week 4 (lecture 6) Flashcards
personality
is enduring patterns of perceiving, feeling, thinking about, relating to oneself and the environment.
Personality trait
is a prominent aspect of personality that is relatively consistent across time and across situations
five-factor model
a dimensional perspective that posits that everyone’s personality is organized along with five broad personality traits (big 5): negative emotionality, extraversion, openness to experience, agreeableness and conscientiousness
general criteria personality disorder
personality must deviate markedly from the expectations of his or her culture as shown in styles of thinking about oneself, others or events; emotional experience and expression; interpersonal functioning; and/or impulse control
Cluster A: odd-eccentric personality disorder
the behaviour of people diagnosed with this is similar to that of people with schizophrenia, but these people retain their grasp on reality to a greater degree than do people who are psychotic.
paranoid personality disorder (A)
a pattern of pervasive distrust and suspiciousness of others such that their motives are interpreted as malevolent. Tend to misinterpret situations in line with their suspicions.
theories of paranoid personality disorder
paranoid personality disorder is more common in the families of people with schizophrenia than in the families of healthy subjects. disorder viewed as the result of an underlying belief that other people are malevolent and deceptive combined with lach of self-confidence
treatment paranoid personality disorder
usually come into contact with clinicians only when they are in crisis. The aim of treatment is developing some degree of trust of the client so he or she can trust others a bit more.
schizoid personality disorder (A)
show a pervasive pattern of detachment from social relationships and a restricted range of emotional expression in their interactions with others.
theories of schizoid personality disorder
the evidence for the heritability of schizoid personality disorder is only indirect. Slightly increased rate of schizophrenia in relatives.
treatment of schizoid personality disorder
the interpersonal closeness of therapy may be experienced as stressful instead of supportive. Psychosocial treatments focus on increasing the person’s awareness of his or her own feelings, increasing social skills and contacts.
schizotypal personality disorder (A)
show symptoms similar to those of schizophrenia but in a milder form. socially isolated, restricted range of emotions and uncomfortable in interactions (as children passive, socially unengaged and hypersensitive to criticism).
schizotypal personality disorder categories (4)
- they may perceive other people as deceitful and hostile (paranoia or suspiciousness)
- tend to believe that random events or circumstances have a particular meaning just for them (ideas of reference)
- they may believe that others know what they are thinking (odd beliefs and magical thinking)
- they may think they see people in the patterns of wallpaper (short hallucinations)
theories of schizotypal personality disorder
is most likely transmitted genetically through a gene that regulates the NMDA receptor system, which is associated with schizophrenia. show the same cognitive deficits as people with schizophrenia, also same abnormalities in the brain.
treatment of schizotypal personality disorder
most often treated with the same drugs used to treat schizophrenia. sometimes antidepressants are used. The symptoms are usually less severe than in schizophrenia, challenging perceptions and thoughts may be more accepted by the client.
cluster B: dramatic emotional personality disorders
engage in behaviours that are dramatic and impulsive, and they often show little regard for their own safety or the safety of others
borderline personality disorder (B)
out-of-control emotions that cannot be smoothed, a hypersensitivity to abandonment, tendency to cling too tightly to other people and a history of hurting oneself. They misinterpret other people’s everyday actions as rejection. Their mood is unstable. Impulsive self-damaging behaviours.
theories of borderline personality disorder
score higher that healthy subjects on measures of difficulty in regulating emotion and in laboratory taks assessing unwillingness to tolerate emotional distress in order to reach a goal. People with this disorder report a childhood that was not stable, neglect and parental psychopathology. Never learned to differentiate their view of themselves from others.
treatment of borderline personality disorder
- dialectical behaviour therapy focuses on helping clients gain a more realistic and positive sense of self, learn adaptive skills for solving problems and regulating emotions and correct dichotomous thinking.
- STEPPS is a group intervention for people with this disorder that combines cognitive techniques challenging irrational and maladaptive cognitions addressing self-management and problem solving
transference-focused therapy (borderline)
uses the relationship between patient and therapist to help patients develop a more realistic and healthier understanding of themselves and their interpersonal relationships.
mentalization based treatment (borderline)
is based on the theory that people with the disorder have fundamental difficulty understanding the mental states of themselves and others because of traumatic experiences in childhood providing patients with validation and support.
histrionic personality disorder (B)
people with this disorder behave in ways to draw attention to themselves across situations. They want flattering nurturance and preferential attention. They tend to exaggerate medical problems and have increased rate of suicidal threat and behaviour to coerce attentive caregiving.
theories of histrionic personality disorder
the disorders clusters in families. It remains unclear whether this disorder is genetically caused or results from processes within the family or the environment
treatment of histrionic personality disorder
psychodynamic treatments focus on uncovering repressed emotions and needs and helping people with the disorder express these emotions and needs in more socially appropriate ways.