Types of Personality Disorders • A) Disorders of unhappiness and anxiety • B) Disorders in relating with others • C) Disorders in thinking and lack of contact with reality • All disorders have some of these characteristics 10 Personality Disorders • Dependent Personality Disorder • Avoidant Personality Disorder • Obsessive-Compulsive Personality Disorder • • • • Paranoid Personality Disorder Histrionic Personality Disorder Antisocial Personality Disorder Narcissistic Personality Disorder • Schizoid Personality Disorder Score • • • • • • • • • 7=T 13 = T 14 = T 17 = T 21 = T 38 = T 41 = T 52 = T 53 = T Antisocial Personality Disorder • A pattern of disregard for, and violation of, the rights of others • Poor control of impulses, low tolerance of frustration • Psychopath and sociopath are sometimes used to refer to those with antisocial personality disorder • Have a lack of conscience, coldness and callousness • Prone to violent criminal behavior, believing that their victims are weak and deserving of being taken advantage of • They are often aggressive and are much more concerned with their own needs than the needs of others • Although they can be gracious and cheerful until they get what they want e.g. Hannibal Lecter • Little anxiety Score • • • • • • • • • • 5=T 21 = T 26 = T 31 = T 38 = T 40 = F 57 = T 67 = T 69 = F 80 = T Narcissistic Personality Disorder • A pattern of grandiosity, need for admiration, and a sense of self- importance Narcissistic Personality Disorder • Five of the following • 1) Grandiose sense of self-importance • 2) Preoccupation with fantasies of ultimate attainment • 3) Belief he or she should only associate with others who are “special.” Narcissistic Personality Disorder • 4) Requirement for excessive admiration. • 5) Sense of entitlement • 6) Exploitation of others Narcissistic Personality Disorder • 7) Lack of empathy • 8) Enviousness • 9) Arrogant behavior and attitudes Disorders of thinking and lack of contact with reality • Schizoid Personality Disorder • Schizotypal Personality Disorder • Borderline Personality Disorder Score • • • • • • • • 4=T 10 = T 27 = T 32 = F 38 = T 46 = T 48 = T 57 = F Schizoid Personality Disorder • A pattern of detachment from social relationships and restricted range of emotional expression • Indifferent to relationships • Limited social range (some are hermits) • Aloof, detached, called loners • No apparent need of friends, sex • Solitary activities Score • • • • • 8=T 48 = T 69 = T 71 = T 76 = T Schizotypal Personality Disorder • A pattern of acute discomfort in close relationships, cognitive or perceptual distortions, and eccentricities of behavior • They generally engage in eccentric behavior and have difficulty concentrating for long periods of time. • Like people with schizoid PD, those with shizotypal PD tend to be socially isolated, be uncomfortable in interpersonal relationships and have a restricted range of emotions Schizotypal Personality Disorder • Their speech is often over elaborate and difficult to follow i.e. tangential, vague. • May have inappropriate emotional responses (or none at all) • May be easily distracted, become fixated, or lost in fantasy • Many believe that schizotypal personality disorder represents mild schizophrenia, but SPDs maintain basic contact with reality Score • • • • • 7=T 22 = T 30 = T 41 = T 72 = T Borderline Personality Disorder • A pattern of instability in interpersonal relationships, self-image, and affects, and marked impulsivity • Instability – Mood instability with bouts of severe depression, anxiety or anger – Unstable self concept with periods of extreme self-doubt and others of grandiose importance – Unstable interpersonal relationships – from idealizing to despising (and promiscuity) Borderline Personality Disorder • A tendency towards impulsive and self-destructive behaviors, and out of control emotions Borderline Personality Disorder • Five of the following: • 1) Rapid mood shifts • 2) Uncontrollable anger • 3) Self-destructive acts Borderline Personality Disorder • 4) Self-damaging behaviors • 5) Identity disturbance • 6) Chronic emptiness Borderline Personality Disorder • 