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Personality Disorders Chapter 9 General Definition • persistent, maladaptive patterns of behavior that are inconsistent with the person’s culture • pattern of behavior is: – must be evident in two or more of the following: • leads to social and/or occupational problems or distress • • • • cognitions emotional responses interpersonal functioning impulse control – inflexible – pervasive – longstanding PD Clusters • Cluster A • Flamboyant, excessively dramatic, emotional, or erratic • Cluster B • Socially isolated and odd/eccentric • Cluster C • Anxious and fearful Avoidant Personality Disorder • pattern of social discomfort, fear of negative evaluation, timidity • tendency towards social isolation, although desired to be liked • very sensitive to criticism – therefore, avoids contact with others • Cluster C Paranoid personality disorder • inappropriate suspiciousness of others’ motives • takes extraordinary precautions to avoid being exploited or injured • overly reactive to minor slights or insults • may create self-fulfilling prophecy • Cluster A Histrionic Personality Disorder • pattern of excessive emotionality and attention-seeking behavior • self-centered • demanding • vain • dramatic • constantly seeking approval • emotions are shallow and easily aroused • Cluster B Schizoid Personality Disorder • pattern of indifference to others • diminished range of emotional experience and expression • prefer social isolation • Cluster A Antisocial Personality Disorder • irresponsible behavior beginning by adolescence – symptoms of Conduct Disorder by age of 15 • disregard for and violation of others’ rights • • • • • irritable impulsive aggressive reckless irresponsible • Cluster B Obsessive-Compulsive Disorder • pattern of perfectionism inflexibility, orderliness, and need for mental/interpersonal control • set overly ambitious, unobtainable standards • preoccupied with details and rules – often lose sight of main point of activity or project Personality • emotionally restricted • excessively conscientious • moralistic • judgmental • intolerant of others’ emotionality and imperfection • Cluster C Borderline Personality Disorder • pattern of instability in mood and interpersonal relationships • intense relationships vacillating between unrealistically positive and negative feelings toward each other • rapid mood changes • identity disturbance (difficulty maintaining sense of self) • Cluster B Schizotypal Personality Disorder • peculiar patterns of behavior – perceptual and cognitive disturbances (e.g., bizarre fantasies) • unusual speech – vague or disjointed • unusual, but not actively psychotic or out of touch with reality – e.g., constricted affect or silly and inappropriate • Cluster A Narcissistic Personality Disorder • • • • pattern of grandiosity exaggerated sense of self-importance preoccupation with own achievement unable to empathize with others • Cluster B Dependent Personality Disorder • pattern of submissive and clinging behavior • anxious and helpless when alone – need others for advice and support – usually find one person to latch onto for support • easily hurt by criticism • Cluster C Summary