Chapter 10 Personality Disorders.
|
|
- Gwen Potter
- 5 years ago
- Views:
Transcription
1 Chapter 10 Personality Disorders 1
2 1. Do you have one consistent personality? For example, are you always introverted or extraverted? 1. Yes 2. No 2
3 Personality trait An enduring pattern of perceiving, relating to, and thinking about the environment and others. APD Borderline Histrionic Narcissistic Paranoid Schizoid Schizotypal 3 Avoidant Dependent OCD
4 Nature of PD s A longstanding maladaptive pattern of inner experience and behavior dating back to adolescence or adulthood 2010 Clipart.com, a division of Getty Images. 4
5 Nature of PD s Manifest in at least two areas: Cognition Affectivity Interpersonal functioning Impulse control 5
6 Nature of PD s Evident in various personal and social situations Causes distress or impairment 6
7 CLUSTERS A Eccentric B Dramatic C Anxious
8 Cluster A Odd and eccentric behaviors Paranoid Schizoid Schizotypal Paranoid Schizoid Schizotypal 8
9 Cluster B Overdramatic & emotional Antisocial Borderline Histrionic Narcissistic APD Borderline Histrionic Narcissistic
10 Cluster C - Anxious, fearful behaviors Avoidant Dependent Obsessive-Compulsive Avoidant Dependent 10 OCD
11 1. Yes 2. No 2. Have you known anyone who seemed to have no conscience? 11
12 Antisocial and Borderline Most extensively researched Specific theoretical perspectives treatment approaches APD Borderline 12
13 Antisocial Personality Disorder Lack of regard for moral or legal standards. Often called: sociopaths psychopaths APD Clip art copyright Used with permission. 13
14 History Philippe Pinel (1801) - Defect of moral character Hervey Cleckley (1941) - Psychopathy Robert Hare (1997) Psychopathy Check List (PCL-R) DSM-IV Goes beyond psychopathy traits. APD 14
15 Distinction Criminal: A legal term, not a psychological concept. APD: Illegal or immoral behavior such as stealing, lying, or cheating. APD 15
16 DSM-IV primary criteria Must be long standing APD 16
17 DSM-IV primary criteria At least 3 : repeated aggressiveness recklessness that endangers others deceitfulness lack of remorse consistent irresponsibility (not honor financial obligations) APD 17
18 Disorder of Will Will exists on a continuum Will is inferred Dividing line arbitrary APD 18
19 Characteristics Inadequately motivated antisocial behavior Absence of a conscience and sense of responsibility to others Emotional poverty APD 19
20 Crimes Aimless and random Difficult to understand reason They do not understand it. No rational purpose Perversely impulsive APD 20
21 Biological Perspective Frontal lobe abnormality may lead to deficits in planning actions and considering moral implications of actions Diminished autonomic response to social stressors May be a genetic predisposition Genetic-environment interaction, with heritability as high as 56 percent APD 22
22 Defects in Learning Less likely to learn to avoid punishment Possibly because of chronic under arousal, They seek stimulation rather than avoid it. Lykken (l957) suggests that they don't avoid shock like normals Under arousal hypothesis is supported by Schachter and Latane (l964), When they increased their arousal by using adrenaline, they avoided it at the same rate as normals. They can learn to avoid relevant punishment, which was loss of a quarter. Schmauk (l970) APD 23
23 Psychological Perspective Neuropsychologically-based deficits in learning and attention Response modulation hypothesis Unable to process information that is not relevant to their primary goals Lack of emotional reactivity Unable to process information not relevant to their primary goals. Little response to aversive stimuli Low self-esteem leads to need to prove competence by aggression APD 24
24 Sociocultural Perspective Family - Lee Robins (1966)- Divorce, conflict, inconsistent discipline, parental conflicts in parenting style, parents with antisocial traits Childhood Abuse And Neglect - Goleman (1995) and Luntz & Widom (1994) 50 percent greater arrests among adults who were neglected 100 percent greater arrests among those who were physically abused APD 25
25 Treatment Treatment is rarely sought except in legal context Goal- Help the client feel bad about himself! Techniques - Confrontational, refuse to believe client s fabrications, point out selfish and self-defeating behaviors Group therapy may be helpful because peers are not easily taken in APD 26
26 3. Do you believe that you can fall in love with someone in an instant? Yes No 3B Would you marry someone on that basis? Yes No
27 Borderline Broad category A pattern of poor impulse control Essential feature is instability in Interpersonal relationships Behavior Mood Self-image Borderline 28
28 Borderline Intense interpersonal relationships Splitting- Perceiving other people as being all good or all bad. Feelings of emptiness Anger, rage Identity confusion Shifting goals, plans, partners Poor boundaries with others Risky-taking, self-injurious behaviors Parasuicidal (gesturing to gain attention) Borderline 29
29 Theories Physical or sexual abuse, especially in women, leads to expectation of harm from others Childhood caregiver interaction Emotionally unavailable Inconsistent treatment Failed to validate their thoughts and feelings Failed to protect from abuse Anxious attachment style with mother Borderline 30
30 Vulnerable temperament + Traumatic early childhood experiences + Triggering events in adulthood Biopsychosocial Borderline 31
31 Biological Childhood sexual abuse may alter sympathetic nervous system that leads to hypersensitivity and impulsivity in adulthood Hippocampus smaller Amygdala smaller Borderline 32
32 Psychodynamic Failure in development of self (ego) Caused by mother who is both overinvolved with child and inconsistent in emotional relatedness Child does not develop an independent, real self Child develops distorted perceptions of others known as splitting (0thers are either all good or all bad) Child s false self is fused with distorted perception of others Borderline 33
33 Cognitive-behavioral Splitting Low sense of selfefficacy Lack of confidence Low motivation Inability to seek longterm goals Modern pressures on family. Diminished social cohesion and mental cohesion. Unstable family patterns. Borderline 34
34 Treatment CHALLENGING AND COMPLEX Likely not to remain in treatment long If they do, unstable relationships with therapist TECHNIQUES Confrontive or Supportive Dialectical Behavioral Theory - Integrates confrontive and supportive May need medication Borderline 35
35 4. Do you know any one who is too emotional? 1. Yes 2. No 4B How does it make you feel? 1. Anxious 2. Irritated 3. Frustrated 4. Other 36
36 HISTRIONIC PERSONALITY DISORDER A personality disorder characterized by exaggerated emotional reactions, approaching theatricality, in everyday behavior. Melodramatic. Histrionic 37 Clip art copyright Used with permission.
