Personality disorders are enduring patterns of behavior that deviate from cultural norms and cause impairment. The document discusses six specific personality disorders - borderline, antisocial, schizoid, histrionic, dissociative identity disorder, and narcissistic personality disorder - and provides their key signs and symptoms. Examples of people who exhibited traits of each disorder are also mentioned. The potential causes of personality disorders discussed are genetics, environmental factors, and brain abnormalities.
Borderline Personality Disorder Presentation given in Psychopathology II class.
Summer 2010 Argosy University San Francisco
By Lucia Merino, Psychology Doctor Candidate
Borderline personality disorder is a serious mental illness marked by unstable moods, behavior, and relationships. In 1980, the Diagnostic and Statistical Manual for Mental Disorders, Third Edition (DSM-III) listed borderline personality disorder as a diagnosable illness for the first time. Most psychiatrists and other mental health professionals use the DSM to diagnose mental illnesses.
Borderline Personality Disorder Presentation given in Psychopathology II class.
Summer 2010 Argosy University San Francisco
By Lucia Merino, Psychology Doctor Candidate
Borderline personality disorder is a serious mental illness marked by unstable moods, behavior, and relationships. In 1980, the Diagnostic and Statistical Manual for Mental Disorders, Third Edition (DSM-III) listed borderline personality disorder as a diagnosable illness for the first time. Most psychiatrists and other mental health professionals use the DSM to diagnose mental illnesses.
Borderline Personality Disorder is a Personality Disorder
BPD is one of several personality disorders recognized by the American Psychiatric Association.
Personality disorders are psychological conditions that begin in adolescence or early adulthood, continue over many years, and cause a great deal of distress.
Personality disorders can also often interfere with a person's ability to enjoy life or achieve fulfillment in relationships, work, or school.
Borderline Personality Disorder is a Personality Disorder
BPD is one of several personality disorders recognized by the American Psychiatric Association.
Personality disorders are psychological conditions that begin in adolescence or early adulthood, continue over many years, and cause a great deal of distress.
Personality disorders can also often interfere with a person's ability to enjoy life or achieve fulfillment in relationships, work, or school.
Personality disorders are a class of mental disorders characterized by enduring maldaptive patterns of behavior, cognition, and inner experience, exhibited across many contexts and deviating markedly from those accepted by the individual's culture.
2. Personality Disorders
0 Enduring patterns of behavior
that deviates cultural
expectations and norms
0 Inflexible and pervasive
0 To be diagnosed, must cause
significant distress or
impairment in personal, social,
and/or occupational situations.
3. Borderline Personality Disorder
Signs & Symptoms
0 Frantic efforts to avoid real or imagined abandonment
0 A pattern of unstable and intense interpersonal relationships
characterized by alternating between extremes of idealization and
devaluation
0 Identity disturbance, such as a significant and persistent unstable self-
image or sense of self
0 Impulsivity in at least two areas that are potentially self-damaging (e.g.,
spending, sex, substance abuse, reckless driving, binge eating)
4. Borderline Personality Disorder
Signs & Symptoms
0 Recurrent suicidal behavior, gestures, or threats, or self-mutilating
behavior
0 Chronic feelings of emptiness
0 Inappropriate, intense anger or difficulty controlling anger (e.g., frequent
displays of temper, constant anger, recurrent physical fights)
0 Transient, stress-related paranoid thoughts or severe dissociative
symptoms
5. Borderline Personality Disorder
Difference?
Bipolar Disorder Borderline Personal.
0 Cyclical changes in mood,
energy and activity levels that
range from deep depression,
to mania or hypomania.
0 Common to have an
immediate family member
with a history of bipolar
disorder.
0 Hereditary
0 Trouble regulating emotions
and thoughts, and has
impulsive and reckless
behavior and unstable
relationships with others.
0 More likely to have additional
disorders and also more likely
to have experienced childhood
trauma
0 They may also experience
longer and more severe
episodes of depression.
6. Anti-Social Personality Disorder
0 Characterized by a long-standing pattern of a
disregard for other people’s rights
0often crossing the line and violating those rights
0 Often referred to as psychopathy or sociopathy in
popular culture
0 It usually begins in childhood or as a teen and
continues into their adult lives
7. Anti-Social Personality Disorder
Signs & Symptoms
0 Failure to conform to social norms
0 Deceitfulness
0 Irritability and aggressiveness
0 Reckless disregard
0 Consistent irresponsibility
0 Lack of remorse
8. Anti-Social Personality Disorder
0 Frequently lack empathy
0 Tend to be callous, cynical, and contemptuous of the feelings, rights, and
sufferings of others
0 An inflated and arrogant self-appraisal
0 Excessively opinionated, self-assured, or cocky.
0 Superficial charm
Charles Manson- ASPD
9. Schizoid Personality Disorder
0 Characterized by a long-standing pattern of detachment from
social relationships
0 Often has difficulty expression emotions
0very restricted range, especially when communicating with others.
