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Assessment > Disorders of adult personality and behaviour > Flashcards

Disorders of adult personality and behaviour Flashcards

1
Q

Age below which a personality disorder should not be diagnosed in ICD 10 - definitive cut off removed for ICD 11

A

16 or 17

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2
Q

Classification system which groups personality disorders into three clusters

A

DSM

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3
Q

Cluster A personality disorders

A

Paranoid
Schizoid
Schizotypal (grouped within schizophrenia section in ICD)

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4
Q

Cluster B personality disorders

A

Antisocial (dissocial in ICD 10)
Borderline (emotionally unstable in ICD 10)
Histrionic
Narcissistic (not in ICD 10)

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5
Q

Cluster C personality disorders

A

Avoidant (anxious avoidant in ICD 10)
Dependent
Obsessive-compulsive (anankastic in ICD 10)

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6
Q

Features of paranoid personality disorder

A 
Suspicion of other people
Longstanding grudges
Emotional detachment
Belief that other people are untrustworthy, deceiving etc.
Increased sensitivity to criticism
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7
Q

Features of schizoid personality disorder

A 
Difficulty expressing emotions
Prefer to be alone
Aloof
Difficulty maintaining social relationships
Unaware of social trends
Unresponsive to praise or criticism
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8
Q

Features of schizotypal personality disorder

A 
Odd or eccentric
Magical thinking
Obsessions
Transient psychotic features
May believe in ESP, fortune telling etc.
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9
Q

Features of antisocial personality disorder

A

Lack of regard for other people
Lack of remorse for actions that hurt others
Disregard for social norms or the law
Make relationships easily but not longlasting

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10
Q

Features of borderline personality disorder

A

Poor self-image
Unstable personal relationships
Impulsive behaviours including around personal safety
Thoughts or actions of self harm and suicide
Mood instability
Fears of abandonment
Episodes of micro-psychosis

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11
Q

Features of histrionic personality disorder

A 
Extreme and over-dramatic behaviour
Demanding of relationships
Attention seeking
Sexually inappropriate
Shallow emotions
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12
Q

Features of narcissistic personality disorder

A

Self centred with an exaggerated sense of own self importance
Intolerant of other people
Grandiose plans and ideas
Cravings for attention

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13
Q

Features of avoidant personality disorder

A 
Discomfort in social settings
Fears being judged negatively
Socially withdrawn
Low self-esteem
Crave attention but fear of rejection overwhelming
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14
Q

Features of dependent personality disorder

A

Passive
Allow others to assume responsibility for their life
Lack self confidence
Unable to function without another person
Own needs are of secondary importance

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15
Q

Features of obsessive-compulsive personality disorder

A

Perfectionist
Unable to express warm and tender emotions
Unable to see things from others’ point of view
Rigid attention to detail
Unable to delegate tasks
Parsimony - unwillingness to spend money

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16
Q

ICD 10 equivalent to schizotypal personality disorder

A

None - classed within schizophrenia group

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17
Q

ICD 10 equivalent to antisocial personality disorder

A

Dissocial personality disorder

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18
Q

ICD 10 equivalent to borderline personality disorder

A

Emotionally unstable personality disorder

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19
Q

ICD 10 equivalent to narcissistic personality disorder

A

None - mentioned in other personality disorders category

20
Q

ICD 10 equivalent to avoidant personality disorder

A

Anxious avoidant personality disorder

21
Q

ICD 10 equivalent to obsessive-compulsive personality disorder

A

Anankastic personality disorder

22
Q

Impulse control disorders specified in ICD 11

A 
Pyromania
Kleptomania
Compulsive sexual behaviour disorder
Intermittent explosive disorder
Substance-induced impulse control disorders
Gambling disorder
Gaming disorder
23
Q

Gender identity disorders recognised in ICD 10

A

Transsexualism
Dual role transvestism
Gender identity disorders of childhood

24
Q

Gender identity disorders recognised in ICD 11

A

Gender incongruence

25
Q

The feeling of incongruence between someone’s gender identity and their phenotypic appearance

A

Gender dysphoria

26
Q

Time frame required for a diagnosis of transsexualism in ICD 10

A

2 years

27
Q

Paraphilia where enemas are used to achieve sexual arousal

A

Klismaphilia

28
Q

Paraphilia where dead bodies or other death related objects are used to achieve sexual arousal

A

Necrophilia

29
Q

Paraphilia where the genitals are exposed to achieve sexual arousal

A

Exhibitionism

30
Q

Paraphilia where inanimate objects are used to achieve sexual arousal

A

Fetishism

31
Q

Paraphilia involving a pattern of sexual arousal +/- behaviours involving pre-pubertal children

A

Paedophilia

32
Q

Paraphilia involving a pattern of sexual arousal +/- behaviours involving the infliction of physical or psychological pain on a non-consenting person

A

Sadism

33
Q

Paraphilia involving the real (not simulated) act of being humiliated or physically hurt to achieve arousal

A

Masochism

34
Q

Symptom found by the Collaborative Longitudinal Personality Disorders Study to improve over 2 years with or without treatment in patients with borderline personality disorder

A

Self-harm

35
Q

Predominant features of borderline type of EUPD described in ICD 10

A

Chronic feeling of emptiness
Disturbed self-image
Tendency to become involved in unstable and intense relationships
Series of suicidal or self harm acts

36
Q

Predominant features of impulsive type of EUPD described in ICD 10

A

Outbursts of violence or threatening behaviour
Emotional instability
Lack of impulse control

37
Q

Two subtypes of EUPD described in ICD 10

A

Impulsive

Borderline

38
Q

Type of personality disorder in DSM V which cannot be diagnosed before the age of 18

A

Antisocial

39
Q

Personality disorders which tend to become less evident with age

A

Borderline

Antisocial

40
Q

Prevalence of personality disorder in the UK

A

4.4%

41
Q

Most common personality disorder

A

Anankastic

42
Q

Most common personality disorder cluster within DSM categorisation

A

Cluster C

43
Q

Name given where there are multiple different disorders of sexual preference - most common combination is fetishism, transvestism and sadomasochism

A

Polymorphously perverse sexual preference

44
Q

Most common type of mental illness among prisoners

A

Personality disorder

45
Q

Long term rate of completed suicide in patients with borderline personality disorder

A

10%

46
Q

Prevalence of antisocial personality disorder among the general population in the UK

A

0.6-3%

47
Q

Male to female ratio affected by antisocial personality disorder

A

6:1

Assessment (22 decks)

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