37 Histrionic from the Latin meaning actor. Histrionic 38 Clip art copyright Used with permission.
38 Histrionic 39
39 Histrionic Seek admiration by playing continually to unknown audiences Dramatic, attention-getting behavior Superficially charming, warm, and gregarious, Fleeting, shifting emotional states More commonly diagnosed in women Flirtatious and seductive Need for immediate gratification Easily influenced by others Superficial relationships Viewed by others as insincere and shallow Lack analytical ability Histrionic 40
40 Cognitive-Behavioral Theory Feelings of inadequacy and need for others Global nature of thinking underlies diffuse, exaggerated and changing emotional states Histrionic 41
41 Treatment Goals Learn how to think more objectively and precisely Learn self-monitoring strategies Learn impulse control Acquire assertiveness skills Histrionic 42
42 5. How would you know if you loved your self too much? 1. Others tell you, you re proud 2. You are unfulfilled 3. Spend more time on yourself than others 4. Other 43
43 Narcissistic Narcissus - Greek legend about boy who fell in love with his reflection in a pond Unrealistic, inflated sense of self-importance stemming from grave self-doubt Continuous self-absorption, by fantasies of unlimited success, power and/or beauty, and by exhibitionistic needs for constant admiration, egotistical, arrogant. Lack of sensitivity to other people s needs Criticism, the indifference of others, and threats to esteem characteristically receive exaggerated response of rage, shame, humiliation, or emptiness Exploitative of others Common feature of other PDs, especially histrionic and borderline Narcissistic 44
44 Narcissistic Subtypes Noting the many types of behaviors involved, Millon and colleagues proposed subtypes. Elitist narcissists feel privileged and empowered, and tend to flaunt their status and achievements. Amorous narcissist tends to be sexually seductive, yet avoids real intimacy. Unprincipled narcissists are much like antisocial individuals in that they tend to be unscrupulous, arrogant, and exploitative. Compensatory narcissists tend to be negativistic, seeking to counteract their deep feelings of inferiority. They try to create illusions of being superior and exceptional. Narcissistic 45
45 Theories Freudian - Stuck in early psychosexual stages Psychodynamic - Adult expression of childhood insecurity and need for attention due to failed parent-child relationship Cognitive-Behavioral - They are not special and exceptional like they think they are Lack insight into or concern for feelings of others Grandiose sense of self clashes with real world failures Narcissistic 46
46 Treatment Psychodynamic & Cognitive-Behavioral Corrective developmental experience Empathic support and recognition Guides client to more realistic view of others Reduce grandiosity More adaptive goal-directed behaviors Enhance ability to relate to others Avoid demands for special attention Develop more realistic view of self. Narcissistic 47
47 Cluster A - odd and eccentric behaviors Paranoid Schizoid Schizotypal 48
48 Paranoid Guarded Project negativity and damaging motives onto others Attribute their problems to others Low self-efficacy Paranoid 49
49 Paranoid Distrust of others Suspicious of others Hypersensitivity to slight Hyper vigilant: scan for and selectively perceive cues that validate prejudicial ideas and attitudes. Paranoid 50
50 Cognitive-Behavioral Treatment Counter erroneous thinking Establish trusting relationship Increase feelings of self-efficacy Reduce vigilant and defensive stance Insight into other s perspectives Approach conflict assertively Improve Interpersonal Skills Paranoid 51
51 Indifference to social and sexual relationships, Defect in capacity to form social relationships, Absence of desire for social involvement, Indifference to both praise and criticism, Insensitivity to the feelings of others, Lack of social skills, prefers to be alone Schizoid 52
52 Schizoid A very limited range of emotional experience and expression. No desire to love or be loved Cold, reserved, withdrawn Reclusive Not likely to seek therapy Schizoid 53
53 Schizotypal Peculiarities and eccentricities of thought, behavior, appearance, and interpersonal style, Long-standing oddities severe enough to be noticed Constricted, inappropriate affect May be latent schizophrenia Ideas of reference, magical thinking Social isolation Peculiar communication Treatment: Parallels interventions commonly used in treating schizophrenia Schizotypal 54
54 Cluster C - Anxious, fearful behaviors Avoidant Dependent Obsessive-Compulsive 55
55 Desires, but is fearful of, any involvement with other people Want to enter social relationships or new activities, Strong desire for acceptance and affection. Fear of ridicule, involvement and rejection Avoid social interaction Avoidant 56
56 Avoidant Avoidant Terrified at the prospect of being publicly embarrassed. Unwilling to take even small risks unless they are given strong guarantees of uncritical acceptance Restrained and guarded interpersonal interactions Feel pain of emotional isolation 57
57 Psychodynamic Avoidant Theories Fear of attachment Cognitive-Behavioral Avoidant Hypersensitive as a result of childhood rejection or extreme parental criticism Belief that they are unworthy of regard Expect not to be liked Avoid getting close to avoid inevitable rejection Distorted perceptions of experiences with others 58
58 Cognitive-Behavioral Treatment Break negative cycle of avoidance Confront and correct dysfunctional attitudes and thoughts Graduated exposure to social situations Learn skills to improve chance of intimacy Avoidant 59
59 Dependent Extremely passive Tends to cling to other people, Unable to make any decisions or to take independent action. Allow others to assume responsibility for significant areas of one's life Fear of abandonment Despondent without others Unable to initiate activities Go to extreme to gain approval of others Devastated when relationships end Dependent 60
60 Dependent theories Psychodynamic Fixated at oral psychosexual stage because of parental overindulgence or neglect Object Relations Insecure attachment to parents led to fear of a abandonment Low self-esteem leads them to rely on others Cognitive-behavioral Thinking they are inadequate and helpless, they find someone to take care of them Dependent 61
