Chapter 6: Personality Disorders Flashcards
What is the general descriptor of a personality disorder?
- Inflexible or maladaptive behavior patterns.
- Cause significant personal distress.
- Impaired functioning.
When do personality disorders typically become evident?
In adolescence and early adulthood, but continue on through much of adult life.
What is the biggest difficulty with treating personality disorders?
Traits become so ingrained in an individual that they are highly resistant to change.
What are the three clusters of personality disorders listed by the DSM? Describe each.
Cluster A: odd and eccentric.
Cluster B: overly dramatic, emotional, erratic.
Cluster C: anxious or fearful.
What disorders belong to Cluster A?
Paranoid, Schizoid, and Schizotypal.
What is a paranoid personality disorder? Prevalence? Gender-specificty?
Cluster A disorder is characterized by persistent suspiciousness of the motives of others, but not to the point of holding clear cut delusions.
Prevalence in 2.3-4.4%
More common in men.
What is a schizoid personality disorder? Prevalence?
Cluster A disorder characterized by detachment from social relationships and a restricted range of emotional expression, described as a ‘loner’.
Prevalence in 3.1-4.9%
How are people with schizoid personality disorder typically described?
Distant and aloof.
What is a shizotypal personality disorder? Prevalence?
Cluster A disorder characterized by acute discomfort in close relationships, cognitive or perceptual distortions, and eccentricities of behavior.
Contain paranoid thinking.
Prevalence is 3%.
What are ideas of reference?
A form of delusional thinking in which a person reads personal meaning into the behavior of others or external events that are completely independent of the person.
(The 9/11 bombing was done to threaten ME, they are trying to find and hurt ME)
What disorders are categorized under Cluster B?
Antisocial personality disorder, Borderline personality disorder, Histrionic personality disorder, Narcissistic personality disorder.
What is Antisocial personality disorder?
Cluster B disorder characterized by a chronic pattern of disregard for and violation of the rights of others.
What are the key characteristics of APD?
Low levels of anxiety in threatening situations, lack of guilt/remorse.
Superficial charm.
What is the prevalence of APD?
4.3%
What gender is APD most common in?
Men.
What is borderline personality disorder?
A cluster B disorder characterized by a pervasive pattern of instability in relationships, self-image, and mood. Maintains a lack of control over impulses.
What are the key characteristics of BPD?
Uncertainties about self, loyalties, careers.
Fear of abandonment.
Black-and-White thinking.
Intense and shifting beliefs about others.
What is the prevalence of BPD?
1.6-5.9%
What disorder features a common engagement in self-mutilation as a means of manipulating others?
BPD.
What is a histrionic personality disorder?
Cluster B disorder characterized by the excessive need to be the centre of attention and receive constant praise/approval. Often appear overly dramatic and emotional. More common in women.
What is Narcissistic personality disorder?
Cluster B disorder characterized by inflated or grandiose sense of themselves and an extreme need for admiration.
Typically self-absorbed, lacking empathy.
What is the prevalence of Narcissistic personality disorder? Gender specific?
0-6.2%, more than half of diagnosed individuals are men.
What disorders are categorized under Cluster C?
Avoidant personality disorder, dependent personality disorder, and obsessive-compulsive personality disorder.
What is avoidant personality disorder?
Cluster C disorder is characterized by the avoidance of social relationships due to fears of rejection and criticism. Fear of public embarrassment.
What is the prevalence of avoidant personality disorder? Gender-specific?
2.4%. Equal rates among men and women.
What is dependent personality disorder?
A cluster C disorder is characterized by difficulties making independent decisions and by overly dependent behavior.
Excessive need to be taken care of by others, constantly seeking advice. More common in women.
What is an obsessive-compulsive personality disorder?
Cluster C disorder characterized by rigid ways of relating to others, perfectionistic tendencies, lack of spontaneity, and excessive attention to details.
What is the prevalence of obsessive-compulsive personality disorder? Gender-specific?
2.1-7.9%. More common in men.
What is the psychodynamic perspective on personality disorders?
Oedipal conflicts explain normal and abnormal personality development (classical)
Development of the sense of self explain disorders such as narcissistic and BPD; (self-psychology)
What is splitting?
Psychodynamic term used to describe the inability of a person to reconcile the positive and negative aspects of themselves and others to a cohesive (grey) integration, resulting in sudden shifts between strongly positive and negative feelings.
What is the learning perspective on personality disorders?
Personality disorders are maladaptive patterns of behavior; interest in defining the learning histories and situational factors that give rise to maladaptive behavior and the reinforcers that maintain them.
What are the family perspectives on personality disorders?
Disturbances in family relationships underlie the development of personality disorders.
Physical/sexual abuse leads to the development of personality disorders. Extreme fears of abandonment lead to failure of secure parental attachment.
What are the cognitive-behavioral perspectives of personality disorders?
Observation and imitation; people with personality disorders believe that their social experiences influence their behavior.
What are the biological perspectives of personality disorders?
Personality traits may be inherited.
What are the sociocultural perspectives of personality disorders?
Social conditions may contribute to development of behavioral patterns. (Socioeconomic risk factors)
What are psychodynamic approaches to personality disorder treatment?
Bring awareness of the roots of self-defeating behavior patterns and learn more adaptive ways of relating to others.
What are cognitive-behavioral approaches to personality disorder treatment?
Attempt to replace maladaptive behavior with adaptive behavior.
What are the Canadian Treatment Services?
- Safety and crisis support.
- Containment of psychological distress through continuing care.
- Teach control and regulation skills.
- Long-term treatment.
How is Paranoid personality disorder treated?
CBT, medication (anti-depressants, anti-psychotics)
How is schizoid personality disorder treated?
CBT, psychodynamic therapy, dialectical behavioral therapy, group therapy, medication (anti-depressants)
What is dialectical behavior therapy?
Form of therapy used to treat dysfunction with interpersonal relationships as well as self-view and maladaptive behavior/thoughts.
How is schizotypal personality disorder treated?
CBT, supportive therapy (building trust), supportive-expressive therapy (remove negative bias from relationships)
How is antisocial personality disorder treated?
Parent management treatment (prevention) Contingency management (reward system) Schema therapy (bring to life schemas experienced in childhood) CBT Dialectical behavioral therapy Attachment therapy Psychotherapy (anger management, substance abuse) Medications.
How is borderline personality disorder treated?
Dialectical behavioral therapy
Schema-focused therapy
Mentalization-based therapy (recognize mental states)
Transference-focused psychotherapy (relationship based)
Medications
How is histrionic personality disorder treated?
CBT
Supportive psychotherapy (improve self-view)
interpersonal therapy
Medication (anti-depressants/anti-anxiety)
How is narcissistic personality disorder treated?
CBT Schema therapy Gestalt therapy (self-awareness/responsibility) Mentalization based therapy Transference based therapy Dialectical therapy Medications
How is avoidant personality disorder treated?
CBT Psychodynamic therapy Schema therapy Group therrapy Family therapy
How is dependent personality disorder treated?
CBT
Psychodynamic therapy
Schema therapy
Medication (antidepressants and antianxiety)
How is obsessive-compulsive personality disorder treated?
CBT
Pschodynamic therapy
Nidotherapy (characteristics are an asset, not a drawback)
Medication (anti-depressants and anti-anxiety)