Personality Disorders Marc A. Schuckit, M.D. University of California, San Diego VA San Diego Healthcare System
GREEK TEMPERAMENTS <ul><li>Sanguine </li></ul><ul><li>Melancholic </li></ul><ul><li>Choleric </li></ul><ul><li>Phlegmatic ...
FREUD <ul><li>Oral </li></ul><ul><li>Anal </li></ul><ul><li>Phallic </li></ul><ul><li>Genital </li></ul>
DEFINITIONS <ul><li>Personality - Usual Emotional + Behavioral Characteristics </li></ul><ul><li>Personality Traits - Comp...
PERSONALITY DISORDERS <ul><li>Totality of Emotional + Behavioral Traits </li></ul><ul><li>Onset Teens </li></ul><ul><li>En...
DSM IV PD <ul><li>Axis II </li></ul><ul><li>10 Diagnoses + NOS + Appendix </li></ul><ul><li>Polythetic </li></ul><ul><li>C...
DSM IV PERSONALITY DISORDERS <ul><li>Paranoid </li></ul><ul><li>Schizoid </li></ul><ul><li>Schizotypal </li></ul><ul><li>A...
CLUSTERS <ul><li>A.  Odd or Eccentric </li></ul><ul><ul><li>Paranoid  Schizotypal </li></ul></ul><ul><ul><li>Schizoid </li...
CHARACTERISTICS OF PD <ul><li>Relation to Axis I </li></ul><ul><li>10% - 20% of General Population </li></ul><ul><li>Gende...
PERSONALITY DISORDERS <ul><li>Totality of emotional + behavioral traits </li></ul><ul><li>Onset teens </li></ul><ul><li>En...
PARANOID PD <ul><li>Pervasive Distrust + Suspiciousness, Interpret Motives as Evil </li></ul><ul><li>4 + of : </li></ul><u...
SCHIZOID PD <ul><li>Detached + Few Emotions </li></ul><ul><li>4 + of : </li></ul><ul><li>Eschew Closeness  No Close Friend...
SCHIZOTYPAL PD <ul><li>Discomfort with Relationships, Cognitive Distortions + Eccentric </li></ul><ul><li>5 + of : </li></...
ANTISOCIAL PD (ASPD) <ul><li>Disregard Rights of Others (and meet Conduct Disorder) </li></ul><ul><li>3 + of : </li></ul><...
BORDERLINE PD <ul><li>Unstable Relationships, Affect, Self-Image Plus Impulsiveness </li></ul><ul><li>5 + of : </li></ul><...
HISTRIONIC PD <ul><li>Excessive Emotionality, Attention Seeking </li></ul><ul><li>5 + of : </li></ul><ul><li>Needs Attenti...
NARCISSISTIC PD <ul><li>Grandiose, Needs Admiration, Without Empathy </li></ul><ul><li>5 + of : </li></ul><ul><li>Self Imp...
AVOIDANT PD <ul><li>Inhibited, Inadequate, Sensitive </li></ul><ul><li>4 + of : Avoids Social Activity </li></ul><ul><li>R...
DEPENDENT PD <ul><li>Needs to be Taken Care of, Fears Separation </li></ul><ul><li>5 + of : </li></ul><ul><li>Indecisive S...
OBSESSIVE-COMPULSIVE PD <ul><li>Orderliness, Perfectionist, Inflexible </li></ul><ul><li>4 + of : </li></ul><ul><li>Detail...
PASSIVE-AGGRESSIVE PD <ul><li>Negative Attitudes with Passive Resistance to Demands </li></ul><ul><li>4 + of : </li></ul><...
PERSONALITY DISORDERS <ul><li>Totality of Emotional + Behavioral Traits </li></ul><ul><li>Onset Teens </li></ul><ul><li>En...
SUMMARY PART I <ul><li>Paranoid   Suspicious, Jealous, But  Not  Psychotic or Unlawful </li></ul><ul><li>Schizoid   Unemot...
SUMMARY PART II <ul><li>Narcissistic   Self-Centered, Entitled, Lacks  Empathy But Not Unlawful  or Chaotic </li></ul><ul>...
INSTRUMENTS FOR PD <ul><li>Mostly Current Status </li></ul><ul><li>Some Focus on  Temperament or  Personality Components <...
Upcoming SlideShare
Loading in...5
×

Personality

1,388

Published on

Published in: Technology, Health & Medicine
0 Comments
3 Likes
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total Views
1,388
On Slideshare
0
From Embeds
0
Number of Embeds
0
Actions
Shares
0
Downloads
57
Comments
0
Likes
3
Embeds 0
No embeds

