Cluster C Personality Disorders Flashcards
how many features are listed in criterion A for dependent PD? how many are needed to diagnose the disorder
5/8
what is criterion A for dependent PD
a pervasive and excessive NEED TO BE TAKEN CARE OF that leads to SUBMISSIVE and clinging behaviour and fears of separation, beginning by early adulthood and present in A VARIETY OF CONTEXTS as indicated by 5+ of:
- has difficulty making everyday decisions without an excessive amount of ADVICE and reassurance from others
- needs others to assume responsibility for most major areas of their life
- has difficulty expressing disagreement with others due to fear of loss of support or approval
- has difficulty initiating projects or doing things on his or her own (due to lack of self confidence in their judgment or abilities rather than lack of motivation or energy)
- 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 exagerrated fears of being unable to care for themselves
- urgently seeks another relationship as source of support and care when close friendship ends
- is unrealistically preoccupied with fears of being left to care for themselves
prevalence of dependent PD
0.5-6%
(symptom presentation for dependent PD)
Pessimis c, self-doubt, self-cri cal; seek overprotec on and dominance from others
● Coping strategies
○ Overdeveloped
■ Relying on others
■ Avoiding making decisions
■ Trying to keep others happy
■ Being meek & submissive
○ Avoiding solving problems independently ○ Underdeveloped
■ Making decisions
■ Asserti ng self
■ Self-sufficiency
how many features are listed in criterion A for OCPD and how many are required
4/8
what is criterion A for OCPD
pervasive pattern of preoccupation with ORDERLINESS, PERFECTIONISM and mental and interpersonal CONTROL, at the expense of flexibility, openness, and efficiency
present in a variety of contexts beginning in early adulthood
4+ of:
- is preoccupied 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 (not accounted for by economic necessity)
- is OVERLY CONSCIENTIOUS, 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
- is reluctant to delegate tasks or to work with others unless THEY SUBMIT to exactly his or her way of doing things
- adopts a MISERLY spending style toward both self and others; money is viewed as something to be HOARDED for future catastrophes
- shows RIGIDITY and stubbornness
what is the underlying attitude that someone with OCPD might have
“I am vulnerable to bad things happening; i alone am responsible for preventing harm”
“people are weak, irresponsible, and careless”
(symptom presentation for OCPD)
● May be prone to anger when not in control, but typically not express anger directly
● May be especially att enti ve to rela tive status in dominance-submission rela tionships
● May display excessive deference to an authority they respect, and excessive resistance to
authority they do not respect
list some coping strategies that are OVER developed in those with OCPD? what about UNDER developed?
over developed:
–rigidity controlling self and others
–creating unreasonable expectations
–assuming too much responsibility
–striving for perfection
under developed:
–delegating authority
–developing flexible expectations
–exercising control only when appropriate
–tolerating uncertainty
–acting spontaneously and impulsively
–seeking fun and pleasure
commonly comorbid conditions with OCPD
GAD, SAD, phobia, OCD
depressive, bipolar, eating disorders
what defenses are often seen in OCPD
reaction formation
isolation of affect
what is the prevalence of avoidant PD
2.4%
M=F
how many features are listed in criterion A for avoidant PD
needs 4/7
what is criterion A for avoidant PD
pervasive pattern of SOCIAL INHIBITION, feelings of INADEQUACY, and hypersensitivity to negative evaluation
4+ of:
- avoids occupational activities that involve significant interpersonal contact, because of fears of criticism, disapproval or rejection
- is unwilling to get involved with people unless CERTAIN OF BEING LIKED
- shows RESTRAINT within intimate relationships because of fear of being shamed or ridiculed
- is preoccupied with being criticized or REJECTED in social situations
- in INHIBITED in new interpersonal situations because of feelings of INADEQUACY
- view themselves as SOCIALLY INEPT, PERSONALLY UNAPPEALING, or INFERIOR to others
- is unusually reluctant to take personal risks or to engage in any new activities that may prove embarrassing
what is the core belief about the self in avoidant PD
unlovable, unacceptable, defective, bad
vulnerable to negative emotion
what are some over and underdeveloped coping strategies in avoidant PD