10. Schizoid Personality Disorder
Signs & Symptoms
0 Neither desires nor enjoys close relationships, including being
part of a family
0 Almost always chooses solitary activities
0 Has little, if any, interest in having sexual experiences
with another person
0 Takes pleasure in few, if any, activities
11. Schizoid Personality Disorder
Signs & Symptoms
0 Lacks close friends or confidants other than first-degree
relatives
0 Appears indifferent to the praise or criticism of others
0 Shows emotional coldness, detachment, or flattened affect
(emotion)
Schizoid Personality
12. Histrionic Personality Disorder
0 Characterized by a long-standing
pattern of attention seeking
behavior
0 Extreme emotionality
0 Wants to be the center of attention
in any group of people
0feel uncomfortable when they are
not
0 Have difficulty when people aren’t
focused exclusively on them.
13. Histrionic Personality Disorder
Signs & Symptoms
0 Has a style of speech that is excessively impressionistic and
lacking in detail
0 Shows self-dramatization, theatricality, and exaggerated
expression of emotion
0 Is highly suggestible, i.e., easily influenced by others or
circumstances
0 Considers relationships to be more intimate than they actually
are
14. Histrionic Personality Disorder
Signs & Symptoms
0 Is uncomfortable in situations in
which he or she is not the center
of attention
0 Interaction with others is often
characterized by inappropriate
sexually seductive or
provocative behavior
0 Displays rapidly shifting and
shallow expression of emotions
0 Consistently uses physical
appearance to draw attention to
themself
16. Dissociative Identity Disorder
Formerly Known As: Multiple Personality Disorder
0 The presence of two or more
distinct identities or
personality states
0 At least two of these
identities or personality
states recurrently take
control of the person’s
behavior.
17. Dissociative Identity Disorder
0 A person diagnosed with DID feels as if they have within them
two or more entities, or personality states
0each with its own independent way of relating, perceiving, thinking,
and remembering about themselves and their life
0 Different states may appear to be very different, but they are
all manifestations of a single person.
Dissociative Identity Disorder
18. Narcissistic Personality Disorder
0 Characterized by a long-
standing pattern of
grandiosity
0 An overwhelming need for
admiration
0 Lack of empathy toward
others.
19. Narcissistic Personality Disorder
Signs & Symptoms
0 Has a grandiose sense of self-importance
0 Exaggerates achievements and talents
0 Is preoccupied with fantasies of unlimited success, power, brilliance,
beauty, or ideal love
0 Believes that he or she is “special” and unique
0 Can only be understood by, or should associate with, other special or high-status people
(or institutions)
0 Requires excessive admiration
0 Has a very strong sense of entitlement
0 unreasonable expectations
20. Narcissistic Personality Disorder
Signs & Symptoms
0 Is exploitative of others
0 takes advantage of others
0 Lacks empathy
0 unwilling to recognize or identify with the feelings and needs of others
0 Is often envious of others
0 or believes that others are envious of him or her
0 Regularly shows arrogant, haughty behaviors or attitudes
Zoolander
1) Failure to conform to social norms with respect to lawful behaviors as indicated by repeatedly performing acts that are grounds for arrest
2) Deceitfulness, as indicated by repeated lying, use of aliases, or conning others for personal profit or pleasure
3) Irritability and aggressiveness, as indicated by repeated physical fights or assaults
4) Reckless disregard for safety of self or others
5) Consistent irresponsibility, as indicated by repeated failure to sustain consistent work behavior or honor financial obligations
6) Lack of remorse, as indicated by being indifferent to or rationalizing having hurt, mistreated, or stolen from another
1) Has a grandiose sense of self-importance (e.g., exaggerates achievements and talents, expects to be recognized as superior without commensurate achievements)
2) Is preoccupied with fantasies of unlimited success, power, brilliance, beauty, or ideal love
3) Believes that he or she is “special” and unique and can only be understood by, or should associate with, other special or high-status people (or institutions)
4) Requires excessive admiration
5) Has a very strong sense of entitlement, e.g., unreasonable expectations of especially favorable treatment or automatic compliance with his or her expectations
6) Is exploitative of others, e.g., takes advantage of others to achieve his or her own ends
7) Lacks empathy, e.g., is unwilling to recognize or identify with the feelings and needs of others
8) Is often envious of others or believes that others are envious of him or her
9) Regularly shows arrogant, haughty behaviors or attitudes
Jacob is a 26 years old man. Despite extraordinary intelligence John was not able to complete or participate in any educational program. He wanted to have a normal life with a family and friends, but thought that he was rootless and he felt that other people thought that he was peculiar or odd. He felt that he was outside. As a child he went to various schools because his parents moved around. He was thought of as a lonely wolf and did not participate in the social life or games of sports with his peers. During school class he was often absent minded being absorbed in his own thoughts and fantasies. From around the age of thirteen he became interested in computers and was quite advanced in his understanding of mathematics. He became exceedingly isolated with his computer as his sole companion.
