1

Personality Disorders

2

FREUD

Oral

Anal

Phallic

Genital

3

DEFINITIONSPersonality - Usual Emotional +

Behavioral Characteristics

Personality Traits - Components

of Personality

Temperament - Affective Tone,

Intensity, Reactivity

Character - Moral + Personality

Traits

4

PERSONALITY DISORDERS

Totality of Emotional +

Behavioral Traits

Onset Teens

Enduring, Inflexible,

Consistent, Maladaptive

Causes Significant

Impairment and/or Distress

5

DSM IV PERSONALITY

DISORDERS

Paranoid

Schizoid

Schizotypal

Antisocial

Borderline

Histrionic

Narcissistic

Avoidant

Dependent

Obsessive-

Compulsive

6

CLUSTERSA. Odd or Eccentric

Paranoid Schizotypal

Schizoid

B. Dramatic or Erratic

Antisocial Histrionic

Borderline Narcissistic

C. Anxious

Avoidant Obsessive - Compulsive

Dependent

7

PERSONALITY DISORDERS

Totality of emotional + behavioral traits

Onset teens

Enduring, inflexible, consistent, maladaptive

Causes significant impairment and/or distress

8

PARANOID PDPervasive Distrust + Suspiciousness,

Interpret Motives as Evil

4 + of :

Suspicious Feels Attacked

Preoccupation with Distrust Jealous

Won’t Confide Grudges

Misinterprets Motives

9

SCHIZOID PD

Detached + Few Emotions

4 + of :

Eschew Closeness No Close Friends

Solitary Indifferent

No Sex Interest Cold

Not Enjoy Activities

10

SCHIZOTYPAL PD

Discomfort with Relationships, Cognitive

Distortions + Eccentric

5 + of :

Ideas of Reference Odd Magical Beliefs

Perceptual Disturbances Odd Thoughts/Speech

Paranoia Inappropriate Affect

Odd Behavior/Appearance Loner

Anxious Socially

11

ANTISOCIAL PD (ASPD)

Disregard Rights of Others (and meet

Conduct Disorder)

3 + of :

Unlawful Reckless

Deceitful Irresponsible

Impulsive Lack Remorse

Aggressive

12

BORDERLINE PD

Unstable Relationships, Affect, Self-

Image Plus Impulsiveness

5 + of :

Fears Abandonment Mood Shifts

Unstable Relationships Feels Empty

Changing Self-Image Anger

Impulsive Sex, Spending, Temporary

Etc Paranoia

Suicidal Behavior

13

HISTRIONIC PD

Excessive Emotionality, Attention

Seeking

5 + of :

Needs Attention Preens

Seductive Dramatic

Mood Shifts Suggestible

Impressionistic, Exaggerates

Vague Speech Relationships

14

NARCISSISTIC PD

Grandiose, Needs Admiration, Without

Empathy

5 + of :

Self Important Exploitative

Fantasies of Success Lacks Empathy

Feels Special Envious

Needs Admiration Arrogant

Entitled

15

AVOIDANT PD

Inhibited, Inadequate, Sensitive

4 + of : Avoids Social Activity

Reluctant Relationships

Fears Intimacy

Fears Criticism

Avoids New Activities

Sees Self Inferior

Fears Embarrassment

16

DEPENDENT PD

Needs to be Taken Care of, Fears

Separation

5 + of :

Indecisive Seeks Nurturance

Avoids Responsibility Fears Solitude

Avoids Frantic for

Disagreements

Relationships

Lacks Initiative Fears Abandonment

17

OBSESSIVE-COMPULSIVE PD

Orderliness, Perfectionist, Inflexible

4 + of :

Detail Oriented Unable to Discard

Perfectionism Can’t Delegate

Work Oriented Miserly

Over Conscientious Rigid

18

PASSIVE-AGGRESSIVE PD

Negative Attitudes with Passive

Resistance to Demands

4 + of :

Passive Envious, Resentful

Misunderstood, Exaggerated

Unappreciated Complaints

Sullen, Argumentative Defiant then Contrite

Scorns Authority

19

PERSONALITY DISORDERS

Totality of Emotional +

Behavioral Traits

Onset Teens

Enduring, Inflexible,

Consistent, Maladaptive

Causes Significant

Impairment and/or Distress

20

SUMMARY PART IParanoid Suspicious, Jealous, But Not

Psychotic or Unlawful

Schizoid Unemotional, Cold, Indifferent

Schizotypal Odd + Magical Beliefs,

Behaviors, Not Paranoid

ASPD Aggressive, Unlawful, Impulsive

Borderline Unstable, Chaotic, Impulsive

Not Aggressive or Unlawful

Histrionic Dramatic, Seductive But Not

Chaotic

21

SUMMARY PART IINarcissistic Self-Centered, Entitled, Lacks

Empathy But Not Unlawful

or Chaotic

Avoidant Needs People But Fears

Relationships

Dependent Needs Relationships, Indecisive,

Fears Abandonment

Obsessive- Rigid, Perfectionist + Inefficient

Compulsive

Passive- Negative Attitudes with Passive

Aggressive Resistance to Demands

22

INSTRUMENTS FOR PD

Mostly Current Status

Some Focus on

Temperament or

Personality Components

Few Consider Full

Diagnostic Syndrome