This unit explores health psychology, stress, and positive psychology, then introduces psychological disorders. It covers the biopsychosocial model, types and causes of stress, coping mechanisms, and the General Adaptation System. Students should be prepared to distinguish between different types of stress, coping strategies, and the various psychological perspectives on disorders, as well as the diagnostic tools used.
Health Psychology and the Biopsychosocial Model
Health psychology examines how biological, social, and psychological factors affect health.
Concept
Health psychology
A specialized field studying how biological, social, and psychological factors (the biopsychosocial model) influence health, illness, and healthcare. Aims to promote wellness, prevent disease, and manage chronic illnesses or pain by understanding behaviors, beliefs, and emotions.
It adopts a holistic perspective to understand coping strategies, stressors, psychological influences, and community engagement.
Biopsychosocial Model
A comprehensive approach to understanding health by integrating multiple interconnected factors.
Biology
Physical aspects influencing health.
Gender
Physical illness
Disability
Genetic vulnerability
Immune function
Neurochemistry
Stress reactivity
Medication effects
Psychology
Mental and emotional processes affecting health.
Learning/memory
Attitudes/beliefs
Personality
Behaviours
Emotions
Coping skills
Past trauma
Social Context
Sociocultural and environmental influences on health.
Social supports
Family background
Cultural traditions
Social/economic status
Education
Types and Physical Effects of Stress
Stress can be positive or negative, with prolonged stress causing various physical and mental health issues.
| Eustress | Distress | |
|---|---|---|
| Nature | Considered positive stress | Considered negative stress |
| Effect | Beneficial for health, motivation, performance, and well-being | Overwhelms an individual, leading to exhaustion and negative implications |
| Outcome | Motivates individuals to take on challenges or perform better | Can lead to physical and mental health issues if prolonged |
Cause
Prolonged stress / Chronic stress
Effect
Weakens the immune system, reducing ability to fight off diseases
Cause
Chronic stress
Effect
Leads to hypertension (high blood pressure), tension headaches, migraines, and increased stroke risk
Cause
Chronic stress
Effect
Contributes to depression, anxiety, forgetfulness, and heart attack risk
Cause
Chronic stress
Effect
Causes skin outbreaks (acne, rosacea, eczema, psoriasis), digestive disorders (diarrhea, constipation, upset stomach), weight gain or loss, diabetes, sexual problems, muscle pain, and fatigue
Cause
Weakened immune system from stress
Effect
More susceptibility to colds or flu
Causes of Stress and General Adaptation System (GAS)
Stress stems from various events, and the body responds in three distinct stages.
Concept
Causes of Stress
The type and impact of stress depend on the stressor:
1. Daily Hassles: Small, frequent annoyances that accumulate (e.g., constant assignments).
2. Traumatic Events: Severe incidents like accidents, natural disasters, violence, or loss of a loved one, potentially leading to PTSD (post-traumatic stress disorder).
3. Adverse Childhood Experiences (ACE): Potentially traumatic events or chronic stressors in childhood, linked to higher risks for mental and physical health problems.
- 1
Alarm Reaction
Initial perception of a stressor, triggering the fight-flight-freeze response. Hormones like adrenaline and cortisol are released to prepare the body.
- 2
Resistance
If the stressor persists, the body attempts to adapt and uses more energy to maintain a higher level of tension.
- 3
Exhaustion
If stress continues, the body's energy stores are depleted. The immune system weakens, leading to burnout, fatigue, illness, and increased anxiety.
Components of the Fight-Flight-Freeze Response during the Alarm Reaction stage of GAS.
| Fight | Flight | Freeze | |
|---|---|---|---|
| Response | Prepares individual to confront the stressor | Prepares individual to run away from the stressor | Individual becomes stuck and unable to act due to the stressor |
Tend-and-Befriend Theory and Coping Strategies
This section covers a biobehavioral stress response and two main coping strategies.
