Ch. 7: Personality Disorders Flashcards

You may prefer our related Brainscape-certified flashcards:
1
Q

how does the biomedical approach classify psychological disorders

A

disorder is rooted in biomedical disturbances so solution should be of biomedical nature and work to reduce symptoms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

how does the biopsychosocial approach classify psychological disorders

A

disorders have biological, psychological, and social components and require solutions that address all of these components via direct and indirect therapy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what is the DSM-5

A

compilation of many known psychological disorders organized by description of symptoms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what are positive symptoms

A

behaviors, thoughts, feelings that occur in addition to normal psychological behaviors

ex: hallucinations, disorganized thoughts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what are negative symptoms

A

the absence of normal psychological behaviors

ex: affects, avolition

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what are the symptoms of as psychotic disorder

A

+ delusions, hallucinations, disorganized thought, disorganized behavior, catatonia
- various negative symptoms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what kind of disorder is schizophrenia

A

a psychotic disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what are the symptoms of schizophrenia

A

continuous sx of a psychotic disorder lasting 6+ months with 1+ month of active sx

+ psychotic: delusions and hallucinations
+ disorder: disorganized behavior and thought
- affects, avolition, other negative sx

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are delusions

A

false beliefs that deviate from reality and are not shared by others in society

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Delusions of Reference

A

belief that elements in the environment are directed toward the individual (the TV is talking to you)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Delusions of Perception

A

belief person is being interfered with, discriminated against, plotted against, threatened

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Delusions of Grandeur

A

belief that the person is remarkable in some way and believes that they are an important icon or great thinker

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what is thought broadcasting

A

a delusion in which a person believes their thoughts are being broadcast to the external world

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what is thought insertion

A

a delusion in which a person believes other thoughts and ideas are being placed in their head by an outside source

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what are hallucinations

A

perceptions that SEEM real but are NOT due to actual external stimuli

ex auditory, visual, tactile

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what is disorganized thought

A

thought patterns that manifest by loosening of association

ideas shift from one idea from another so sharply that they are incompressible for a normal person

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

what is disorganized behavior

A

inability to carry out the tasks of daily living

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

what is catatonia

A

certain motor movements characterized by either spontaneous movement/activity or persistent rigid posture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

what is echolalia

A

a form of disorganized behavior in which someone else’s words are repeated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

what is echopraxia

A

a form of disorganized behavior in which someone else’s actions are repeated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

what is an affect

A

experience and display of emotion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

what is a blunted affect

A

severe reduction in the intensity of affect expression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

what is a flat affect

A

virtually no signs of emotional expression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

what is an inappropriate affect

A

emotional expression is obviously deviated from content of speech

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

what is avolition

A

decreased engagement in purposeful, goal-directed actions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

what happens during the prodromal phase

A

a phase of poor adjustment that a patient usually goes through prior to being diagnosed with schizophrenia

  • deterioration, social withdrawal, peculiar behavior, inappropriate affect, unusual experiences
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

what kind of disorder is major depressive disorder

A

a mood disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

what qualifies as a major depressive episode

A

2+ weeks with 5 of the following, 1 must be***:

  • ** prominent and persistent depressed mood
  • ** loss of interest in formerly enjoyable activities
  • appetite disturbances
  • substantial weight changes
  • sleep disturbances
  • decreased energy
  • feelings of worthlessness or excessive guilt
  • difficulty concentrating or thinking
  • psychomotor sx
  • thoughts of death or attempted suicide
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

what are the sx of a major depressive episode (mnemonic)

A

SIG E. CAPS

Sadness +

  • Sleep
  • Interest
  • Guilt
  • Energy
  • Concentration
  • Appetite
  • Psychomotor sx
  • Suicidal thoughts
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

what are the sx of major depressive disorder

A

at least one major depressive episode

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

what are the sx of a persistent depressive disorder

A

dysthymia: depressed mood that is not severe enough to meet the qualifications of a major depressive episode, but that lasts for an extended time, usually ~2 years

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

what are the sx of seasonal affective disorder

A

major depressive episode with a seasonal onset, typically the winter months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

what type of disorder are bipolar disorders

A

mood disorders

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

what are the sx of bipolar disorders (I & II)

