Chapter 18- Personality disorders Flashcards
What characterizes a personality disorder?
1pts
What’s the degree of impairment in self?
5pts
Disturbances with the “self” and “interpersonal (empathy & intimacy) functioning”
0= no impairment
1= mild impairment
2= moderate impairment
3= serious impairment
4= extreme impairment
What are the 3 clusters of personality disorders?
Cluster A- 3pts
Cluster B- 4pts
Cluster C- 3pts
Cluster A- Odd/Eccentric: Paranoid, schizoid, schizotypal
Cluster B- Dramatic, emotional, erratic: Antisocial, borderline, narcissistic, histrionic
Cluster C- Anxious/fearful): Avoidant, dependent, obsessive compulsive
What is a core feature and some symptoms of cluster A- paranoid personality disorder:
4pts
Core feature: distrust
Symptoms:
- preoccupation with doubts of others intentions
- Hypervigilant
- React angrily to others/counter attacks
What is a core feature and some symptoms of cluster A- Schizoid personality disorder?
5pts
Core feature: social detachment
Symptoms:
- Detached
- Lack of close friendships
- No desire for relationships
- Seen by others as cold
What are 2 core features and some symptoms of cluster A- Schizotypal personality disorder
6pts
Core features: Interpersonal deficits, eccentric behaviors
Symptoms:
- Odd, unusual thoughts and behaviors
- Lacks close friends
- Confused boundaries between self and others
- Suspicious or paranoid ideation
What is a core feature and some symptoms of cluster B- borderline personality disorder
6pts
Core feature: Instability
Symptoms:
- Poorly developed, unstable self image
- Feelings of emptiness and boredom
- Impulsivity
- Can’t recognize others feelings
- Intense anger accompanied by temper tantrums, physical assault, suicidal threats, self mutilating behavior
What is 1 core feature and some symptoms of cluster B- Narcissistic personality disorder
6pts
- Core feature: grandiose thoughts and behaviors
Symptoms:
- Exaggerated sense of self
- Lack of empathy
- Goals based on approval from others
- Admiration seeking
- Envious
What are 2 core features and some symptoms of cluster B- Antisocial personality disorder
5pts
What are these 2 disorders? What’s a key difference?
Disorder 1:
- Defiance
- Spitefulness, vindictiveness
- Negativity
- Hostility and verbal aggression
Disorder 2:
- Aggressions to people and animals
- Destruction of property
- Deceitfulness or theft
- Serious violation of rules
- Limited prosocial emotion (remorse, guilt, lack of empathy)
Core features: Disregard and violation of the rights of others
Symptoms:
- Disregard for rules/laws
- Lack of empathy/callousness
- Impulsivity and irresponsibility
- Opposition Defiant Disorder: irritability, arguing and defiance
- Conduct Disorder: more severe, serious and repetitive rule breaking
What are 2 core features and some symptoms of cluster B- Histrionic personality disorder
6pts
Core features: Excessive emotionality and attention seeking
Symptoms:
- Need to be the center of attention
- Rapid mood changes
- Angry outburst if attention is not given
- Considered relationships more intimate than they really are
What is a core feature and some symptoms of Cluster C- dependent personality disorder?
4pts
Core feature: Excessive need to be cared for by others
Symptoms:
- Need to be taken care of
- Submissiveness and fear of disapproval
- Difficulty with independence
What is a core feature and some symptoms of cluster C- Avoidant personality disorder
4pts
Core feature: Social inhibition
Symptoms:
- Intense fear of rejection/criticism
- Feelings of inadequacy/low self-esteem
- Avoidance of social interaction
What are core features of Cluster C- Obsessive compulsive personality disorder
3pts
Order, perfection, and control
What is the prevalence?
- For most equal male and female prevalence
- Exemptions:
–> ASPD - M>F
–> Borderline and dependent PD - F>M
What are some psychosocial interventions for PD?
- Dialectical Behavior Therapy
- CBT and Schema-focused therapy
