Download Overview of Personality Disorders: BPD, Narcissism, Antisocial, Avoidant, Dependent - Prof and more Study notes Psychology in PDF only on Docsity! 11/7/2008 1 Personality & Disorders 11.10.08 Or the beginning of the CRAZY ending… Un-Murkiest Con’t • HMO Gatekeeper model – Model to reduce costs • Primary care physician “guards the gate” for healthcare services – Hierarchy: Immediate treatment, testing, specialists • Can people have health conditions where they feel like they are sick, but they are healthy? – Psychosomaticism • Belief feeling of illness, finding of symptoms – Medical student syndrome (apophenia) – Hypochondriasis • Personality disorder with fear of illness – Misinterpretation of symptoms – No diagnosis of suspected symptoms, but persistent feelings of illness • How can adherence matter with placebos? – Adherence reduces mortality rate 2.6x (same rate with Placeboes) • Personality of confidence in treatment, physician, placebo effect for those who adhere The Disorders: Personality • What is a Personality Disorder? – Self-defeating behaviors • Anti-social, maladaptive social behaviors – Overly rigid behavior, impairs functioning – Defined in the DSM (diagnostic and statistical manual of Psychology disorders) • Manual describes agreed upon disorders • Prevalence – 10-15% of population • Co-morbidity (mood/emotional disorder) – Gender • Causes – Learned behaviors • Modeling, socially reinforced – Trauma • Neglect, abuse poor coping – Cognitive/Biological disposition 11/7/2008 2 Types of Personality Disorders • Borderline – Instability in major life functions • Lack personal identity – Instability of self image or the sense of self. • Intense & unstable relationships – Varies between idealization and devaluation relationship • Instability in mood • Impulsively in two or more areas that are self damaging. – E.g., abuse, sex, spending, eating, driving reckless, or etc. – Avoids real or imagined abandonment. • Marked feelings of emptiness • Frequent displays of anger due to a difficulty in control • Recurrent gestures, self mutilation, suicidal behavior, or threats • Lies to manipulate relationships Narcissistic Personality Inventory • 40 items, forced-choice – (your quiz 16 questions, 8 pts= 50%) • (1) I am an extraordinary person • (0) I am much like everybody else • Subfactors map roughly onto DSM criteria for NPD: – Leadership/Authority, Self-absorption/Self-admiration, Superiority/Arrogance, and Exploitativeness/Entitlement. Fall/Spring 2006 PSY 120 Students Narcissistic Personality Disorder • A pervasive pattern of grandiosity (in fantasy or behavior) – Need for admiration – Lack of empathy • Insatiable craving of adoration – Special treatment • Brooding over criticism – Depression/Fury after setback • Exaggerate success without achievement – Lying for glory – Believes that he or she is "special" and unique and can only be understood by, or should associate with, other special or high-status people (or institutions). • Sense of entitlement – Unreasonable expectations of favorable treatment – Exploits others to achieve his or her own ends. • Envious of others – Believes that others are envious of him or her • Reality TV stars
