110/111. Personality Disorders Flashcards
Define Personality Disorder
Pattern of inner experience/behavior that deviates markedly from expectations of that individual’s culture
Pattern: inflexible, pervasive, stable, long duration (over multiple environments)
Impact: clinically significant distress/impairment
What are the 3 clusters of personality disorders and the specific diseases of each?
Cluster A: odd/eccentric
- Schizotypal
- Schizoid
- Paranoid
Cluster B: Dramatic, Emotional, Erratic
- Histrionic
- Narcissistic
- Borderline
- Antisocial
Cluster C: Anxious or Avoidant
- Dependent
- Avoidant
- Obsessive-Compulsive (OCPD)
Paranoid PD sx
4/7 of SUSPECT Spouse fidelity suspected Unforgiving (grudges) Suspicious of others Perceives attaches (reacts quickly) Enemy or friend (suspects friends) Confiding in others feared Threats perceived in benign events
Schizoid PD sx
4/7 of DISTANT Detached/flat affect Indifferent to criticism/praise Sexual experiences little interest Tasks done alone Absence of close friends Neither desires nor enjoys close relationships Takes pleasure in few activities
Schizotypal PD sx
5/9 of MEPECULIAR Magical thinking/odd beliefs Experiences unusual perceptions Paranoid ideation Eccentric behavior/appearance Constricted/inappropriate affect Unusual/odd thinking/speech Lacks close friends Ideas of reference Anxiety in social situations Rule out psychosis and pervasive developmental disorder
Antisocial PD sx
3/7 of CORRUPT Conformity to law lacking Obligations ignored Reckless disregard for safety Remorse hacking Underhanded (deceit lies) Planning insufficient (impulsive) Temper (irritable/aggressive)
Borderline PD sx
5/9 for AM SUICIDE Abandonment fears Mood instability Suicide/self-injurious behavior Unstable, intense relationships Impulsivity Control of anger poor Identity disturbance Dissociative/paranoid sx Emptiness
Histrionic PD sx
5/8 for PRAISE ME
Provocative behavior
Relationships (considered as more intimate)
Attention
Influenced easily
Style of speech (impressionistic, lacks details)
Emotions (shifting and shallow)
Made up (physical appearance to draw attention)
Emotions exaggerated (theatrical)
Narcissistic PD sx
5/9 for SPEEECIAL Special (believes unique) Preoccupied with fantasies Envious (of others or thinks others are of them) Entitled Excess admiration required Conceited Interpersonal exploitation Arrogant Lacks empathy
Avoidant PD sx
4/7 for CRINGES Certainty of being liked to get involved Rejection preoccupies brain socially Intimate relationships restrained New relationships inhibited Gets around occupational activity (Avoids contact) Embarrassment potential prevents risk taking Self-viewed as unappealing, inferior
Dependent PD sx
5/8 for RELIANT Reassurance for decisions Expressing disagreement difficult Life responsibilities assumed by others Initiating projects difficult Alone makes them uncomfortable Nurturance needed Companionship sought urgently Exaggerated fears of being left alone
Obsessive-Compulsive PD sx
4/8 for LAW FIRMS
Loses point of activity (Lost in details)
Ability to complete tasks FALLS
Worthless objects (can’t discard)
Friendships excluded due to work preoccupation
Inflexible, scrupulous, over-conscientious
Reluctant to delegate
Miserly (to self/others)
Stubborness and rigidity
What is the prevalence of all PDs in population?
Which clusters are more common?
What PD cannot be dx in children? What sx of borderline PD in children increases likelihood of persistence to adulthood?
10% (High)
Clusters A/C more common
Cannot dx Antisocial PD (Oppisitional-Defiant Disorder/Conduct Disorder)
Affective instability in Borderline PD is risk factor for adulthood
What is the Five Factor Model? How does it map to pathologic personality traits?
Openness: Psychoticism Conscientiousness: Disinhibition Extraversion: Detachment Agreeableness: Antagonism Neuroticism: Negative Affect Problems at extremes at each of the five factors
