Clarke University Psychology Department PSYC 221 Abnormal Psychology Spring 2013 Assessment Three Learning Objectives Chapter 13 Personality Disorders 19. Explain the features of antisocial, borderline, histrionic, and narcissistic personality disorders. Cluster B: People whose behavior is overly dramatic, emotional, and erratic. Antisocial Personality Disorder A. There is a pervasive pattern of disregard for and violation of the rights of others occurring since age 15 years, as indicated by three (or more) of the following: (1) failure to conform to social norms with respect to lawful behaviors as indicated by repeatedly performing acts that are grounds for arrest (2) deceitfulness, as indicated by repeated lying, use of aliases, or conning others for personal profit or pleasure (3) impulsivity or failure to plan ahead Antisocial Personality Disorder (4) irritability and aggressiveness, as indicated by repeated physical fights or assaults (5) reckless disregard for safety of self or others (6) consistent irresponsibility, as indicated by repeated failure to sustain consistent work behavior or honor financial obligation (7) lack of remorse, as indicated by being indifferent to or rationalizing having hurt, mistreated, or stolen from another Antisocial Personality Disorder B. The individual is at least age 18 years C. There is evidence of Conduct Disorder with onset before age 15 years D. The occurrence of antisocial behavior is not exclusively during the course of Schizophrenia or a Manic Episode Antisocial Personality Disorder Conformity to law lacking Obligations ignored Reckless disregard for safety of self and others Remorse lacking Underhanded (deceitful, lies, cons others) Planning insufficient (impulsive) Temper (irritable & aggressive) Conduct Disorder Antisocial Personality Disorder ~AUT0010 Antisocial Personality Disorder ~AUT0011 Antisocial Personality Disorder ~AUT0012 Antisocial Personality Disorder ~AUT0013 Antisocial Personality Disorder Antisocial Personality Disorder ~AUT0023 pe03513_ Borderline Personality Disorder A pervasive pattern of instability of interpersonal relationships, self-image, and affects, and marked impulsivity beginning by early adulthood and present in a variety of contexts, as indicated by five (or more) of the following: (1) Frantic efforts to avoid real or imagined abandonment. Note: Do not include suicidal or self-mutilating behavior covered in Criterion 5. (2) A pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation. Borderline Personality Disorder (3) Identity disturbance: markedly and persistently unstable self-image or sense of self. (4) Impulsivity in at least two areas that are potentially self-damaging (e.g., spending, sex, substance abuse, reckless driving, binge eating). Note: Do not include suicidal or self-mutilating behavior covered in Criterion 5. (5) Recurrent suicidal behavior, gestures, or threats, or self-mutilating behavior. Borderline Personality Disorder (6) Affective instability due to a marked reactivity of mood (e.g., intense episodic dysphoria, irritability, or anxiety usually lasting a few hours and only rarely more than a few days). (7) Chronic feelings of emptiness. (8) Inappropriate, intense anger or difficulty controlling anger (e.g., frequent displays of temper, constant anger, recurrent physical fights. (9) transient, stress-related paranoid ideation or severe dissociative symptoms. Borderline Personality Disorder Abandonment Mood instability (marked reactivity of mood) Suicidal (or self mutilating) behavior Unstable and intense relationships Impulsivity (in two potentially self damaging areas) Control of anger Borderline Personality Disorder Identity disturbance Dissociative (or paranoid) symptoms that are transient and stress related Emptiness (chronic feeling of) Borderline Personality Disorder msotw9_temp0 pe03513_ Histrionic Personality Disorder A pervasive pattern of excessive emotionality and attention seeking, beginning by early adulthood and present in a variety of contexts, as indicated by five (or more) of the following: (1) Is uncomfortable in situations in which he or she is not the center of attention (2) Interaction with others is often characterized by inappropriate sexually seductive or provocative behavior (3) displays rapidly shifting and shallow expression of emotions Histrionic Personality Disorder (4) Consistently uses physical appearance to draw attention to self (5) Has a style of speech that is excessively impressionistic and lacking in detail (6) Shows self-dramatization, theatricality, and exaggerated expression of emotion Histrionic Personality Disorder (7) Is suggestible, i.e., easily influenced by others or circumstances (8) Considers relationships to be more intimate than they actually are Histrionic Personality Disorder Provocative (or sexually seductive) behavior Relationships (considered more intimate than they are) Attention (uncomfortable when not the center of attention) Influenced easily Style of speech (impressionistic, lacks detail) Histrionic Personality Disorder Emotions (rapidly shifting and shallow) Made up (physical appearance used to draw attention to self) Emotions exaggerated (theatrical) ~AUT0031 Histrionic Personality Disorder ~AUT0032 He appears to enjoy the dress? Pic 1 Histrionic Dress http://www.hawt.net/viewimage.p hp?id=448 Histrionic Personality Disorder ~AUT0035 ~AUT0036 pe03513_ Narcissistic Personality Disorder A pervasive pattern of grandiosity (in fantasy or behavior), need for admiration, and lack of empathy, beginning by early adulthood and present in a variety of contexts, as indicated by five (or more) of the following: (1) Has a grandiose sense of self-importance (e.g., exaggerates achievements and talents, expects to be recognized as superior without commensurate achievements) (2) Is preoccupied with fantasies of unlimited success, power, brilliance, beauty, or ideal love Narcissistic Personality Disorder (3) Believes that he or she is “special” and unique and ca only be understood by, or should associate with, other special or high-status people (or institutions) (4) Requires excessive admiration (5) Has a sense of entitlement, i.e, unreasonable expectations of especially favorable treatment or automatic compliance with his or her expectations Narcissistic Personality Disorder (6) Is interpersonally exploitive, i.e., takes advantage of others to achieve his or her own ends (7) Lacks empathy: is unwilling to recognize or identify with the feelings and needs of others (8) Is often envious of others or believes that others are envious of him or her (9) Shows arrogant, haughty behaviors or attitudes Narcissistic Personality Disorder Special (believes he or she is special and unique) Preoccupied with fantasies (of unlimited success, power, brilliance, beauty or ideal love) Envious (of others, or believes others are envious of him or her) Entitlement Excess admiration required Narcissistic Personality Disorder Conceited (grandiose sense of self importance) Interpersonal exploitation Arrogant (haughty) Lacks empathy Narcissistic Personality Disorder Narcissistic Personality Disorder pe03513_