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NMSP Week 6/7 > Clinical Approach to Personality Disorders (Schmidt) > Flashcards

Clinical Approach to Personality Disorders (Schmidt) Flashcards

1
Q

In Freud’s Structures of the Mind, what is the Id?

What is the Ego?

What is the Superego?

A

1) Instinctive biological drives and desires (I want)
2) Logical and language based problem solving (I think)
3) Moral conscience based on ideals and values of society (I should)

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2
Q

“I want to do that now” would fall under what category of Freud’s Structures of the Mind?

“It’s not right to do that” would fall under?

“Maybe we can compromise” would fall under?

A

1) Id
2) Superego
3) Ego

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3
Q

What do we use to cope with the stress in the world and can appear unconsciously?

A

Defense mechanisms

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4
Q

When do Primitive defenses occur?

A

1) Naturally throughout childhood
2) In dreams
3) In psychotic adults

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5
Q

Primitive defenses permit one to effectively?

A

Rearrange external experiences in order to eliminate the need to cope with reality

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6
Q

What are the different types of primitive defenses?

A

1) Projection
2) Denial
3) Splitting

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7
Q

A man who cheated on his wife believes his wife is having an affair even though there is no evidence of it is an example of what type of primitive defense?

A

Projection

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8
Q

A patient with an ankle sprain that goes for a long run is an example of what type of primitive defense?

A

Denial

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9
Q

What is the splitting type of primitive defense?

A

Seeing some people as all good and others as all bad

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10
Q

The following list makes up what type of defense?

1) Displacement
2) Regression
3) Somatization / Hypochondriasis
4) Introjection / Identification
5) Isolation of affect
6) Intellectualization
7) Blocking
8) Acting out
9) Reaction Formation
10) Undoing
11) Rationalization
12) Passive aggressive
13) Dissociation

A

Basic (Neurotic) defenses

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11
Q

What is displacement (neurotic)?

A

A person shifts sexual or aggressive impulses to a more acceptable or less threatening target

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12
Q

What is regression (neurotic)?

A

Temporary reversion of behavior to an earlier, less mature, more child-like behavior

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13
Q

What is Somatization / Hypochondriasis (neurotic)?

A

Transforming negative feelings towards others into negative feelings toward self

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14
Q

What is Introjection / Identification (neurotic)?

A

The opposite of projection because it involves taking others’ behaviors or emotions and internalizing them

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15
Q

What is Isolation of affect (neurotic)?

A

Separating feelings from ideas and events

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16
Q

What is Intellectualization (neurotic)?

A

Focusing on and exaggerating the intellectual aspect of a situation to distance oneself from anxiety

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17
Q

What is Blocking (neurotic)?

A

Temporarily inhibits thinking. Can include affect and behavior

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18
Q

What is Acting out (neurotic)?

A

Covering up true feelings by discharging a different feeling (usually anger)

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19
Q

What is Reaction Formation (neurotic)?

A

Converting unconscious wishes or impulses considered threatening into their opposite (an over-reaction)

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20
Q

What is Undoing (neurotic)?

A

Performing an action hoping to fix or reverse a previously unacceptable behavior

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21
Q

What is Rationalization (neurotic)?

A

Individual convinces themselves that no wrong happened and that the unacceptable is acceptable

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22
Q

What is Passive aggressive (neurotic)?

A

Aggression toward others expressed indirectly or passively

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23
Q

What is Dissociation (neurotic)?

A

Drastic change in identity or character to avoid distress

24
Q

Physician yells at front office staff when frustrated with a patient is an example of?

An adult begins talking in “baby talk” when stressed is an example of?

Student feels embarrassed by resident on rotation, then next day has upset stomach arriving at the rotation is an example of?

A

1) Displacement
2) Regression
3) Somatization / Hypochondriasis

25
Q

Abused child becomes an abusive parent is an example of?

Person is describing a murder with graphic detail but no emotional response evident is an example of?

Physician focuses on test results rather than patient’s emotions is an example of?

A

1) Introjection / Identification
2) Isolation of affect
3) Intellectualization

26
Q

Adolescent begins to drink alcohol every day to cope with parent’s divorce is an example of?

Student who does not like kids becomes a pediatrician is an example of?

Individual buys flowers for partner after a fight is an example of?

A

1) Acting out
2) Reaction Formation
3) Undoing

27
Q

If the room weren’t so noisy, I would have done better on the exam is an example of?

Patient does not keep appointments or habitually arrives late (because frustrated or angry) is an example of?

