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Trouble de la perso', Etiologie - Coggle Diagram
Trouble de la perso'
def
diag
A.
*enduring pattern
of inner expe & behavior that
deviates
markedly from the expectat° of the individual’s
culture
. This pattern is manifested in
two (or more)
of the following areas:
affectivity
interpersonal functioning
4.
impluse control
cognition
B.
inflexible & pervasive
(envahissant)
across a broad range of personal and S situa°👥
C.
leads to clinically significant
distress or impairment
in 👥, occupational, or other important areas of functioning
D.
stable
& of
long dura°
, & its onset can be traced back at least to
adolescence or early adulthood
pervasive = personality characteristics that are unchanging and occur in most settings (family, professional, friends, public…)
deviate from cultural norms
cause poor life functioning
long term traits; feel “natural” to the patient
maladaptive variants of normal personality traits
it is possible to provide a distinctive profile of each of the disorders based on their typical cognitive, affective, & behavioral features
Cluster A
"odd, eccentric"
social awkwardness and social withdrawal
Paranoid
mistrus
aloof (not friendly), emotionally cold
display unjustified suspiciousness, hypersensivity, jealousy & fear on intimacy
can be grandiose, rigid, contentious & litigious
tend to lead isolated lives
often disliked by others
COGNITIVE PROFILE
Self-Vision
: righteous & vulnerable to maltreatment
View of others
: devious, deceptive, unfair, & secretly manipulative. secret coalitions against them.
BELIEFS
Core beliefs
: ‘’I am vulnerable to other people,” “Other people cannot be trusted,” “They have bad intentions (toward me),” “They are deceptive,” “They’re out to undermine me or depreciate me.”
Conditional beliefs
: “If I am not careful, people will manipulate, abuse, or take advantage of me,” “If people act friendly, they are trying to use me,” “If people seem distant, it proves they are unfriendly.”
instrumental (or self-instructional) beliefs
*: “Be on guard,” “Don’t trust anybody,” “Look for hidden motives,” “Don’t get taken in.”:
THREATS: being diminished in some way: manipulated, controlled, demeaned, or discriminated against.
Overdeveloped strategies:
Vigilance, Mistrust & Suspiciousness
Hypervigilant and always on guard. Wary
(prudent)
, suspicious, and looking all the time for cues
Underdeveloped strategies:
Serenity, Trust & Acceptance
AFFECTS
😡
anger
over the presumed abuse
constant anxiety 😰 over the perceived threats ⇒ therapy
Schizoid
Isolation
👥detachment, lack or indifference to interpersonal relationships & reduced 💜 expre° capacity
tend to be reclusive and have little desire or capacity for interpersonal relationships ⇐ take little pleasure from it
can perform well if left alone
little 💜 range, daydream excessively & appear to be humorless and aloof
COGNITIVE PROFILE
Self-Vision
: self-sufficient & loners. Prize mobility, independence, and solitary pursuits
View of others
: intrusive & controlling
BELIEFS
Core beliefs
: “I am basically alone,” “Close relationships with other people are unrewarding and messy,” “I can do things better if I’m not encumbered by other people” “Close relationships are undesirable because they interfere with my free- dom of action.”
Conditional beliefs
: “If I get too close to people, they will get their hooks into me,” “I can’t be happy unless I have complete mobil- ity.”
instrumental (or self-instructional) beliefs
*: “Don’t get too close,” “Keep your distance,” “Don’t get involved.”
.
Overdeveloped strategies:
Autonomy & Isola°. Keep their distance from other people
Underdeveloped strategies:
Intimacy & Reciprocity.
