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PSYC112 > Cluster B > Flashcards

Cluster B Flashcards

1
Q

What does Cluster B (dramatic) include?

A
  1. Antisocial PD
  2. Boarderline PD
  3. Histrionic PD
  4. Narcissistic PD
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2
Q

What is the general behaviour displayed by Cluster B disorders?

A

Disorders display dramatic, emotional, or erratic behaviour

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3
Q

What are the behaviours associated with Antisocial PD?

A

Requires 3 of 7 symptoms

  • Disregard for social norms
  • reckless behaviour
  • Impulsive
  • Irresponsible
  • Prone to anger/aggression
  • Deceitfulness and manipulative
  • Lack of guilt or remorse
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4
Q

What other disorder must individuals have evidence for before being diagnosed with Antisocial PD?

A

Must have evidence of CONDUCT disorder before age 15

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5
Q

What is the clear component in Antisocial PD?

A
  • Developmental component

- Evolves in adolescents

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6
Q

What does the diagnosis for Antisocial PD focus on?

A

Behavioural aspect

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7
Q

What is the alternative diagnosis for Antisocial PD?

A

Psychopathy

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8
Q

What are the INTERPERSONAL deficits of Psychopathy?

A
  • Superficial charm
  • Grandiosity
  • Social potency (dominate/manipulate others)
  • Low anxiety
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9
Q

What are the AFFECTIVE deficits of Psychopathy?

A
  • Shallow emotions
  • Lack of empathy, guilt, remorse
  • Inability to form deep relationships
  • Fearlessness
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10
Q

What is the etiology for Factor 1 (interpersonal/affective)

A

UNDER active amygdala

  • Causes poor fear conditioning
  • Inabiltiy to read distress cues
  • MRI shows lower volume in the amygdala
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11
Q

What is the etiology for Factor 2 (antisocial behaviour)

A

UNDER active orbitofrontal cortex

  • Disinhibition
  • Poor emotional decision making
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12
Q

What disorder has high co-morbidity with Antisocial PD?

A

ADHD

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13
Q

What are the three components to Borderline PD?

A
  1. Instability of self-image and relationships
  2. Affective instability
  3. Impulsive, unpredictable, and destructive behaviour
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14
Q

(Borderline PD) What are the elements to Instability of self-image and relationships?

A
  • Identity disturbance, identify by who’s around them
  • Intense interpersonal attachments
  • Cyclic Isolation vs devaluation of an individual
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15
Q

(Borderline PD) What are the elements to Affective Instability?

A
  • Dysmorphia and chronic feeling of emptiness
  • Prolonged/violent emotional outburst
  • Extreme emotion response to abandonment
  • Reaction intensity is disproportionate to the situation
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16
Q

(Borderline PD) What are the elements to Impulsive, Unpredictable, and destructive behaviour?

A
  • Bouts of anger/violence
  • Suicidal gestures
  • Substance abuse
  • Reckless behaviour
17
Q

What is the psychodynamic etiology of Borderline PD?

A
  • Involves early parent relationships

- Object relation->lack of early acceptance by parents

18
Q

What is the biopsychosocial etiology of Borderline PD?

A

Invalidating childhood environments

19
Q

What is the treatment for Borderline PD?

A

Dialectical behaviour therapy (DBT)

20
Q

What are the symptoms of Histrionic PD?

A
  • Extremely dramatic
  • Shallow emotions
  • Centre of attention->engage in attention seeking behaviours
  • Vain, self-centred, demanding
21
Q

Issues with Histrionic PD

A
  • Highly gender biases
  • No defining symptoms
  • No research on etiology or treatment
22
Q

What are the symptoms of Narcissistic PD?

A
  • Grandiose
  • Lacking empathy
  • Expect constant admiration and attention
  • Associate themselves with superiority
  • Appear arrogant, exaggerate their achievements
23
Q

What is the Vulnerable Narcissistic PD?

A

Individuals have underlying fragile self esteem, more of a front

24
Q

What is the Grandiose Narcissistic PD?

A

Truly believe/feel all the symptoms

25
Q

What is the psychodynamic eitology for Narcissistic PD?

A

Due to cold and rejecting parents causing the Narcissistic Paradox (reaction formation), underlying self esteem but puts on grandiose front

26
Q

What is the behavioural/cognitive eitology for Narcissistic PD?

A

Too much positive reinforcement when growing up

27
Q

What are the treatments for Narcissistic PD?

A

No known/scientifically valid treatments as individuals with the disorder don’t believe they have a problem
-Individuals will present to the clinician with depression due to rejection from others

PSYC112 (37 decks)

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