A

manic episodes followed by depressive episodes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

what qualifies as a manic episode

A

+1 week of abnormal and persistent mood +3 of the following

  • increased distractibility
  • decreased need for sleep
  • inflated self-esteem or grandiosity
  • racing thoughts
  • increased goal-directed activity or agitation
  • pressure speech or increased talkativeness
  • high-risk behaviors
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

what are the sx of a manic episode (mnemonic)

A

DIG FAST

  • distractible
  • insomnia
  • grandiosity
  • flight of ideas
  • agitation
  • speech (pressured)
  • thoughtlessness (risky behavior)
37
Q

what episodes characterize bipolar I disorder

A

manic episodes with OR without major depressive episodes

38
Q

what episodes characterize bipolar II disorder

A

hypomania (instead of manic episodes) at least one major depressive episode

39
Q

what are the sx of hypomania

A

mild manic episodes that do not significantly impair functioning or have psychotic features

40
Q

what are the sx of cyclothymic disorder

A

periods of hypomanic episodes and dysthymia

sx are not severe enough to be categorized as manic or major depressive episodes

41
Q

what neurotransmitters are thought to be responsible for mood disorders

A

norepinephrine & serotonin —> monoamine/catecholamine theory

high levels = mania
low levels = depression

42
Q

what are the sx of generalized anxiety disorder

A

6+ months of disproportionate and persistent worry about many different things

often physical sx accompany worrying

43
Q

what type of disorder is a phobia

A

an anxiety disorder

44
Q

what are the sx of a specific phobia

A

irrational fear of a specific object/situation that results in a compelling avoidance

45
Q

what are the sx of social anxiety disorder

A

anxiety due to various social situations

46
Q

what are the sx of agoraphobia

A

fear of being in inescapable situations (panic attack or exacerbation of other illness) which typically results in a fear of leaving your home

47
Q

what are the sx of panic disorder

A

repeated panic attacks, episodes of a sense of impending doom

more acute than generalized anxiety, can lead to agoraphobia

48
Q

what are the sx of obsessive-compulsive disorder

A

obsessions - persistent intrusive thoughts and impulses which cause tension
compulsions - repetitive tasks which relieve tension

49
Q

what are the sx of body dymorphic disorder

A

unrealistic, negative perception of actually normal body parts

results in extreme interventions, surgery, disruption of day-to-day life

50
Q

what type of disorder is body dymorphic disorder

A

an obsessive-compulsive related disorder

51
Q

what are the sx of PTSD

A

1+ month of intrusion, avoidance, negative cognition, and arousal following a traumatic event

ARe Not Avoiding It –> ARousal, Negative cognition, AVOIDance, InTrusion

52
Q

what are intrusion symptoms of PTSD

A

recurrent reliving of the event thought flashbacks, nightmares, and distress

53
Q

what are avoidance symptoms of PTSD

A

deliberate attempts to avoid the memories, people, places, activities, and objects associated with trauma

54
Q

what are negative cognitive symptoms of PTSD

A

inability to recall key features of a traumatic event, negative mood or emotions, distance from others, and a persistent negative view of the world

55
Q

what are arousal sx of PTSD

A

increased startle response, irritability, anxiety, self-destructive/reckless behavior, sleep disturbances

56
Q

what is acute stress disorder

A

sx of PTSD lasting more than three days but less than one month

57
Q

what characterizes dissociative disorders (overall)

A

person attempts to avoid stress by escaping from their identity with an otherwise intact sense of reality

58
Q

what are the sx of dissociative amnesia

A

inability to recall past experiences, often following PSYCHOLOGICAL (not neurological) trauma

59
Q

what occurs during a dissociative fugue

A
  • sudden, unexpected moves away from home
  • purposeless wandering away from home
  • deep confusion over identity, sometimes assuming new identities
60
Q

what are the sx of dissociative identity disorder

A
  • formerly multiple personality disorder*
  • components of identity fail to integrate and behavior is dominated by 2+ distinct personalities
  • usually after severe trauma as a child
61
Q

what are the sx of depersonalization/derealization disorder

A

depersonalization - feeling detached from mind and body

derealization - feeling detached from surroundings

62
Q

what characterizes somatic symptom and related disorders (overall)

A

bodily symptoms that cause significant stress or impairment

63
Q

what are the sx of somatic symptom disorder

A

individuals HAVE 1+ somatic symptom (possibly linked to underlying medical condition) which causes disproportionate stress

