PSYC3102 Lecture Notes - Lecture 7: Hervey M. Cleckley, Juvenile Delinquency, Randomized Controlled Trial
Document Summary
Dsm-iv pds occur when personality traits are inflexible and maladaptive, producing either behavioural impairment of emotional distress, noted on axis-ii, controversial and difficult to treat epidemiology lifetime prevalence 10-14% (community samples), in patient populations. Pds are the most common of all psychiatric admission in uk at 7. 5% Borderline and schizotypal are the most common pd disorders in in/outpatient settings. Diagnostic reliability unstructured interview, semi-structured interviews, overlap among disorders (11% of pts with pds have only 1 pd) Dimensional advantages (retain max amount of info, more flexible, avoid classificatory dilemmas that result from borderline cases), disadvantages (variables expressed as a continuum might mask underlying hidden problems/symptoms) Do traits really exist disagreement as to whether the traits the underlie pds really exist, personality traits are present in varying degree in most people, the diagnostic categories are defined by the extremes. 3 dimension model social involvement vs uninvolvement with others, assertion/dominance vs passive submission, anxious rumination vs behavioural acting out.