61 Cognitive-Behavioral Treatment Therapist and client develop structured ways to increase client independence in daily activities Identify skill deficits and improve functioning Therapist must avoid becoming an authority figure or making client dependent on therapist Dependent 62
62 Obsessive-Compulsive Demand perfection in themselves and others. So overwhelmed with their concern for neatness and minor details that they have trouble making decisions or getting things accomplished. Intensely perfectionistic Nothing pleases them, however excellent the outcome. Often procrastinate in important matters, Rigid behavioral patterns Fanatical concern with schedules Stingy with time and money Tendency to hoard worthless objects Low level of emotionality OCD 63
63 OCD 64
64 Theories Freudian- Fixation at anal psychosexual stage Psychodynamic - Prior learning and cognitive experiences Cognitive-behavioral Distorted world view Failure to achieve unrealistic standard of perfection makes them feel worthless Treatment - Difficult to treat. Therapy may reinforce ruminative tendencies. OCD 65
65 Do PD s Exist? Little evidence for consistency Traits have little merit Then the PDs have little basis OCD 66
66 Evidence for PDs? Descriptions seem convincing Evidence is merely anecdotal. 67
67 Advise for an under aroused individual with an antisocial father? Find a job that is very stimulating but constructive (i.e. police work, etc.). 68
68 Personality Disorder Types Antisocial/Psychopathic Avoidant Borderline Obsessive-Compulsive Schizotypal Avoidant Dependent OCD APD Borderline Histrionic Narcissistic Paranoid Schizoid Schizotypal DSM
69 Personality Traits Negative Emotionality: Introversion: Antagonism: Disinhibition: Compulsivity: Schizotypy: DSM
70 Personality Traits 0 = Very little or not at all 1 = Mildly Descriptive 2 = Moderately Descriptive 3 = Extremely Descriptive DSM
71 General Diagnostic Criteria Definition: Personality disorders represent the failure to develop a sense of self-identity and the capacity for interpersonal functioning that are adaptive in the context of the individual s cultural norms and expectations. DSM-5 72
72 General Diagnostic Criteria A. Adaptive failure is manifested in one or both of the following areas: 1. Impaired sense of self-identity as evidenced by one or more of the following: I. Identity integration. ii. Integrity of self-concept. iii. Self-directedness. DSM-5 73
73 General Diagnostic Criteria 2. Failure to develop effective interpersonal functioning as manifested by one or more of the following: i. Empathy. ii. Intimacy. iii. Cooperativeness. iv. Complexity and integration of representations of others. DSM-5 74
74 General Diagnostic Criteria B. Adaptive failure is associated with extreme levels of one or more personality traits. C. Adaptive failure is relatively stable across time and consistent across situations with an onset that can be traced back at least to adolescence. D. Adaptive failure is not solely explained as a manifestation or consequence of another mental disorder E. Adaptive failure is not solely due to the direct physiological effects of a substance (e.g., a drug of abuse, medication) or a general medical condition (e.g., severe head trauma) DSM-5 75
75 Personality Assessment Format 1 TYPE MATCH PROFILE Indicate the degree to which the patient matches each of the following types: 5 (very good) 4 (good) 3 (moderate) 2 (slight) 1 (no) Antisocial/Psychopathic: Avoidant: Borderline: Obsessive-Compulsive: Schizotypal: DSM-5 76
76 Personality Assessment Format 1 LEVEL OF PERSONALITY FUNCTIONING Indicate the level of personality functioning that most closely characterizes the patient: 0 - No Impairment 1 - Mild Impairment 2 - Moderate Impairment 3 - Serious Impairment 4 - Extreme Impairment DSM-5 77
77 Personality Assessment Format 1 TRAIT PROFILE List traits scored as 3 (Extremely descriptive): List traits scored as 2 (Moderately descriptive): PERSONALITY DISORDER (301.xx) Does the patient meet the general criteria for personality disorder? NO YES DSM-5 78
78 Personality Assessment Format 2 LEVEL OF PERSONALITY FUNCTIONING Indicate the level of personality functioning that most closely characterizes the patient: 0 - No Impairment 1 - Mild Impairment 2 - Moderate Impairment 3 - Serious Impairment 4 - Extreme Impairment DSM-5 79
79 Personality Assessment Format 2 TRAIT PROFILE List traits scored as 3 (Extremely descriptive): List traits scored as 2 (Moderately descriptive): DSM-5 80
80 Personality Assessment Format 2 TYPE MATCH PROFILE Indicate the degree to which the patient matches each of the following types: 5 (very good) 4 (good) 3 (moderate) 2 (slight) 1 (no) Antisocial/Psychopathic: Avoidant: Borderline: Obsessive-Compulsive: Schizotypal: PERSONALITY DISORDER (301.xx) Does the patient meet the general criteria for personality disorder? NO YES DSM-5 81
81 DSM-5 Self: Identity Integration, Integrity of Self-concept, and Selfdirectedness Interpersonal: Empathy, Intimacy and Cooperativeness, and Complexity and Integration of Representations of Others As with the General Diagnostic Criteria for Personality Disorder, when applying these dimensions diagnostically, the self and interpersonal difficulties must: A. be multiple years in duration B. not be solely a manifestation or consequence of another mental disorder C. not be due solely to the direct physiological effects of a substance or general medical condition D. not be better understood as a norm within an individual s cultural background DSM
82 Self and Interpersonal Functioning Continuum 0 = No Impairment 1 = Mild Impairment 2 = Moderate Impairment 3 = Serious Impairment 4 = Extreme Impairment DSM
83 And in conclusion...? Personality disorders are Chronic and persistent Hard to explain Difficult to treat Subject to much further study 84
Slide 1. Slide 2. Slide 3 Similar observations in all subsets of the disorder. Personality Disorders. General Symptoms. Chapter 9
Slide 1 Personality Disorders Chapter 9 Slide 2 General Symptoms Problems must be part of an enduring pattern of inner experience and behavior that deviates significantly from the expectations of the individual
More informationPersonality Disorders Explained
Personality Disorders Explained Personality Disorders Note: This information was taken pre-dsm-v. There are ten basically defined personality disorders. These are defined below in alphabetical order. Note:
More informationCluster A personality disorders- are characterized by odd, eccentric thinking or behavior.