64
Q

what are the sx of illness anxiety disorder

A

disproportionate stress over developing a medical condition that they don’t currently have

65
Q

what are the sx of conversion disorder

A
  • symptoms affecting voluntary motor or sensory functions WITHOUT actual neurologic impairment (paralysis, blindness)
  • usually following stress or trauma
66
Q

what characterizes an ego-syntonic personality disorder

A

the person perceives behavior as correct and in alignment with their goals

67
Q

what characterizes an ego-dystonic personality disorder

A

the person perceives behavior as an illness and intrusive/bothersome

68
Q

what characterizes Cluster A personality disorders

A
  • paranoid, schizotypal, and schizoid personality

- behavior is labeled odd/eccentric

69
Q

what are the sx of paranoid personality disorder

A

pervasive distrust and suspicion over others

may be in the prodromal phase of schizophrenia

70
Q

what are the sx of schizotypal personality disorder

A

odd/eccentric thinking, NOT as extreme as schizophrenia

ideas of reference - less extreme than delusions of reference
magical thinking - superstitious/clairvoyance

71
Q

what are the sx of schizoid personality disorder

A

detachment from social relationships and restricted range of emotions, little desire for social interactions

72
Q

what characterizes Cluster B personality disorders

A
  • antisocial, borderline, histrionic, narcissistic

- behavior labeled dramatic, emotional or erratic

73
Q

what are the sx of antisocial personality disorder

A
  • disregard for and violation of the rights of others

- repeated illegal acts, aggressiveness, and lack of remorse

74
Q

what are the sx of borderline personality disorder

A
  • pervasive instability in interpersonal behavior, mood, self-image
  • identity/self-image disturbance and uncertainty
  • fear of abandonment
75
Q

what occurs during splitting

A

persons with borderline personality disorder view others as all-good or all-bad as a defense mechanism to their deep uncertainty and instability

76
Q

what are the sx of histrionic personality disorder

A

constant and excessive attention-seeking behavior

77
Q

what are the sx of narcissistic personality disorder

A
  • grandiose sense of self-importance or uniqueness
  • fantasies of success
  • need for admiration/attention
  • entitlement affects interpersonal relationships
78
Q

what characterizes Cluster C personality disorders

A
  • avoidant, dependent, obsessive-compulsive personality

- behavior is labeled as anxious and fearful

79
Q

what are the sx or avoidant personality disorder

A
  • extreme shyness and fear of rejection

- self-perception as socially inept/isolated despite wanting to change

80
Q

what are the sx of dependent personality disorder

A
  • continuous need for reassurance and dependence of select people to take action and make decisions
81
Q

what are the sx of obsessive-compulsive personality disorder

A
  • inflexible perfectionism with love of rules and order

- lifelong and ego-syntonic

82
Q

what neurotransmitters are thought to be responsible for schizophrenia

A

increased dopamine

83
Q

what is the effect of neuroleptics

A

block dopamine receptors

side effect = sedation

84
Q

what are the biological markers of depression

A
  • high glucose metabolism in the amygdala
  • hippocampal atrophy after a long illness
  • abnormally high glucocorticoids (cortisol)
  • decrease norepinephrine, serotonin, and dopamine
85
Q

what are the biological markers of bipolar disorder

A
  • increased norepinephrine and serotonin
  • genetics (parents)
  • multiple sclerosis
86
Q

what are the biological markers of Alzheimer’s

A
  • diffuse atrophy of the brain
  • flattened sulci in the cerebral cortex
  • enlarged cerebral ventricles
  • deficient blood flow in parietal lobes
  • reduction in acetylcholine and choline acetyltransferase
  • reduced metabolism in temporal and parietal lobes
  • senile plaques of the beta-amyloid
  • neurofibrillary tangles
87
Q

what are the sx of parkinson’s disease

A
  • bradykinesia (slow body movements)
  • resting tremor
  • pill rolling tremor
  • masklike facies (expressionless face and open mouth)
  • cogwheel rigidity
  • shuffling gait with stooped posture

possible dementia or depression

88
Q

what are the biological markers of parkinson’s disease

A
  • decreased dopamine production in the substantial nigra, resulting in improper functioning of the basal ganglia