Chapter 24 - Personality Disorder & Pre-Class Quiz

Question 1

Match the Personality Disorder to the definition

a.) Dependent
b.) Narcissistic
c.) Antisocial
d.) Schizoid
e.) Schizotypal
f.) Paranoid
g.) Histrionic
h.) Obsessive-Compulsive Disorder
i.) Borderline
j.) Avoidant

1.) Excessive emotionally & attention seeking

2.) Detatched from social relationships; restricted affect; involved more with things than people

3.) Acute discomfort in relationships; cognitive & perceptual distortions; eccentric behavior

4.) Characterized by a pervasive pattern of unstable interpersonal relationships, self-image, & affect & marked impulsivity, high-risk for self-mutilation

5.) Social inhibitions; feelings of inadequacy; hypersensitivity to negative evaluation

6.) Characterized by pervasive pattern of disregard for & violation of the rights of others

7.) Submissive & clinging behavior; excessive need to be taken care of

8.) Preoccupation with orderliness, perfectionism, & control

9.) Gradiose; lack of empathy; need for admiration

10.) Mistrust & suspicion of others; guarded, restricted affect

Answer 1

1.) Excessive emotionality & attention-seeking = Histrionic (g.)

2.) Detached from social relationships; restricted affect; involved more with things than people = Schizoid (d.)

3.) Acute discomfort in relationships; cognitive or perceptual distortions; eccentric behavior = Schizotypal (e.)

4.) Characterized by a pervasive pattern of unstable interpersonal relationships, self-image, & affect & marked impulsivity, high-risk for self-mutilation = Borderline (i.)

5.) Social inhibitions; feelings of inadequacy; hypersensitivity to negative evaluation = Avoidant (j.)

6.) Characterized by a pervasive pattern of disregard for & violation of the rights of others = Antisocial (c.)

7.) Submissive & clinging behavior; excessive need to be taken care of = Dependent (a.)

8.) Preoccupation iwth orderliness, perfectionism, & control = Obsessive-Compulsive Disorder (h.)

9.) Grandiose; Lack of empathy; need for admiration = Narcissistic (b.)

10.) Mistrust & suspicion of others; guarded, restricted affect = Paranoid (f.)

Question 2

Which personality disorder matches the following definition:

Excessive emotionally & attention-seeking

a.) Dependent
b.) Narcissistic
c.) Antisocial
d.) Schizoid
e.) Schizotypal
f.) Paranoid
g.) Histrionic
h.) Obsessive-Compulsive Disorder
i.) Borderline
j.) Avoidant

Answer 2

g.) Histrionic

Question 3

Which personality disorder matches the following definition:

Detached from social relationships; restricted affect; involved more with things than people

a.) Dependent
b.) Narcissistic
c.) Antisocial
d.) Schizoid
e.) Schizotypal
f.) Paranoid
g.) Histrionic
h.) Obsessive-Compulsive Disorder
i.) Borderline
j.) Avoidant

Answer 3

d.) Schizoid

Question 4

Which personality disorder matches the following definition:

Acute discomfort in relationships; cognitive or perceptual distortions; eccentric behavior

a.) Dependent
b.) Narcissistic
c.) Antisocial
d.) Schizoid
e.) Schizotypal
f.) Paranoid
g.) Histrionic
h.) Obsessive-Compulsive Disorder
i.) Borderline
j.) Avoidant

Answer 4

e.) Schizotypal

Question 5

Which personality disorder matches the following definition:

Characterized by pervasive pattern of unstable interpersonal relationships, self-image, & affect & marked impulsivity, high-risk for self-mutilation

a.) Dependent
b.) Narcissistic
c.) Antisocial
d.) Schizoid
e.) Schizotypal
f.) Paranoid
g.) Histrionic
h.) Obsessive-Compulsive Disorder
i.) Borderline
j.) Avoidant

Answer 5

i.) Borderline

Question 6

Which personality disorder matches the following definition:

Social inhibitions; feelings of inadequacy; hypersensitivity to negative evaluation

a.) Dependent
b.) Narcissistic
c.) Antisocial
d.) Schizoid
e.) Schizotypal
f.) Paranoid
g.) Histrionic
h.) Obsessive-Compulsive Disorder
i.) Borderline
j.) Avoidant

Answer 6

j.) Avoidant

Question 7

Which personality disorder matches the following definition:

Characterized by a pervasive pattern of disragard for and violation of the rights of others

a.) Dependent
b.) Narcissistic
c.) Antisocial
d.) Schizoid
e.) Schizotypal
f.) Paranoid
g.) Histrionic
h.) Obsessive-Compulsive Disorder
i.) Borderline
j.) Avoidant

Answer 7

c.) Antisocial

Question 8

Which personality disorder matches the following definition:

Submissive & clinging behavior; excessive need to be taken care of

a.) Dependent
b.) Narcissistic
c.) Antisocial
d.) Schizoid
e.) Schizotypal
f.) Paranoid
g.) Histrionic
h.) Obsessive-Compulsive Disorder
i.) Borderline
j.) Avoidant

