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Psych > 4. Personality Disorders > Flashcards

4. Personality Disorders Flashcards

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1
Q

What are the criteria for personality disorder? CAPRI

A
  • Cognition
  • Affect
  • Personal Relations
  • Impulse control
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2
Q

What are cluster A? (3)

A
  • schizoid, schizotypal, paranoid
  • pt seems eccentric, peculiar, or withdrawn
  • familial association w/ psychotic disorders
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3
Q

What are cluster B? (4)

A
  • antisocial, borderline, histrionic, narcissistic
  • pts seem emotional, dramatic, impulsive or inconsistent
  • familial association w/ mood disorders
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4
Q

What are cluster C? (3)

A
  • avoidant, dependent, and obsessive-compulsive
  • pt seem anxious or fearful
  • familial association w/ anxiety disorders
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5
Q

What are characteristics of paranoid personality disorder? (PDD)

A
  • pervasive distrust and suspiciousness of others
  • often interpret motives as malevolent
  • “pathologically jealous” (ex. think their sexual partners are cheating on them)
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6
Q

What is the difference b/w avoidant personality disorder and schizoid PD?

A

Schizoid PD PREFER to be alone - no desire for close relationships
Avoidant = these pts DESIRE companionship but are extremely shy and easily injured (intense fear of rejection)

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7
Q

What is schizotypal personality disorder?

A

pervasive pattern of eccentric behavior and peculiar thought patterns
“strange” and “eccentric”

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8
Q

What’s the difference b/w schizotypal PD and schizophrenia?

A

Schizotypal PD pts are not frankly psychotic (though they can become transiently so under stress), nor do they have fixed delusions

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9
Q

Schizotypal PD prognosis?

A

may eventually develop schiz; it’s a premorbid personality type for pt w/ schiz

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10
Q

Symptoms of antisocial PD? (CONDUCT)

A
  • capriciousness
  • oppressive
  • non-confrontational
  • deceitful
  • unlawful
  • carefree
  • temper
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11
Q

Best tx choice for antisocial PD?

A
  • dialectical behavior therapy (DBT) and behavioral therapy

- psychotherapy ineffective

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12
Q

Symptoms of borderline PD? (IMPULSIVE)

A
  • impulsive
  • moody
  • paranoid under stress
  • unstable self-image
  • labile, intense relationships
  • suicidal
  • inappropriate anger
  • vulnerable to abandonment
  • emptiness
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13
Q

What is the defense mechanism used by borderline pts?

A

Splitting = where they view others as all good or all bad

ex. “you are the only doctor who has ever helped me. every doctor I met before you was horrible”

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14
Q

Which personality disorder is pharmacotherapy most useful in?

A

borderline (to treat psychotic or depressive symptoms)

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15
Q

What is the defense mechanism used by histrionic pts?

A

Regression = revert to childlike behaviors

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16
Q

Difference b/w histrionic pts and borderline?

A

borderline pts more likely to suffer from depression, brief psychotic episodes, and attempted suicide. histrionic pts generally more functional

17
Q

Symptoms of avoidant PD? (AFRAID)

A
  • Avoids occupation w/ others
  • Fear of embarrassment and criticism
  • Reserved unless they are certain that they are liked
  • Always thinking rejection
  • Isolates from relationships
  • Distances self unless certain that they are liked
18
Q

Social phobia (social anxiety disorder) vs. avoidant PD?

A
  • social phobia = fear of embarrassment in a PARTICULAR setting (ex. speaking in public)
  • avoidant = OVERALL fear of rejection and sense of inadequacy
19
Q

Symptoms of dependent personality disorder? OBEDIENT

A
  • Obsessive about approval
  • Bound by others decisions
  • Enterprises are rarely initiated due to lack of self-confidence
  • Difficult to make own decisions
  • Invalid feelings while alone
  • Engrossed w/ fears of self-reliance
  • Needs to be in a relationship
  • Tentative abt decisions
20
Q

Which gender is more likely to have dependent PD?

A

women

21
Q

Difference b/w dependent PD and borderline or histrionic PD?

A
  • dependent PD usually have long-lasting relationship w/ ONE person on whom they are dependent
  • borderline and histrionic are often dependent on other ppl, but UNABLE to maintain a long-lasting relationship
22
Q

Which gender is more likely to have obsessive compulsive PD?

A

Men

23
Q

Difference b/w OCPD and OCD?

A

OCD = do NOT have recurrent obsessions/compulsions

  • they are aware they have a problem and wish their thoughts and behaviors would go away
  • “ego-dystonic”

OCPD = “ego-syntonic”

Psych (17 decks)

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