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Psychiatry > 3: Personality Disorders > Flashcards

3: Personality Disorders Flashcards

1
Q

Define personality

A

Collection characteristics and traits that make us individual. Includes way we think, feel and behave. These characteristics are enduring and pervasive over time.

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2
Q

What is personality disorder

A

Individual characteristic or enduring patterns of inner experience and behaviour that deviated markedly from social norm and manifest as:

  • Cognition
  • Affectivity
  • Impulses
  • Interpersonal relationships
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3
Q

How can cognition be affected

A

Way individual interprets a situation - which forms attitudes, image or self of others

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4
Q

How can affect be impacted in personality disorder

A
  • Range

- Arousal and response

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5
Q

How can impulses be affected

A
  • Control over impulses
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6
Q

How can interpersonal needs be affected

A
  • Manner in relating to others
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7
Q

What is the problem with personality disorder

A

Often causes significant distress to the individual or those around them

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8
Q

In males, what two personality disorders are most common

A
  • Anti-social

- Narcissistic

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9
Q

In females, what two personality disorders are more common

A
  • Histrionic

- Borderline

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10
Q

What are two factors thought to cause personality disorders

A

Genetic: genetic concordance between twins

Developmental: abuse or neglect

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11
Q

What are two risk factors for personality disorder

A
  • FH

- Abuse or Neglect

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12
Q

How are personality disorders classified

A

Cluster A

Cluster B

Cluster C

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13
Q

How would you describe cluster A personality disorders

A

Odd and eccentric

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14
Q

What are the 3 cluster A personality disorders

A

Schizoid
Schizotypal
Paranoid

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15
Q

What in the family history increases risk of cluster A personality disorders

A

Psychosis

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16
Q

What are the predominant features of cluster B personality disorders

A

Dramatic
Emotional
Erratic

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17
Q

What are 4 personality disorders in cluster B

A
  • Histrionic
  • Borderline
  • Narcissistic
  • Anti-social
18
Q

What is a risk factor in the family for cluster B

A

Mood Disorders

19
Q

What are features of cluster C personality disorders

A

Anxious
Fearful
Avoidant

20
Q

What are the three cluster C personality disorders

A
  • Avoidant
  • Dependant
  • Anakastic (Obsessive-Compulsive)
21
Q

What are 3 cluster A personality disorders

A

Paranoid
Schizoid
Schizotypal

22
Q

Describe features of paranoid personality disorder

A

Suspicious: questions loyalty of friends, misinterprets
actions as hostile

Hypersensitive: takes criticism as personal attack on character

Jealous

Pre-occupation with beliefs with hidden meanings

High sense of self-importance

23
Q

Describe schizoid personality disorder

A

Spends lots of solitary time

Lack of interests

Indifferent to criticism

Lack of physical intimacy

Emotionally cold

24
Q

Define schizotypal personality disorder

A
  • Ideas of reference (some insight compared to
    schizophrenia)
  • Magical thinking
  • Paranoid Idea
  • Odd speech
25
Q

What is magical thinking

A

Individual believes their behaviour caused an external event

26
Q

What are the 4 cluster B personality disorders

A
  • Antisocial
  • Borderline
  • Histrionic
  • Narcissistic
27
Q

What is antisocial personality disorder

A
  • Does not conform to social norms with regards to the law
  • Purposefully lies for pleasure or profit
  • Is not concerned about safety of others
  • Aggressive
  • Impulsive
28
Q

What is borderline personality disorder

A
  • Extreme efforts to avoid actual or perceived abandonment
  • Recurrent suicidal behaviour
  • Unstable relationships: alternates between idealisation and devaluation
  • Unstable self-image
  • Chronic feelings of emptiness
  • Inability to control anger
29
Q

What is histrionic personality disorder

A
  • Inappropriate sexual seductiveness
  • Uses physical appearance to seduce others
  • Needs to the the centre of attention
  • Shallow expression of emotion
30
Q

What is narcissistic personality disorder

A
  • Increases sense of self-importance
  • Lack of empathy
  • Uses others to achieve higher status
  • Excessive need admiration
  • Chronic envy
31
Q

What are the 3 cluster C personality disorders

A
  • Akanthastic (Obsessive - Compulsive)
  • Avoidant
  • Dependent
32
Q

Explain anakastic (Obsessive-Compulsive) personality disorder

A
  • Excessively concerned productivity
  • Timetables and schedules
  • Pedantic
  • Stubborn
  • Inhibited by perfectionism
  • Incapable of depositing of worn-out things
33
Q

Explain avoidant

A
  • Avoids interpersonal occupation activities due to fear of rejection
  • Unwilling to be involved unless can guarantee being liked
  • Views self as inferior to others
  • Complex: social isolation - but craves social contact
34
Q

Explain dependent

A
  • Difficultly making everyday decisions
  • Needs others to assume responsibility
  • Difficultly expressing disagreement
  • Searches for new relationship when one ends
  • Unrealistic fear can’t cope for themselves
35
Q

What is used to assess for personality disorder

A

SCID-11 (structured clinical interview for DSM-V)

36
Q

Name 4 personality questionnaires

A
  • Eyes neck personality Q
  • Minnesota personality inventory
  • Revised Neo-personality inventory
  • Standardised assessment personality scale
37
Q

What is used in acute phase for PD

A

Risk assessment - may need inpatient care or CRHT

38
Q

What was initial problem with personality disorders

A

Deemed untreatable

39
Q

What is used to treat personality disorders

A

Self harm: dialectal behavioural therapy

Mentalisation based therapy

Psychotherapy

CBT

40
Q

Explain medications for personality disorder

A

NICE do not support use medications for PD

Psychiatry (13 decks)

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