Concept
Tend-and-Befriend Theory
A biobehavioral stress response, primarily female-associated, characterized by nurturing behaviors (tending) to protect offspring and forming social alliances (befriending) for protection.
Involves tending (nurturing activities to protect self/offspring, e.g., calming a child) and befriending (creating social networks for resources/protection, e.g., seeking emotional support). Associated with the hormone Oxytocin.
| Tend-and-Befriend Theory | GAS Theory (General Adaptation System) | |
|---|---|---|
| Focus | Behavioral responses, care, and social connections | Physiological stages the body goes through stress |
| Primary Hormone | Oxytocin | Adrenaline |
| Typical Association | Primarily female-associated | General stress response for all |
Both coping strategies should be used; emotion-focused first to calm, then problem-focused.
| Problem-Focused Coping | Emotion-Focused Coping | |
|---|---|---|
| Approach | Views stressor as a solvable problem | Focuses on managing emotional reactions to the stressor |
| Method | Identifies source, creates plan, and implements plan to reduce stress | Uses methods to boost mood and reduce tension without changing the stressor |
| Effectiveness | Best when there is a practical solution to the stressor | More effective when the stressor is out of one's control |
| Examples | Studying for an exam, fixing a broken item | Relaxation techniques (deep breathing), meditation, mindfulness, medication, physical activity, artistic expression, social support |
Introduction to Positive Psychology
Positive psychology explores factors contributing to a meaningful life, emphasizing strengths and well-being.
Concept
Positive psychology
A field focused on understanding what makes life most worth living, helping individuals thrive, become more resilient, and create strong relationships.
It uses surveys and assessments to gauge life satisfaction, identify patterns and trends that promote happiness, joy, and love, and foster personal growth and a meaningful life.
Concept
Main Areas of Focus
Positive psychology generally focuses on three key areas of a person's life:
1. Positive Emotions: How feelings like joy and love broaden thinking and foster personal growth.
2. Character Strength: The personality traits that contribute to a meaningful life.
3. Resilience & Well-being: How individuals recover from setbacks and maintain positive psychological health in challenging circumstances.
Signature Strengths, Virtues, and Gratitude
This section outlines six categories of virtues and their associated signature strengths, and the practice of gratitude.
Signature Strengths & Virtues
Personal qualities that come most naturally to an individual, contributing to satisfaction in life and fulfillment.
1. Wisdom (Cognitive Strengths)
Creativity
Curiosity
Judgment
Love of Learning
2. Courage (Emotional Strengths)
Bravery
Perseverance
Honesty
Enthusiasm
3. Humanity (Interpersonal Strengths)
Love
Kindness
Social Intelligence
4. Justice (Civic Strengths)
Teamwork
Fairness
Leadership
5. Temperance (Strengths that Protect Against Excess)
Forgiveness
Humility
Prudence
Self-regulation/control
6. Transcendence (Strengths that Forge Connections to the Larger Universe)
Appreciation of Beauty
Gratitude
Hope
Humor
Spirituality
Concept
Gratitude
Involves recognizing and appreciating positive aspects of life.
Regular expression of gratitude through acknowledgement or journaling leads to higher levels of happiness, life satisfaction, and a more positive outlook. It helps individuals focus on positive aspects, fostering an optimistic mindset and a purposeful life.
Post-Traumatic Growth
Positive psychological changes after trauma, leading to new purpose and meaning.
Concept
Post-traumatic growth
Refers to positive psychological changes that occur after struggling with challenging life events or traumatic events.
Individuals discover new personal strengths, form deeper relationships, gain a renewed appreciation for life, and find new purpose and meaning in life.
Forms of Post-Traumatic Growth
Areas where positive changes manifest after trauma.
Spiritual Changes
New Possibilities
Personal Strength
Appreciation of Life
Relating to Others
- 1
Struggle
Experiencing the pain and disorientation that trauma brings.
- 2
Survival
Focusing on stability and coping day by day.
- 3
Reflection
Beginning to make meaning of what happened and how it's impacted you.
- 4
Rebuilding
Taking small steps to align your life with your values and needs.
