Behavioral science Personality It is a collection of characteristics which give the person his or her identity that makes him different from others It's a Latin word person=persona-mask Person is not "have a personality" but he is a personality, so personality is the charm characteristic, constitutional, intellectual and responsive capacity. Physiologically we define personality is the total physiological action of body. Personality and medicine For many years many researchers tried to find a relation between personality and disease by other word: which type of disease in certain persons could get it so they believe that some disease ex. Tb hypertension, ca affect some types of personalities because they believe that the microorganism and allergen not determine type of disease or not determine disease itself individual response to them lead to actual disease, so personality play non specific factor in the disease formation which m. o. and allergen are specific factor and this interaction between non specific factor (personality) and specific factor (mo and allergen) lead to disease formation Classification of personality We have many types of classification: 1- Kretschmr: he divided personality to 3 type depending on body build: pyknic type, athletic type, asthenia type Pyknic type : here individual is short, stout with short hand this type of personality have tendency to extroversion, kindhearted, they are expressive, these individuals more liable to get manic depressive psychoses Asthenic type: person is tall, flat with long fingers and flat idealistic thinking, more sensitive and not expressive. If they get mental breakdown they will be liable to schizophrenia 1 Athletic type: muscular man with broad chest their characteristic between the previous two. 2- Junge classification: 3 types Extroversion : this type of individual are concerned with outer ward, expressive, kind heart, similar to pyknic and they are practical Introversion: they are inexpressive, sensitive, not practical and concerned inward in his thinking ,very clever, introversion, also called worm of book Ambivertion : combination of previous two show extroversion in feeling and activity and introversion in the thinking 3- Sheldon class : according to embryonic layer: in this classification we get: In endomorphic personality : this individual show muscularity, their characters similar to athletic type In Ectomorphic show delicate in his body, tall, flat chest, their characters similar to asthenic type In mesomorphic they show bulky or increase in size of his internal tissue similar to pyknic type Normal and pre-morbid personality Normal personality It's difficult to answer how normal person will like? But we can range or give a term to the normal range ofpersonality, generality if we say that within normal range he isreasonality, healthy body and mind , efficient , happy and social, sometimes they apply other term as "mature personality", the characteristic feature is 1) Independency :is ability to face the reality by himself and not depend on others in his judgment 2) Self control: by using logic and reason rather than emotional thinking 3) Social adjustment : most are of the adult type that loving most of people and have sexual relation with one particular wife 4) Has various interest 5) He has normal standard 6) He has a planning for future or plan of life philosophy of life 2 Personality trait It is the most specific characteristic of personality e.g. personality trait of obsession. It doesn't mean personality disorder which is pathologic, but it is extension of normality Personality temperament It is charter since birth . temperament and trait are influenced by both genetics and environmental condition e.g. in obsession of mother and father they will give or incline the child toward the obsession trait Personality assessment : psychiatrists and psychologists try to assess personality by tools Eysink theory: Since 1920 and still accepted. So by giving the person a grade to see the perspnality if its forwards neurotism or psychetism. The arrow denotes the more liability for schizophrenia (premorbid personality) of a person has a grade in this quadrant. Assessment of personality: Psychometric test: it is a subjective test done by questioner and the answer will be yes,no, idon't know. Then asses by illustrating one trait this test have been validated Roscharch ink blot : cards contains a spots of inks (mean nothing) is presented to the person (not patient) to tell them what does this spot mean : animal, death, beautiful lady .. etc. then they analyze these thinking so it is a projective test Thermatic appreciation test (TAT): by giving him a picture d there is a car so this test is also projective. MMPI (Minnesota Multiphase Inventory); by giving a 250 question their answer are yes or no Types of personality traits: If it increase to a certain pathological extent it will be a personality disorder that affect social and occupational behavior. We will discuss in this lecture: 1. Histrionic personality 2. Schizoid personality 3 3. Narcissistic personality 4. Paranoid personality 5. Anti social personality 6. Timid personality 7. Sensitive personality 8. Anxious personality 9. Obsessional personality 10.Schizotypal personality Now in details : 1. Histrionic personality: The person is liable to get hysterical or conversional disorder ; it is more common in female and young adulthood. Characteristics: Unreliable person Liar An attention seeking person (like always to be under light) Dramatization in speech ( so they are good in acting) Have an over sexuality (make innocent speech mean something sexual) Under liable for love (multiple partners) They are flamy buoyant (that mean get attention) They are superficial They are immature and liable for hysteric disorders 2- Schizoid personality: Common in male, all schizophrenic have schizoid personalities in the past before they became schizophrenic. Characteristic: Isolated Hesitant in taking decisions Rigid Sometimes have odd thinking that may be a prodrome for having schizophrenia 4 3- Narcissistic personality: equal in both sexes Characteristics : Has grandiosity (in himself that mean he thinks that he is so great or a scientist or have a Nobel Prize Self important Has idea of excess beauty or intelligence and achievement in life Has no empathy Has no consideration on feeling of others Selfish Not ready to give Depressed in difficulty or failure or have a crisis 4- Paranoid personality Either as a delusion or come within the symptoms of other personality disorders. Characteristics: Oversensitive Touchy Cautious Don't trust (have no confidence in others) Rigid Avoid social contacts My be developed into paranoid personality disorder which is important and serious because if it reaches to pathological disorder he may be criminal or aggressive acting and make trouble and always the victim is the wife. So treatment is not easy and difficult because he has no confident in the doctor who treat him 5- Anti social personality (sociopathy or psychopathy): It start in childhood (since 4 years) and reach its peak until adulthood and decline after that. Characteristics: Has no morality Has no regards for social or religious or cultural rules or norms Does not get benefit from punishment 5 Doesn't feel regret Doesn't have moral control on himself This personality is long lasting and difficult to treat and change Harmful Break the law Lie Making fraud Make physical aggression Have adventurous character Reckless His marriage ends with failure or beat his wife or children Usually dependent on alcohol Liable to be drug abusers Failed in their jobs Some are called intelligent psychopath (still cheaper even if he became a doctor or lawer) Some are charming and colorful Some studies show that they have physical beauty 6- Timid personality Subnormal assertiveness, non assertive. The person is shy, doesn't take adventures and socially weak and subsequently become submissive 7- Sensitive personality A tendency to take offence. The person with this personality is touchy even when there's no intend to offence him. He has the tendency to broad the things 8- Anxious personality It is important because it may be premorbid for generalized anxiety disorders, where the person feels always anxious and worried (chronic worrier) has fear of future, fear from unknown and he is always apprehensive, he's tense, fearful regarding himself and about all things, he always need reassurance. 9- Obsessional personality It's a type of neurotic disorder (pathologic) Characteristic: Can vary in degree, obsession consist of meticulous He always care for details 6 which pushes the person into success. But sometimes this characteristic will be so strong that affect personal and social behavior leading to a pathological condition called obsessional neurosis 10- Schizotypal personality The person carries an odd thinking, has autistic type of thinking, rigid and has few friends. He has communication difficulties and unable to make a successful conversion. It is like schizophrenia but here it is more normal. 7