Individual who was assaulted describes “watching” it happen to themselves, as if watching from outside their body is an example of?

A

1) Rationalization
2) Passive aggressive
3) Dissociation

28
Q

The following list makes up what type of defense?

1) Humor
2) Suppression
3) Altruism
4) Sublimation

A

Mature Defense Mechanisms

29
Q

What is the Humor defense (mature)?

A

Masking an unpleasant event with humor

30
Q

What is Suppression (mature)?

A

A conscious decision to delay paying attention to an emotional need

31
Q

What is Altruism (mature)?

A

Service is above one’s own needs. Avoids discomfort.

32
Q

What is Sublimation (mature)?

A

Transform unpleasant emotion or instinct into positive action, behavior, or emotion

33
Q

Student makes a joke out of being so sleep deprived is an example of?

After a patient dies, physician delays feelings in order to focus on the next patient and will “deal with it” later is an example of?

Physician thinks, “I want to go to my child’s play at school, but the hospital needs me.” is an example of?

You are angry with a friend but rather than yell at them you exercise is an example of?

A

1) Humor
2) Suppression
3) Altruism
4) Sublimation

34
Q

What disorder is characterized by a person being suspicious, angry and cold?

A

Paranoid Personality Disorder

35
Q

What is important in the management of Paranoid Personality Disorder?

A

Develop a rapport by being respectful and honest

36
Q

What disorder is characterized by a person that dislikes social contact by choice, deliberately isolates themselves, has little interest in sexual contact, and shows a flat affect?

A

Schizoid Personality Disorder

37
Q

What is important in the management of Schizoid Personality Disorder?

A

Respect their space and do not impose social expectations

38
Q

What disorder is characterized by odd thinking and speech, magical thinking, unusual perceptual experiences, excessive social anxiety, and appearance is eccentric?

A

Schizotypal Personality Disorder

39
Q

Schizotypal Personality Disorder patients tend to have closer interpersonal relationships than paranoid or schizoid patients, although they still display difficulty with?

A

Intimacy

40
Q

What is important in the management of schizotypal personality disorder?

A

Do not ridicule or judge (similar to Schizoid)

41
Q

What disorder is characterized by a person appearing to be in a state of crisis, they are highly unpredictable, and have intense emotions?

A

Borderline Personality Disorder

42
Q

Borderline Personality Disorder patients use what defense mechanism?

A

Splitting

43
Q

What is important in the management of Borderline Personality Disorder?

A

1) Simple communication with clear and consistent boundaries

2) Coordination of care with other treatment providers in order to avoid patient use of splitting

44
Q

What disorder is characterized by a person needing to be the center of attention, inappropriate seductive behavior, has shallow expression of emotions that can rapidly shift, and has theatricality exaggerated show of emotion?

A

Histrionic Personality Disorder

45
Q

What is important in the management of Histrionic Personality Disorder?

A

Address seductive behaviors in straightforward manner

46
Q

What disorder is characterized by a person that breaks laws with no remorse or conscience?

A

Antisocial Personality Disorder

47
Q

What criteria must be met to diagnose Antisocial Personality Disorder?

A

1) Individual must be 18 years of age

2) Evidence of behavior patterns before age 15

48
Q

Why are antisocial patients great at conning people, even the most well educated clinicians?

A

They may be extraverted, very charming, and seductive

49
Q

What is important in the management of Antisocial Personality Disorder?

A

1) Set firm limits

2) Exercise caution when prescribing controlled substances

50
Q

What disorder is characterized by a person that requires excessive admiration, will often feel contempt for others, and will seek out the best physicians to treat their “special” needs?

A

Narcissistic Personality Disorder

51
Q

What disorder is characterized by a person that desires warmth and security and is unusually reluctant to take personal risks or new activities?

A

Avoidant Personality Disorder

52
Q

Avoidant Personality Disorder patients will avoid due to?

A

Fear of rejection

53
Q

What is important in the management of Avoidant Personality Disorder?

A

1) Avoid critical comments

2) Have patience

54
Q

What disorder is characterized by a person that ignores their own needs for the needs of others and may accept demeaning tasks in order to gain acceptance?

A

Dependent Personality Disorder

55
Q

What disorder is characterized by perfectionism and unwilling to compromise and insist that others submit to their needs?

A

Obsessive Compulsive Personality Disorder

56
Q

What is important in the management of Obsessive Compulsive Personality Disorder?

A

1) Avoid power struggles (use Motivational Interviewing)

2) Allow the patient to have control when you can

NMSP Week 6/7 (18 decks)

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