- 5
Transformation
Noticing new perspectives, strengths, and a sense of possibility arising from your experience.
Introduction to Psychological Disorders
Psychological disorders are complex conditions affecting thinking, feelings, mood, and behavior.
Concept
Psychological disorder
A complex condition impacting an individual's thinking, feelings, mood, and behavior. According to the American Psychiatric Association (APA), it's characterized by cognitive disturbances, emotional disturbances, abnormal behaviors, or impacted functioning.
Concept
3 Factors for Identifying Disorders
Psychological disorders are identified based on these criteria:
1. Level of Dysfunction: How well a person can carry out day-to-day activities and responsibilities (e.g., work, school, self-care).
2. Perception of Distress: Subjective experiences of negative emotions, pain, or stress related to behaviors or mental processes.
3. Deviation from Social Norms: Behavior judged against social and cultural standards. What is considered 'normal' varies across cultures.
Diagnostic Tools and Psychological Perspectives on Disorders
Covers diagnostic tools and various psychological perspectives on disorders.
Mental health professionals rely on two main diagnostic references to classify and diagnose mental disorders.
| DSM (Diagnostic and Statistical Manual of Mental Disorders) | ICD (International Classification of Diseases) | |
|---|---|---|
| Developer | American Psychiatric Association (APA) | World Health Organization (WHO) |
| Purpose | Comprehensive classification of mental disorders, symptoms, diagnostic criteria, and statistical data (e.g., DSM-5-TR). | Global standard for classifying all health conditions, including mental and behavioral disorders. |
Most psychologists use an eclectic approach, combining techniques and ideas from different perspectives to understand psychological disorders.
Concept
Behavioral Perspective
Focuses on maladaptive learned associations that shape irrational fears or unhealthy habits, acquired through Classical, Operant, or Observational Learning.
Concept
Psychodynamic Perspective
Highlights unconscious conflicts often originating from repressed childhood experiences or trauma.
Concept
Humanistic Perspective
Focuses on a lack of social support, failure to achieve potential, or an incongruent self-concept (the gap between the actual self and ideal self). More incongruence leads to more anxiety and lower self-esteem.
Concept
Cognitive Perspective
Proposes that disorders stem from maladaptive thought patterns, including distorted beliefs or irrational beliefs.
Concept
Sociocultural Perspective
Examines social and cultural factors such as group dynamics, cultural norms, and interpersonal relationships. For example, social pressures related to thinness can contribute to eating disorders.
Concept
Biological Perspective
States that disorders are primarily driven by physiological factors, such as neurotransmitter imbalances, brain structure abnormalities, or other inherited vulnerabilities.
Concept
Evolutionary Perspective
Focuses on how abnormal behaviors and tendencies may originate in genetics, suggesting certain maladaptive traits were once helpful for survival but are no longer. This includes Genetic predispositions.
Multi-Dimensional Models of Psychological Disorders
Explains psychological disorders through interacting biological, psychological, and social factors.
Multi-dimensional models propose that psychological disorders are influenced by multiple interconnected factors.
| Biopsychosocial Model | Diathesis-Stress Model | |
|---|---|---|
| Core Idea | Disorders influenced by multiple interconnected factors: biological, psychological, and sociocultural. | Disorder results from interaction between a predisposition (diathesis) and environmental challenges (stress). |
| Biological Factors | Genetic predispositions, brain chemistry. | Diathesis: Genetic vulnerability or biological vulnerability (predisposition). |
| Psychological Factors | Thought patterns, emotional responses, coping skills, personality traits. | Not explicitly a separate factor, but influences how an individual perceives and responds to stress. |
| Sociocultural Factors | Relationships, cultural norms, economic conditions, environmental stressors. | Stress: Stressful life events, environmental challenges, or a significant life setback that triggers vulnerability. |
Neurodevelopmental Disorders
Covers disorders with early onset and functional impairments in social, communication, or learning.
