PSYCH257 Lecture Notes - Lecture 14: Attention Seeking, Dialectical Behavior Therapy, Avoidant Personality Disorder

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What is (cid:862)pe(cid:396)so(cid:374)alit(cid:455)? (cid:863) what is a (cid:862)pe(cid:396)so(cid:374)alit(cid:455) diso(cid:396)de(cid:396)? (cid:863) Some unique features of pds: nature of insight and distress/impairment, high comorbidity with other disorders, working with pd patients is very challenging. Long-term treatments are common and, even then, may be unlikely to work. Natu(cid:396)e of (cid:272)a(cid:396)egi(cid:448)e(cid:396)/(cid:272)hild (cid:271)o(cid:374)d is (cid:272)(cid:396)u(cid:272)ial fo(cid:396) de(cid:448)elop(cid:373)e(cid:374)t a(cid:374)d (cid:396)egulatio(cid:374) of (cid:272)hild(cid:396)e(cid:374)"s emotional experiences and behavior. Secure attachment: explore environment, using caregiver as secure base. Insecure attachment: anxious-ambivalent clingy toward caregiver, avoidant indifference toward caregiver, disorganized mixture. Bowlby (cid:272)hild"s pe(cid:396)(cid:272)eptio(cid:374) of: caregi(cid:448)e(cid:396)"s (cid:396)espo(cid:374)si(cid:448)e(cid:374)ess, own ability to get needs met are crucial to healthy development. Pds are related to various manifestations of insecure attachment. Cluster a (cid:862)odd/e(cid:272)(cid:272)e(cid:374)t(cid:396)i(cid:272)(cid:863: paranoid, schizoid, schizotypal. Cluster b (cid:862)d(cid:396)a(cid:373)ati(cid:272), e(cid:373)otio(cid:374)al, e(cid:396)(cid:396)ati(cid:272)(cid:863: antisocial, borderline, histrionic, narcissistic. Cluster c (cid:862)fea(cid:396)ful/a(cid:374)(cid:454)ious(cid:863: avoidant, dependent, obsessive-compulsive. Pervasive and unjustified extreme mistrust and suspicion of others beginning by early adulthood and present across a variety of contexts. Suspects without basis that others are exploiting, harming, deceiving.

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