Class notes
Personality Disorders
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covers all personality disorders listed in DSM5, and difficulties in diagnosis
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Personality disorders Problems with identity or sense of self
Chronic interpersonal difficulties
Enduring pattern of behaviour must be:
o Pervasive and inflexible
o Stable and of long duration
o Cause clinically significant distress or impairment in functioning
o Manifested in at least 2 areas:
Cognition
Affect
Interpersonal functioning
Impulse control
Cluster A:
o Paranoid
Suspiciousness and mistrust of others
Tendency to see self as blameless
On guard for perceived attacks by others
o Schizoid
Impaired social relationships
Inability and lack of desire to form attachments to others
o Schizotypal
Peculiar thought patterns
Oddities of perception and speech that interfere with communication and
social interaction
Cluster B:
o Histrionic
Self-dramatization
Over concern with attractiveness
Tendency to irritability and temper outbursts if attention seeking is
frustrated
o Narcissistic
Grandiosity; exaggerated sense of self-importance
Preoccupied with receiving attention
Self-promoting; believe they are special and unique; arrogant
Lack of empathy; being interpersonally exploitative
o Antisocial
Lack of moral or ethical development
Inability to follow approved models of behaviour
Deceitfulness
Shameless manipulation of others
History of conduct problems as a child
o Borderline
Impulsiveness
Inappropriate anger
Drastic mood shifts
Chronis feelings of boredom
Attempts at self-mutilation or suicide
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