Concept
Neurodevelopmental Disorders
A group of conditions characterized by early onset (typically in childhood) and functional impairments in areas like social relationships, communication, or learning.
Concept
ADHD (Attention Deficit Hyperactivity Disorder)
Characterized by persistent patterns of inattention, hyperactivity, and impulsivity. Individuals often struggle to focus, fidget, and act without thinking. ADD is now considered a subtype of ADHD (DSM pdf: 97).
Concept
Autism Spectrum Disorder (ASD)
An umbrella term for a variety of disorders (DSM pdf: 88) characterized by challenges in social communication, repetitive behaviors, and increased sensitivity to sensations like light or sound.
Autism Spectrum Disorder (ASD) Subtypes
Asperger's Syndrome
Challenges in social interaction, nonverbal communication, and repetitive behaviors. Individuals often have average to above-average intelligence and specialized interests, but struggle with social cues, emotional reciprocity, and can be rigid (e.g., 우영우).
Childhood Disintegrative Disorder
A rare, severe condition involving a rapid, significant loss of previously acquired skills in language, social, motor, and self-care functions.
Rett Syndrome
Almost exclusively in girls, characterized by impairments in language, coordination, and repetitive movements. Often involves Genetic Mutations.
Causes of Neurodevelopmental Disorders include:
Genetic: Mutations or inherited genes*.
Physiological: Abnormal brain growth, neurotransmitter imbalances, or unusual activity in specific brain areas*.
Environmental: Exposure to toxins, infections, or teratogens during development*.
Schizophrenia Spectrum Disorders
Explores disorders characterized by positive and negative symptoms across five key areas.
Concept
Schizophrenia Spectrum Disorders
A group of disorders (DSM pdf 137) characterized by significant disturbances in thought, perception, emotion, and behavior, manifesting as positive symptoms (behaviors added) or negative symptoms (behaviors absent or reduced).
| Positive Symptoms (Behaviors Added) | Negative Symptoms (Behaviors Absent/Reduced) | |
|---|---|---|
| Description | Pathological excesses, bizarre additions to a person's behavior. | Pathological deficits, characteristics that are lacking in a person. |
| Examples | Delusions, Hallucinations, Disorganized Thinking/Speech, Disorganized Motor Behavior. | Flat Affect, Alogia. |
Concept
Delusions
False beliefs that are firmly held despite evidence to the contrary. Examples include Delusions of Persecution (others are out to harm you) and Delusions of Grandeur (exceptional abilities or fame).
Concept
Hallucinations
False perceptions without external stimuli. Auditory hallucinations (hearing voices) are most common, but visual, tactile, or olfactory hallucinations can also occur.
Concept
Disorganized Thinking/Speech
Includes word salad (random words), loose associations (jumping between unrelated topics), and tangential speech (straying off-topic).
Concept
Disorganized Motor Behavior
A condition affecting a person's movement and behavior, including Catatonia.
| Catatonic Excitement | Catatonic Stupor | |
|---|---|---|
| Description | Sudden, very active, out-of-control movements. | Near unresponsiveness and minimal movement. |
Concept
Flat Affect
Reduced emotional expression, characterized by a monotone voice and lack of facial expression.
Concept
Alogia
Diminished speech.
| Acute Symptoms | Chronic Symptoms | |
|---|---|---|
| Onset | Appear suddenly, often triggered by stress or major life events. | Develop over time and remain persistent. |
| Impact | More reactive to situations. | Lead to functional decline. |
Causes of Schizophrenia Spectrum Disorders include:
Dopamine Hypothesis: Elevated levels of dopamine in the limbic system contribute to positive symptoms, while too little dopamine in the prefrontal cortex* is linked to negative symptoms.
Genetics and Prenatal Factors: Heredity and infections during pregnancy* increase risk.
Depressive Disorders
Covers disorders involving mood, physical, and cognitive changes, like MDD and PDD.
