Borderline Personality Disorder

Question 1

What is personality?

Answer 1

Enduring traits and patterns of behaviour.

Question 2

What does personality do?

Answer 2

Determines how we react to situations, our coping skills and adaptability.

Question 3

What is personality shaped by?

Answer 3

Experiences and learning to respond better.

Question 4

What do trait theories suggest?

Answer 4

That certain trains are relevant/important to ones personality.

Question 5

What are the 5 traits in the ‘Big Five’ trait theory?

Answer 5

1. Extroversion.
2. Agreeableness.
3. Conscientiousness.
4. Neurotocism.
5. Openness to experience.

Question 6

What are you likely to be if you are a low/high scorer in Extroversion?

Answer 6

Quiet or talkative.

Question 7

What are you likely to be if you are a low/high scorer in Agreeableness?

Answer 7

Suspicious/Trusting.

Question 8

What are you likely to be if you are a low/high scorer in Conscientiousness?

Answer 8

Lazy/Hard-working.

Question 9

What are you likely to be if you are a low/high scorer in Neurotocism?

Answer 9

Calm/Emotional.

Question 10

What are you likely to be if you are a low/high scorer in Openness to experience?

Answer 10

Down-to-Earth/Imaginative.

Question 11

What is a personality in a personality disorder?

Answer 11

Dysfunctional and unchanging.

Question 12

A person who has a personality disorder is said to have __________.

Answer 12

Unusual, enduring traits that cause them to suffer or render them unable to cope with life.

Question 13

What is the Diagnostic and Statistical Manual (DSM) criteria for a personality disorder?

Answer 13

“Deviates markedly from expectations of culture; inflexible; onset in childhood; causes distress.”

Question 14

How many clusters are there in the Diagnostic and Statistical Manual (DSM) category approach for personality disorders?

Answer 14

3.

Question 15

What are the 3 clusters in the Diagnostic and Statistical Manual (DSM) category approach for personality disorders?

Answer 15

1. Cluster A - eccentric, odd behaviour (schizoid, paranoid).
2. Cluster B - impulsive, dramatic, emotional (Borderline Personality Disorder).
3. Cluster 3 - Anxious, fearlful (Avoidant, OCD).

Question 16

What are some types of personality disorder?

Answer 16

Paranoid.

Antisocial.

Borderline.

Dependent.

Obsessive-Compulsive.

Question 17

How many dimensions of personality disorder does the Diagnostic and Statistical Manual (DSM) rate clients on?

Answer 17

3.

Question 18

What are the 3 dimensions of personality disorder the client is rated on by the Diagnostic and Statistical Manual (DSM)?

Answer 18

1. Level of functioning.
2. Specific traits shown (the clinical big 5).
3. Personality disorder category.

Question 19

What are the ‘Clinical big 5’ specific traits regarding borderline personality disorder in the Diagnostic and Statistical Manual (DSM) ?

Answer 19

1. Negative emotion.
2. Detachment.
3. Antagonism.
4. Disinhibition.
5. Psychoticism.

Question 20

What are some comorbidities for borderline personality disorder?

Answer 20

Depression.
Bi-polar.
Substance use disorder.

Question 21

What is emotional dysregulation in borderline personality disorder?

Answer 21

Presents as impulsive, risky, manic behaviours.

Low stress will send into extreme anxiety.

High pleasure sends to mania.

Question 22

What is the unstable sense of self in borderline personality disorder?

Answer 22

Presents as dependency in relationships.

Emotions change rapidly.

Emotional changes swing between greater poles.

Question 23

How is borderline personality disorder different to bipolar personality disorder?

Answer 23

Bipolar has higher highers and lower lows but these last for a period of time.

Borderline is a flux on an hourly/daily basis. It is not as extreme as bipolar. Emotions are easily triggered, you are fragile and unable to control or cope with emotional life so you go up and down on the tiniest thing.

Question 24

What is Bipolar Disorder?

Answer 24

A mental condition marked by alternating periods of elation and depression.

Question 25

What is impulsive aggression?

Answer 25

Physical aggression to self and others, suicide attempts, domestic violence, drug abuse and property destruction.

Question 26

Goodman and New found in 2000 that _____________ accounted for a substanstial portion of deaths in borderline personality disorder.

Answer 26

Impulsive aggression.

Question 27

Impulsive aggression was found to account for a substantial portion of deaths in borderline personality disorder by who and in what year?

Answer 27

Goodman and New in 2000.

Question 28

What are the two kinds of harm involved in borderline personality disorder?

Answer 28

1. Self harm. | 2. Harm to others.

Question 29

Discuss self harm in relation to borderline personality disorder.

Answer 29

Patient is seeking emotional regulation and the physical pain relieves emotional pain temporarily. A form of controlling emotions. Physical self harm but also risky, harmful behaviours such as drug use and sexual promiscuity.

Question 30

Discuss harm to others in relation to borderline personality disorder.

Answer 30

Manipulating, controlling and aggression to partners.

Question 31

What is a therapy designed to treat borderline personality disorder?

Answer 31

Dialectical Behaviour Therapy.

Question 32

Who created Dialectical Behaviour Therapy and in what year?

Answer 32

Linehan in 1993.

Question 33

What is Dialectical Behaviour Therapy?

Answer 33

Teaching skills for managing emotions (emotion regulation). Validate emotions - "it's okay to have them". Individual therapy for emotional destabilization triggers. Identifying dialectics.

Question 34

Is there a consensus on medication for personality disorders?

Answer 34

No.

Question 35

Why is it important to have a team of people working with borderline personality disorder?

Answer 35

It's very high crisis and emotionally draining and could be too much for one person to deal with.

Question 36

Ogata et al in 1990 found that significant amounts of patients with borderline personality disorder commonly reported what 3 things?

Answer 36

1. Sexual abuse. 2. Abuse by more than one person. 3. Both sexual and physical abuse.

Question 37

Who found that significant amounts of patients with borderline personality disorder commonly reported sexual abuse, abuse by more than one person and both sexual and physical abuse and in what year?

Answer 37

Ogata et al in 1990.

Question 38

Broocks et al in 2005 found that ____% of patients with borderline did not report any severe traumatic events.

Answer 38

4%.

Question 39

Who found that 4% of patients with borderline did not report any severe traumatic events and in what year?

Answer 39

Broocks et al in 2005.

Question 40

Broocks et al in 2005 found that patients reported high rates of psychiatric disorders in their family such as __________.

Answer 40

Anxiety disorders, depression and suicide.

Question 41

Patients reported high rates of psychiatric disorders in their family such as Anxiety disorders, depression and suicide to who in what year?

Answer 41

Broocks et al in 2005.

Question 42

Broocks et al in 2005 found that _______ was reported more often in borderline patients.

Answer 42

Premature birth.

Question 43

Premature birth being reported more often in borderline patients was found by who in what year?

Answer 43

Broocks et al in 2005.

Question 44

Broocks et al in 2005 found that traumatic childhood experiences such as ______________________ were significantly higher in borderline patients than controls.

Answer 44

Sexual abuse, violence and separation from parents.

Question 45

Traumatic childhood experiences such as sexual abuse, violence and separation from parents were significantly higher in borderline patients than controls were reported to who and in what year?

Answer 45

Broocks et al in 2005.

Question 46

New et al in 2011 presented that abnormalities in the _________________ are associated with many of the symptoms in borderline personality disorder.

Answer 46

Frontolimbic networks.

Question 47

Abnormalities in the frontolimbic networks are associated with many of the symptoms in borderline personality disorder was found by who and in what year?

Answer 47

New et al in 2011.