Ch. 7: Personality Disorders 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

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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

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3
Q

what is the DSM-5

A

compilation of many known psychological disorders organized by description of symptoms

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4
Q

what are positive symptoms

A

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

ex: hallucinations, disorganized thoughts

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5
Q

what are negative symptoms

A

the absence of normal psychological behaviors

ex: affects, avolition

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6
Q

what are the symptoms of as psychotic disorder

A

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

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7
Q

what kind of disorder is schizophrenia

A

a psychotic disorder

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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

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9
Q

What are delusions

A

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

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10
Q

Delusions of Reference

A

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

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11
Q

Delusions of Perception

A

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

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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

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13
Q

what is thought broadcasting

A

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

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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

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15
Q

what are hallucinations

A

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

ex auditory, visual, tactile

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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

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17
Q

what is disorganized behavior

A

inability to carry out the tasks of daily living

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18
Q

what is catatonia

A

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

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19
Q

what is echolalia

A

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

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20
Q

what is echopraxia

A

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

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21
Q

what is an affect

A

experience and display of emotion

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22
Q

what is a blunted affect

A

severe reduction in the intensity of affect expression

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23
Q

what is a flat affect

A

virtually no signs of emotional expression

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24
Q

what is an inappropriate affect

A

emotional expression is obviously deviated from content of speech

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25
what is avolition
decreased engagement in purposeful, goal-directed actions
26
what happens during the prodromal phase
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
27
what kind of disorder is major depressive disorder
a mood disorder
28
what qualifies as a major depressive episode
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
29
what are the sx of a major depressive episode (mnemonic)
SIG E. CAPS Sadness + - Sleep - Interest - Guilt - Energy - Concentration - Appetite - Psychomotor sx - Suicidal thoughts
30
what are the sx of major depressive disorder
at least one major depressive episode
31
what are the sx of a persistent depressive disorder
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
32
what are the sx of seasonal affective disorder
major depressive episode with a seasonal onset, typically the winter months
33
what type of disorder are bipolar disorders
mood disorders
34
what are the sx of bipolar disorders (I & II)
manic episodes followed by depressive episodes
35
what qualifies as a manic episode
+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
36
what are the sx of a manic episode (mnemonic)
DIG FAST - distractible - insomnia - grandiosity - flight of ideas - agitation - speech (pressured) - thoughtlessness (risky behavior)
37
what episodes characterize bipolar I disorder
manic episodes with OR without major depressive episodes
38
what episodes characterize bipolar II disorder
hypomania (instead of manic episodes) at least one major depressive episode
39
what are the sx of hypomania
mild manic episodes that do not significantly impair functioning or have psychotic features
40
what are the sx of cyclothymic disorder
periods of hypomanic episodes and dysthymia sx are not severe enough to be categorized as manic or major depressive episodes
41
what neurotransmitters are thought to be responsible for mood disorders
norepinephrine & serotonin ---> monoamine/catecholamine theory high levels = mania low levels = depression
42
what are the sx of generalized anxiety disorder
6+ months of disproportionate and persistent worry about many different things often physical sx accompany worrying
43
what type of disorder is a phobia
an anxiety disorder
44
what are the sx of a specific phobia
irrational fear of a specific object/situation that results in a compelling avoidance
45
what are the sx of social anxiety disorder
anxiety due to various social situations
46
what are the sx of agoraphobia
fear of being in inescapable situations (panic attack or exacerbation of other illness) which typically results in a fear of leaving your home
47
what are the sx of panic disorder
repeated panic attacks, episodes of a sense of impending doom more acute than generalized anxiety, can lead to agoraphobia
48
