課程大綱 • 介紹DSM IV4大類及12種人格疾患之概念， 診斷準則，臨床表徵。 A. Odd or Eccentric Paranoid Schizotypal Schizoid B. Dramatic or Erratic Antisocial Histrionic Borderline Narcissistic C. Anxious Avoidant Obsessive - Compulsive Dependent D. NOS Depressive Passive-Aggressive
3 ”P” of Personality Disorder • Problematic 對病患造成一定的因擾 (clinically significant distress or problems for self or others; may be difficulties in social life, work, law) • Persistent 在生命中持續(pattern is stable & long-standing; present since early adulthood or adolescence and continues to adulthood) • Pervasive 影響生活的廣泛性(pattern is inflexible; & in broad range of personal or social situations)
Prevalence of PD Range of Estimates: • Based on US data, about 6% to 15% of the population has a personality disorder. • 10-20% Psychiatric Outpatients • 10-60% Psychiatric Inpatients
Paranoid Personality Disorder 妄想型人格疾患 Are you threatening me ?
Cluster B • Antisocial: 反社會人格Disregard for & frequent violations of the rights of others • Borderline: 邊緣型人格Instability of relationships, self-image, emotions, control over impulses. • Histrionic: 戲劇性人格Excessive emotionality & attention seeking. • Narcissistic: 自戀型人格Grandiosity, need for admiration, & lack of empathy.
Cluster C • Avoidant: 畏避型人格 Social inhibition, feelings of inadequacy, hypersensitive to negative evaluation. • Dependent: 依賴型人格 Excessive need to be taken care of, leading to submissive and clinging behaviour. • Obsessive-compulsive: 強迫型人格 Preoccupied with orderliness and perfectionism at expense of flexibility.
CLUSTERS A. Odd or Eccentric Paranoid Schizotypal Schizoid B. Dramatic or Erratic Antisocial Histrionic Borderline Narcissistic C. Anxious Avoidant Obsessive - Compulsive Dependent D. NOS Depressive Passive-Aggressive