Tulburarea de personalitate evitant

Clim Diana Bianca Kalauz Mirisz Terno Doris

Descriere scurt
Beck (2004) () Avoidant personality disorder (APD) is characterized by pervasive behavioral, emotional, and cognitive avoidance, even when personal goals or wishes are foiled by such avoidance. Cognitive themes that fuel avoidance in APD include selfdeprecation, beliefs that unpleasant thoughts or emotions are intolerable, and an assumption that exposure of the real self to others or assertive selfexpression will be met with rejection. ()

Criterii de diagnostic DSM IV / V

(1) Evit activiti profesionale ce presupun un nivel semnificativ de contacte interpersonale, datorit temerilor de a fi dezaprobat, criticat, respins (2) Nu dorete s relaioneze cu ceilali dect dac e sigur c acetia l plac (3) Manifest reinere n relaiile apropiate, de teama de a fi ridiculizat, de a se face de rs (4) Are preocupri legate de a fi criticat sau respins n situtii sociale (5) Inhibiie n situaii interpersonale noi, datorit sentimentului de inadecvare (6) Se autopercepe ca fiind inapt social, neatractiv personal i inferior celorlali (7) Refuz s i asume riscuri personale sau s se implice n orice activitate nou din cauza faptului c acestea l-ar putea pune n dificultate

Diagnostic diferential
Schizoid Schizotipal Paranoid Dependent Anxietate social (SAD)?

Bgels (2010) Pacienii cu SAD: progrese mai mari (10-15 edine) Diferene calitative & cantitative

TPE form mai sever de SAD!

Zelig, 1983

Pe baza celor prezentate, n ce msur putem spune c personajul Zelig poate fi diagnosticat cu tulburare de personalitate evitant? De ce?

Ce alt diagnostic ar mai putea primi? De ce?

Subtipuri
Millon (2004) Conflictual Hipersensibil Fobic Autodefetist

Interview
Frecvena Diferena la nivel clinic anxietate social generalizat (SAD) tulburarea de personalitate evitant (APD) Descrierea unui caz Posibile obstacole n terapie & strategii terapeutice

Bibliografie

Beck, A. T., Freeman, A., & Davis, D. D., (2004). Cognitive therapy for personality disorders. Guilford Press Bgels, S. M., Alden, L., Beidel, D. C., Clark, L. A., Pine, D. S., Stein, M. B., & Voncken M. (2010). Social anxiety disorder: Questions and answers for the DSM-V. Depression and Anxiety, 27: 168-189 Lzrescu, M. & Niretean, A. (2007). Tulburrile de personalitate. Psihologie Clinic i Psihoterapie Millon, T., Grossman, S. (2007). Moderating severe personality disorders. A personalized psychotherapy approach. New Jersey Millon, T., Grossman, S., Millon, C., Meagher, S., & Ramnath, R. (2004). Personality disorders in modern life Webb, J. T., Amend, E. R., Webb, N. (2005). Ideational and Anxiety Disorders. Misdiagnosis and dual diagnoses of gifted children and adults: Attention Deficit Hyperactivity Disorder, bipolar, Obsessive Compulsive Disorder, Asperger's, depression, and other disorders. Great Potential Press, Inc. p. 112.