PERSONALITY AND PERSONALITY

DISORDERS

Personality

Enduring pattern of feeling thinking and behavior that make individual unique person

Elements of personality Since early age Consistent over time Recognized by friends Stable in different situations

Personality disorders Deeply ingrained maladaptive pattern From adolescence Person or society suffers Extreme variation of trait not due to

mental illness

Relation between mental illness and personality

all people with personality disorder have mental illness

2-personality disorders are mental illness

3- coincidental

Approach personality

trait model dimensional approach

type model clinical types

Dimensional approach

Eysenck

Costa and McCair

Clonninger

cattle

Eysenck

Neuroticism – psychoticism

Extraversion – Introversion

Costa and McCairy OCEAN

O openness

C conscientiousness

E extraversion

A agreeability

N neuroticism

Clonninger

Novelty seeking

Harm avoidance

Reward dependence

Clinical types Cluster A odd eccentric

Paranoid, schizoid, schizotypal Cluster B dramatic

antisocial (psychopathic), histrionic, borderline, impulsive, and narcissistic

Cluster C anxious

Avoidant, obsessive, dependent

Schizoid personality disorder Distance from social relations Few interests and pleasures Emotionally cold

 

Paranoid personality disorder Sense of exploitation Preoccupied with mistrust No confidant Sensitivity to insult

Schizotypal personality disorder Eccentric Unusual believes Speak vague circumstantial Problems with close relations

Antisocial personality disorder Intolerance to frustration Seek urgent satisfaction Lack of guilt or remorse Breaking rules and norms Impulsive Substance abuse

Borderline personality disorder Fear of abandonment Feeling of emptiness Suicidal and self harming impulsive Brief psychotic episodes Childhood sexual abuse

Histrionic personality disorder Center of attention Excessive display of emotions Manipulative

 

Narcissistic personality disorders Inflated sense self importance Cant see others non appreciation Associate with important people as they

see

Avoidant personality disorder Avoid situation criticism Chronic feeling of inadequacy Shy restrains Seek praise

Obsessive compulsive personality disorder (anankastic)

Inflexible One way to do things stubborn obstnaid Meticulous Check rechecks Indecisive

Dependant personality disorder Fear of being alone Subordinate responsibility to others Difficulty in making decision alone

Note personality change affective personality disorders

Determinants of personality genetic family society

Management Presenting problem psychotherapy