Cluster A Flashcards

1
Q

What are the 2 types in cluster A?

A

WEIRD
Paranoid (suspects)
Schizoid (distant)

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2
Q

Features of paranoid PD

Affect?

A
Cluster A
SUSPECTS:
-	Suspicious of others
-	Unforgiving (bears grudges)
-	Spouse fidelity questioned
-	Perceives attack
-	Envious/jealous
-	Criticism not liked + Cold affect
-	Trust in others reduced (distrust)
-	Self-reference (self-importance)
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3
Q

Features of schizoid PD

Affect?

A
Cluster A - think of a depressed person
DISTANT:
-	Detached (flattened) affect
-	Indifferent to praise or criticism
-	Sexual drive reduced
-	Task done alone
-	Absence of close friends
-	No emotion (cold)
-	Takes pleasure in few activities (little pleasure)
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4
Q

Which will be cold and not interested in relationships?

A

Schizoid

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5
Q

What do people with PD’s tend to have a hx of?

A

Neglect and sexual abuse

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6
Q

In the exam what should you think about as likely PD answer?

A

either BPD (W>M) or Dissocial/antisocial (W

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7
Q

What are the sub categories of cluster B?

A

WILD

  • Emotionally unstable (borderline)
  • Emotionally unstable (impulsive)
  • Histrionic
  • Dissocial
  • Narcissistic
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8
Q

Features of borderline PD (emotionally unstable)

A
Cluster B
AM SUICIDE
-	Abandonment fear
-	Strive to avoid being abandoned
-	Mood instability (unpredictable affect)
-	Suicidal behaviour
-	Impulsivity
-	Unstable relationships
-	Intense relationships
-	Disturbed sense of self (self-image disturbed)
-	Deliberate self-harm (or threats)
-	Emptiness (Charlie)
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9
Q

Features of emotionally unstable (impulsive)

A

Cluster B

  • Impulsiveness (not thinking of consequences)
  • Quarrels/conflicts
  • Inability/poor control of anger
  • Angry or violent outbursts
  • Unstable mood
  • Need immediate reward, otherwise struggle to complete task
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10
Q

Features of histrionic

A

Cluster B - red

  • Provocative behaviour
  • Real concern for physical attractiveness
  • Attention seeking
  • Influenced easily
  • Shallow + seductive inappropriately
  • Egocentric (vain) + exaggerated emotions (self-dramtisation)
  • Centre of attention
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11
Q

Features of antisocial/ dissocial PD

A

Cluster B

  • Callous
  • Others blamed
  • Reckless disregard for safety
  • Remorseless (lack of guilt)
  • Underhanded (deceitful)
  • Poor planning (impulsive)
  • Temper
  • Tendency to violence
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12
Q

Features of narcissistic

A

Cluster B - a bad medic

  • Sense of self-importance
  • Exaggerates achievements
  • Expects to be recognised as superior
  • Lacks empathy
  • Arrogant
  • Envious or believes other are envious of them
  • Sense of entitlement
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13
Q

What are the subcategories of cluster C?

A

WORRIERS

  • Dependent
  • Anxious (avoidant)
  • Anankastic
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14
Q

Features of dependent PD

A
Cluster C
Adam
-	Reassurance required
-	Expressing disagreement is difficult
-	Lack of self-confidence
-	Initiating projects is difficult
-	Abandonment feared
-	Needs others to assume responsibility
-	Companionship sought
-	Exaggerated fears (heights)
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15
Q

Features of anxious/avoidant PD

A

Cluster C - ellie du frense

  • Tension
  • Insecure
  • Timid
  • Certainty of being liked needed before becoming involved w/ people
  • Restriction to lifestyle to maintain security
  • Inadequacy felt
  • Embarrassment potential prevents involvement in new activities
  • Social inhibition
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16
Q

Features of anankastic PD

A

Cluster C - me a bit (amber/ananber kryst)

  • Excessive doubt
  • Indecisiveness
  • Perfectionism
  • Rigidity + stubborn
  • Everyone has to do things their way
  • Obsessed w/ rules and details
17
Q

What do they do in BPD?

A

o They say they want to die so therefore need to look for evidence of future planning (asked them about their plans next week)
o “Splitting”: see people as all good or all bad (e.g. healthcare team – try and create ½ team on their side and other 1/2 on other side)
o Counter transference: the pt transfer’s their emotions to the other person (e.g. Dr)