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Cluster A personality disorder (Cluster A symptoms should not be cause…
Cluster A personality disorder
General information
personality + pathology/disorder can influence each other
They can share similar characteristics
spectrum model
Dimensional models
Quasi dimensional model
based on disease model
says schizotypy is a personality organization specific to roughly 10% of the population compared to 90% non affected :P
Huge similarity + overlap in cluster A symptoms
how to differentiate ?
Cluster A
symptoms should not be cause active psychosis orsubstanceabuse
Shizoid
strong detachment
avoids physical closeness
no joy in close relationships
nothing phases them (praise/criticism)
finds joy only in few activities
paranoid
think others will take advantage of them
persistance cause they convinced of this
mostly centred against others and if others try to dispute this convinces them even more
makes therapy hard cause also think therapist is against them
Shizotypal
believe random arbitrary events are about them (
magical thinking
)
often in special supernatural way
lifestyle in line with these believes
hallucinations
avoid others cause they don*t believe the same thing + negative reaction to their believes
environment * risk factor interaction
General characteristics
avoid social contact / lonely
report uncommon experience
not shared by others
see world out of joint rather than them being out of sync
leads to difficulty in relationship
reinforces their believe world is out of joint
.
usually don't seek help
Potential questions for debate
do you think cluster a best classified as clear cut categories or as a spectrum approach ?
Studies:
NEMESIS
lifetime prevalence study 7000 adults
DSM criteria = 1.5% prevalence
narrow symptoms= 4.2% prevalence
broad symptoms = 17.5% prevalence
Myn Germeys
if enough stress relatives of people diagnosed with psychosis could potentially develop psychosis like symptoms without being classified as suffering from psychosis