7) Unstable relationships – View people as all good or all bad • 8) Fear of abandonment • 9) Confusion and feelings of unreality How is a diagnosis made? DSM-IV – Categorical Approach • Based on the medical model • Disorder is present or absent Advantages of Categorical System • Ease in conceptualization and communication • Familiarity • Consistency with clinical decision making Assumptions of the DSM • Personality pathology is suited to be classified into discrete types or disorders • These disorders group themselves into three clusters • The diagnostic criteria naturally fall into the particular personality disorders to which they have been assigned Empirical Evidence doesn’t support these assumptions!!! Disadvantages of the Categorical Approach • Arbitrary cut-off points • Loss of important information • Will likely utilize a dimensional approach in DSM-V Alternative conceptualisations of Personality Disorders • Personality disorders can also be considered within the context of personality • Provides a better understanding of each PD – Five Factor Model – Interpersonal Circumplex Personality Disorder N E Schizotypal High Low High Low Low Schizoid Paranoid High Histrionic High Narcissistic High A C O Low High High Low High High High Personality Disorder N E A C Antisocial High High Low Low Borderline High Low Low Dependent High High Avoidant High Obsessive-Compulsive O Low High Low High Low Interpersonal Circumplex Model • Posits that all personality can be captured by two primary dimensions: – Nurturance versus cold-heartedness – Dominance versus submission Personality • An individual's characteristic patterns of thought, emotion, and behavior First Question I asked • What do we know when we know a person? How can you figure out WHO a person is? • • • • Ask the person (S data) Ask others about the person (I data) Look at the persons life (L data) Look at what the person does (B data) • “BLIS” A more “structured” way to find out “who a person is” • Standardized Tests! • Rational Method • Projective Tests • Factor Analytic Method • Empirical Method • Combination of Methods Basic Approaches • Trait Approach • The Single-Trait Approach – e.g., authoritarinsim, selfmonitoring, etc. • The Many-Trait Approach – e.g., CAQ • The Essential-Trait Approach – e.g., The Big Five • The Simultaneous-Trait Approach – e.g., circumplex, sphere Basic Approaches • Biological / Evolutionary Approach • Behavior Genetics – Twin Studies • Evolutionary Psychology – – – – “The blind watchmaker” Jealousy Attraction Exotic becomes erotic Basic Approaches • Psychoanalytic Approach • Freud – Psychosexual development – Parts of the mind • • • • Defense mechanisms Subliminal Messages “Slips of the tongue” Humor Basic Approaches • Psychoanalytic Approach • Neo Freudians • Carl Jung – Collective UCS, Archetypes, Dreams • Alfred Adler – Striving for superiority, Birth order • Karen Horney – Basic anxiety, Coping with anxiety (moving toward, away, against) • Erik Erickson – Development across the lifespan Basic Approaches • Phenomenological Approach • Philosophical roots – Free will, awareness, meaning • Carl Rogers – Self-Actualization, Conditions of worth • Abraham Maslow – Hierarcy or Needs, SelfActualization and Flow Basic Approaches • Behaviorism • Philosophical roots – Empiricism, Associationism, Hedonism • Habituation • Classical Conditioning • Operant Conditioning Basic Approaches • Social Learning Theory • Dollard and Miller – Habit Hierarchy, ApproachAvoidance Conflict, Defense Mechanisms • Rotter – BP, Expectancy, Locus of Control, RV • Bandura – Efficacy, Observational Learning, Reciprocal Determinism Basic Approaches • Cognitive Approach • Perceptual processes – Priming, aggression, rejection sensitivity • Self processes – Self-schemas • Strategic and motivational processes – Optimistic vs. pessimistic, Nomothetic Goals, Idiographic Goals First Question I asked • What do we know when we know a person? • Each approach presents a different way to “think” about personality. • Each approach asks and answers different questions. • You must decide which approach is most valid! – This is what makes PERSONALITY PSYCHOLOGY fun!