Personality Disorders Personality disorders are grouped into three clusters, based on similar characteristics and symptoms. Many people with one personality disorder also have signs and symptoms of at
More informationPersonality and its disorders
Personality and its disorders An individual s unique constellation of consistent behavioral traits. Durable disposition to behave in a particular way in a variety of situations. Adjectives like honest,
More informationPersonality Disorders
Personality Disorders What is your personality? Personality is the combination of thoughts, emotions and behaviors that makes you unique. It's the way you view, understand and relate to the outside world,
More informationPersonality Disorders
Personality Disorders Personality What is personality? Personality is a unique and long-term pattern of inner experience and outward behavior Tends to be consistent and is often described in terms of traits
More informationPersonality Disorders
Personality Disorders Personality Disorders Using DSM system Longstanding difficulties coded on Axis II Idea is to capture developmental concerns Often described as problems more interpersonal in nature
More informationPersonality disorders. Personality disorder defined: Characteristic areas of impairment: The contributions of Theodore Millon Ph.D.
Personality disorders Personality disorder defined: An enduring maladaptive pattern of inner experience and outward behavior, involving impaired: (two or more of the following) sense of self emotional
More informationCan my personality be a disorder?!
Can my personality be a disorder?! Chapter 10- Personality Disorders What is Personality? There are many characteristics of personality: George is shy Karen is outgoing Missy is such a drama queen Jane
More informationPersonality Disorders
Personality Disorders Personality disorder inflexible and maladaptive personality traits cause significant functional impairment or distress Axis II of DSM-IV-TR Difficulties in diagnosis Everyone exhibits
More informationPersonality disorders. Eccentric (Cluster A) Dramatic (Cluster B) Anxious(Cluster C)
Personality disorders Eccentric (Cluster A) Dramatic (Cluster B) Anxious(Cluster C) Personality Enduring pattern of perceiving, relating to and thinking about the environment and oneself in a wide range
More informationCan my personality be a disorder?!
Can my personality be a disorder?! Chapter 11- Personality Disorders How would you describe your personality? A personality refers to a distinctive set of behavior patterns that make up our individuality..
More informationCan my personality be a disorder?!
Can my personality be a disorder?! Chapter 11- Personality Disorders 1 A personality refers to a distinctive set of behavior patterns that make up our individuality. Our personality consists of traits
More informationPersonality Disorders. Mark Kimsey, M.D. March 8, 2014
Personality Disorders Mark Kimsey, M.D. March 8, 2014 Objectives Understanding personality disorders using criteria from DSM-5. Learn approaches for separating personality disorders from other major illnesses.
More informationManaging Personality Disorders in Primary Care
Managing Personality Disorders in Primary Care James A. Bourgeois, O.D., M.D. Learning Objectives At end of presentation, attendees will be able to: Classify personality disorders according to DSM-IV-TR
More informationPersonality Disorder in Primary Care. Dr Graham Ingram Consultant Psychiatrist
Personality Disorder in Primary Care Dr Graham Ingram Consultant Psychiatrist Epidemiology Prevalence 6-13 % ECA etc Primary care surgery consults 24 % (Moran) Borderline PD community 1-2 % Borderline
More informationWhat is schizoid personality disorder? Why is the salience or ability to focus and connect potential punishments important in training sociopathics?
What is schizoid personality Why is the salience or ability to focus and connect potential punishments important in training sociopathics? Schizoid personality disorder (SPD) is a personality disorder
More informationCan my personality be a disorder?!
Can my personality be a disorder?! Chapter 11- Personality Disorders What is Personality? How would YOU describe your own personality? There are many characteristics of personality: George is shy Karen
More informationPersonality Disorders. Personality Disorders. Definition of personality. Trait theory of Personality. Trait theory of Personality
Personality Disorders Personality Disorders Using DSM system Longstanding difficulties coded on Axis II Idea is to capture developmental concerns No real utility to this Axis I vs Axis II distinction 1
More informationby Odd or Eccentric Behavior Paranoid Personality Disorder Pervasive suspiciousness Excessive mistrust of others No delusional thinking Overly sensiti
Chapter Eleven: Personality Disorders PSY 440: Abnormal Psychology Dr. Rick Grieve Western Kentucky University Personality Disorders Personality Disorder Excessively rigid patterns of behavior or ways
More informationTraits: Prominent enduring aspects and qualities of a person.