AFFECTS
😭
sadness
😰 if force into a close encounter
Schizotypal
special, unique & talented
eccentric behaviour & peculiar thought content.
strange intrapsychic expe, 💭 in odd & unusual ways. Difficult to engage.
acute discomfort and reduced intimate relationship capacity + cognitive or perceptual distor° & eccentricity in 🔨
often no friends, feel 😰 in 👥 & can 🔨 in ways that others perceive as bizarre
reference 💡(relate to them), strange beliefs or 🪄💭 , bizarre perceptual experiences, & suspiciousness or paranoid thoughts, with reduced or absent insight
improper or limited 💜 & excessive 👥 😰
obsessive rumina° without resistance, sexual or aggressive content; vague, circumstantial, metaphorical or stereotypical eloquence; & occasional transient psychotic episodes with intense hallucina° or delusional 💡
have difficulty understanding the effect of their 🔨 on others & tend to misunderstand the motives of others' 🔨 by dvping significant distrust → altera° of 💭 ► delusional & present short-term psychotic Ŝ
maintains contact with the reality & organiza° of 💭
COGNITIVE PROFILE
Self-Vision
: unreal, detached, loners. Vulnerable, socially conspicuous (attracting attention). Supernaturally sensitive & gifted.
View of others
: untrustworthy & malevolent, unfriendly & hostile, & unable to understand their specialness
🌍-view
: Life is strange & others may have 🪄 hidden inten°.
General
: Odd, superstitious, 💭🪄
beliefs in clairvoyance 🔮, telepathy 🛜, or “6th sense” are central.
BELIEFS
Core beliefs
: “I’m unusual.”
Conditional beliefs
: “If I get too close to people, they will get their hooks into me,” “I can’t be happy unless I have complete mobil- ity.”
instrumental (or self-instructional) beliefs
*: “Don’t get too close,” “Keep your distance,” “Don’t get involved.”
AFFECTS
😰 & curiosity
strategy
cultivate unusual appearance or mannerism
watch for and neutralize malevolent attention from others.
vigilant for supernatural forces or events
keep a distance from others & use their special gifts and 🪄powers to protect themselves, putting on a mask, using 🪄 & talismanic instruments.
le + réfractaire au traitement & probablement le + susceptibles d'avoir des factR sous-jacents biogénéꝗ
Cluster B
"dramatic, emotional, erratic"
impulse control & 🤍 regula°
Borderline
Narcissistic
Histrionic
Antisocial
svt considéré comme grave + résultats mitigés
Cluster C
"anxious, fearful"
high level of anxiety
Avoidant
Dependent
OCD
le + réactif au traiteT & meilleurs résultats aux protocoles de traitement de courte durée
classifica°
catégorielle
:red_cross: degré de chevaucheT + trop rigide
dimensionnelle
traits normaux amplifiés à l'extrême ⇒ inadaptés
Big 5 : Ouverture, Consciensiosoté, Extraversion, Agréabilité, Nevrosisme (OCEAN)
qu°R standard : NEO PI-R
structurale dynamiꝗ
capacité à gérer 😰, conflits & expé 💜 :
psychotiꝗ (Cluster A) → borderline (cluster B) → névrotique (cluster C) → normal
prototypique
catégoriL + dim°L
ex de systM proto de Millon : cat + 3 dim° (soi/autre, actif/passif, et le plaisir/douleur)
relationnelle
2 branches principales :
modL interpersoL de H. S. Sullivan (1953) & modL systémiꝗ de M. Bowen (1976)
tendance à considérer diff ds ↔🔨 ĉ gT indpdtes de leur propre 🔨 ou de leur contribu° ⇒ ∅ plainte # perso' (plutôt, dep, 😰 ou situa° extR)
signes
"a tjs été comme ça"
ne se conforme pas à T.
🛑 T. brusꝗT sans raison
semble totaleT incst d'effet de son 🔨 sur autrui
fait semblN de s'engager ds T. ms ne passe pas l'🔨
prob de perso' semble acceptables et natL pr lui
Etiologie
Rft (ex :par normes S ou expé precoces)
tempérament
patrimoine phylogénéꝗ
fuir se battre ou se figer = inadapté ds societé actuL ⇒ :red_cross: qd inflexible & incontrôlés