10 13 2014 Personality Disorders Flashcards
4 aspects of personality and the definition of a personality disorder
- Cognition: way we process information from our environments.
- Affectivity: ability to contain one’s emotions
- Interpersonal Functioning: (married to same person 3x shows a deficit)
- Impulse activity : ability to think before you act.
Personality disorder: deficit in 2 of the 4 spheres of personality.
- pervasive across all social situations
- Clinically significant
- Not better accounted for by GMC, substance abuse, or other mental disorder
Cluster A personality disorders?
“Weird” personalities
- Paranoid Personality Disorder
- Schizoid Personality Disorder
- Schizotypical Personality disorder
-at risk for developing Schizophrenia
Paranoid Personality Disorder (PDD)
- Pervasive distrust and suspiciousness
- Defense mechanisms: Projection
Avoidance due to distrust!
Schizoid Personality disorder (SPD)
Emotionally detached from social relationships
- No desire to form relationships
- Defense mechanism: Fantasy – make up lives
ex. “ I can’t go out because I’m gonna spend time with my boyfriend”. - higher risk of schizophrenia or delusional disorder
Schizotypical Personality Disorder (StPD)
Similar to SPD WITH the addition of oddity : magical thinking – ex. talks with ghosts
Cluster B disorders
” Wild, Bad to the Bone”
- Antisocial Personality disorder
- Border line personality disorder
- Historionic Personality disorder
- Narcissistic Personality Disorder
Antisocial Personality Disorder
- Disregard for and violence of the rights of others
- ADULT only though was diagnosed as with a history of conduct disorder before the age of 15.
- conduct disorder before age of 18.
Defense mechanism: Assaults– outward aggression
“the bully”
Borderline Personality Disorder
Unstable mood (changes within 24 hrs) and interpersonal relationships, impulsiveness, self-mutilation, boredom. Females > males
- symptoms do get better with age.
Defense mechanisms:
- Splitting: everything is either good or bad
- Dissociation: replacement of unpleasant feeling with another
- Anger of situation turned inwardly
Historionic Personality Disorder
” the one upper”
Powerful need to be the center of attention
- familial link to somatization and antisocial PD.
Defense mechanism:
Dissociation: temporary and drastic replacement of unpleasant mood state with a more pleasant one
- crashes into room to breaks down relationships already formed and re-establish themselves as the center of attention.
Narcissistic Personality Disorder
Need for admiration and sense of entitlement
Low self-esteem – uses facade to cope with feelings of inadequacy.
Lack of empathy
Incredibly exploitative: lets it be directly known that they are special and only special ppl can understand them!
Twinship transference is when patient views therapist as his equal. Can be dangerous if you are dealing with a Narcissistic murderer.
Cluster C personalities
“Worried/ Cowardly, Compulsive, Clingy”
- Avoidant PD
- Dependent PD
- Obsessive Compulsive Personality Disorder
Avoidant PD
- Defense mechanism is Avoidance due to avoid feels of shame or inadequacy.
- Similar to Schizoid BUT they Desire Close Relationships
- however, they are unwilling to et involved with people unless certainty of being liked.
-Does get better with age
Dependent PD
- Excessive need to be taken care of
- submissive and clingy
- Suffers from separation anxiety.
- low self confidence
Obsessive Compulsive Personality Disorders
“the perfectionist”
- preoccupation with order and perfectionism and control
- behavior is consistent with one’s belief ( vs. OCD)
Defense mechanism:
- Reaction formation: manifestation of thought or action is direct opposite on how they internally feel
- internal chaos but show controlled phenotype
- Isolation of Affect : talk without emotion
