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Personality Disorders - Summary, Tilburg University

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A summary of the course Personality Disorders. The summary consists of the lectures given. If you have any questions, you can message me :)

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  • 10 juni 2024
  • 46
  • 2023/2024
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Lecture 1 – Introduction
Personality = the enduring characteristics and behavior that comprise a person’s unique adjustment
to life, including major traits, interests, drives, values, self-concept, abilities, and emotional patterns.

Personality disorder = enduring pattern of inner experience and behavior that deviates from the
expectations of an individual’s culture, is pervasive and inflexible, has an onset in adolescence and
early adulthood, is stable over tie, and leads to clinically significant distress or impairment in social,
occupational or other areas of functioning.
 Egosyntonic
 Interfere with adaptive interpersonal functioning.
 Pervasive, persistent, pathological

DSM-5 criteria
 Diagnostic features
 Associated features supporting diagnosis
 Prevalence
 Development and course
 Risk and prognostic factors
 Culture-related diagnostic issues
 Gender-related diagnostic issues
 Differential diagnosis

General PD criteria
 No manifestation or consequence of another mental disorder AND not attributable to
physiological effects of a substance or another medical condition.
o Personality traits that define PD must be distinguished from characteristics that
emerge in response to specific situational stressors or transient mental states

Cluster A – Odd, Eccentric, Weird
 Paranoid
o Pervasive distrust and suspiciousness of others such that their motives are
interpreted as malevolent, beginning in early adulthood and present in a variety of
context. Indicated by four of the following:




 Schizoid
o Pervasive pattern of detachment form social relationships and restricted range of
expression of emotions in interpersonal settings, beginning by early adulthood and
present in variety of context. Indicated by four of the following:




 Schizotypal

, o Pervasive pattern of social and interpersonal deficits marked by acute discomfort
with, and reduced capacity for, close relationships as well as by cognitive or
perceptual distortions and eccentricities of behavior, beginning by early adulthood
and present in a variety of contexts. Indicated by five of the following:




Cluster B – Dramatic, Emotional unpredictable, Wild
 Antisocial
o Pervasive pattern of disregard for and violation of the rights of others, occurring
since age 15 years. Indicated by three of the following:




 Borderline
o Pervasive of instability of interpersonal relationships, self-image, and affects, and
marked impulsivity beginning in early adulthood and present in a variety of contexts.
Indicated by five of the following:




 Histrionic
o Pervasive pattern of excessive emotionality and attention seeking, beginning by early
adulthood and present in a variety of contexts. Indicated by five of the following:




 Narcissistic
o Pervasive pattern of grandiosity, need for admiration, and lack of empathy,
beginning by early adulthood and present in a variety of contexts. Indicated by five of
the following:

,Cluster C – Anxious, Fearful, Worried
 Avoidant
o Pervasive pattern of social inhibition, feelings of inadequacy, and hypersensitivity to
negative evaluations, beginning by early adulthood and present in a variety of
contexts. Indicated by four of the following:




 Dependent
o Pervasive and excessive need to be taken care of that leads to submissive and
clinging behavior and fears of separation, beginning by early adulthood and present
in variety of contexts. Indicated by five of the following:




 Obsessive-Compulsive
o Pervasive pattern of preoccupation with orderliness, perfectionism, and mental and
interpersonal control, at the expense of flexibility, openness, and efficiency,
beginning by early adulthood and present in a variety context. Indicated by four of
the following:




Primary propositions alternative model




Problems with present PD diagnosis system

, Limited empirical evidence for validity for some existing PD types




Lack of specificity in general definition PDs




Inadequate representation of PD severity




Heterogeneity within types and arbitrary thresholds for diagnosis

Behavioral oriented criteria




Comorbidity among PDs and with clinical disorders
 The majority of people has two or more PD diagnoses
 The PDNOS category is used very often in clinical practice
 High comorbidity of other clinical disorders

Stability of PDs
 PDs start early and are chronic
o Certain threshold for symptoms
 Point prevalence = measure of proportion of people in a population who have a condition at
a particular time/date.
 Lifetime prevalence = proportion of individuals in a population that at some point in their life
have experienced a condition.
 We would expect the lifetime and point prevalence to be relatively similar for PDs however,
lifetime prevalence of PDs is on average 3x higher than point prevalence.
 Conclusion
o People seem to possess relatively stable (maladaptive) personality traits that
underlie symptoms of problematic self-to-self-relating and interpersonal functioning.
Under periods of life stress these traits and daily functioning might become more

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