Concept
Depressive Disorders
Characterized by significant changes in mood (e.g., feeling sad, empty, easily frustrated), physical changes (e.g., fatigue, disrupted sleeping patterns, appetite changes), and cognitive changes (e.g., trouble concentrating, remembering details, suicidal thoughts).
| Major Depressive Disorder (MDD) | Persistent Depressive Disorder (Dysthymia) | |
|---|---|---|
| Duration | Symptoms last at least 2 weeks (DSM pdf 198). | Symptoms persist for at least 2 years (DSM pdf 206). |
| Intensity | Intense mood changes, diminished interest in activities, sleep/appetite changes, negative thoughts. | Less intense but longer-lasting symptoms. |
Causes of Depressive Disorders:
Genetic: Involves inherited vulnerabilities*.
Biological: Linked to low levels of serotonin or norepinephrine*.
Social Influences: Major changes or traumatic life events can trigger depressive episodes*.
Cultural Influences: Cultural norms, expectations, and stigmas around mental health* can shape how depression is experienced.
Behavioral Factors: Poor diet, lack of exercise, inadequate coping mechanisms, stress, improper reinforcement patterns, learned helplessness, and substance abuse*.
Cognitive: Characterized by persistent pessimistic thoughts, negative attribution style, self-criticism, and learned helplessness*.
Bipolar Disorders
Covers disorders characterized by shifts between manic and depressive episodes.
Concept
Bipolar Disorders
A group of disorders (DSM pdf 161) involving significant shifts between manic episodes and depressive episodes.
| Manic Episodes | Depressive Episodes | |
|---|---|---|
| Characteristics | Moments of high energy, impulsivity, and euphoria. | Moments of low energy, sadness, and hopelessness. |
Concept
Bipolar Cycling
Individuals experience alternating periods of mania and depression.
| Bipolar I | Bipolar II | |
|---|---|---|
| Manic Phase | At least one full manic episode lasting at least 7 days. May include psychosis (hallucinations/delusions). | Characterized by hypomanic episodes (less severe than full mania). |
| Depressive Phase | Typically (but not required) followed by 2 weeks of depressive episode. | Always includes major depressive episodes. |
Causes of Bipolar Disorders:
Genetic Factors: Often runs in families due to heredity*.
Biological Factors: Imbalances in neurotransmitters like dopamine, serotonin, or norepinephrine*.
Social & Cultural Influences: Significant trauma* or major loss may trigger manic or depressive episodes.
Behavioral & Cognitive Factors: Substance misuse, irregular sleep schedules, and inconsistent routines may exacerbate mood instability*.
Anxiety Disorders
Covers disorders involving excessive fear or worry that impacts daily activities.
Concept
Anxiety Disorders
Involve excessive fear or worry that goes beyond normal unease and significantly impacts daily activities (DSM pdf 227). Often leads to avoidant behaviors or safety-seeking behaviors and physical symptoms like panic attacks, sweating, and rapid heart rate.
Concept
Separation Anxiety Disorder
Excessive fear or anxiety concerning separation from those to whom the individual is attached (DSM pdf 228).
Concept
Specific Phobia
Intense irrational fear or anxiety directed at a particular object or situation (DSM pdf 235), such as animal, natural environment, blood-injection-injury, or situational types. Examples include Acrophobia (fear of heights), Arachnophobia (fear of spiders), and Claustrophobia (fear of enclosed spaces).
Concept
Social Anxiety Disorder
Fear of being judged, embarrassed, or scrutinized in social situations (DSM pdf 240). Includes the Japanese cultural variant Taijin Kyofusho, a fear of offending others.
Concept
Panic Disorder
Unexpected episodes of intense fear with physical symptoms like rapid heartbeat, shortness of breath, sweating, chest pain, and nausea (DSM pdf 246). Includes cultural variants like ataque de nervios (Caribbean/Iberian descent), which involves screaming or aggressive behavior.
Concept
Agoraphobia
Fear of situations where escape might be difficult (e.g., crowds, lines, public transport) (DSM pdf 255).
