OUTLINE FOR LECTURE NOTES IN PSYC 405

Remember, this information is most helpful if you READ AHEAD AND USE THE OUTLINE TO PREPARE FOR CLASS BEFORE YOU GET THERE!

Chapter 11

I. Chapter 11. Personality Disorders

....A. General Issues

.........1. Definition

..............a. An enduring pattern of inner experience (see page 416)

..............b. The enduring pattern is rigid and inflexible (text)

..............c. The significant distress or soc/occ impairment (text)

..............d. Found in early adolescence or adulthood

.........2. Controversies

..............a. Dimensional vs. Categorical: Disorders of degree or kind

..............b. Comorbidity

.........3. Other Features (10 "common" disorders, concept of clusters see page 412)

....B. Cluster "A" - Eccentric

.........1. Paranoid Personality Disorder

.............a. Symptoms, etc.

.........2. Schizoid

.............b. Symptom, etc.

.........3. Schizotypal

.............a. Symptoms, etc.

....C. Cluster "B" - Dramatic

.........1. Antisocial: Examples (discussion later)

.........2. Borderline: Examples (discussion later)

.........3. Histrionic

.........4. Narcissistic

....D. Cluster "C" - Fearful

.........1. Avoidant

..............a. Symptoms, etc.

.........2. Dependent

..............a. Symptoms, etc.

.........3. Obsessive-Compulsive

..............a. Symptoms, etc.

....F. General Treatment Issues

....G. Special Case: Borderline

.........1. Borderline

..............a. Symptoms

..............b. Characteristics

..............c. Causes (Text and psychodynamic)

..............d. Treatment

...................1. Traditional Approaches: Psychodynamic

...................2. Newer Approaches: Dialectical-Behavioral Therapy

....H. Special Cases: Antisocial Personality Disorder (APD)

.........1. Symptoms (3 or more antisocial symptoms + age 18 + Conduct Disorder by age 15)

.........2. Characteristics

..............a. 60% Dual Dx (Chemically abusing mentally ill)

..............b. Runs in families (genetics and/or inconsistent parenting, drug abusing parents)

..............c. Psychopaths (Personality) vs. APD (Dx) vs. Criminals (IQ or bad luck)

..............d. Other (occupations) High/low

.........3. Causes

...............a. Biological: Concept of "Endophenotypes" as the biological vulnerability

...................1. Under arousal hypothesis (cortical)

...................2. Fearlessness hypothesis (lack of responsiveness to classical conditioning)

...................3. Grey's brain based theory (reward system + weak BIS + overactive sympathetic system)

...............b. Psychosocial

...................1. Learned aggression (modeling, operant conditioning, environment)

...................2. Cognitive model (world view and self- distortions): Not in text

........4. Treatment: Before 20 after 40, CBT early, prevention best

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