psychiatry.Personality disorders.(dr.saman)

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Health & Medicine

Dr.Saman Anwar Faraj M.B.Ch.B, F.I.B.M.S (Psych)

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Genes: multiple susceptibility alleles each of small effect Cells: subtle molecular abnormalities Systems: abnormal information processing personality Behavior: complex functional interactions and emergent phenomena The path from here to there… temperament cognition

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Personality disorder Dr.Iqra Osman 1.CHARACTERISTICS All personality disorders are characterized by behavior that: deviates from cultural standards is rigid and pervasive is consistent over time causes distress or functional impairment 2.IDENTIFICATION There are 10 personality disorders that fall into 3 clusters: Cluster A (Odd/Eccentric) Paranoid Schizoid . Schizotypal Cluster B (Dramatic/Emotional) Antisocial Borderline Histrionic Narcissistic Cluster C (Anxious/Fearful) Avoidant Dependent Obsessive-compulsive 3.Cluster A(Odd/Eccentric) Paranoid Personality Disorder is characterized by distrust and suspiciousness of other people. Schizoid Personality Disorder describes people with a pervasive detachment from social interaction. Schizotypal Personality Disorder is characterized by bizarre behavior and ideas and a reduced capacity for social relationships. 4.Cluster B (Dramatic/Emotional) Antisocial Personality Disorder is diagnosed in people who show a consistent pattern of disregard for the rights of others. The pattern of behavior must have been present since the age of 15. Borderline Personality Disorder describes people who show a pervasive pattern of (1) unstable relationships, (2) unstable affect, (3) unstable self- image, and (4) unstable impulse control. Histrionic Personality Disorder describes people who demonstrate excessive emotional expression and attention-seeking behavior. Narcissistic Personality Disorder is characterized by a heightened sense of entitlement, exaggerated feelings of self-importance, and fragile self-esteem. 5.Cluster C (Anxious/Fearful) Avoidant Personality Disorder is diagnosed in people who are impaired in social interactions because of feelings of inadequacy and fear of rejection. Dependent Personality Disorder describes people who have an excessive need to be cared for and a fear of separa-tion. Obsessive-Compulsive Personality Disorder is characterized by a preoccupation with orderliness and control. 6.REVIEW Personality disorders are diagnosed on Axis II. They are often referred to as "character disorders" or "Axis II" in general. It is extremely important to distinguish between personality disorders and personality traits. Every person has traits that are consistent with personality disorders. The difference between personality disorders and personality traits lies in symptom severity and the degree of functional impairment. 7.ESSENTIAL FEATURES OF CLUSTER A (ODD/ECCENTRIC) Paranoid Personality Disorder These people appear guarded and suspicious and are always afraid of being deceived. They tend to interpret other people's actions as harmful or threatening. People with paranoid personality disorder are quick to anger and persistently bear grudges. Their affect is usually constricted and they tend to lack interpersonal warmth. They use projection as their defense mechanism, attributing their own unacceptable thoughts and impulses to o

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