Concept
Generalized Anxiety Disorder (GAD)
Excessive, uncontrollable worry about various aspects of life (health, work, school, finances) lasting at least 6 months (DSM pdf 260).
Concept
Culture-Bound Disorder
A psychological condition specific to a particular cultural group, such as Taijin Kyofusho and Ataque de Nervios.
Causes of Anxiety Disorders:
Genetic: Involves inherited vulnerabilities*.
Biological: Imbalances in hormones and neurotransmitters such as serotonin, norepinephrine, or GABA* can lead to heightened anxiety responses.
Behavioral Factors: Learned associations (e.g., a neutral stimulus paired with a frightening experience) and Observational learning*.
Cognitive: Maladaptive thinking and emotional responses, such as exaggerated worries*.
Dissociative Disorders
Dissociative disorders involve a disconnection from consciousness, memory, identity, emotion, or perception.
Dissociative disorders are characterized by a disconnection or separation from a person's consciousness, memory, identity, emotion, or perception.
Concept
Dissociative Identity Disorder (DID)
Presence of two or more distinct personality states (formerly Multiple Personality Disorder). Individuals experience gaps in memory, changes in behaviors or preferences, and detachment from oneself. Often linked to severe childhood trauma, where new identities serve as a coping strategy.
Concept
Dissociative Amnesia
Inability to recall personal information due to trauma or a severe stressor. This can be localized (selective aspects of an event) or generalized (complete loss of memory for one's life history).
| Selective Amnesia | Localized Amnesia | Generalized Amnesia | |
|---|---|---|---|
| Recall | Recall some, but not all, events during a circumscribed period of time. | Failure to recall events during a circumscribed period of time. | Complete loss of memory for one's life history. |
Concept
Dissociative Fugue
A specific type of Dissociative Amnesia where an individual wanders, usually far from home, and forgets their identity.
Cause
Traumatic or Highly Stressful Experiences
Effect
Most dissociative disorders, with dissociation serving as a psychological defense.
Cause
Ongoing chronic stress or adverse experiences
Effect
Development of dissociative responses over time as a way to cope with traumatic experience.
Feeding and Eating Disorders
Feeding and Eating Disorders include Anorexia Nervosa (restriction) and Bulimia Nervosa (binge-purge cycles).
Concept
Feeding and Eating Disorders
Disorders characterized by persistent disturbance of eating or eating-related behavior that results in altered consumption or absorption of food and that significantly impairs physical health or psychosocial functioning.
| Anorexia Nervosa (373) | Bulimia Nervosa (380) | |
|---|---|---|
| Core Behavior | Extreme food restriction leading to significantly low body weight. | Cycle of binge eating followed by purging. |
| Key Features | Intense fear of weight gain; distorted body image. | Purging methods include vomiting, laxatives, excessive exercise, or fasting. |
| Complications | Nutritional deficiencies, organ damage, weakened bones, compromised immune system, life-threatening complications. | Damage to digestive system, heart problems, and psychological distress. |
Causes of Feeding and Eating Disorders:
Cause
Genetic factors (inherited vulnerabilities)
Effect
Increased risk for developing eating disorders.
Cause
Biological factors (imbalances in neurotransmitters like serotonin, or hormonal imbalances like leptin and ghrelin)
Effect
Influence appetite, mood, and body weight regulation.
Cause
Social and Cultural Influences (society pressures to be physically appealing)
Effect
Impact a person's perception of their body and eating habits.
Cause
Behavioral Factors (e.g., positive reinforcement from restricting or purging)
Effect
Reinforces unhealthy eating behaviors.
Personality Disorders: Cluster A (Odd/Eccentric)
Personality disorders are inflexible, disruptive patterns starting in late adolescence, with Cluster A being odd/eccentric.
Concept
Personality Disorders (677)
Inflexible, disruptive, and enduring behavior patterns that begin in late adolescence or early adulthood. These patterns significantly impair daily activities and social functioning, regardless of whether the individual recognizes the issue. Grouped into three clusters: Cluster A (Odd/Eccentric), Cluster B (Dramatic/Emotional), and Cluster C (Anxious/Fearful).
