课件：变态心理学人格障碍suden.ppt

Histrionic Personality Disorder（表演型人格障碍） 特点 女性多见 情感过程的不成熟性 情感带有戏剧化色彩，过分做作和夸张的行为 暗示性很强 自我中心 Dependent Personality Disorder（依赖型人格障碍） 特点 女性多见 缺乏自信，无助感 被遗弃感 缺乏独立性 为了获得别人的帮助，随时需要有人在场，独处时便感到极大的不适 Obsessive-compulsive Personality Disorder（强迫型人格障碍） 特点 男性多见 刻板性、秩序性、拘谨性 过分自我克制、追求完美 责任感过强 Course and Prognosis病程与预后 慢性病程 预后 年龄：随年龄增长，症状趋向缓和 有无治疗干预 既往人格特征 Treatment治疗（1） Medical Approach 小剂量抗精神兵药物－－情绪不稳定者 抗癫痫药－－脑电图有改变者 抗焦虑药－－有焦虑情绪表现者 Treatment治疗（2） Psychological Approach Cognitive therapy（认知治疗） Family therapy（家庭治疗） Couples therapy（婚姻治疗） Social Approach 治疗性社区（治疗性团体） 教育、训练和安排 THANK YOU SUCCESS * * 可编辑 * * 可编辑 可编辑 人格障碍 Personality Disorder Historic Overview Psychopathic personality(病态人格) : Kraepelin，1909 Psychopathy Personality Disorder Definition DSM-Ⅳ Diagnostic Criteria A. An enduring pattern of inner experience and behavior that deviates markedly from the expectations of the individual’s culture. This pattern is manifested in two (or more ) of the following areas: 1. Cognition (ie, ways of perceiving and interpreting self, other people, and events) 2. Affectivity (ie, the range, intensity, lability, and appropriateness of emotional response) 3. Interpersonal functioning 4. Impulse control Definition B. The enduring pattern is inflexible and pervasive across a broad range of personal and social situation C. The enduring pattern leads to clinically significant distress or impairment in social, occupational, or other important areas of functioning. D. The pattern is stable and of long duration ands its onset can be traced back at least to adolescence or early adulthood. The individual is at least age 18. There is evidence of conduct disorder with onset before age 15. E. The enduring pattern is not better accounted for as a manifestation of another mental disorder F. The enduring pattern is not due to the direct physiological effects of a substance (eg, a drug of abuse, a medication ) or a general medical condition (eg, head trauma) Definition CCMD-Ⅲ-R Diagnostic Cr