Chap. 12 - Personality disorders

Question 1

Ego-syntonic behaviors

Answer 1

Comfortable; consistent with personality; causes little concern to the individual and no treatment is sought

Question 2

Ego-dystonic behaviors

Answer 2

Causes discomfort to the individual; inconsistent with personality; person often seeks treatment

Question 3

Personality disorder defined

Answer 3

Chronically maladaptive patterns of behaviors that cause functional impairment in work, school, or relationships

Question 4

Four areas of functionality impacted by PDs

Answer 4

Affective traits
Behavioral traits
Cognitive traits
Social traits

Question 5

Maladaptive affective traits are…

Answer 5

Overly affectual patterns of response

Question 6

Maladaptive behavioral traits are…

Answer 6

Poor impulse control patterns of response

Question 7

Maladaptive cognitive traits are…

Answer 7

Unrealistic perceptual patterns of response

Question 8

Maladaptive social traits are…

Answer 8

Unsatisfying interpersonal patterns of response

Question 9

With PDs, maladaptive traits are _____ and _____ across most personal and social situations

Answer 9

Inflexible and pervasive

Question 10

PDs are coded on Axis __

Answer 10

II

Question 11

Cluster A traits are…

Answer 11

Odd, unusual, eccentric

Question 12

Cluster A disorders are (3)

Answer 12

Paranoid PD
Schizoid PD
Schizotypal PD

Question 13

Cluster B traits are…

Answer 13

Dramatic, affective, unstable

Question 14

Cluster B disorders are (4)

Answer 14

Antisocial PD
Borderline PD
Histrionic PD
Narcissistic PD

Question 15

Cluster C traits are…

Answer 15

Anxious

Question 16

Cluster C disorders are (3)

Answer 16

Avoidant PD
Dependent PD
Obsessive-compulsive PD

Question 17

Psychodynamic theory of PD states that in childhood the individual did not accomplish the tasks of _____ and _____

Answer 17

Separation and individuation

Question 18

Separation, as relates to object relations

Answer 18

Develop intrapsychic self-representation distinct and separate from mother

Question 19

Individuation, as relates to object relations

Answer 19

Form distinct identity with characteristics unique to the individual

Question 20

Two Bowenian risk factors for development of PD

Answer 20

Family enmeshment

Familial social isolation

Question 21

Incidence of PD in the US

Answer 21

0.5% - 5.4%

Question 22

Patterns of pervasive distrust and suspiciousness, with odd and unusual behavior, define Cluster __ disorders

Answer 22

A

Question 23

Solitary; neither wants nor needs close personal or sexual relations

Answer 23

Paranoid PD

Question 24

Affective flattening; indifferent to others; appears cold and detached

Answer 24

Schizoid PD

Question 25

Odd beliefs and behaviors; inappropriate affect; magical thinking and ideas of reference

Answer 25

Schizotypal PD

Question 26

Patterns of pervasive affective and interpersonal disruption define Cluster __ disorders

Answer 26

B

Question 27

Antisocial PD is more common in _____ (gender), is frequently comorbid with ___, and is usually precursed by a dx of _____ _____ as a child.

Answer 27

Men SUD Conduct disorder

Question 28

Borderline PD is more common in _____ (gender), and is often precursed with a hx of _____, _____, and/or _____.

Answer 28

Women | Abuse, trauma, neglect

Question 29

Deceitful and lying; does not comply with social norms; frequent arrests; lacks regard for others and lacks remorse

Answer 29

Antisocial PD

Question 30

Avoids abandonment at all costs; unstable, intense interpersonal relationships; recurrent suicidality

Answer 30

Borderline PD

Question 31

Inappropriately seductive; uncomfortable when not the center of attention; suggestible and easily influenced; considers relationships to be more intimate than they are

Answer 31

Histrionic PD

Question 32

Grandiose self-importance; preoccupied with fantasies of power and brilliance; requires admiration; lacks empathy

Answer 32

Narcissistic PD

Question 33

Patterns of pervasive anxiety and fear define Cluster __ disorders

Answer 33

C

Question 34

When considering avoidant behavior, the clinician must take into account the client's _____

Answer 34

Culture

Question 35

Avoidant PD: more in men, women, or equal?

Answer 35

Equal

Question 36

Dependent PD: more in men, women, or equal?

Answer 36

Women

Question 37

Obsessive-compulsive PD: more in men, women, or equal?

Answer 37

Men

Question 38

Avoids social situations and relationships out of fear of not being liked or fear of shame; views self as inept or unappealing; very reluctant to take risks or engage people or activities

Answer 38

Avoidant PD

Question 39

Difficulty making own choices or expressing disagreement; goes to obsessive lengths to obtain nurturing and support from others

Answer 39

Dependent PD

Question 40

Preoccupied with details, order, rules; overly conscious or inflexible on issues of morality; rigid; reluctant to delegate to others

Answer 40

Obsessive-compulsive PD

Question 41

PD differentials

Answer 41

Affective disorders | SUD

Question 42

Pharm management - Impulsivity

Answer 42

SSRIs | Anticonvulsant mood stabilizers

Question 43

Pharm management - Affective instability

Answer 43

SSRIs | Anticonvulsant mood stabilizers

Question 44

Pharm management - Anxiety

Answer 44

SSRIs Non-BZO anxiolytics BZO with extreme caution

Question 45

Best treatment for PD - pharm, therapy, or both?

Answer 45

Therapy

Question 46

#1 therapy for borderline PD

Answer 46

DBT