CHAP 16

Question 1

personality disorders

Answer 1

are NOT mental illness
- abnormal dev in personality
- maladaptive in ADULTHOOD

what may have been adaptive in childhood are maladaptive in adulthood

Question 2

how to personality disorders occur

Answer 2

lorna smith benjamin: bcs of disrupted attachment bonds

kids do to others what they did to them

genetic predisposition

Question 3

comorbidity

Answer 3

high comorbidity, esp BPD

occurs bcs high diagnostic overlap
- similar symptoms

Question 4

cluster A personality disorders

Answer 4

odd and erratic

1. schizoid
2. schizotypal
3. paranoid

Question 5

schizotypal PD

Answer 5

extreme odd beliefs and difficulties relating to others

spectrum w schizo? currently considered different

eccentric behav and thot, paranormal, illusions, ghosts

mild-mod reading/writing deficits

Question 6

paranoid PD

Answer 6

extremely suspicious, hypervigilant

misinterpret situations, no humour

0.5-2.5%

Question 7

schizoid PD

Answer 7

seem indifferent and cold, bland behaviour

unaffected by praise, observe > participate

1%

Question 8

cluster B

Answer 8

dramatic, erratic, emotional

1. antisocial PD
2. psychopathy
3. BPD
4. narcissistic PD
5. histronic PD

Question 9

borderline PD

Answer 9

high emotional pain and turmoil, some think it’s PTSD

emot unstable, emptiness, self harm, high suicide attempts

identity disturbance: struggle to ID goals, self, sexuality, values

combo genetics, trauma, life exp

Question 10

how is BPD treated

Answer 10

DBT: dialectical behaviour therapy

Question 11

antisocial personality disorder

Answer 11

deceitful, crime, dangerous behaviour, manipulative
- impuslvie and risky
- aggressive

NO REMORSE

60% subs abuse
must have conduct disorder before 15

3%

Question 12

histrionic PD

Answer 12

uncomfortable if not centre of attention
- inapprop seductive or provocative
- use phys appearance

dramatic, theatrical
- rapid emot shifts and shallow
- suggestible and influenced

think relations are more intimate than reality

Question 13

narcissistic PD

Answer 13

arrogant, exploitative, expect special treatment w/o empathy

Question 14

cluster C disorders

Answer 14

anxious or fearful

1. avoidant PD
2. obsessive compulsive PD
3. dependent PD

Question 15

OCPD

Answer 15

is a personality disorder, not MI like OCD

conscientious behaviour i.e. follow rules, resist change, perfectionism

judge others, perfection interferes w task completion

devoted to work, inflexible abt ethics

Question 16

avoidant PD

Answer 16

fear failure, criticism, rejection
- avoid normal activities

need constant reassurance, repress emotions

similar in men and women

Question 17

dependent PD

Answer 17

motivated by anxiety, can’t disagree w others or initiate on own

try to get support from others

Question 18

are people with personality disorders mentally ill?

Answer 18

no.

i.e. ASPD knows right/wrong, still chooses wrong

MI may not understand actions

Question 19

labelling

Answer 19

can distract from understanding the person

necessary for clients to get insurance, research, accurately desc disorders

Question 20

type A personality

Answer 20

achievement oriented, jittery, competitive, hostile

related to CV indications of risk for heart disease

hostility predicts CV

Question 21

emotionality

Answer 21

neuroticism is beneficial to health bcs seek medical attention

optimism inc resilience, can cause to seek info or change behaviour

Question 22

conscientiousness and health

Answer 22

inc likely for good health behaviours

inc employment, which inc health/longevity

Question 23

good mental health

Answer 23

productive member of sicety
fulfilling relations, reg emotions
well integrated psych world
adaptive self concept

Question 24

good phys health

Answer 24

feel good, productive
able to do what want
good memory and decisions