Answer 8

a.) Dependent

Question 9

Which personality disorder matches the following definition:

Preoccupation with oderliness, perfectionism, & control

a.) Dependent
b.) Narcissistic
c.) Antisocial
d.) Schizoid
e.) Schizotypal
f.) Paranoid
g.) Histrionic
h.) Obsessive-Compulsive Disorder
i.) Borderline
j.) Avoidant

Answer 9

h.) Obsessive-Compulsive Disorder

Question 10

Which personality disorder matches the following definition:

Grandiose; lack of empathy; need for admiration

a.) Dependent
b.) Narcissistic
c.) Antisocial
d.) Schizoid
e.) Schizotypal
f.) Paranoid
g.) Histrionic
h.) Obsessive-Compulsive Disorder
i.) Borderline
j.) Avoidant

Answer 10

b.) Narcissistic

Question 11

Which personality disorder matches the following definition:

Mistrust & suspicion of others; guarded, restricted affect

a.) Dependent
b.) Narcissistic
c.) Antisocial
d.) Schizoid
e.) Schizotypal
f.) Paranoid
g.) Histrionic
h.) Obsessive-Compulsive Disorder
i.) Borderline
j.) Avoidant

Answer 11

f.) Paranoid

Question 12

Describe each of the 3 personality disorder clusters & list the Personality Disorders in each cluster

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Answer 12

Cluster A: Odd or Eccentric
* Paranoid
* Schizoid
* Schizotypal

Cluster B: Dramatic, emotional, or erratic
* Borderline
* Narcissistic
* Histrionic
* Antisocial

Cluster C: Anxious or fearful
* Avoidant
* Dependent
* Obsessive-Compulsive

Question 13

Describe each of the 3 personality disorder clusters & list the Personality Disorders in each cluster

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Answer 13

Cluster A: Odd or eccentric
* Paranoid
* Schizoid
* Schizotypal

Cluster B: Dramatic, emotional, or erratic
* Borderline
* Narcissistic
* Histrionic
* Antisocial

Cluster C: Anxious or fearful
* Avoidant
* Dependent
* Obsessive-Compulsive

Question 14

Describe Cluster A Personality Disorders & list the personality disorder in Cluster A

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Answer 14

Common Features:
* Eccentric or odd behaviors
* Unusual levels of suspiciousness
* Magical Thinking
* Cognitive impairment

Disorders:
* Schizotypal
* Paranoid
* Schizoid

Question 15

Describe the similarities & differences between Schizotypal, Paranoid, & Schizoid personality disorders

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Answer 15

Schizotypal: Distorted Reality
* Odd ideas
* Eccentric
* Superstitious
* Suspicious
* Reclusive
* Religiosity

Paranoid: Delusional / Paranoid
* Paranoia
* Distrustful nature
* Doubts loyalty
* Keeps grudges
* Easily offended

Schizoid: Social Withdrawal Schizoid = Avoid
* Aloof
* Uninterested in others
* Solitary
* Socially withdrawn
* Unaffected by praise or criticism

Question 16

Explain Paranoid Personality Disorder

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Answer 16

• Delusional / Paranoid
• Unwilling to forgive
• Hostile
• Distrustful
• Doubts loyalty
• Easily offended
• Holds a grudge

Question 17

Describe the treatment for Paranoid Personality Disorder

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Answer 17

• Group therapy
• Antianxiety medications (Diazepam)
• Antipsychotics for more severe delusions (Haloperidol & Pimozide)

Question 18

Describe Schizoid Personality Disorder

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Answer 18

Schizoid = AVOID

• Avoid social situations because they like to be alone
• Loners
• Social withdrawal
• Avoid close relationships
• Socially isolated
• Aloof: distant from others; easily offended; distrustful

Question 19

Describe the treatment for schizoid personality disorder

Answer 19

• Psychotherapy
• Group therapy
• Antidepressants
• 2nd Generation Antipsychotics

Question 20

Describe Schizotypal Personality Disorder

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Answer 20

• Magical Thinking (odd beliefs)
• Suspicous
• Paranoia & misinterpreted motivations
• Can be made aware that their thinking or beliefs are odd & don’t fit reality
• Anxiety in social situations
• Rambling conversation
• Cult like groups or thinking

Question 21

Describe Group A Personality Disorders & list the associated personality disorders

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Answer 21

Features:
* BIG behaviors & BIG emotions
* Dramatic
* Emotional
* Erratic Behavior
* Problems with impulse control

Disorders
* Paranoid
* Schizoid
* Schizotypal

Question 22

Describe Histrionic Personality Disorder

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Answer 22

• Drama Queen
• Attention Seeking
• Flamboyant
• Seductive or provocative behaviors
• Difficulty in relationships (aren’t there for others)
• Over the top
• Dresses inappropriately or seductively
• Easily offended
• No insight into how their behavior affects others

Question 23

Describe Narcissistic Personality Disorder

What is the best treatment for this type of disorder?

