文档介绍：第十一章人格障碍及其矫正 (personalitydisorders)1一、人格障碍概述(PersonalityDisorders:AnOverview)2Whatisapersonalitydisorder?maladaptivepersonalitytraitstraitsarerelativelyenduringfeaturesofapersonthatarepersistentovertimeandsituationspeoplewithpersonalitydisorderstendtobe:rigidandinflexible,showarestrictedrangeoftraits,haveadominantsingletraitpersonalitydisordersareegosyntonic,morethanegodystonic3DSM-IV强调病人在认知、情感、人际关系和冲动控制方面的偏离,指出这种偏离类型在长时间内相当稳定,至少可以追溯到青少年或早期成年时。4PersonalityDisorders:%%ofthegeneralpopulation6-9%(Kathleen,1986)‰(我国,1986)Ratesarehigherininpatientandoutpatientsettings。prevalencehigheramongpeoplewithothermentaldisorders6-9%-IV将10种人格障碍划分为3大类群:A类群:行为古怪、entricExamplesincludeparanoid,schizoidB类群:戏剧化、情感强烈、不稳定ClusterBDramatic,emotional,erraticExamplesincludeantisocial,borderlineC类群:紧张、焦虑行为ClusterCFearfuloranxiousExamplesincludeavoidant,pulsive分类DSM-IVandDSM-IV-TRPersonalityDisorderClusters7人格障碍类型clusterAclusterBclusterC偏执型表演型 回避型分裂型自恋型 依赖性分裂样反社会型强迫型边缘型89PERSONALITYDISORDERS HistoricalperspectiveRootsinpsychoanalysis–narcissism,masochism,–firsttheoristtofocusonpersonalitydisorders10