When Jordan hit her early teens there were fewer and fewer good times. Jordan became increasingly sullen and angry. She started acting out more and more -- yelling at her parents and teachers and engaging in impulsive behaviors, like running away from home. She at times would have a close friend or two at school, but some conflict seemed to always arise and that friendship would end. Jordan talked about how alone and bored she felt, how no one understood her. Again, this seemed like it might just be typical adolescent behavior, so while her parents were starting to get concerned, they weren't yet ready to seek help.
By the time Jordan turned 17, things were starting to get really out of control. Jordan's experienced serious emotional instability, her mood changes were totally unpredictable, and could turn on a dime. She was having fights with her parents almost daily, and they would usually involve her yelling and throwing things. At times, she seemed terrified to be without her mother, at other times she would leave the house in a fit of intense rage and not return for a few days.
One day, Jordan's mom noticed scars on Jordan's arms. When her mother first confronted Jordan about them, Jordan told her the cat had scratched her. But when pressed she admitted that she was self-harming because she felt so lonely and bored and this was the only thing that made her feel better.
Mary, a 35 year-old caseworker is discussed. Mary does not have much of a social life, but rather devotes herself to helping others. Mary has a quite extensive medical history, including chronic pain in her right hand and forearm, which is actually what led her to meet with a psychiatrist. She displays frequent gaps in her memory (especially memory for events that occurred in her childhood).
Mary describes her frequent gaps in memory, which she realized when she noticed that her gas tank would often be almost full when she returned home from work, but almost empty in the morning. After Mary began to keep track of the odometer reading she realized that 50-100 miles were often put on the car overnight, even though she could not remember driving anywhere.
When Linda first began to misbehave, her mother attributed her behavior to a combination of adolescent rebellion and grief over the divorce. Linda's initial misconduct consisted of skipping classes and smoking cigarettes on the front porch of her house, a fact which Linda's mother learned from neighbors.
When confronted by her mother, Linda ran away from home, convincing a friend to hide her in the basement for three days while Linda's mother and police conducted a frantic search. When she finally returned home, she seemed unaware that she had caused her mother any pain. Telling this story many years later, she seems primarily amused by the fact that her behavior gained her additional freedom to do as she pleased.
She frequently stole money from her mother's purse, reasoning that this was family money to which she was therefore entitled. She used it to buy cigarettes and beer, often seducing the older brother of another friend to make purchases for her.
Scott seeks attention every opportunity he gets, and this often interferes with his ability to function in his job as manager. In addition to attention-seeking, Scott often interrupts his subordinates from working to discuss his personal life. This behavior not only affects his ability to work, but it interferes with the overall productivity of the office. It is Scott’s belief that he should not be seen as just a boss, but more of a close friend and even family member, to the dismay of his subordinates. This expectation of a close bond leads Scott to display rapidly shifting emotions, from exuberant and hopeful, to depressed and hopeless. There seems to be a lack of consistency in his behavior, rather a dramatic shift from extremely happy to irreversibly sad. In Scott’s depressed state, he feels as if the entire office should be focused on his problem and that others’ problems pale in comparison, such as his birthday being of more importance than a coworkers cancer scare. When he is happy, however, work at the office ceases to a halt, as his well-being is put before the needs of the company. In addition to his attention-seeking and rapidly shifting emotions, the patient is easily suggestible and is often the victim of pyramid schemes and persuasive coworkers. Scott also shows a pattern of theatric behavior, including different characters, voices, and personalities, in which he uses as distractions on a constant basis.
Jenna does not feel she has any problems, other than not receiving the attention and recognition she feels she deserves. Her achievements are not commensurate with her desire to be "worshipped," and adored. Jenna feels she is entitled to special treatment and when this fails to occur within her career or social life, she becomes explosive and stubborn. She has an excessive need for admiration, as evidenced by her choice of careers. She seems to have no empathy regarding others, and on the rare occasions empathy is displayed by Jenna, it is not genuine empathy, but a means to an end. In other words, she fakes empathy to manipulate others, or for personal gain. Jenna repeatedly poisoned a co-worker in the hopes of dating one of the "hot" EMT workers who came to the rescue. Jenna is severely jealous of her co-star in her current television series, and is constantly looking for ways to undermine him. She dreams of unparalleled success and believes she is the most beautiful, talented woman to grace this planet. While Jenna does not see this as a problem, the rest of society fails to agree with her assessment of herself, and this causes much frustration for Jenna. Jenna reacts very unfavorably to even the slightest criticism, as she believes herself to be perfect and unique. If she is criticized, she feels that the person doing the critique, "just doesn't understand her," because they are not as special and wonderful as she.
Genetics. Some studies of twins and families suggest that personality disorders may be inherited or strongly associated with other mental disorders among family members.
Environmental factors. Many people with borderline personality disorder have a history of childhood abuse, neglect and separation from caregivers or loved ones.
Brain abnormalities. Some research has shown changes in certain areas of the brain involved in emotion regulation, impulsivity and aggression. In addition, certain brain chemicals that help regulate mood, such as serotonin, may not function properly.