Clinical Psychology-Day 6

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Training Program In

Clinical Psychology
Day 6
Psychopathology 3
Personality
Disorders
Personality disorder is an enduring
pattern of inner experience and
behavior that deviates markedly
from the norms and expectations of
the individual’s culture, is
pervasive and inflexible, has an
onset in adolescence or early
adulthood, is stable over time, and
leads to distress or impairment.
Cluster A
1. Paranoid personality disorder is a pattern of distrust and suspiciousness such that others’ motives are
interpreted as malevolent.
2. Schizoid personality disorder is a pattern of detachment from social relationships and a restricted
range of emotional expression.
3. Schizotypal personality disorder is a pattern of acute discomfort in close relationships, cognitive or
perceptual distortions, and eccentricities of behavior.
Cluster B
1. Antisocial personality disorder is a pattern of disregard for, and violation of, the rights of others,
criminality, impulsivity, and a failure to learn from experience.
2. Borderline personality disorder is a pattern of instability in interpersonal relationships, self image,
and affects, and marked impulsivity.
3. Histrionic personality disorder is a pattern of excessive emotionality and attention seeking.
4. Narcissistic personality disorder is a pattern of grandiosity, need for admiration, and lack of
empathy.
Cluster C
1. Avoidant personality disorder is a pattern of social inhibition, feelings of inadequacy, and
hypersensitivity to negative evaluation.
2. Dependent personality disorder is a pattern of submissive and clinging behavior related to an
excessive need to be taken care of.
3. Obsessive-compulsive personality disorder is a pattern of preoccupation with orderliness,
perfectionism, and control.
What causes personality disorders?
Research suggests that genetics, abuse and other factors

contribute to the development of obsessive-compulsive,

narcissistic or other personality disorders.

● Genetics

● Childhood trauma

● Verbal abuse

● High reactivity
TREATMENT

➔ Psychiatrist = medication

➔ Psychologist or therapist = psychotherapy

➔ Psychiatric nurse = in the hospital


Case Discussion
Mary is a 26-year-old African-American woman who presents with a history of non-suicidal self-injury, specifically cutting
her arms and legs, since she was a teenager. She has made two suicide attempts by overdosing on prescribed medications,
one as a teenager and one six months ago; she also reports chronic suicidal ideation, explaining that it gives her relief to
think about suicide as a “way out.”

When she is stressed, Mary says that she often “zones out,” even in the middle of conversations or while at work. She
states, “I don’t know who Mary really is,” and describes a longstanding pattern of changing her hobbies, style of clothing,
and sometimes even her job based on who is in her social group. At times, she thinks that her partner is “the best thing
that’s ever happened to me” and will impulsively buy him lavish gifts, send caring text messages, and the like; however, at
other times she admits to thinking “I can’t stand him,” and will ignore or lash out at him, including yelling or throwing
things. Immediately after doing so, she reports feeling regret and panic at the thought of him leaving her. Mary reports that
before she began dating her current partner she sometimes engaged in sexual activity with multiple people per week, often
with partners whom she did not know.

Her symptoms are- anger, anxiety, concentration difficulties, emotion dysregulation, impulsivity, mood Cycles, risky
behaviors, self-Injury and suicidal thoughts.
ANY QUESTIONS!!!

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