For each clinical presentation described below, select the most appropriate personality disorder diagnosis.
- Patient A: A 24-year-old woman exhibits intense mood swings, chronic feelings of emptiness, and a pattern of unstable interpersonal relationships. She recently made self-injurious gestures after her therapist announced a brief vacation.Borderline personality disorder
- Patient B: A 31-year-old man actively chooses to work as a solitary night watchman. He demonstrates no desire for close relationships, including romantic ones, and appears completely indifferent to both the praise and criticism of his manager.Schizoid personality disorder
- Patient C: A 36-year-old physician repeatedly demands that administrators create a dedicated parking spot specifically for him, citing his unique brilliance. He dismisses nursing staff contributions and reacts with intense rage when a colleague questions his approach.Narcissistic personality disorder
- Patient D: A 29-year-old man experiences significant social anxiety and attributes minor everyday events to hidden, special meanings directed at him. He dresses eccentrically and claims he can sense the auras of people around him.Schizotypal personality disorder
Cevap
Patient A corresponds to Borderline personality disorder. Patient B corresponds to Schizoid personality disorder. Patient C corresponds to Narcissistic personality disorder. Patient D corresponds to Schizotypal personality disorder.
Each clinical vignette provides distinctive DSM-5 criteria that allow for the direct identification of the underlying condition. Patient A exhibits classic borderline traits (Cluster B), Patient B shows schizoid traits (Cluster A), Patient C demonstrates narcissistic traits (Cluster B), and Patient D displays schizotypal traits (Cluster A).
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Anahtar Kavram
Differentiating personality disorders based on core DSM-5 diagnostic criteria.