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Psych > Chapter 6 pt 2 > Flashcards

Chapter 6 pt 2 Flashcards

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1
Q

who is most likely to have antisocial personality disorder

A

men (especially those of alcoholic parents)

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2
Q

patients with antisocial personality disorder are

A

exploitive of others and break rules to meet their own needs

lack empathy, compassion, and remorse for their actions

impulsive, deceitful and often violate the law

skilled at reading social cues and can appear charming and normal to others who meet them for the first time and do not know their history

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3
Q

what is the criteria for antisocial personality disorder

A

disregard for an violation of the rights of others since age 15
MUST BE AT LEAST 18 YEARS OLD for this diagnosis
history of behavior as a child must be consistent with CONDUCT DISORDER

3 or more:
-failure to conform to social norms by committing unlawful acts
-deceitfulness/repeated lying/manipulating others for personal gain
-impulsivity/failure to plan ahead
-irritability and aggressiveness/repeated fights or assaults
-recklessness and disregard for safety of self or others
-irresponsibility/failure to sustain work or honor financial obligations
lack of remorse for actions

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4
Q

higher incidence of antisocial personality disorder among

A

poor urban areas and in prisoners but no racial difference

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5
Q

with antisocial personality disorder it is necessary to ascertain if the personality disorder or what came first

A

DRUG ABUSE
if drug abuse started before antisocial behavior started may have behavior attributable to the effects of their addiction

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6
Q

there is increased morbidity in antisocial personality disorder from what

A

substance use
trauma
suicide
homicide

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7
Q

what is the treatment for antisocial personality disorder

A

psychotherapy is generally INEFFECTIVE

pharmacotherapy can treat symptoms

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8
Q

patients with borderline personality disorder (BPD) have

A

unstable moods, behaviors, and interpersonal relationships
fear abandonment and have poorly formed identity
relationships begin with intense attachments and end with the slightest conflict
aggression is common
impulsive and may have history of suicide attempts/gestures

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9
Q

borderline personality disorder patients have a higher rate of what during childhood than general pop

A

physical, emotional and sexual abuse

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10
Q

what is the Pneumonic for the symptoms of antisocial personality disorder

A 
CONDUCT
Capriciousness (impulsive/unpredictable)
Oppressive
Deceitful
Unlawful
Carefree
Temper
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11
Q

what is the criteria for borderline personality disorder

A

pervasive pattern of impulsivity and unstable relationships, affects, self-image, and behaviors, present by early adulthood and in a variety of contexts

5 or more:
-frantic effort to avoid real or imagined abandonment
-unstable, intense interpersonal relationships (extreme love-hate)
-unstable self-image
-impulsivity in at least two potentially harmful ways (spending, sexual, activity, substance use, binge eating)
recurrent suicidal threats or attempts or self-mutilaiton
-chronic feeing of emptiness
-unstable mood/affect
-difficulty controlling anger
-transient, stress-related paranoid ideation or dissociative symptoms

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12
Q

what is the pneumonic for borderline personality disorder symptoms

A 
IMPULSIVE
Impulsive
Moody
Paranoid under stress
Unstable self-image
Labile, intense relationships
Suicidal
Inappropriate anger
Vulnerable to abandonment
Emptiness
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13
Q

borderline personality disorder patients tend to use what defense mechanism

A

SPLITTING- view others and themselves as all good or bad

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14
Q

pharmacotherapy has been shown to be more useful in what personality disorder than any other

A

borderline

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15
Q

what is prevalence of BPD

A

up to 6%

10% suicide rate

diagnosed 3x more in women

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16
Q

there isa high incidence of coexisting what in BPD

A

MDD and/or substance use

increase risk of suicide

17
Q

what is treatmen for BPD

A

PSYCHOTHERAPY (DBT) is treatment of choice- includes CBT, mindfulness skills, and group therapy

pharmacotherapy to treat psychotic or depressive symptoms may be helpful

18
Q

patients with histrionic personality disorder exhibit

A

attention-seeking behavior and excessive emotionally
dramatic, flamboyant, and extroverted
unable to form long-lasting, meaningful relationships
sexually inappropriate and provocative

19
Q

what is the criteria for histrionic personality disorder (HPD)

A

pattern of excessive emotionally and attention seeking, present by early adulthood and in a variety of contexts

5 or more:

  • uncomfortable when not the center of attention
  • inappropriately seductive or provocative behavior
  • rapidly shifting but shallow expression of emotion
  • uses physical appearance to draw attention to self
  • speech that is impressionistic and lacking in detail
  • theatrical and exaggerated expression of emotion
  • easily influenced by others or situation
  • perceives relationships as more intimate than they actually are
20
Q

what defense mechanism do histrionic personality disorder patients typically use

A

REGRESSION- reverts to childlike behaviors

21
Q

what is the treatment for Histrionic Personality Disorder

A

PCYCHOTHERAPY (supportive, problem-solving, interpersonal, group) is the treatment of choice

pharmacotherapy to treat associated depressive or anxious symptoms as necessary

22
Q

patients with narcissistic personality disorder (NPD) have

A

a sense of superiority, a need or admiration, and lack of empathy
consider themselves “special” and will exploit others for their own gain
despite their grandiosity, however, these patients often have fragile self-esteem

23
Q

what is the criteria for narcissistic personality disorder

A

pattern of grandiosity, need for admiration, and lack of empathy

5 or more:

  • exaggerated sense of self-importance
  • preoccupation with fantasies of unlimited money, success, brilliance, etc
  • believes that he is “special” or unique and can associate only with other high-status individuals
  • requires excessive admiration
  • has sense of entitlement
  • takes advantage of others for self-gain
  • lacks empathy
  • envious of others or believes others are envious of him
  • arrogant or haughty
24
Q

there is a higher incidence of depression and midline crises in narcissistic personality why

A

high value on youth an dpower

25
Q

what is treatment of narcissistic personality disorder

A

PSYCHOTHERAPY

antidepressants for comorbid mood disorder if needed

26
Q

narcissism is characterized by

A

inflated sense of self entitlement
“fishing for complements”
irritation and anxiousness when not treated as important

Psych (35 decks)

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