PERSONALITY DISORDERS
Personality
Enduring qualities of an individual that are shown in his
ways of behaving in a wide variety of circumstances
The importance
 as a predisposition
 as a pathoplastic factor
 In relation to treatment
Origin – familial
childhood te...
Personality disorders - Diagnostic
Criteria
 Enduring disturbances in personality and behaviour
 Involve several areas o...
Features
10-20% of the population.
Prevalence by gender – variable
Personality changes due to
other causes
 Organic brain disease
 Severe mental disorder
 Catastrophic experience
Categories
Cluster Β:
 Antisocial
 Borderline
 Histrionic
 Narcissistic
Cluster C:
 Avoidant
 Dependent
 Obsessive/...
Paranoid Personality Disorder
 Suspicious
 Mistrustful
 Non-confiding
 Sensitive
 Resentful
 Litigous
 Sexual jealo...
Schizoid
 No close relationships.
 Detached and aloof
 solitary activities; prone to fantasy
 little interest in sexua...
Schizotypal
 Cognitive and perceptual distortions
 Odd / eccentric speech, behaviour and appearance
 Narrowed or inappr...
Antisocial
 Callous
 Transient relationships
 irresponsible
 Inability to follow society rules
 impulsive
 Irritabil...
Borderline
 Frantic efforts to avoid abandonment
 unstable interpersonal relationships; characterized by
idealization an...
Histrionic
 Uncomfortable if not the center of attention.
 seductive
 shallow and labile emotions
 Uses appearance to ...
Narcissistic
 grandiose sense of self-importance.
 fantasies of unlimited success, power etc.
 Feeling special and uniq...
 Avoids interpersonal relationships
oavoids professional activities
ofear of dislike by others
ofear of shame
oworry of c...
Dependent
 Difficulty making everyday decisions
 Needs others to take the responsibility for the major areas of
life.
 ...
Obsessive-compulsive
(anankastic)
 preoccupation with details
 perfectionism that interferes with the completion of the ...
Diagnostic difficulties
 Categorical classification
 Symptom overlap
Treatment
 Treat co-morbidities
 Psychotherapy
 Pharmacotherapy
Prognosis
variable
severity becomes milder as the person grows older.
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Personality disorders

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Personality disorders

  1. 1. PERSONALITY DISORDERS
  2. 2. Personality Enduring qualities of an individual that are shown in his ways of behaving in a wide variety of circumstances
  3. 3. The importance  as a predisposition  as a pathoplastic factor  In relation to treatment Origin – familial childhood temperament Childhood experience Personality types
  4. 4. Personality disorders - Diagnostic Criteria  Enduring disturbances in personality and behaviour  Involve several areas of personality  Causing personal distress/ social disruption  Pervasive with inflexible behaviour  Manifest from childhood/ adolescence  Not due to brain insult or another psychiatric disorder
  5. 5. Features 10-20% of the population. Prevalence by gender – variable
  6. 6. Personality changes due to other causes  Organic brain disease  Severe mental disorder  Catastrophic experience
  7. 7. Categories Cluster Β:  Antisocial  Borderline  Histrionic  Narcissistic Cluster C:  Avoidant  Dependent  Obsessive/ Compulsive Cluster A: Paranoid Schizoid Schizotypal
  8. 8. Paranoid Personality Disorder  Suspicious  Mistrustful  Non-confiding  Sensitive  Resentful  Litigous  Sexual jealousy.
  9. 9. Schizoid  No close relationships.  Detached and aloof  solitary activities; prone to fantasy  little interest in sexual relationships  Lack of enjoyment  indifferent to praise or criticism.  emotional coldness
  10. 10. Schizotypal  Cognitive and perceptual distortions  Odd / eccentric speech, behaviour and appearance  Narrowed or inappropriate affect.  Few close friends  Excessive social anxiety
  11. 11. Antisocial  Callous  Transient relationships  irresponsible  Inability to follow society rules  impulsive  Irritability, aggression.  Recklessness  Lack of empathy  Lack of guilt.
  12. 12. Borderline  Frantic efforts to avoid abandonment  unstable interpersonal relationships; characterized by idealization and devaluation  Identity disturbance  Impulsiveness  Recurrent suicidal behavior  Affect instability  Feelings of emptiness  difficulty in controlling anger  Quasi-psychotic/ dissociative symptoms related to stress.
  13. 13. Histrionic  Uncomfortable if not the center of attention.  seductive  shallow and labile emotions  Uses appearance to draw attention.  Impressionistic speech  self dramatization  suggestible  Perceives relationshipa as intimate
  14. 14. Narcissistic  grandiose sense of self-importance.  fantasies of unlimited success, power etc.  Feeling special and unique  sense of entitlement  Exploitative  lacks empathy  envies others or believes envied  Contemptuous, haughty, arrogant
  15. 15.  Avoids interpersonal relationships oavoids professional activities ofear of dislike by others ofear of shame oworry of criticism or rejection ofeelings of inadequacies  unwilling to takes part in new activities, for a fear of being embarrassed.  Avoids risk Avoidant
  16. 16. Dependent  Difficulty making everyday decisions  Needs others to take the responsibility for the major areas of life.  Unable to make demands  Overly compliant  uncomfortable being on their own  Compulsion to seek intimate relationships  Fear of being left alone.
  17. 17. Obsessive-compulsive (anankastic)  preoccupation with details  perfectionism that interferes with the completion of the task  overly conscientious  inflexible in matters of morality, ethics or values  unable to throw out worthless objects  Does not do apportion of tasks  stingy.  Stubborn and rigid.
  18. 18. Diagnostic difficulties  Categorical classification  Symptom overlap
  19. 19. Treatment  Treat co-morbidities  Psychotherapy  Pharmacotherapy
  20. 20. Prognosis variable severity becomes milder as the person grows older.

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