Personality Disorders 257 Personality: The distinctive set of characteristics that defines the emotions, thoughts, perception and behavior or an individual s personal style and influence his interactions
More informationPsychiatric Diagnoses In Developmentally Disabled Persons
Agenda Psychiatric Diagnoses In Developmentally Disabled Persons Kari L. Kennedy, PsyD, HSPP Dana Lasek, PhD, HSPP Wednesday, 10/26/2011 History and challenges Dementia Mood disorders Anxiety disorders
More informationPersonality Disorders
Personality Disorders Personality Personality Style: lifelong way of coping, manifested in how a person thinks, feels and behaves Personality Stable and predictable Flexible and adaptive We continue to
More informationHuman Behavior Mr. Minervini Ch 15: Abnormal Psychology/Psychopathology Diagnosis for Richard Kuklinski a.k.a. The Iceman
Human Behavior Mr. Minervini Ch 15: Abnormal Psychology/Psychopathology Diagnosis for Richard Kuklinski a.k.a. The Iceman 1. Paranoid Personality Disorder What is paranoid personality disorder? Paranoid
More informationPsychological Factors
Psychological Factors Psychological and environmental factors can trigger schizophrenia if the individual is genetically predisposed (Nicols & Gottesman, 1983). Genain Sisters The genetically identical
More informationUnderstanding Narcissistic Personality: A Brief Introduction NEA-BPD Call-In January 13, 2109
Understanding Narcissistic Personality: A Brief Introduction NEA-BPD Call-In January 13, 2109 Frank Yeomans, M.D., Ph.D. Personality Disorders Institute Weill Medical College of Cornell University Columbia
More informationAbnormal Psychology. Defining Abnormality
Abnormal Psychology Defining Abnormality Statistical Approach abnormality = infrequency but this is not sufficient on its own Valuative Approach abnormality = social deviance unacceptable or doesn t conform
More informationPsychological Disorders. Schizophrenia Spectrum & Other Psychotic Disorders. Schizophrenia. Neurodevelopmental Disorders 4/12/2018
Psychological s Schizophrenia Spectrum & Other Psychotic s Schizophrenia Spectrum & Other Psychotic s 0Presence of delusions, hallucinations, disorganized thinking/speech, disorganized or abnormal motor
More informationGenetic and biologic vulnerability (traits & temperament) Substance abuse
Personality CHAPTER 24 Enduring pattern of behavior (conscious and unconscious) that reflects a means of adapting to the environment and it s cultural, ethnic, and community standards Personality Disorders
More informationReference document. Difficult personalities
Reference document Difficult personalities Table of Contents Introduction 2 What is a personality disorder? 2 Your tolerance threshold regarding behaviours common with difficult personalities 3 What to
More informationSchema Therapy and The Treatment of Eating Disorders. Presented by Jim Gerber, MA, Ph.D Clinical Director for Castlewood Treatment Centers Missouri
Schema Therapy and The Treatment of Eating Disorders Presented by Jim Gerber, MA, Ph.D Clinical Director for Castlewood Treatment Centers Missouri Schema Therapy Defined An integrative, unifying theory
More informationWorking with Clients with Personality Disorders. Core Issues of All Personality Disorders. High Conflict Personality Disorders
Working with Clients with Personality Disorders AFCC Webinar July 18, 2018 Bill Eddy, LCSW, Esq. Copyright 2018 High Conflict Institute www.highconflictinstitute.com Core Issues of All Personality Disorders
More information16 Overview! 16 Mental disorder! Psychological disorders! Dilemmas of definition! Your turn!
Psychological disorders! Overview! Defining and diagnosing disorder Anxiety disorders Mood disorders Personality disorders Drug abuse and addiction Dissociative identity disorder Schizophrenia Dilemmas
More informationCopyright 2014 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill
Copyright 2014 All rights reserved. No reproduction or distribution without the prior written consent of CHAPTER PREVIEW Defining/Explaining Abnormal Behavior Anxiety-Related Disorders Mood-Related Disorders
More informationOther Disorders Myers for AP Module 69
1 Other s Myers for AP Module 69 Describe the general characteristics of somatic symptom disorders. How does culture influence people s expression of physical complaints? Compare the symptoms of conversion
More informationContemporary Psychiatric-Mental Health Nursing Third Edition. Personality. Personality Traits 8/22/2016
Contemporary Psychiatric-Mental Health Nursing Third Edition CHAPTER 22 Personality Disorders Personality The individual qualities, including habitual behavior patterns, that make a person unique Personality
More informationCharacteristic patterns of behavior, thought, and emotion that exhibit relative consistency across time and situation 1
Personality Disorders in in Primary Care Jennifer S. Cheavens, Ph.D Assistant Professor Department of Psychology The Ohio State University Wexner Medical Center Current Definition of Personality Characteristic
More informationAnxiety and Personality A Developmental View
Anxiety and Personality A Developmental View Dr. Sonja Vermaak FRCPC (psychiatry), cert child and adolescent psychiatry (SA), FcPscyh(SA), LMCC, MBBch (wits) Child Psychiatry Clinic- Western Health No
More informationHow to Win Friends and Influence People Lesson 6 Psychological Patterns and Disorders
How to Win Friends and Influence People Lesson 6 Psychological Patterns and Disorders What are psychological disorders? Mental health workers view psychological disorders as ongoing patterns of thoughts,
More informationIntroduction to personality. disorders. University of Liverpool. James McGuire PRISON MENTAL HEALTH TRAINING WORKSHOP JUNE 2007
PENAL REFORM INTERNATIONAL PRISON MENTAL HEALTH TRAINING WORKSHOP JUNE 2007 Introduction to personality disorders James McGuire University of Liverpool Session objectives To provide an overview of concepts
More informationDebra Dupree, MA, MFT Advanced Practitioner in Workplace Mediation Certified Conflict Coach THE EMOTIONALLY INTENSE EMPLOYEE
Debra Dupree, MA, MFT Advanced Practitioner in Workplace Mediation Certified Conflict Coach THE EMOTIONALLY INTENSE EMPLOYEE EVERY ORGANIZATION PAYS A But few know how much it is! Dan Dana, Ph.D. Mediation
More informationMaintaining Relationships with Difficult People
Welcome to Maintaining Relationships with Difficult People with Steve Becker, Ph.D. Offered to the National CASA Conference April 7, 2013 Part I How Difficult Personalities Affect the CASA Process From
More information3/9/2017. A module within the 8 hour Responding to Crisis Course. Our purpose
A module within the 8 hour Responding to Crisis Course Our purpose 1 What is mental Illness Definition of Mental Illness A syndrome characterized by clinically significant disturbance in an individual
More informationDr Angela Busuttil Head of Psychology in Physical and Occupational Health Sussex Partnership NHS UK
Dr Angela Busuttil Head of Psychology in Physical and Occupational Health Sussex Partnership NHS UK Richmond Foundation Malta October 2012 Definitions Overview of attachment theory and its developments
More informationPersonality disorders Dr. Sarah DeLeon, MD PGYII, Psychiatry Wayne State University/Detroit Medical Center
Personality disorders Dr. Sarah DeLeon, MD PGYII, Psychiatry Wayne State University/Detroit Medical Center Introduction Personality disorders are enduring patterns of behavior and inner experiences that
More informationPractical Tips for Dealing with Difficult People (or What Do I Do In The Real World?)
