Personality
- Definition
Personality
- Definition
- Individual differences
- Patterns
- Thinking
- Feeling
- Behaving
Personality
- Framework Factors (bio,psycho, social)
Personality
- Factors
- Bio
- Appearance/ disability
- Temperament
- IQ - Psycho
- Early attachment
- Siblings
- Peers
- Traumas - Social
- Socioeconomic status
- War/peace
- Social media
- Climate
Personality disorder
- Definitions
- Enduring maladaptive patterns (persistent)
- Behaviour
- Cognition
- Experience - Across many contexts (pervasive)
- Deviating markedly from culture - Inflexible (problematic)
- Significant distress
- Significant disability
A deeply ingrained pattern of behaviour of a specified kind that deviates markedly from the norms of generally accepted behaviour, typically apparent by the time of adolescence, and causing long-term difficulties in personal relationships or in functioning in society.
Personality disorder
- 3 Ps of diagnosis
Personality disorder
- 3 Ps
- Persistent
- Problematic
- Pervasive
Personality disorder
- Clusters
Personality disorder
- Clusters
A - Odd/eccentric
1. Paranoid
2. Schizoid
3. Schizotypal
B - Dramatic
1. borderline/EUPD
2. Narcissistic
3. Histrionic
4. Antisocial
C - Anxious
1. Avoidant
2. Dependant
2. Anankastic (obsessive compulsive)
Cluster A
Cluster A
- Paranoid
- Suspicious
- Mistrustful/grudging
- Persecutory - Schizoid
- Detached
- Little interest in people
- Lacks close friends - Schizotypal
- Eccentric
- Odd behaviour and thinking
- Unconventional beliefs
Cluster B Personalities
Cluster B
- EUPD
- Emotional instability
- Impulsive
- Parasuicidal acts
- Chronic emptiness - Narcissistic
- Grandiose
- Degrading
- Lost later in life - Antisocial
- Unconcern for feeling of others
- Fail to take responsibility - Histrionic
- Theatrical and dramatic
- Superficial, seductive, suggestible
Cluster C personalities
Cluster C
- Anankastic (Obsessive compulsive)
- Rigid, stubborn, perfectionistic, moral - Dependent
- Need other to make decisions
- Need reassurance - Avoidant
- Persistent anxiety
- Sensitive to rejection
- Only pursue guaranteed acceptance
Attachment Theory
- Sense of Security
- Origins
- Notion
Attachment Theory
- Security
- Bond between parent and child
- World feels safe and they are loveable
Attachment Theory
- In adults
Attachment Theory
- In adults
- Care and affection
- model of relating
EUPD
- Sx
- strong and intense emotions
- emotional instability
- difficulty managing emotions
- difficulty maintaining relationships
- poor sense of identity
- feelings of emptiness
- fear of abandonment
- impulsive and risky behaviour
- recurrent self-harm
- recurrent suicidal behaviours
Personality disorders
- Treatment principles
Personality disorders
- Treatment principles
- risk management - short and long term risks
- psychological treatments - CBT or DBT
- medications not recommended long term - sedatives sometimes used short-term in crisis
EUPD
- Management
EUPD
- Management
- Long term DBT
- 2 year program + - Brief admission is helpful
- 2-3 weeks max
- Safety plans
- Coping mechanisms - Longer admissions are harmful
- Risks increase - Short term medications in crisis
- Sedating (benzodiazepines, antipsychotics)