what are the sx of obsessive-compulsive disorder
obsessions - persistent intrusive thoughts and impulses which cause tension compulsions - repetitive tasks which relieve tension
49
what are the sx of body dymorphic disorder
unrealistic, negative perception of actually normal body parts results in extreme interventions, surgery, disruption of day-to-day life
50
what type of disorder is body dymorphic disorder
an obsessive-compulsive related disorder
51
what are the sx of PTSD
1+ month of intrusion, avoidance, negative cognition, and arousal following a traumatic event *ARe Not Avoiding It* --> ARousal, Negative cognition, AVOIDance, InTrusion
52
what are intrusion symptoms of PTSD
recurrent reliving of the event thought flashbacks, nightmares, and distress
53
what are avoidance symptoms of PTSD
deliberate attempts to avoid the memories, people, places, activities, and objects associated with trauma
54
what are negative cognitive symptoms of PTSD
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
what are arousal sx of PTSD
increased startle response, irritability, anxiety, self-destructive/reckless behavior, sleep disturbances
56
what is acute stress disorder
sx of PTSD lasting more than three days but less than one month
57
what characterizes dissociative disorders (overall)
person attempts to avoid stress by escaping from their identity with an otherwise intact sense of reality
58
what are the sx of dissociative amnesia
inability to recall past experiences, often following PSYCHOLOGICAL (not neurological) trauma
59
what occurs during a dissociative fugue
- sudden, unexpected moves away from home - purposeless wandering away from home - deep confusion over identity, sometimes assuming new identities
60
what are the sx of dissociative identity disorder
* 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
what are the sx of depersonalization/derealization disorder
depersonalization - feeling detached from mind and body | derealization - feeling detached from surroundings
62
what characterizes somatic symptom and related disorders (overall)
bodily symptoms that cause significant stress or impairment
63
what are the sx of somatic symptom disorder
individuals HAVE 1+ somatic symptom (possibly linked to underlying medical condition) which causes disproportionate stress
64
what are the sx of illness anxiety disorder
disproportionate stress over developing a medical condition that they don't currently have
65
what are the sx of conversion disorder
- symptoms affecting voluntary motor or sensory functions WITHOUT actual neurologic impairment (paralysis, blindness) - usually following stress or trauma
66
what characterizes an ego-syntonic personality disorder
the person perceives behavior as correct and in alignment with their goals
67
what characterizes an ego-dystonic personality disorder
the person perceives behavior as an illness and intrusive/bothersome
68
what characterizes Cluster A personality disorders
- paranoid, schizotypal, and schizoid personality | - behavior is labeled odd/eccentric
69
what are the sx of paranoid personality disorder
pervasive distrust and suspicion over others may be in the prodromal phase of schizophrenia
70
what are the sx of schizotypal personality disorder
odd/eccentric thinking, NOT as extreme as schizophrenia ideas of reference - less extreme than delusions of reference magical thinking - superstitious/clairvoyance
71
what are the sx of schizoid personality disorder
detachment from social relationships and restricted range of emotions, little desire for social interactions
72
what characterizes Cluster B personality disorders
- antisocial, borderline, histrionic, narcissistic | - behavior labeled dramatic, emotional or erratic
73
what are the sx of antisocial personality disorder
- disregard for and violation of the rights of others | - repeated illegal acts, aggressiveness, and lack of remorse
74
what are the sx of borderline personality disorder
- pervasive instability in interpersonal behavior, mood, self-image - identity/self-image disturbance and uncertainty - fear of abandonment
75
what occurs during splitting
persons with borderline personality disorder view others as all-good or all-bad as a defense mechanism to their deep uncertainty and instability
76
what are the sx of histrionic personality disorder
constant and excessive attention-seeking behavior
77
what are the sx of narcissistic personality disorder
- grandiose sense of self-importance or uniqueness - fantasies of success - need for admiration/attention - entitlement affects interpersonal relationships
78
what characterizes Cluster C personality disorders
- avoidant, dependent, obsessive-compulsive personality | - behavior is labeled as anxious and fearful
79
what are the sx or avoidant personality disorder
- extreme shyness and fear of rejection | - self-perception as socially inept/isolated despite wanting to change
80
what are the sx of dependent personality disorder
- continuous need for reassurance and dependence of select people to take action and make decisions
81
what are the sx of obsessive-compulsive personality disorder
- inflexible perfectionism with love of rules and order | - lifelong and ego-syntonic
82
what neurotransmitters are thought to be responsible for schizophrenia
increased dopamine
83
what is the effect of neuroleptics
block dopamine receptors side effect = sedation
84
what are the biological markers of depression
- high glucose metabolism in the amygdala - hippocampal atrophy after a long illness - abnormally high glucocorticoids (cortisol) - decrease norepinephrine, serotonin, and dopamine
85
what are the biological markers of bipolar disorder
- increased norepinephrine and serotonin - genetics (parents) - multiple sclerosis
86
what are the biological markers of Alzheimer's
- 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
what are the sx of parkinson's disease
- 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
what are the biological markers of parkinson's disease
- decreased dopamine production in the substantial nigra, resulting in improper functioning of the basal ganglia