Intro
What is Self?
NORMAL PRESENTATION
Self Concept
Personal identity
Body image
Role performance
Self Esteem
Self Awareness
People with Paranoid Personality Disorder assume that others intend to
Harm them.
Take advantage of them.
Humiliate them.
Excessive emotionality and attention seeking. They are uncomfortable in situations where they are not the center of attention. People with this disorder are often flirtatious and dress provocatively.
Histrionic Personality Disorder
Characterized by Drama
What are Self Eating Disorders
Chronic disturbances in eating or eating-related practices
Result in many negative emotions, impaired functioning, and risk for physiological problems
Clinical Manifestations: Anorexia Nervosa
Weight loss
BMI < 17 (20-25)
Fear of gaining weight
Preoccupation with food
Preoccupation with weight
Views self as overweight
Feeding and Eating Disorders
Unhealthy body image
Lack of self-awareness
Low self esteem
Personality Disorders
Weak sense of self
Lack of intimate relationships
Poor social skills
People with Schizoid PD are emotionally
Detached
Powerful sense of entitlement; believe they deserve special treatment, and act in ways that disregard and disrespect the worth of those around them
Narcissistic Personality Disorder
Admiration and Praise
Risk Factors for Eating Disorders
Female
Societal influence
Sexual abuse
Maladaptive Family
Personality Traits:
Perfectionism
Low self-esteem
Anxiety
Clinical Manifestations: Bulimia Nervosa
Binge eating
Purging behaviors
Impulsive behaviors
Normal to slightly low weight
Dental caries
Electrolyte imbalances
CV abnormalities
What is Personality?
Enduring patterns of thinking, feeling, and behavior that make an individual unique.
This PD is similar to Schizoid PD, but people with this PD also experience perceptual and cognitive distortions, eccentric behavior, magical thinking, and use unusual words.
Schizotypal Personality Disorder
People with this PD avoid social situations because they are intensely afraid that others will ridicule them, reject them, or criticize them.
Avoidant Personality Disorder
Criticism
very low weight ; refusal to gain weight ; severe body image disturbance.
Anorexia Nervosa
Clinical Manifestations: Binge Eating Disorder
Binging once a week, for at least 3 months
Absence of purging
Sense of loss of control
Embarrassment or disgust after overeating
Impairment of relationships
What are Personality Disorders?
Chronic and pervasive patterns of behavior that affect social functioning, work, school, and close relationships
Can be “social” in that they are friendly and charming; but they don’t follow social norms; hence anti-social
Antisocial Personality Disorder
A need to be taken care of by other people. The associated fear of losing the support of others, often leads people with Dependent Personality Disorder to behave in a "clingy" manner.
Dependent Personality Disorder
binging and purging; often at a healthy weight.
Bulimia Nervosa
Nonpharmacologic therapy of Eating Disorders
Hospitalization—short term
Outpatient therapy—long term
Family based psychotherapy
Cognitive behavioral therapy (CBT)
Complimentary and alternative therapy
PD Risk Factors
Genetics
Parenteral loss
Childhood abuse
Childhood conduct D/O
Low SES
Tend to experience intense and unstable emotions, frequently have angry outbursts and engage in impulsive behaviors, such as substance abuse, risky sexual liaisons, and self-injury.
Borderline Personality Disorder
Main feature is Unstable Relationships
People with this PD are preoccupied with rules, regulations, orderliness, and perfectionism. They are great makers of lists and schedules. They can be so devoted to work that they neglect their social life.
Obsessive-Compulsive Personality Disorder
binging 1X/week for 3 months often overweight or obese.
Binge Eating Disorder
Pharmacology Treatment of Eating Disorders
Antidepressants
fluoxetine (Prozac) has been shown to lessen binging and purging behaviors
olanzapine (Zyprexa) antipsychotic
Medications to treat the co-occurring mental illness