul><li>Obsessive Compulsive Disorder </li></ul><ul><li>Fastidious </li></ul><ul><li>Neatness and orderliness </li></ul><ul><li>Demanding of others </li></ul><ul><li>Able to lead normal life </li></ul><ul><li>Behaviors: labeling, measuring, things are the same </li></ul><ul><li>Hoarding </li></ul><ul><li>Compulsive actions </li></ul><ul><li>Seclusive </li></ul><ul><li>Disabling and anxiety producing </li></ul><ul><li>Behaviors: checking the door, hand washing, counting, picking at face </li></ul>Some Differences Between
  17. 17. Treatment <ul><li>Symptom specific </li></ul><ul><li>Some improve with time (borderline and antisocial) </li></ul><ul><li>Group therapy helpful for some </li></ul>
  18. 18. Questions <ul><li>Which personality disorders are more disruptive? </li></ul><ul><li>What is the difference between schizoid and avoidant personalities? </li></ul><ul><li>What are the differences among obsessive- compulsive behavior, obsessive-compulsive personality, and obsessive-compulsive disorder? </li></ul>
  19. 19. <ul><li>Which axis of the DSMIV includes personality disorders? </li></ul><ul><li>What are the culture issues of personality disorders? </li></ul><ul><li>What are the gender issues of personality disorders? </li></ul>
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