Practical Tips for Dealing with Difficult People (or What Do I Do In The Real World?) Ronald Fraser, MD, CSPQ, FRCPC Associate Professor Department of Psychiatry McGill University Dalhousie University
More informationUse this list of Emotional Energy Trigger Values to see how the emotions you are feeling affect you physically and behaviorally.
Use this list of Emotional Energy Trigger Values to see how the emotions you are feeling affect you physically and behaviorally. oprah.com/iyanlacourse EMOTIONAL ENERGY LEVEL 1 The emotional energy triggered
More informationWhy they can t let go.
Letting Go: Recognizing Codependent Behavior ~~~ Presented by Fran Campbell, MSN, RN, MEd, PMHCNS-BC, CARN Bonnie Franckowiak, DNP, FNP-BC, CARN-AP ~~~ IntNSA Annual Conference Denver, CO 2018 OR Why they
More informationPsychological Disorders
1 2 3 4 5 Psychological Disorders Perspectives on Psychological Disorders Societal Does the behavior conform to existing social norms? Individual Personal sense of well-being Happy, satisfied, peaceful
More informationChapter 14. Psychological Disorders
Chapter 14 Psychological Disorders We ve Come a Long Way Trepanning Ancient priests or medicine men cut holes into the skills of living persons, to release the demons. What is Abnormality Psychopathology
More informationChapter 2. Personality & Self-Esteem
Chapter 2 Personality & Self-Esteem Get into groups of no less than 3 no more than 5 Brainstorm PERSONALITY SELF-ESTEEM List as many words under each term that help to explain each term Create a group
More informationDIMENSIONAL VS CATEGORICAL
CHAPTER 12 PERSONALITY DISORDERS (PP. 438-475) 1 Cat v Dim Clusters Paranoid Overview Statistics Schizoid Comorbidity Gender Related Constructs Personality Disorders Cluster A Schizotypal Causes Antisocial
More informationNote: If criteria are met prior to the onset of Schizophrenia, add "Premorbid," e.g., "Paranoid Personality Disorder (Premorbid)."
Page 1/10 Personality Disorders 101 admin, Sunday 06 May 2012-12:47:00 Listed below are some of the recognized personality disorders that frequently contribute to rocky marriages, and ultimately, to divorce.
More informationExplainer: what are personality disorders and how are they treated?
University of Wollongong Research Online Faculty of Social Sciences - Papers Faculty of Social Sciences 2015 Explainer: what are personality disorders and how are they treated? Brin F. S Grenyer University
More informationA Content Analysis of 9 Case Studies
PSYCHOSOCIAL FACTORS ASSOCIATED WITH SEPARATION TRAUMA IN A Content Analysis of 9 Case Studies Presenter Talli Ungar Felding, Cand. Psych., Clinical Psychologist, Specialist and Supervisor in Psychotherapy
More informationSadomasochism A developmental approach: from normality to perversion
Sadomasochism A developmental approach: from normality to perversion 1 Three essays on the theory of sexuality (1895) About the psychosexual development and by that about the formation of character Related
More informationAP PSYCH Unit 12.3 Schizophrenia & Personality Disorders
AP PSYCH Unit 12.3 Schizophrenia & Personality Disorders 1. If a criminal claimed that voices in their head told them to commit a murder, should they be found guilty or innocent? Why? 2. Describe interactions
More informationPsychological Disorders: More Than Everyday Problems 14 /
Psychological Disorders: More Than Everyday Problems 14 / Psychological Disorder(p.630) The presence of a constellation of symptoms that create significant distress; impair work, school, family, relationships,
More informationChapter 2 Lecture. Health: The Basics Tenth Edition. Promoting and Preserving Your Psychological Health
Chapter 2 Lecture Health: The Basics Tenth Edition Promoting and Preserving Your Psychological Health OBJECTIVES Define each of the four components of psychological health, and identify the basic traits
More informationPersonality disorder and risk to others
Personality disorder and risk to others Dr Rajan Darjee BSc(Hons) MB ChB MRCPsych MPhil MD Consultant Forensic Psychiatrist, Royal Edinburgh Hospital Honorary Senior Clinical Lecturer in Forensic Psychiatry,
More informationPhysical complaints without organic basis Occur when a person manifests a psychological problem through a physiological (physical) symptom.
