16 Personality Disorders Flashcards
personality disorder characteristics
pathological personality characteristics
- self identity
- self direction
- interpersonal functioning
defense mechanisms of personality disorder
- repression
- suppression
- regression
- undoing
- splitting
which of defense mechanism is frequently seen in acute mental health settings?
splitting
splitting
inability to incorp pos + neg aspects of oneself or others into a whole image
-tends to characterize ppl as either all good or all bad at any particular moment
splitting is often assoc w…
borderline personality disorder
personality disorder RF
- comorbid substance use disorder
- can have hx of nonviolent/violent crimes incl sex offense
- psych influence (childhood abuse/trauma)
- develpmntl factors w direct link to parenting
- bio influence (genes or biochem)
clients w personality disorder exhibit one or more of the following pathological personality characteristics
- inflexibility/maladaptive response to stress
- compulsiveness/lack of social restraint
- inability to emo connect in social + professional relationships
- tendency to provoke interpersonal conflict
Clusters of personality disorder
A - odd + eccentric
B - dramatic, emo, erratic
C - anxious, fearful, insecure, inadequate
CLUSTER A
- paranoid
- schizoid
- schizotypal
CLUSTER B
- antisocial
- borderline
- histrionic
- narcissistic
CLUSTER C
- avoidant
- dependant
- OCD
paranoid personality disorders
distrust + suspiciousness towards others based on unfounded belief that others want to harm, exploit or deceive that person
schizoid personality disorders
- emo detachment
- disinterest in close relationships
- indifference to praise + criticism
- often uncooperative
schizotypal personality disorders
- odd beliefs leading to interpersonal difficulties
- eccentric appearance
- magical thinking or perceptual distortions that are not clear delusions or hallucinations
antisocial personality disorders
- disregard for others w exploitation
- lack of empathy
- repeated unlawful actions
- deceit
- failure to accept personal responsibility
- evidence of conduct disorder before 15 y.o.
- sense of entitlement
- manipulative
- impulsive
- seductive
- nonadherance to traditional morals + values
- verbally charming + engaging
borderline personality disorders
- instability of affect, identity, + relationships
- splitting behaviors
- manipulation
- impulsiveness
- fear of abandonment
- often self-injurious + suicidal
- ideas of reference
histrionic personality disorders
emotional attention-seeking in which person needs to be center of attention
-often seductive + flirtatious
narcissistic personality disorders
arrogance, grandiose views of self-importance
- need for consistent admiration, and a alack of empathy for others that strains most relationships
- often sensitive to criticism
avoidant personality disorders
social inhibition + avoidance of all situations that require interpersonal contact, despite wanting close relationship, due to extreme fear of rejection
- has feelings of inadequacy
- anxious in social situations
dependent personality disorders
extreme dependency in a close relationship w an urgent search to find a replacement when one relationship ends
obsessive-compulsive personality disorders
indecisiveness + perfectionism w a focus on orderliness + control to the extent that the individual might not be able to accomplish a given task
communication
- firm + supportive approach
- offer realistic choices to enhance client’s sense of control
- limit settings + consistency esp w manipulative, borderline, or antisocial
assertive training + modeling is indicated for…
dependent + histrionic personality disorders
nurse should expect + respect the needs of schizoid + schizotypal for ___
isolation and space
when pt exhibits dependent behavior, self-assess frequently for ____
countertransference reactions
case management focuses on…
- obtaining pertinent hx fr current or previous providers
- supports reintegration w family
- ensures approp referrals to outpatient care
