Soru

Zorluk: OrtaPersonality Disorders

Match each patient's clinical vignette with the most appropriate personality disorder diagnosis.

  • A thirty-four-year-old accountant declines most social invitations. He intensely desires companionship but is profoundly afraid of being ridiculed or judged inadequately by others.Avoidant Personality Disorder
  • A forty-two-year-old archivist expresses no desire for close relationships. He prefers solitary hobbies and shows minimal emotional reactivity to praise or criticism from his supervisors.Schizoid Personality Disorder
  • A twenty-five-year-old graduate student relies entirely on her roommate to choose her daily outfits. She feels profound helplessness and fear when briefly left alone.Dependent Personality Disorder
  • A thirty-one-year-old fitness instructor uses highly impressionistic speech and theatrical gestures to describe a minor inconvenience, insisting the clinic staff are her 'dearest friends'.Histrionic Personality Disorder

Cevap

The accountant matches Avoidant Personality Disorder. The archivist matches Schizoid Personality Disorder. The graduate student matches Dependent Personality Disorder. The fitness instructor matches Histrionic Personality Disorder.
Each vignette provides the defining DSM-5 criteria for a specific personality disorder. The accountant's fear of criticism points to Avoidant Personality Disorder. The archivist's lack of interest in others indicates Schizoid Personality Disorder. The student's excessive need for support aligns with Dependent Personality Disorder. The instructor's theatricality and attention-seeking indicate Histrionic Personality Disorder.

Adım Adım Çözüm

1
Analyze the patients presenting with social withdrawal (the accountant versus the archivist) to determine the underlying motivation.
The accountant avoids socializing due to fear of rejection but desires connection, whereas the archivist genuinely prefers isolation and lacks interest in peers.
Differentiating ego-syntonic isolation (Cluster A) from ego-dystonic isolation (Cluster C) is a critical diagnostic step.
2
Evaluate the patient displaying excessive reliance on others (the graduate student).
The student exhibits an excessive need to be taken care of and an inability to make everyday decisions independently.
This behavioral pattern confirms a diagnosis of Dependent Personality Disorder.
3
Assess the patient with a dramatic, emotional presentation (the fitness instructor).
The instructor displays theatricality, attention-seeking behavior, and rapidly shifting emotions.
These are core diagnostic criteria for Histrionic Personality Disorder.

Anahtar Kavram

Distinguishing between personality disorders requires identifying the core motivations behind behaviors, such as differentiating the isolation seen in schizoid versus avoidant personality disorders.
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