PERSONALITY D.E.E.

- Person’s characteristic totality of emotional B) Cluster B – seen as DRAMATIC, EMOTIONAL, PARANOID PD (CLUSTER A)
and behavioral traits seen in ordinary life, ERRATIC
- long standing suspicious and mistrust of
totality is stable and predictable 1) Borderline PD
people
2) Histrionic PD
PERSONALITY DISORDER
3) Antisocial PD BHAN -
-
often hostile, irritable, angry
common in men vs women
- Enduring subjective experiences and 4) Narcissistic PD
- seen as a formal person
behavior which deviated from cultural - Have genetic base
- seen a business like and efficient
standards, rigidity pervasive, onset in - Antisocial PD are dissociated with alcohol use
- generate fear or conflict in others
adolescence or early adulthood, stable thru disorders
- treatment: psychotherapy and
- Depression and mood disorder seen in family of
time, leads to unhappiness and impairment
pts. with borderline PD
pharmacotherapy P.P.
People with personality disorder: - Pts. With histrionic PD also have overlapping of HISTRIONIC PD (CLUSTER B)
a) Denial symptoms of somatization D/O
(Briquet’s Syndrome/Hysteria) - seen as excitable and emotional
b) Refuse professional help
- with an overdramatic and colorful life
c) Do not feel anxiety
C) Cluster C – seen as ANXIOUS, FEARFUL - cannot have a long-lasting relationship
Causes: 1) Obsessive-compulsive PD - seen more in women vs men
a) Genetic 2) Dependent PD - affective display is common
b) Biological factors 3) Avoidant PD - shows a high degree of attention seeking
c) Psychoanalytic factors - Obsessive compulsive traits seen in behavior
d) Temperamental, familial, environmental monozygotic twins vs. dizygotic and also seen - shows tantrums, crying when not in center
factors of attention
depressed pts/
Classification:
G, B, P AND T, F and E - Pts. With avoidant PD have very high anxiety - seductive behavior common
levels - they are very vain, fickle-minded, self-
A) Cluster A – seen as ODD and ECCEENTRIC - Patients with PD uses several defense absorbed
1) Paranoid PD mechanisms to abolish their anxiety or - needs constant reassurance V.F.S
2) Schizoid PD depression - with strong dependency needs
3) Schizotypal PD - Could be reason why they are reluctant to alter - treatment: psychotherapy and
- These types more common on relatives of pts. their behavior pharmacotherapy
With schizophrenia - Example of defense mechanism used:
- Among the 3 types, schizotypal P.D are more 1) Fantasy
P.P
common among relatives with schizophrenia 2) Dissociation
3) Isolation
4) Projection FDIPSPAP
5) Splitting
6) Passive aggression
7) Acting out
8) Projective identification
OBSSESSIVE-COMPULSIVE PD (CLUSTER C)
- characterized by emotional constriction,
orderliness, stubborn, perseverance and
indecisive
- more common in men vs women
- they lack spontaneity and usually in serious
mood
- follows rules and regulations rigidly
- keeps in thinking of orderliness, neatness,
details, perfection
- lacks of sense of humor
- due to fear of making mistakes, ruminates
about making decision
- have few friends
- can have a stable marriage and work
- anything that can threaten the stability in
life causes anxiety
- treatment: groups and behavior tx
SCHIZOTYPAL PD (CLUSTER A)
- really odd and eccentric even to lay men
- this person has magical thinking, peculiar
ideas
BORDERLINE PD (CLUSTER B)
- diagnosed based on the pts. Odd thinking,
behavior or appearance
- with unusual way of talking
- claim to have special powers of thought and
insight
- with poor interpersonal relationship
- isolated with few friends
- under stress pt. may develop psychotic
symptoms but only for a short time
- studies showed pts. With schizophrenia has
schizotypal PD
- treatment: Psychotherapy,
Pharmacotherapy
MHAM
RESILIERE 2A
GFB 😊
ANTISOCIAL PD (CLUSTER B) - Cannot stand to be alone
- With constant feeling of emptiness and
- not capable to conform with social norms
borderline with lack of self-identity
- characterized by continuous antisocial or
- Usually diagnosed before 40 years old when
criminal acts
he attempts to establish his life
- seen more in men vs women
- Cannot deal with the normal stages of the
- Onset before 15 yrs. Old
life cycle
- pt. looks composed but underneath feels
- Treatment: pharmacotherapy, intensive
tensed, hostile, irritable and full of rage
psychotherapy
- with history of lying often, misses school
without permission, running away from AVOIDANT PD (CLUSTER C)
home, thefts, fights, drug abuse and into
- Extreme sensitivity to rejection thus
illegal acts
withdraws socially – is the main criteria
- suicide threats and common somatic
- Very shy but loves to have a friend
complaints
- With severe inferiority complex
- they are usually hustler/crooks
- Feels anxious, nervous, tensed if
- promiscuity, spouse abuse, child abuse and
interviewed
drunk driving are common
- Desires to have a relationship but lacks self-
- lack of remorse or lack of conscience very
confidence to have one
pronounced
- Tends to misinterprets person’s comments
- height of antisocial behaviors seen in late
a making fun of herself
adolescence but decrease as one grows
- Can function in a protected environment
older
- If the support system fails, pt becomes
anxious, anger and develops depression
- Treatment: psychotherapy and
- stands on the border between neurosis and
pharmacotherapy
psychosis
- “ambulatory schizophrenia”
- With prevalence of major depression,
alcohol and substance abuse to 1st degree
relative of BPD
- Person appears to be always in state of
crisis with mood swings
- Does repetitive self-destructive acts for
attention or express anger to self
- Feels both dependent and hostile so have
erratic relationship