Chapter 6 pt 2 Flashcards
who is most likely to have antisocial personality disorder
men (especially those of alcoholic parents)
patients with antisocial personality disorder are
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
what is the criteria for antisocial personality disorder
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
higher incidence of antisocial personality disorder among
poor urban areas and in prisoners but no racial difference
with antisocial personality disorder it is necessary to ascertain if the personality disorder or what came first
DRUG ABUSE
if drug abuse started before antisocial behavior started may have behavior attributable to the effects of their addiction
there is increased morbidity in antisocial personality disorder from what
substance use
trauma
suicide
homicide
what is the treatment for antisocial personality disorder
psychotherapy is generally INEFFECTIVE
pharmacotherapy can treat symptoms
patients with borderline personality disorder (BPD) have
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
borderline personality disorder patients have a higher rate of what during childhood than general pop
physical, emotional and sexual abuse
what is the Pneumonic for the symptoms of antisocial personality disorder
CONDUCT Capriciousness (impulsive/unpredictable) Oppressive Deceitful Unlawful Carefree Temper
what is the criteria for borderline personality disorder
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
what is the pneumonic for borderline personality disorder symptoms
IMPULSIVE Impulsive Moody Paranoid under stress Unstable self-image Labile, intense relationships Suicidal Inappropriate anger Vulnerable to abandonment Emptiness
borderline personality disorder patients tend to use what defense mechanism
SPLITTING- view others and themselves as all good or bad
pharmacotherapy has been shown to be more useful in what personality disorder than any other
borderline
what is prevalence of BPD
up to 6%
10% suicide rate
diagnosed 3x more in women
there isa high incidence of coexisting what in BPD
MDD and/or substance use
increase risk of suicide
what is treatmen for BPD
PSYCHOTHERAPY (DBT) is treatment of choice- includes CBT, mindfulness skills, and group therapy
pharmacotherapy to treat psychotic or depressive symptoms may be helpful
patients with histrionic personality disorder exhibit
attention-seeking behavior and excessive emotionally
dramatic, flamboyant, and extroverted
unable to form long-lasting, meaningful relationships
sexually inappropriate and provocative
what is the criteria for histrionic personality disorder (HPD)
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
what defense mechanism do histrionic personality disorder patients typically use
REGRESSION- reverts to childlike behaviors
what is the treatment for Histrionic Personality Disorder
PCYCHOTHERAPY (supportive, problem-solving, interpersonal, group) is the treatment of choice
pharmacotherapy to treat associated depressive or anxious symptoms as necessary
patients with narcissistic personality disorder (NPD) have
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
what is the criteria for narcissistic personality disorder
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
there is a higher incidence of depression and midline crises in narcissistic personality why
high value on youth an dpower
what is treatment of narcissistic personality disorder
PSYCHOTHERAPY
antidepressants for comorbid mood disorder if needed
narcissism is characterized by
inflated sense of self entitlement
“fishing for complements”
irritation and anxiousness when not treated as important
