Personality Disorders

From Iusmicm

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===Personality Disorders===
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*The goal is that one understands the definition of a personality disorder, can identify the different types of personality disorders, and can recognize defense mechanisms in action.
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*The definition of "personality": an enduring pattern of thinking, feeling, and behaving that is uniquely recognizable in each individual.
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*The definition of "personality disorder": the fixed use of a limited set of coping styles in all areas of living regardless of adaptability, resulting in
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impaired functioning.
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====Features of Personality Disorders====
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*The common features of all personality disorders:
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**pt has a fixed set of responses employed in all espects of life (home, work, play) even when these responses are not effective at achieving the pt's goals.
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**pt is egosyntonic (has behaviors, values, feelings which are in harmony with or acceptable to the needs and ngoals of the ego or consistent with one's ideal self image, per wikipedia); that is, an egosyntonic patient is acting and thinking in ways that are in harmony with their ego--the part of the unconscious that regulates the id to make one socially acceptable.
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**the disease state is lifelong and generally diagnosed in adulthood
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====Causes of Personality Disorders====
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*The causes of personality disorders are a fine balance of nature (biology, genetics) and nurture (one's environment).
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**The character and temperament of the patient is shaped by both nature and nurture and has an impact on the development of personality disorders.
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**The flexibility (plasticity) and inherent pathways of the pt also affect the development of personality disorders.
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====Course of Personality Disorders====
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*The course of personality disorders usually includes a diagnosis after the age of 18, is not caused solely by a stressful event, and a lifelong disease state that might deminish in severity after 35yo.
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**Personality disorders may respond to treatment; we attempt to treat symptoms and the underlying cause.
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====Definitions====
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*Note that "ideas of reference" are not held with the same conviction as are "delusions of reference"; that is, a pt with "ideas of reference" will, upon questioning, recognize that it is unlikely this or that phenomenon was directed toward them.
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*"magical thinking": " In clinical psychology, magical thinking is a condition that causes the patient to experience irrational fear of performing certain acts or having certain thoughts because they assume a correlation with their acts and threatening calamities" (wikipedia).
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*Splitting: a defense mechanism in which one rigorously classifies of everything, everyone and every action as "good" or "bad".
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*Depersonalization: a defense mechanism in which the one separates from one's actions as if one is simply watching as the body acts on its own.
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*Reaction formation: a defense mechanism described by the internal dialog of "I don't want to think this way about that stress so I'll force myself to think another way".
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*Undoing: a defense mechanism described by the internal dialog of "I don't want to act this way toward this stress so I'll force myself to act another way".
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====Personality Disorder Comparison====
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{|border="1"
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|Name
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|Short description
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|Manifestation
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|Defense mechanism
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|-
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|Paranoid Personality Disorder
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|Looking for sources of danger
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|Ideas of reference, grudge bearing
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|Projection
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|-
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|Schizoid Personality Disorder
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|Loner, emotionally cool
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|Non-goal-oriented fantasy
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|-
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|Schizotypal Personality Disorder
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|Unusual and a Loner
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|Social anxiety, odd beliefs / speech / perceptions, ideas of reference
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|Magical thinking
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|-
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|Antisocial Personality Disorder
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|Deficit in Conscience
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|Irresponsibility, defying of social norms, disregard for harm to self or others
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|Acting out, rationalization
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|-
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|Borderline Personality Disorder
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|Fractured self identity
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|Anger, intense relationships, mood swings, self-injurious acts
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|Splitting, projection-identification
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|-
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|Histrionic Personality Disorder
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|Lives to convince
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|Dramatic, seductive, center of attention, shallow
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|Depersonalization, somatization
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|Narcissistic Personality Disorder
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|Self-absorbed
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|Entitlement, grandiose beliefs about oneself, exploitive behavior, lacks empathy
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|Denial, projection
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|Avoidant Personality Disorder
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|Sensitive to rejection yet social
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|Requires lots of reassurance in order to engage, befriend, or try anything new
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|?
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|Dependent Personality Disorder
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|Requires a subject for which to care / nurture
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|Fearful of independent actions, absent of anger, stays in relationship beyond healthy bounds, finds new relationship quickly upon exiting another
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|Denial, repression, identification
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|Obsessive-Compulsive Personality Disorder
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|Focused on structure and control (as a response to obsessions about losing either)
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|Perfectionist, emotionally constrained, requires organization, lists, and details
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|Intellectualization, isolation, reaction formation, undoing.
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|}
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Revision as of 12:44, 8 March 2012

wvatEo Enjoyed every bit of your blog.Thanks Again. Great.

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