Cluster C PD

  1. Cluster C Avoidant PD
    • seen as extreme sensitivity to rejection
    • social withdrawn
    • prevalence 1% both men and women
  2. Cluster C Avoidant PD
    clinical pic
    • awkward and uncomfortable in social situations
    • desire close relationships but avoid them in fear of rejection
    • perceived as timid, withdrawn, or cold and strange
    • they are often lonely and feel unwanted
    • they view others as critical or betraying
    • bullies come after them.
  3. Cluster C Avoidant PD
    predisposing factors
    • no clear cause is known
    • may be a combo of biological, genetic, and psychosocial influences
    • infants who experience hyperirritability , crankiness, and tension may posses a temperamental disposition towards an avoidant pattern
  4. Cluster C Avoidant PD
    • pharm if co occuring- depression and social anxiety
    • CBT and psychotherapy w/therapist experience in the disorder
    • spend time with pt in noncompetive activity or may involved interpersonal
    • reinforce any postive steps towards relationship building
    • help pt to recognize their avoidant behavior and their losses and secondary gains
    • provide problem solving and assertiviness training
    • no pressure on relationships
  5. Cluster C- Dependent PD
    • seen as pattern of relying on others for emotional support
    • relatively common within the population
    • more in women
    • more in youngest child- birth order
  6. Cluster C- Dependent PD
    clinical pic
    • notable lack of self esteem- seen in posture, voice, mannerisms
    • typically passive and acuiescent to desires of others
    • overly generous and thoughtful while underplaying their attractiveness or achievements
    • low self worth and easily hurt by criticism and disapproval
    • passive and submissive roles in relationships
    • will go out their way to obtain nutruance and support including volunteering to do things that are unpleasant
    • avoid position of responsibility and become anxious when forced into them
  7. Cluster C- Dependent PD
    clinic pic 2
    • desparently seeks replacement relationship whenever one ends
    • preoccupied with fear of being alone
    • finds it challenging to initiate projects or become ones own person independently
  8. Cluster C- Dependent PD
    predisposing factors
    • possible hereditary influences-submissiveness, has high correlation in twins- bc they have each other
    • stimulation and nurturance are experienced exclusively from one source (over protecting and discourages independence)
    • most commonly associated with individuals who have experience chronic illness
    • a singular attachment is made by the infant to the exlusion of all others (usually mother)
  9. Cluster C- Dependent PD
    • psychotherapy and behavior modifications
    • be aware that pt is not dependent on you/clinician during tx
    • avoid establishing a relationship that involves approval, offering advice or paternalistic element
    • pharm if co occuring- depression and social anxiety
    • help pt to recognize sense of inadequacy and fear of rejection
    • encourage problem solving and assertiviness training
  10. Cluster C Obessive Compulsive PD
    • inflexible about the way things should be done
    • excessive need to control environment
    • lack of social give and take, needs order
    • devotion to productivity at the exclusion of personal pleasure
    • obsessed with work and preoccupation with rules, list and schedules
    • overly discipline, firmal and hold themselves and other to unattainable standards
  11. Cluster C Obessive Compulsive PD 2
    • relatively common
    • more in men
    • within the family constellation, it appears to be most common in oldest children
  12. Cluster C Obessive Compulsive PD
    clinical picture
    • on the surface appears to be very calm and controlled
    • underneath there is a great deal of ambivalence, conflict, hostility
    • especially concernd with matters of organization and efficacy
    • tend to be rigid and unbending and socially polite and formal
    • uses defense mechanisms to cope with stress
    • rank-conscious & ingratiating with authority figures
    • autocratic and condemnatory w/subordinates - good manager
    • perfectnist to the extreme
  13. Cluster C Obessive Compulsive PD
    predisposing factors
    • over controlled parents
    • a significant predictor being excessively criticized, shamed or controlled as child, both by family and bullied by peers
    • notable parental lack of positive reinforcement for acceptable behavior
    • inherited personality traits of perfectionism and black or white thinking
  14. Cluster C Obessive Compulsive PD
    • CBT and techniques that improves a persons insight ex psychodynamic therapy
    • the goal is lessen rigid expectationz and learn how to value close relationships, recreation and fun with less emphasis on work and productivety and how to be less bogged down by minor details and rigidity
    • help pt recognize any impairment or distress r/t to need for perfection and controll
    • psychopharm- SSRI may help with anxiety
    • relaxation tech, with specific breathing helps in reducing stress and urgency
  15. difference between OCD and OCPD
    • people w/OCD have insight and know their thoughts are not reasonable and seek help
    • people w/OCPD think their way is right and wont seek tx
    • thought and behaviors of people with OCD interfere with every aspect of their lives, relationship, work, social being
    • people with OCPD have difficulty with relationships but overall their OCPD helps them be very efficient or functional at work or life projects
Card Set
Cluster C PD
Cluster C- scared of people, anxious