Borderline Personality Disorder Flashcards

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1
Q

What is personality?

A

Enduring traits and patterns of behaviour.

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2
Q

What does personality do?

A

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

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3
Q

What is personality shaped by?

A

Experiences and learning to respond better.

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4
Q

What do trait theories suggest?

A

That certain trains are relevant/important to ones personality.

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5
Q

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

A
  1. Extroversion.
  2. Agreeableness.
  3. Conscientiousness.
  4. Neurotocism.
  5. Openness to experience.
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6
Q

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

A

Quiet or talkative.

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7
Q

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

A

Suspicious/Trusting.

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8
Q

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

A

Lazy/Hard-working.

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9
Q

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

A

Calm/Emotional.

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10
Q

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

A

Down-to-Earth/Imaginative.

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11
Q

What is a personality in a personality disorder?

A

Dysfunctional and unchanging.

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12
Q

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

A

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

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13
Q

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

A

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

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14
Q

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

A

3.

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15
Q

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

A
  1. Cluster A - eccentric, odd behaviour (schizoid, paranoid).
  2. Cluster B - impulsive, dramatic, emotional (Borderline Personality Disorder).
  3. Cluster 3 - Anxious, fearlful (Avoidant, OCD).
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16
Q

What are some types of personality disorder?

A

Paranoid.

Antisocial.

Borderline.

Dependent.

Obsessive-Compulsive.

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17
Q

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

A

3.

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18
Q

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

A
  1. Level of functioning.
  2. Specific traits shown (the clinical big 5).
  3. Personality disorder category.
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19
Q

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

A
  1. Negative emotion.
  2. Detachment.
  3. Antagonism.
  4. Disinhibition.
  5. Psychoticism.
20
Q

What are some comorbidities for borderline personality disorder?

A

Depression.
Bi-polar.
Substance use disorder.

21
Q

What is emotional dysregulation in borderline personality disorder?

A

Presents as impulsive, risky, manic behaviours.

Low stress will send into extreme anxiety.

High pleasure sends to mania.

22
Q

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

A

Presents as dependency in relationships.

Emotions change rapidly.

Emotional changes swing between greater poles.

23
Q

How is borderline personality disorder different to bipolar personality disorder?

A

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.

24
Q

What is Bipolar Disorder?

A

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

25
Q

What is impulsive aggression?

A

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

26
Q

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

A

Impulsive aggression.

27
Q

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

A

Goodman and New in 2000.

28
Q

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

A
  1. Self harm.

2. Harm to others.

29
Q

Discuss self harm in relation to borderline personality disorder.

A

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.

30
Q

Discuss harm to others in relation to borderline personality disorder.

A

Manipulating, controlling and aggression to partners.

31
Q

What is a therapy designed to treat borderline personality disorder?

A

Dialectical Behaviour Therapy.

32
Q

Who created Dialectical Behaviour Therapy and in what year?

A

Linehan in 1993.

33
Q

What is Dialectical Behaviour Therapy?

A

Teaching skills for managing emotions (emotion regulation).

Validate emotions - “it’s okay to have them”.

Individual therapy for emotional destabilization triggers.

Identifying dialectics.

34
Q

Is there a consensus on medication for personality disorders?

A

No.

35
Q

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

A

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

36
Q

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

A
  1. Sexual abuse.
  2. Abuse by more than one person.
  3. Both sexual and physical abuse.
37
Q

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?

A

Ogata et al in 1990.

38
Q

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

A

4%.

39
Q

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

A

Broocks et al in 2005.

40
Q

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

A

Anxiety disorders, depression and suicide.

41
Q

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

A

Broocks et al in 2005.

42
Q

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

A

Premature birth.

43
Q

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

A

Broocks et al in 2005.

44
Q

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

A

Sexual abuse, violence and separation from parents.

45
Q

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?

A

Broocks et al in 2005.

46
Q

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

A

Frontolimbic networks.

47
Q

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

A

New et al in 2011.