Chapter 6 Pt 1 Flashcards
what is a personality
one’s set of stable, predictable, emotional, and behavioral traits
what are personality disorders
enduring patterns of inner epxierinace and behavior that deviate markedly from expectations of an individuals culture
are pervasive, MALADAPTIVE, and cause significant impairment in social or occupational functioning
patients with personality disorders lack
insight about their problems
symptoms are EGO-SYNTONIC (not perceived as a problem) and viewed as immutable
patients with personality disorders are vulnerable to what at times of stress
developing symptoms of other mental disorders
what is the criteria for a personality disorder
enduring pattern of behavior/inner experience that deviates from the persons culture and is manifested in two or ore of the following ways:
- cognition
- affect
- interpersonal functioning
- impulse control
the pattern:
- is PERVASIVE and INFLEXIBLE in ta broad range of situations
- is SABLE and has an onset no later than adolescence or early adulthood
- leads to significant distress in functioning
what is the Mnemonic for personality disorder criteria
CAPRI Cognition Affect Personal Relations Impulse Control
what are the Cluster A personality disorder
Schizoid
Schizotypal
Paranoid
patients seem eccentric, peculiar, or withdrawn
familial association with PSYCHOTIC disorders
what are the Cluster B personality disorder
Antisocial
Borderline
Histrionic
Narcissistic
patients seem emotional, dramatic, or inconsistent
familial association with MOOD Disorders
what are the Cluster C personality disorder
Avoidant
Dependent
Obsessive-compulsive
patients seem anxious or fearful
familial association with ANXIETY disorders
what is OTHER SPECIFIED/UNSPECIFIED PERSONALITY DISORDER
includes characteristics of a personality disorder that do not meet the full criteria for any of the other personality disorders
how are personality disorders treated
psychotherapy is most helpful
pharmacotherapy limited usefulness except can treat comorbid mental conditions
difficult to treat (few patients aware they need treatment)
what is seen in patients with paranoid personality disorder (cluster A)
pervasive distrust and suspiciousness of others and often interpret motives as malevolent
tend to blame their own problems on others and seem angry and hostile
often characterized as pathologically jealous, which leads them to think their spouses or partners are cheating on them
what is the criteria for paranoid personality disorder
general distrust of others, beginning by early adulthood and present in a variety of context
at least 4 of the following:
- suspicion (witout evidence) that others are exploring or deceiving him or her
- preoccupation with doubts of loyalty or trustworthiness of friends or acquaintances
- reluctance to confide in others
- interpretation of benign remarks as threatening or demeaning
- persistence of grudges
- perception of attacks on his or her character that is not apparent to others; quick counter attack
- suspicious regarding fidelity of spouse or partner
paranoid personality disorder has a higher incidence in those with family members who have
schizophrenics
more commonly diagnosed in men than women
misdiagnosed in minority groups, immigrants, and deaf individuals
what is on the differential diagnosis of pt with paranoid personality disorder
schizophrenia (but unlike schizophrenia PPD patients do NOT HAVE ANY FIXED DELUSIONS and are NOT FRANKLY PSYCHOTIC)
social disenfranchisement and social isolation
what is treatment for paranoid personality disorder (PPD)
PSYCHOTHERAPY is treatment of choice
GROUP psychotherapy should BE AVOIDED due to mistrust
patients with SCHIZOID personality disorder have
lifelong pattern of SOCIAL WITHDRAWAL
often perceived as ECCENTRIC and RECLUSIVE
quiet and unsociable and have a CONSTRICTED AFFECT
NO DESIRE FOR CLOSE RELATIONSHIPS and PREFER to be ALONE
what s main difference b/w schizoid and avoidant personality disorders
schizoid WANT to be alone
avoidant don’t want to be alone
what is criteria for schizoid personality disorder
pattern of voluntary social withdrawal and restricted range of emotional expression, beginning by early adulthood and present in a variety of contexts
four or more:
- neither enjoying nor desiring close relationships (including family)
- generally closing solitary activities
- little (if any) interest in sexual activity with another person
- taking please in few activities (if any)
- few close friends of confidants (if an)
- indifference to praise or criticism
- emotional coldness, detachment, or flattened affect
how is schizoid personality disorder treated
may benefit from day programs or drop-in centers
antidepressants if comorbid MDD
patients with schizotypal personality disorder have
pervasive pattern of eccentric behavior and peculiar thought patterns
often perceived as strange and odd
what is criteria for schizotypal personality disorder
pattern of social deficits marked by eccentric behavior, cognitive or perceptual distortions, and discomfort with case relationships, beginning by early adulthood and present in a variety of contexts
5 or more:
- ideas of references (excluding delusion of reference)
- odd beliefs or magical thinking
- unusual perceptual experiences
- suspiciousness
- inappropriate o restricted affect
- odd or eccentric appearance or behavior
- few close friends or confidants
- odd thinking or speech
- excessive social anxiety
magical thinking:
- clairvoyance or telepathy
- bizarre fantasies or preoccupations
- belief in superstitions
odd behaviors:
- cult
- strange religious practices
what is a premorbid personality type for patient with schizophrenia
schizotypal
what is treatment for schizotypal personality disorder
PSYCHOTHERAPY is treatment of choice to help develop social skills
clusterB patients (bordeline, antisocial, histrionic, and narcissistic) are often
emotion, impulsive and dramatic