No notes for slide

Personality

  1. 1. Personality Disorders Marc A. Schuckit, M.D. University of California, San Diego VA San Diego Healthcare System
  2. 2. GREEK TEMPERAMENTS <ul><li>Sanguine </li></ul><ul><li>Melancholic </li></ul><ul><li>Choleric </li></ul><ul><li>Phlegmatic </li></ul>
  3. 3. FREUD <ul><li>Oral </li></ul><ul><li>Anal </li></ul><ul><li>Phallic </li></ul><ul><li>Genital </li></ul>
  4. 4. DEFINITIONS <ul><li>Personality - Usual Emotional + Behavioral Characteristics </li></ul><ul><li>Personality Traits - Components of Personality </li></ul><ul><li>Temperament - Affective Tone, Intensity, Reactivity </li></ul><ul><li>Character - Moral + Personality Traits </li></ul>
  5. 5. PERSONALITY DISORDERS <ul><li>Totality of Emotional + Behavioral Traits </li></ul><ul><li>Onset Teens </li></ul><ul><li>Enduring, Inflexible, Consistent, Maladaptive </li></ul><ul><li>Causes Significant Impairment and/or Distress </li></ul>
  6. 6. DSM IV PD <ul><li>Axis II </li></ul><ul><li>10 Diagnoses + NOS + Appendix </li></ul><ul><li>Polythetic </li></ul><ul><li>Clusters </li></ul>
  7. 7. DSM IV PERSONALITY DISORDERS <ul><li>Paranoid </li></ul><ul><li>Schizoid </li></ul><ul><li>Schizotypal </li></ul><ul><li>Antisocial </li></ul><ul><li>Borderline </li></ul><ul><li>Histrionic </li></ul><ul><li>Narcissistic </li></ul><ul><li>Avoidant </li></ul><ul><li>Dependent </li></ul><ul><li>Obsessive-Compulsive </li></ul>
  8. 8. CLUSTERS <ul><li>A. Odd or Eccentric </li></ul><ul><ul><li>Paranoid Schizotypal </li></ul></ul><ul><ul><li>Schizoid </li></ul></ul><ul><li>B. Dramatic or Erratic </li></ul><ul><ul><li>Antisocial Histrionic </li></ul></ul><ul><ul><li>Borderline Narcissistic </li></ul></ul><ul><li>C. Anxious </li></ul><ul><ul><li>Avoidant Obsessive - Compulsive </li></ul></ul><ul><ul><li>Dependent </li></ul></ul>
  9. 9. CHARACTERISTICS OF PD <ul><li>Relation to Axis I </li></ul><ul><li>10% - 20% of General Population </li></ul><ul><li>Gender : ASPD, Schizoid Avoidant, Dependent </li></ul><ul><li>Etiological Theories </li></ul><ul><ul><li>Dynamic </li></ul></ul><ul><ul><li>Biological / Genetic </li></ul></ul>
  10. 10. PERSONALITY DISORDERS <ul><li>Totality of emotional + behavioral traits </li></ul><ul><li>Onset teens </li></ul><ul><li>Enduring, inflexible, consistent, maladaptive </li></ul><ul><li>Causes significant impairment and/or distress </li></ul>
  11. 11. PARANOID PD <ul><li>Pervasive Distrust + Suspiciousness, Interpret Motives as Evil </li></ul><ul><li>4 + of : </li></ul><ul><li>Suspicious Feels Attacked </li></ul><ul><li>Preoccupation with Distrust Jealous </li></ul><ul><li>Won’t Confide Grudges </li></ul><ul><li>Misinterprets Motives </li></ul>
  12. 12. SCHIZOID PD <ul><li>Detached + Few Emotions </li></ul><ul><li>4 + of : </li></ul><ul><li>Eschew Closeness No Close Friends </li></ul><ul><li>Solitary Indifferent </li></ul><ul><li>No Sex Interest Cold </li></ul><ul><li>Not Enjoy Activities </li></ul>
  13. 13. SCHIZOTYPAL PD <ul><li>Discomfort with Relationships, Cognitive Distortions + Eccentric </li></ul><ul><li>5 + of : </li></ul><ul><li>Ideas of Reference Odd Magical Beliefs </li></ul><ul><li>Perceptual Disturbances Odd Thoughts/Speech </li></ul><ul><li>Paranoia Inappropriate Affect </li></ul><ul><li>Odd Behavior/Appearance Loner </li></ul><ul><li>Anxious Socially </li></ul>
  14. 14. ANTISOCIAL PD (ASPD) <ul><li>Disregard Rights of Others (and meet Conduct Disorder) </li></ul><ul><li>3 + of : </li></ul><ul><li>Unlawful Reckless </li></ul><ul><li>Deceitful Irresponsible </li></ul><ul><li>Impulsive Lack Remorse </li></ul><ul><li>Aggressive </li></ul>
