Soru

Zorluk: KolayPersonality Disorders

Match each clinical presentation to the most likely personality disorder diagnosis.

  • A 41-year-old executive consistently interrupts colleagues, demands immediate attention from staff, and expresses frustration that his 'unique talents' are unappreciated by leadership.Narcissistic personality disorder
  • A 52-year-old accountant frequently accuses neighbors of plotting against him, questions his spouse's fidelity without evidence, and refuses to share basic medical information with physicians.Paranoid personality disorder
  • A 31-year-old developer longs for companionship but declines all social invitations, fearing intense scrutiny and believing colleagues will find him completely unappealing.Avoidant personality disorder
  • A 19-year-old student wears eccentric, mismatched clothing in summer, claims to predict the future via telepathy, and lacks close friends outside his immediate family.Schizotypal personality disorder

Cevap

The correct matches align the executive with Narcissistic personality disorder, the accountant with Paranoid personality disorder, the developer with Avoidant personality disorder, and the student with Schizotypal personality disorder.
Each clinical vignette is uniquely designed to highlight the textbook diagnostic criteria of a specific personality disorder according to DSM-5, relying on core features: grandiosity (Narcissistic), distrust (Paranoid), fear of rejection (Avoidant), and magical thinking (Schizotypal).

Adım Adım Çözüm

1
Identify the core behavioral pattern of the 41-year-old executive.
The traits of entitlement, superiority, and demand for admiration point directly to Narcissistic personality disorder.
Recognizing Cluster B traits of grandiosity differentiates this from other disorders.
2
Identify the core behavioral pattern of the 52-year-old accountant.
The unfounded suspicions, mistrust of others, and guardedness are classic for Paranoid personality disorder.
Recognizing Cluster A traits of distrust distinguishes it from delusional disorder, as the suspicions are pervasive rather than a single fixed delusion.
3
Identify the core behavioral pattern of the 31-year-old developer.
The intense fear of rejection and feelings of inadequacy despite a desire for connection point to Avoidant personality disorder.
This cluster C trait differentiates Avoidant personality disorder from Schizoid personality disorder, where the patient genuinely does not desire relationships.
4
Identify the core behavioral pattern of the 19-year-old student.
The magical thinking, eccentric appearance, and interpersonal deficits match Schizotypal personality disorder.
Recognizing Cluster A odd/eccentric traits combined with cognitive distortions confirms the diagnosis without the frank psychosis seen in schizophrenia.

Anahtar Kavram

Identifying hallmark clinical features of personality disorders across Clusters A, B, and C.
Tahmini Süre:1m 30s
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