Forms: Somatic Symptom Disorders Physical complaints without organic basis Occur when a person manifests a psychological problem through a physiological (physical) symptom. Conversion Disorder: Report
More informationMental Health Nursing: Self- Concept Disorders. By Mary B. Knutson, RN, MS, FCP
Mental Health Nursing: Self- Concept Disorders By Mary B. Knutson, RN, MS, FCP A Definition of Self-concept All notions, beliefs, and convictions that constitute an individual s knowledge of self and influence
More informationChapter 14. Psychological Disorders 8 th Edition
Chapter 14 Psychological Disorders 8 th Edition Abnormal Behavior Historical aspects of mental disorders F 14.1 The medical model What is abnormal behavior? 3 criteria F 14.2 Deviant Maladaptive Causing
More informationNeurotic and Personality Disorders
Neurotic and Personality Disorders LPT Gondar Mental Health Group www.le.ac.uk Neurosis Originally coined by the Scottish physician William Cullen in 1769. Included a range of conditions e.g. epilepsy,
More informationPsychological Disorders
Psychological Disorders 1917 (22) WWI (1914-1918) DSM 1-1952 (106) WWII (1939-1945) DSM II-1968 Vietnam (1955-1975) DSMIII-1980 DSMIV-1994 (297) DSMIVR-2000 DSM V-2013 Abnormal Behavior The APA uses the
More informationIndividual Planning: A Treatment Plan Overview for Individuals with Antisocial Problems
COURSES ARTICLE - THERAPYTOOLS.US Individual Planning: A Treatment Plan Overview for Individuals with Antisocial Problems A Treatment Overview for Adults with Antisocial Problems Duration: 3 hours Learning
More informationNormal Personality Development and Personality Disorders
Normal Personality Development and Personality s Learning Objectives Be able to describe the various personality disorders Be able to apply the personality disorder categories to patient scenarios Janet
More informationSESSION K7. Personality Disorders in the Context of Human Development Bruce Gage, MD
37th Annual Advanced Practice in Primary and Acute Care Conference: October 9-11, 2014 3:55 SESSION K7 Personality Disorders in the Context of Human Development Bruce Gage, MD Session Description: S E
More informationWORKING WITH ATTENTION DEFICIT HYPERACTIVITY DISORDER (ADHD) OPPOSITIONAL DEFIANT DISORDER CONDUCT DISORDER
COURSES ARTICLE - THERAPYTOOLS.US WORKING WITH ATTENTION DEFICIT HYPERACTIVITY DISORDER (ADHD) OPPOSITIONAL DEFIANT DISORDER CONDUCT DISORDER WORKING WITH ATTENTION DEFICIT HYPERACTIVITY DISORDER (ADHD)
More informationPersonality. Chapter 13
+ Personality Chapter 13 + Personality An individual s characteristic pattern of thinking, feeling, and acting. Each Dwarf has a distinct personality. + Psychodynamic Perspective Freud s clinical experience
More informationPersonality disorders, from classification to pharmacotherapy. Peter Tyrer Imperial College
Personality disorders, from classification to pharmacotherapy Peter Tyrer Imperial College With acknowledgements to my research assistant, Hamish What are the essential components of personality disorder?
More informationPsychological Disorders
Psychological Disorders Chapter 12 PART II V. What Are Dissociative Disorders? Sudden but temporary alteration in consciousness, identity, sensorimotor behavior, or memory Relatively rare, but very dramatic
More informationMastering Challenges in Case Management:
Mastering Challenges in Case Management: Working with Clients Who Have Personality Disorders Presented by Kate Harri, MA, LP Working Solutions, LLC September 2014 Outline Know the six most common Personality
More informationChapter 10. Abnormal Psychology Psychological Disorders
Chapter 10 Abnormal Psychology Psychological Disorders APPROACHES ON PSYCHOLOGICAL DISORDERS Approaches Society Individuals Mental Health Professionals APPROACHES OF PSYCHOLOGICAL DISORDERS Approaches
More informationCoolidge Assessment Battery (CAB) Summary - Narrative Report
Coolidge Assessment Battery (CAB) Summary - Narrative Report Name: SAM SAMPLE ID Number: 1000 G e n d e r : Male A g e : 25 Report Date: January 16, 2017 This report is based on the answers provided by
More informationChild and Family Studies U: Sex In the Family CAROL MORGAINE. Shame is...
Shame is... the emotion which occurs when others ridicule, demean, discount, or minimize personal needs, feelings, and sexuality.... an inner sense of being completely diminished or insufficient as a person.
More informationPSYCHOLOGY. Chapter 15 PSYCHOLOGICAL DISORDERS. Chaffey College Summer 2018 Professor Trujillo
PSYCHOLOGY Chapter 15 PSYCHOLOGICAL DISORDERS Chaffey College Summer 2018 Professor Trujillo 15.1 WHAT ARE PSYCHOLOGICAL DISORDERS? A psychological disorder is a condition characterized by abnormal thoughts,
More informationsample SWAP-200 Clinical Interpretive Report by Jonathan Shedler, PhD Client/Patient: Age: 38 Jane S Race/Ethnicity: Clinical treatment, outpatient
SWAP-200 Clinical Interpretive Report by Jonathan Shedler, PhD Client/Patient: Age: 38 Sex: Race/Ethnicity: Setting: Jane S Female White Date Assessed: 2/23/2015 Assessor: Clinical treatment, outpatient
More informationAwareness of Borderline Personality Disorder
Borderline Personality Disorder 1 Awareness of Borderline Personality Disorder Virginia Ann Smith Written Communication Sarah Noreen, Instructor November 13, 2013 Borderline Personality Disorder 2 Awareness
More informationABNORMAL PSYCHOLOGY. Psychological Disorders. Fast Track Chapter 11 (Bernstein Chapter 15)
ABNORMAL PSYCHOLOGY Psychological Disorders Fast Track Chapter 11 (Bernstein Chapter 15) Introduction to Abnormal Psychology PSYCHOPATHOLOGY the study of the causes, symptoms, and development of psychological
More informationPERSONALITY DISORDERS
PERSONALITY DISORDERS: PERSONALITY DISORDERS Dept.of Psychiatry and Psychotherapy,, PécsP http://psychiatry.pote.hu Encompass impairments in personality (i.e.character traits) that are maladaptive, pervasive,
More informationChapter 3 Self-Esteem and Mental Health
Self-Esteem and Mental Health How frequently do you engage in the following behaviors? SCORING: 1 = never 2 = occasionally 3 = most of the time 4 = all of the time 1. I praise myself when I do a good job.
