Cluster C Personality Disorders Flashcards
Cluster C Personality Disorders
The Anxious or Fearful cluster
Cluster C Personality Disorders are characterized by a
Pattern of avoidance and/or inhibited behavior s
Avoidant
“Inhibited” - Inferiority, Social Withdraw, Shyness, Avoidance, Embrassement, Low Self-Esteem
Dependence
“Insecure” - Indecision, Clinginess, Passivity, Requiring Reaseaurance, Fear of aloneness
Obsessive-Compulsive
“Rigid, Requiring Order”- Needs rules, organisation, Perfectionistic, Excessively moral, Constantly Productive, Rigid
Avoidant Personality Disorder
Pervasive pattern of social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation
Characteristics of Avoidant PD:
Avoidance of occupational activities that involve significant interpersonal contact due to fears of criticism, disapproval, or rejection
Unwillingness to get involved with people unless certain of being liked
Shows restraint within intimate relationships because of fear of being shamed or ridiculed
Preoccupation with being criticized or rejected in social situations
Inhibited in new interpersonal situations because of feelings of inadequacy
Views themselves as socially inept, personally unappealing, or inferior to others
People with Avoidant PD are
hypervigilant regarding the actions of others and present as tense, shy, timid, and/or fearful
Dependent Personality Disorder
Pervasive and excessive need to be taken care of that leads to submissive and clinging behavior and fears of separation
Characteristics of Dependent PD:
Reassurance from others
Needs other to assume responsibility for most major areas of their life
Has difficulty expressing disagreement with others because of fear of loss of support or approval
Has difficulty initiating projects or doing things on their own
Goes to excessive lengths to obtain nurturance and support from others to the point of volunteering to do things that are unpleasant
Feels uncomfortable or helpless when alone because of exaggerated fears of being unable to care for themselves
Urgently seeks another relationship as a source of care and support when a close relationship ends
Individual with Dependent PD are often characterized by
pessimism and self-doubt and belittle their abilities and assets (i.e., refer to themselves as “stupid”)
Obsessive-Compulsive Personality Disorders
Pervasive pattern of preoccupation with orderliness, perfectionism, and mental and interpersonal control (at the expense of flexibility, openness, and efficiency)
Characteristics of Obsessive-Compulsive Personality Disorder
Preoccupation with details, rules, lists, order, organization, or schedules to the extent that the major point of the activity is lost
Shows perfectionism that interferes with task completion
Is excessively devoted to work and productivity to the exclusion of leisure activities and friendships
Is overconscientious, scrupulous, and inflexible about matters of morality, ethics, or values
Is unable to discard worn-out or worthless objects even when they have no sentimental value
Individuals with OCPD have a hard time making
decisions if rules and procedures are not in place to help guide them
Individuals with OCPD are often prone to
indirect anger/and or emotional reactivity when not in control
Personality Disorder are
difficult to treat
Symptoms are related to specific personality traits.
ingrained from birth and reinforced by years of maladaptive experiences
Therapeutic relations are often
difficult to establish and/or maintain due to issues around trust and intimacy
Cognitive-behavioral approaches(CBT,DBT, and ACT) and dynamic therapies are
most effective
Characteristics of treatment for personality disorders
Structured, manualized approaches are the best
Heavy emphasis on psychoeducation and skill-building
Therapists must engage in significant introspection and always engage in validating, responsive manners
Medication only serves as a
adjunct for treatment, not a direct option
Dialectical Behavior Therapy(Marsha Linehan)
Strongest evidence-base for treating BPD, reducing suicidal behaviors, and increasing positive change in clients.Includes a separate group skills training element beyond individual services
Dialectical Behavior Therapy began as a
as a cognitive therapy that included several behavioral practices (i.e., problem-solving), and then infused dialectical philosophy and Zen practices
What is the key tenet of DBT?
Acceptance of self
Treatment Phases for Dialectical Behavior Theraphy
Pretreatment – assessment and agreement
First Stage – establishing a stable lifestyle
Second Stage – processing traumatic experiences
Third Stage – development of self and living independently
DBT Skills
Mindfulness, Interpersonal Effectiveness, Distress Tolerance, Emotional Regulation
What does Dearman(Or Dear Man) stand for?
Describe
Express
Asser
Reinforce
Mindful
Assertive
Negotiate
The STOP Skill
Stop, Take a step back, Observe, Process mindfully
Reasonable Mind
facts and logic are in control without emotions, such as love
Wise Mind
Knowledge, Experience, Common Sense