E3 Personality Disorders Flashcards

Exam 3

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1
Q

Behavior and inner experience that is exhibited in a wide range of contexts; enduring

A

Personality

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2
Q

Personality disorder originate in

A

adolescence or early adulthood, continue through adulthood

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3
Q

For children to be diagnosed with a personality disorder, it must be prevalent for

A

1 year

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4
Q

Enduring or stable traits that deviate from cultural expectations and result in significant distress/impairment

A

Personality disorder

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5
Q

What is so special about personality disorders compared to others?

A

It is frequently ego-syntonic

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6
Q

What does ego-syntonic mean? How does this affect client?

A

Seen as normal to the person with disorder; less likely to seek help because they believe it is normal

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7
Q

Are people with personality disorders likely to change (remit) after help?

A

NO

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8
Q

What are clusters A, B, and C?

A

A: Odd or eccentric
B. Dramatic, emotional, erratic
C: Fearful or anxious

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9
Q

Cluster A: Odd and Eccentric
What disorders?

A

Paranoid, Schizotypal, Schizoid

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10
Q

Cluster B: Dramatic, Emotional, Erratic
What Disorders?

A

Anti-social, Borderline, Histrionic, Narcissistic

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11
Q

Cluster C: Fearful or Anxious
What Disorders?

A

Avoidant, Dependent, OCD

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12
Q

Is comorbidity high in personality disorders?

A

Yes, very

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13
Q

What are the 7 characteristics of paranoid disorder? Cluster?

A

4
1. Suspects others are out to harm/ exploit them
2. Doubts of loyalty
3. Reluctance to confide
4. Reads into hidden threatening messages
5. Consistently bears grudges
6. Quick to react angrily
7. Recurrent suspicious of partner

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14
Q

Do Cluster A types have a good relationship with others?

A

No

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15
Q

What disorder is a detachment from social relationships and restricted expression or emotion? Cluster?

A

Schizoid; A

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16
Q

What are the 7 symptoms of Schizoid ?

A
  1. Neither enjoy nor desire relationships
  2. Almost always chooses solitary activities
  3. Limited sex experiences
  4. Takes pleasure in few activities (if any)
  5. Lack of close friends
  6. Indifferent to praise or criticism
  7. Emotional coldness
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17
Q

What disorder is odd ideas or thinking? Cluster?

A

Schizotypal; A

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18
Q

A patient comes in believing they can read minds. They mention they have very bad social anxiety, and they do not have many friends. What disorder?

A

Schizotypal

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19
Q

What disorder is closely linked with schizophrenia?

A

Schizotypal

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20
Q

What disorder exhibits a pervasive pattern of social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluations? What Cluster?

A

Avoidant; C

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21
Q

How does avoidant personality differ from schizoid?

A

Avoidant has social inhibitions because of fear of rejection, while schizoid does not

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22
Q

A client comes in expressing a large fear of rejection. He also avoids occupational activities and does not try new activities. What disorder?

A

Avoidant Personality

23
Q

What disorder is a pervasive and excessive need to be taken care of that leads to submissive and clinging behavior and fears of separation? Cluster ?

A

Dependent; C

24
Q

Do dependent personality clients remain in bad relationships or do they leave quickly?

A

Stay

25
Q

True or False: Dependent personality clients freely express their own opinion

A

False; difficulty expressing opinion

26
Q

What disorder is characterized by a pervasive pattern of preoccupation with orderliness, perfectionism, and mental/interpersonal control? Cluster?

A

Obsessive-compulsive personality; C

27
Q

A patient comes in with a workaholic personality. He says that he broke up with his last partner due to her lack of ethics. He also tends to make lists of everything he does.

A

Obsessive Compulsive Personality

28
Q

What disorder is also called “psychopathy” or “sociopathy”?

A

Anti-social personality

29
Q

What disorder is represented by superficial charm, enhanced self-appraisal, need for stim., lack of remorse, manipulative, lying?

A

Anti-social

30
Q

What is anti-social disorder before the age of 15?

A

Conduct Disorder

31
Q

What disorder is characterized by a persistent and repetitive pattern in which basic rights of others and appropriate social norms are violated? Cluster?

A

Anti-social; B

32
Q

A client comes in with a lack of remorse for crashing his car while drunk. He is also very irritable and often uses drugs. What disorder would they be diagnosed with?

A

Anti-social personality

33
Q

What disorder is characterized by pervasive patterns of instability and impulsiveness? Cluster?

A

Borderline Personality; B

34
Q

What 9 behaviors are associated with Borderline?

A
  1. Fears of abandonment
  2. Unstable mood
  3. Intense personality relations
  4. Identity disturbance
  5. Impulsivity
  6. Inappropriate anger
  7. Feelings of emptiness
  8. Stress-related paranoid ideation
  9. Suicidal/self-mutilating behavior
35
Q

What disorder is characterized by a pervasive pattern of attention seeking and excessive emotionality?

A

Histrionic Personality

36
Q

What disorder is characterized by being the life of the party that uses their appearance to seek attention?

A

Histrionic Personality

37
Q

What personality type is characterized by a pervasive pattern of grandiosity, need for admiration, and lack of empathy? Cluster?

A

Narcissistic Personality; B

38
Q

What personality type would strongly believe that they are special/ unique?

A

Narcissistic

39
Q

What personality type is envious of others beliefs?

A

Narcissistic

40
Q

What are the major issues with personality disorders? (3)

A
  1. Comorbidity
  2. Incorrect categorization
  3. Why these specific structures? (like why dependent personality not independent)
41
Q

What are the big five personality factors?

A
  1. Neuroticism
  2. Agreeableness
  3. Extraversion/introversion
  4. Openness to experience
  5. Conscientious
42
Q

Does the DSM-V criteria for personality disorders operate on a categorical or dimensional plane?

A

Categorical; you either have the disorder or you do not

43
Q

What two disorders do men exhibit more?

A

Antisocial and Narcissistic

44
Q

What three disorders do women exhibit more?

A
  1. Borderline
  2. Histrionic
  3. Dependent
45
Q

What is the major difference between Cleckley’s criteria and the DSM-V’s?

A

Cleckley focuses more on underlying behavior, while the DSM focuses on observable behaviors

46
Q

What disorder is common linked to criminality?

A

Antisocial

47
Q

People with low IQ are most likely to develop

A

Anti-social disorder

48
Q

The orphanage study of children with antisocial personality disorder helped prove

A

genetic factors may be important only in the presence of certain environmental influences

49
Q

True or False: People with antisocial have very high levels of natural arousal

A

False; require high stimulating activities to be stimulated

50
Q

Promising treatment for borderline personality disorder that involves exposing the client to stressors in a controlled situation, as well as helping the client regulate emotions and cope with stressors that might trigger suicidal behavior.

A

Dialect Behavior Therapy

51
Q

True or False: Those who develop BPD usually have early childhood trauma

A

True

52
Q

What is the cognitive dysfunction of BPD patients?

A

Limbic systems (dysfunctional serotonin NTs)

53
Q

True or False: BPD patients have a lower emotional sensitivity

A

False; Much more emotional