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Answer 23

• Grandiosity (world revolves around them)
• Have low self-esteem
• Entitled
• Hypersensitive to criticims
• Don’t care about how others feel
• Feels they are the center of the universe

Treatment:
* CBT
* Group therapy
* Lithium

Question 24

Describe Antisocial Personality Disorder

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Answer 24

“Sociopaths”
* Pattern of disregard for, & violation of the rights of others
* Callousness (lack of empathy)
* Manipulative / charming
* Antagonistic behaviors (concerned with gaining personal power & focus on gratification of self)
* Do what they want, when they wanna
* Don’t care about the rules

Question 25

Antisocial personality disorder is seen as what disorder in children?

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Answer 25

Conduct Disorder

Question 26

Describe Borderline Personality Disorder

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Answer 26

• Splitting: everything is black & white
• Self-destructive
• Chronic emptiness
• Unstable
• Intense relationships
• Intense fear of abandonment
• Rapid mood shift
• Self-mutilation impulsivity

Question 27

Common cormorbidities with Borderline Personality Disorder

Answer 27

• Depression
• Substance use disorder

Question 28

Which therapy is used for Borderline Personality Disorder?

Answer 28

• DBT
• CBT
• Schema-focused therapy (focuses on breaking bad habits / patterns)

Question 29

Describe Cluster C Personality Disorders & list the associated personality disorders

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Answer 29

• Anxious or fearful behavior
• Rigid patterns of social shyness

Disorders:
* Avoidant
* Dependent
* Obsessive-compulsive

Question 30

Describe Avoidant Personality Disorder

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Answer 30

• Scared of rejection from others so they avoid social situations due to low self-esteem
• Shy & avoid meeting new people
• Feeling of inadequacy
• At risk fo ranxiety & depression
• Hypersensitivity to criticism
• Low Self-Esteem
• Preoccupied with rejection, humiliation, & failure

Question 31

Describe Dependent Personality Disorder

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Answer 31

• Clinging behavior
• Submissive behavior
• Dependent on others
• Fear of separation & abandonment
• Manipulates others into caring for them
• Intense anxiety when left alone briefly

Question 32

Describe Obsessive Compulsive (Personality) Disorder (OCD / OCPD)

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Answer 32

• Extreme perfectionist
• Memorize what they’re going to say because they want to be perfect all the time
• Goal seeking / standards interfere with their task completion
• Hold themselves (and others) to very high standards that are often impossible to meet
• Can’t meet deadlines because they’re so fixated on things being perfect

Question 33

Sydney, 27, is dropped off at the emergency department - literally dropped. Two of her roommates force her bodily from their car & drop 2 large plastic garbage bags on the grass. Sydney, who is very unkempt, stands shrieking, & an EMT standing near the outside entrance, takes a few running steps to stop the car as it backs out.
“What’s happening here?” he says.
“Sorry,” says one of the women, “but we just can’t take it anymore. She’s uncontrollable, & we’re both afraid of her. She needs help”.

Sydney is brought to the ED, sobbing & shrieking the entire time. She has evidence of “cutting” up & down her arms, & she shouts curses at each female nurse & refuses to cooperate saying that she i stired of everyone trying to tell her what to do. She calms down a little when a male nurse approaches. When asked why that helps, she says, “Women are jerks. Never trust other women. They’re all mean”.

Sydney is admitted to the psych unit for evaluation. Which behaviors would be consistent with a diagnosis of borderline personality disorder?

a.) Splitting
b.) Inflexible standards
c.) Lack of empathy
d.) Absence of remorse
e.) A and B

Answer 33

e.) A and B

Question 34

Sydney, 27, is dropped off at the emergency department - literally dropped. Two of her roommates force her bodily from their car & drop 2 large plastic garbage bags on the grass. Sydney, who is very unkempt, stands shrieking, & an EMT standing near the outside entrance, takes a few running steps to stop the car as it backs out.
“What’s happening here?” he says.
“Sorry,” says one of the women, “but we just can’t take it anymore. She’s uncontrollable, & we’re both afraid of her. She needs help”.

Sydney is brought to the ED, sobbing & shrieking the entire time. She has evidence of “cutting” up & down her arms, & she shouts curses at each female nurse & refuses to cooperate saying that she i stired of everyone trying to tell her what to do. She calms down a little when a male nurse approaches. When asked why that helps, she says, “Women are jerks. Never trust other women. They’re all mean”.

Which behavior indicates that sydney, our patient diagnosed with borderline personality disorder, is improving?

a.) She cries when her roommate refuses to go to the dining room with her.
b.) She yells at the gorup facilitator when he points out that she is monopolizing the group.
c.) She informs a staff member that she is having thoughts of harming herself.
d.) She tells the evening staff that the day stafff excused her from group to smoke when she got upset.

Answer 34

c.) She informs a staff member that she is having thoughts of harming herself.