  15. 15. BORDERLINE PD <ul><li>Unstable Relationships, Affect, Self-Image Plus Impulsiveness </li></ul><ul><li>5 + of : </li></ul><ul><li>Fears Abandonment Mood Shifts </li></ul><ul><li>Unstable Relationships Feels Empty </li></ul><ul><li>Changing Self-Image Anger </li></ul><ul><li>Impulsive Sex, Spending, Temporary Etc Paranoia </li></ul><ul><li>Suicidal Behavior </li></ul>
  16. 16. HISTRIONIC PD <ul><li>Excessive Emotionality, Attention Seeking </li></ul><ul><li>5 + of : </li></ul><ul><li>Needs Attention Preens </li></ul><ul><li>Seductive Dramatic </li></ul><ul><li>Mood Shifts Suggestible </li></ul><ul><li>Impressionistic, Exaggerates Vague Speech Relationships </li></ul>
  17. 17. NARCISSISTIC PD <ul><li>Grandiose, Needs Admiration, Without Empathy </li></ul><ul><li>5 + of : </li></ul><ul><li>Self Important Exploitative </li></ul><ul><li>Fantasies of Success Lacks Empathy </li></ul><ul><li>Feels Special Envious </li></ul><ul><li>Needs Admiration Arrogant </li></ul><ul><li>Entitled </li></ul>
  18. 18. AVOIDANT PD <ul><li>Inhibited, Inadequate, Sensitive </li></ul><ul><li>4 + of : Avoids Social Activity </li></ul><ul><li>Reluctant Relationships </li></ul><ul><li>Fears Intimacy </li></ul><ul><li>Fears Criticism </li></ul><ul><li>Avoids New Activities </li></ul><ul><li>Sees Self Inferior </li></ul><ul><li>Fears Embarrassment </li></ul>
  19. 19. DEPENDENT PD <ul><li>Needs to be Taken Care of, Fears Separation </li></ul><ul><li>5 + of : </li></ul><ul><li>Indecisive Seeks Nurturance </li></ul><ul><li>Avoids Responsibility Fears Solitude </li></ul><ul><li>Avoids Frantic for Disagreements Relationships </li></ul><ul><li>Lacks Initiative Fears Abandonment </li></ul>
  20. 20. OBSESSIVE-COMPULSIVE PD <ul><li>Orderliness, Perfectionist, Inflexible </li></ul><ul><li>4 + of : </li></ul><ul><li>Detail Oriented Unable to Discard </li></ul><ul><li>Perfectionism Can’t Delegate </li></ul><ul><li>Work Oriented Miserly </li></ul><ul><li>Over Conscientious Rigid </li></ul>
  21. 21. PASSIVE-AGGRESSIVE PD <ul><li>Negative Attitudes with Passive Resistance to Demands </li></ul><ul><li>4 + of : </li></ul><ul><li>Passive Envious, Resentful </li></ul><ul><li>Misunderstood, Exaggerated Unappreciated Complaints </li></ul><ul><li>Sullen, Argumentative Defiant then Contrite </li></ul><ul><li>Scorns Authority </li></ul>
  22. 22. PERSONALITY DISORDERS <ul><li>Totality of Emotional + Behavioral Traits </li></ul><ul><li>Onset Teens </li></ul><ul><li>Enduring, Inflexible, Consistent, Maladaptive </li></ul><ul><li>Causes Significant Impairment and/or Distress </li></ul>
  23. 23. SUMMARY PART I <ul><li>Paranoid Suspicious, Jealous, But Not Psychotic or Unlawful </li></ul><ul><li>Schizoid Unemotional, Cold, Indifferent </li></ul><ul><li>Schizotypal Odd + Magical Beliefs, Behaviors, Not Paranoid </li></ul><ul><li>ASPD Aggressive, Unlawful, Impulsive </li></ul><ul><li>Borderline Unstable, Chaotic, Impulsive Not Aggressive or Unlawful </li></ul><ul><li>Histrionic Dramatic, Seductive But Not Chaotic </li></ul>
  24. 24. SUMMARY PART II <ul><li>Narcissistic Self-Centered, Entitled, Lacks Empathy But Not Unlawful or Chaotic </li></ul><ul><li>Avoidant Needs People But Fears Relationships </li></ul><ul><li>Dependent Needs Relationships, Indecisive, Fears Abandonment </li></ul><ul><li>Obsessive- Rigid, Perfectionist + Inefficient </li></ul><ul><li>Compulsive </li></ul><ul><li>Passive- Negative Attitudes with Passive Aggressive Resistance to Demands </li></ul>
  25. 25. INSTRUMENTS FOR PD <ul><li>Mostly Current Status </li></ul><ul><li>Some Focus on Temperament or Personality Components </li></ul><ul><li>Few Consider Full Diagnostic Syndrome </li></ul>
  1. A particular slide catching your eye?

    Clipping is a handy way to collect important slides you want to go back to later.

×