LECTURE ON PERSONALITY DISORDERS 1. LONG-STANDING BEHAVIOR PATTERN 2. INFLEXIBLE 3. CAUSES DISTRESS OR INTERFERES WITH FUNCTIONING FICTIONAL PERSONALITY DISORDERS LAZY ANGRY P. D. P. D. ABSENT-MINDED P. D. THREE "CLUSTERS" OF PERSONALITY DISORDERS A: ODD / ECCENTRIC B: DRAMATIC / ERRATIC C: ANXIOUS / FEARFUL CLUSTER A: ODD / ECCENTRIC THOUGHT TO RESEMBLE SCHIZOPHRENIA SCHIZOTYPAL P. D. SCHIZOID P. D. PARANOID P. D. SCHIZOPHRENIA DELUSIONS OF CONTROL OR THOUGHT INSERTION SCHIZOTYPAL P.D. "MAGICAL THINKING" DELUSIONS OF PERSECUTION SUSPICIOUSNESS BIZARRE BEHAVIOR ODD OR ECCENTRIC BEHAVIOR HALLUCINATIONS ILLUSIONS SOCIAL WITHDRAWAL SHYNESS / RECLUSIVENESS SCHIZOID P.D. 1. DOESN'T FEEL EMOTION 2. AVOIDS PERSONAL RELATIONSHIPS BECAUSE NOT CONSIDERED IMPORTANT MR. SPOCK ON THE ORIGINAL STAR TREK PARANOID P.D. GENERAL AND UNREASONABLE SUSPICIOUSNESS RELATED TO SCHIZOPHRENIA? SCHIZOTYPAL P.D. -- YES SCHIZOID AND PARANOID P.D. -- NO PARANOID P.D. MAY BELONG IN CLUSTER B CLUSTER B: DRAMATIC / ERRATIC IMPULSIVENESS UNSTABLE INTERPERSONAL RELATIONSHIPS NARCISSISTIC P.D. BORDERLINE P.D. ANTI-SOCIAL P.D. HISTRIONIC P.D. NARCISSISTIC P.D. GRANDIOSITY SELFISHNESS VANITY "NASTY CASES" EXTREMELY CONTROLLING MANIPULATIVE PUNITIVE NASTY DIVORCE CASES CULT LEADERS BORDERLINE P. D. EXTREME, SUDDEN MOOD SWINGS MANIPULATION (SUICIDE THREATS) "IDEALIZATION / DEVALUATION" IMPULSIVE, SELF-DESTRUCTIVE BEHAVIOR UNSTABLE IDENTITY FATAL ATTRACTION SINGLE WHITE FEMALE "MOOD DISORDER" SIDE OF BORDERLINE P.D. "ANTI-SOCIAL" SIDE OF BORDERLINE DISORDER PROGNOSIS BETTER IF MOOD SYMPTOMS PREDOMINATE CLUSTER C: FEARFUL / ANXIOUS RESEMBLE ANXIETY DISORDERS DEPENDENT P.D. "I CAN'T LIVE WITHOUT YOU" AVOIDANT P. D. AVOIDS RELATIONSHIPS BECAUSE OF FEAR OF REJECTION JUST SOCIAL PHOBIA ? OBSESSIVE-COMPULSIVE P.D. ORDER NEATNESS NO EMPIRICAL RELATIONSHIP TO OBSESSIVE COMPULSIVE DISORDER