Concept
Cluster A (Odd/Eccentric)
Characterized by social awkwardness, suspiciousness, and difficulty relating to others.
Concept
Paranoid Personality Disorder
Distrust and suspicion of others, believing they want to harm or deceive them. Leads to constant suspicion of others' intent.
Concept
Schizoid Personality Disorder
Detachment from social relationships and a preferred solitude. Individuals have a restricted range of emotional expression.
Concept
Schizotypal Personality Disorder
Eccentric behaviors, odd beliefs, and social anxiety. Individuals experience discomfort in social settings, exhibit odd beliefs, and have eccentric behaviors or speech. May include magical thinking (superstitious beliefs), eccentric appearance, and unconventional, paranoid thoughts.
Personality Disorders: Cluster B (Dramatic/Emotional)
Cluster B personality disorders involve intense emotions, impulsive behaviors, and a strong need for attention.
Concept
Cluster B (Dramatic/Emotional)
Characterized by intense emotions, impulsive behaviors, and a strong need for attention or admiration.
Concept
Antisocial Personality Disorder
Disregard for others' rights, often exhibiting repulsive behavior and a lack of remorse or conscience for wrongdoing. Often associated with terms like psychopathy or sociopathy (more commonly diagnosed in men).
Concept
Histrionic Personality Disorder
Excessive emotionality and attention-seeking (acting out) or validation seeking. Individuals often display exaggerated emotion and use their physical appearance to draw attention.
Concept
Narcissistic Personality Disorder
A pervasive need for admiration and a lack of empathy for others. Individuals have an inflated sense of self-importance and entitlement, expecting special treatment.
Concept
Borderline Personality Disorder
Instability in relationships, self-image, and emotions. Characterized by a fear of abandonment, intense rage, risky behaviors (including self-harming behaviors), and intense mood swings. Also known as Emotionally Unstable Personality Disorder (EUPD).
Personality Disorders: Cluster C (Anxious/Fearful)
Cluster C personality disorders involve anxiety, fearfulness, and behaviors to avoid harm or rejection.
Concept
Cluster C (Anxious/Fearful)
Characterized by anxiety, fearfulness, and behaviors aimed at avoiding perceived harm or rejection.
Concept
Avoidant Personality Disorder
Social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation. Individuals avoid social situations due to fear of rejection or embarrassment.
Concept
Dependent Personality Disorder
A strong need to be taken care of (needy). Individuals have difficulty making decisions independently and often experience separation issues.
Concept
Obsessive-Compulsive Personality Disorder (OCPD)
Characterized by being perfectionists, constantly seeking control over aspects of their life, and wanting things to be in a set order.
| Obsessive-Compulsive Disorder (OCD) | Obsessive-Compulsive Personality Disorder (OCPD) | |
|---|---|---|
| Nature | An anxiety disorder with specific obsessions and compulsions. | A personality disorder characterized by pervasive traits of perfectionism and control. |
| Ego-Dystonic vs. Ego-Syntonic | Ego-Dystonic: The person hates their compulsions and wants them to stop. | Ego-Syntonic: The person thinks their way is the "right" way and everyone else is wrong. |
Causes of Personality Disorders (general factors, as listed for Cluster C):
Cause
Genetic factors (personality traits, predispositions to emotional dysregulation that run in families)
Effect
Increased vulnerability to personality disorders.
Cause
Biological factors (abnormalities in brain functions or neurotransmitter activity affecting emotional reactions and impulse control)
Effect
Influence an individual's behaviors and emotional responses.
Cause
Social and Cultural Influences (history of abuse, neglect, or an over-critical environment)
Effect
Lead to maladaptive coping styles or self-perceptions that evolve into personality disorders.
Cause
Behavioral and Cognitive Factors (maladaptive learning, where certain reactions or emotional expressions are reinforced)
Effect
Contribute to the development and maintenance of personality disorders.