Cluster B (Dramatic/Emotional/Erratic) Personality Disorders Flashcards

1
Q

Cluster B personality disorder defined by a pervasive pattern of criminal, impulsive, callous, and/or ruthless behavior, predicated on disregard for the rights of others and neglect for social norms

A

Antisocial personality disorder

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2
Q

Antisocial personality disorder is dual-coded in the DSM-5 as what?

A
  • Personality disorder
  • Conduct disorder
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3
Q

How many symptoms are required to meet the criteria for antisocial personality disorder?

A

At least 3 symptoms

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4
Q

Since when should the symptoms of antisocial personality disorder have occurred

A

Since age 15

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5
Q

What is the age requirement for antisocial personality disorder?

A

At least age 18

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6
Q

To meet the criteria for antisocial personality disorder, there should be evidence of conduct disorder before what age?

A

Before age 15

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7
Q

A condition describing people with unusual emotional responses and impulsive rages but no deficits in reasoning ability

A

Mania sans delire (mania without delirium)

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8
Q

Non-DSM5 category similar to antisocial personality disorder, but with less emphasis on overt behavior, defined by an absence of emotion, impulsivity, manipulativeness, and irresponsibility

A

Psychopathy

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9
Q

Etiological model of antisocial personality disorder stating that psychopaths have abnormally low levels of cortical arousal and seek stimulation to boost their chorinically low levels of arousal

A

Underarousal hypothesis

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10
Q

State 1 implication of the underarousal hypothesis explaining antisocial personality disorder.

A
  1. Low levels of fear in response to threatening situations
  2. Discomfort leading to stimulation seeking
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11
Q

What 3 brain structures show abnormalities in individuals with antisocial personality disorder?

A
  • Prefrontal cortex (less gray matter and volume and low activation)
  • Amygdala (decreased volume and activity)
  • Striatum (increased volume and activity)
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12
Q

Etiological model of antisocial personality disorder stating that psychopaths possess a higher threshold for experiencing fear than most other individuals

A

Fearlessness hypothesis

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13
Q

State at least 2 social contributions to the development of antisocial personality disorder.

A
  1. Permissive parenting
  2. Coercive parenting
  3. Dysfunctional family dynamic
  4. Low socioeconomic status (SES)
  5. Peer influences
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14
Q

True or False: Incarceration is assumed to deter future antisocial acts in individuals with antisocial personality disorder.

A

True

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15
Q

State 2 medications commonly prescribed to treat antisocial personality disorder.

A
  1. Mood stabilizers
  2. Atypical antipsychotics
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16
Q

State 3 psychological treatments helpful in treating antisocial personality disorder.

A
  1. Psychoanalytic therapy
  2. CBT
  3. Parent training
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17
Q

Cluster B personality disorder defined by:

  • Impulsiveness and unpredictability
  • An uncertain self-image
  • Intense and unstable social relationships
  • Extreme mood swings
A

Borderline personality disorder (BPD)

18
Q

How many symptoms are required to meet the criteria for borderline personality disorder (BPD)?

A

At least 5 symptoms

19
Q

Tendency to see oneself and others as all good or all bad and to vacillate between these two views

A

Splitting

20
Q

From the psychodynamic perspective, what contributes to the development of borderline personality disorder (BPD)?

A

Lack of differentiation of self

21
Q

Etiological model of borderline personality disorder (BPD) proposing that a diathesis of emotion dysregulation interacts with experiences of invalidation in the family environment to promote the development of BPD

A

Diathesis-stress theory of borderline personality disorder

22
Q

State 3 medications used to treat borderline personality disorder (BPD).

A
  1. Antidepressants
  2. Mood stabilizers
  3. Atypical antipsychotics
23
Q

When is it recommended to add drug treatment to an effective psychotherapy in the treatment of borderline personality disorder (BPD)?

A

When there are comorbid disorders

24
Q

Apart from dialectical behavior therapy (DBT) and cognitive-behavioral therapy (CBT), state at least 2 psychotherapy approaches that can be used to treat borderline personality disorder.

A
  1. Mentalization-based therapy
  2. Schema-focused cognitive therapy
  3. Transference–focused therapy
  4. Systems training
25
Q

A structured form of psychodynamic therapy developed for borderline personality disorder (BPD) in wihch the person is encouraged to focus on their emotions and relationships

A

Mentalization-based therapy

26
Q

An enriched form of traditional cognitive therapy for borderline personality disorder (BPD), with a broader focus on how childhood antecedents and parenting shape current cognitive patterns

A

Schema-focused cognitive therapy

27
Q

A highly structured psychodynamic treatment for borderline personality disorder (BPD) that uses the relationship between patient and therapist to help parents develop a more realistic and healthier understanding of their interpersonal relationships

A

Transference-focused therapy

28
Q

Group intervention for people with borderline personality disorder (BPD) that combines cognitive techniques challenging irrational and maladaptive cognitions and behavioral techniques addressing self-management and problem solving

A

Systems training for emotional predictability and problem solving (STEPPS)

29
Q

Cluster B personality disorder defined by overly dramatic behavior, emotional excess, and sexually provocative behavior

A

Histrionic personality disorder

30
Q

How many symptoms are required to meet the diagnostic criteria for histrionic personality disorder?

A

At least 5 symptoms

31
Q

True or False: Borderline personality disorder (BPD) and antisocial personality disordr may be sex-typed alternative expressions of the same unidentified underlying condition.

A

False

Both histrionic and antisocial personality disorders ar posited to be sex–typed alternative expressions of the same unidentified underlying condition.

32
Q

State 2 psychological (i.e., psychodynamic) contributions to the development of histrionic personality disorder.

A
  1. Parental seductivenss
  2. Defense against low self-esteem
33
Q

Cluster B personality disorder defined by:

  • Extreme selfishness and self-centeredness
  • A grandiose view of one’s uniqueness, achievements, and talents
  • An insatiable craving for admiration and approval
  • Willingness to exploit others to achieve goals
  • Expectation of much more from others than one is willing to give in return
A

Narcissistic personality disorder

34
Q

How many symptoms are required to met the diagnostic criteria for narcissistic personality disorder?

A

At least 5 symptoms

35
Q

Subtype of narcissism characterized by a view of oneself as unique and superior and by grandiose fantasies to cope with difficultis in self-esteem

A

Grandiose narcissism

36
Q

Subtype of narcissism characterized by grandiose fantasies to quell intense shame

A

Vulnerable narcissism

37
Q

Feature of narcissistic personality disorder characterized by exaggerated feelings and fantasies of greatness

A

Grandiosity

38
Q

What does self psychology say about the etiology of narcissistic personality disorder?

A

Profound failure by the parents to model empathy early in child’s development

39
Q

State at least 1 parenting dimension that increases the risk of narcissistic personality disorder.

A
  1. Emotional coldness
  2. Overemphasis on child’s achievements
40
Q

What parenting style may give rise to grandiose narcissism?

A

Permissive parenting style

41
Q

State at last 2 social contributions to the development of narcissistic personality disorder.

A
  1. Permissive or authoritarian parenting
  2. Childhood adversity
  3. Indulgence and overevaluation during childhood
42
Q

State at least 1 psychotherapy approach to treating narcissistic personality disorder.

A
  1. Cognitive therapy
  2. Relaxation training