More informationSTRUCTURED INTERVIEW FOR PERSONALITY ORGANZATION (STIPO) SCORE FORM
STRUCTURED INTERVIEW FOR PERSONALITY ORGANZATION (STIPO) SCORE FORM John F. Clarkin, Eve Caligor, Barry L. Stern & Otto F. Kernberg Personality Disorders Institute Weill Medical College of Cornell University
More informationAssessing personality
Personality: Theory, Research, and Assessment Chapter 11 Assessing personality Defining Personality The word comes from the Latin persona, meaning Personality: An individual s distinct and relatively enduring
More informationHIBBING COMMUNITY COLLEGE COURSE OUTLINE
HIBBING COMMUNITY COLLEGE COURSE OUTLINE COURSE NUMBER & TITLE: PSYC 1400: Abnormal Psychology CREDITS: 3 (3Lec 0 / Lab) PREREQUISITES: PSYC 1205: General Psychology CATALOG DESCRIPTION: Abnormal Psychology
More informationKey Issues in Child Welfare: Behavioral Health (abridged elearning Storyboard)
Key Issues in Child Welfare: Behavioral Health (abridged elearning Storyboard) We ve covered the key issues of substance use disorders and intimate partner violence. Let s talk now about behavioral health.
More informationVisualizing Psychology
Visualizing Psychology by Siri Carpenter & Karen Huffman PowerPoint Lecture Notes Presentation Chapter 13: Psychological Disorders Siri Carpenter, Yale University Karen Huffman, Palomar College Lecture
More informationDealing with Difficult People Personality Disordered Psychopaths. Anna Salter
Dealing with Difficult People Personality Disordered Psychopaths Anna Salter Goals? Protect self Protect others Fix other person Limit harm Manage relations with difficult people In Sheep s Clothing George
More informationPsychopathy. Phil408P
Psychopathy Phil408P Antisocial Personality Disorder (APD) "A pattern of irresponsible and antisocial behaviour beginning in childhood or early adolescence and continuing into adulthood." Psychopathy is
More informationSELF-ESTEEM AND HUMAN RELATIONSHIPS 7. EMOTIONAL DEPENDENTY
SELF-ESTEEM AND HUMAN RELATIONSHIPS 7. EMOTIONAL DEPENDENTY 7.1. Unresolved Feelings: Causes & Symptoms Most of the time, the body processes the chemical changes associated with emotions satisfactorily,
More informationPSYC Chapter 2: Introduction To Psychodynamic Theory Dr. Deborah Myles
PSYC 2301 Chapter 2: Introduction To Psychodynamic Theory Dr. Deborah Myles What is Psychodynamic? An active mind A mental struggle Conscious and unconscious forces interact to control our behaviors Who
More informationCognitive Therapy of Personality Disorders
Question from chapter 1 Cognitive Therapy of Personality Disorders 1) Narcissistic and Borderline are examples of which type of Personality Disorder? a) cluster A b) cluster B c) cluster C d) cluster D
More informationPsychopathology Psychopathy (con t) Psychopathy Characteristics High impulsivity Thrill seeking Low empathy Low anxiety What is the common factor? Callous Self-Centeredness N M P Dr. Robert Hare
More informationChapter 18 PSYCHOLOGICAL DISORDERS
Chapter 18 PSYCHOLOGICAL DISORDERS 1 Section 1: What Are Psychological Disorders? Section 2: Anxiety Disorders Section 3: Dissociative Disorders Section 4: Somatoform Disorders Section 5: Mood Disorders
More informationAn introduction to providing trauma informed services
An introduction to providing trauma informed services TIC - for volunteers 1. Why this presentation 2. Trauma, neglect and attachment 3. Working in a trauma informed way as a volunteer 4. Looking after
More informationUnit 12 REVIEW. Name: Date:
Name: Date: 1. Which of the following disorders is classified as a mood disorder? A) antisocial personality disorder B) agoraphobia C) catatonia D) generalized anxiety disorder E) bipolar disorder 2. Mania
More informationDiagnosis. Shayna Sokol, LSW, CHC
Diagnosis Shayna Sokol, LSW, CHC Diagnosis Across the Age Continuum 1 in 5 Children have a diagnosable MH condition I m an adult Service Coordinator, so why do I need to know about child and adolescent
More informationNursing Care for Patient with Personality Disorders
Nursing Care for Patient with Personality Disorders, MNS, RN Division of Mental Health and Psychiatric Nursing Definition Personality is essentially an enduring pattern of perceiving relating and thinking
More informationDiffusing the Stress in Financial Distress: The Intersection of Bankruptcy and Mental Health
Diffusing the Stress in Financial Distress: The Intersection of Bankruptcy and Mental Health Moderator: Hon. Laura Taylor Swain (S.D. N.Y.), New York, NY Panelists: Prof. Richard A. Friedman, M.D., Weill
More informationThe mosaic of life. Integrating attachment- and trauma theory in the treatment of challenging behavior in elderly with dementia.
The mosaic of life Integrating attachment- and trauma theory in the treatment of challenging behavior in elderly with dementia. 1 2 Holistic point of view Holism : a Greek word meaning all, entire, total
More information