exam 3 Flashcards
personality disorder DSM-5 criteria (general def)
personality pattern deviates from expectations of culture: styles of thinking ab oneself, others or events; emotional experience and expression; interpersonal functioning and/or impulse control
when is the onset of a personality disorder?
adolescence or early adulthood
personality disorder
enduring pattern of thinking, feeling, and behaving that is relatively stable over time, and the particular personality features must be evident by early adulthood
cluster A PS’s
odd or eccentric: paranoid PD, schizoid PD, schizotypal PD
paranoid PD
distrust or suspiciousness (plausible but unreasonable)
schizoid PS
no interest in relationships
schizotypal PD & treatment
eccentric behavior; odd thinking (schizophrenia lite); treatment: dynamic, supportive, cognitive-behavioral, and group therapy & small doses of anxiolytics for anxitey
cluster B PDs
dramatic/erratic: Antisocial, borderline, histrionic, narcissistic
antisocial PD
violating rights of others: don’t learn from consequences (similar to psychopaths), more common in men, requires conduct disorder diagnosis as child
borderline PD & treatment
instability in mood, self-image, relationships: fear of being alone, impulsivity (catastrophizing), more common in women; treatment: skill training based
histrionic PD
attention seeking: overly excited, seductive, etc., more common in women
narcissistic PD- theory & etiology
grandiosity, need for admiration, lack of empathy, more common in men; theory: subconsciously inferior; etiology: link to parenting
cluster C
anxious/fearful: avoidant PD, dependent PD, obsessive-compulsive PD
avoidant PD
social inhibition, feelings of inadequacy, hypersensitivity to criticism
dependent PD
need to be taken care of, submissiveness, clinginess, fear of abandonment
obsessive-compulsive PD
orderliness, perfectionism, mental and interpersonal control, inflexibility
psychopathy
lack of emotion, no shame, charming/manipulative, act irresponsibly/cruelly towards others, don’t learn from mistakes; seeking thrill/financial gain
etiology of BPD
biological: low serotonin, impaired frontal lobe functioning (impulse control/inhibition); psychological: childhood abuse/neglect, inconsistent love/attention, emotional dysregulation in childhood/punishment by parent
treatment of BPD
dialectical-behavioral therapy (DBT): changing behaviors and acceptance; emotional regulation; mindfulness
conduct disorder
persistent pattern of behavior violates basic rights of others or major rules
categorical model of diagnosis for PD
defines 10 different personality disorders in terms of distinct criteria sets; DSM-lV, intended for clinical use
dimensional model
trait specific, DSM-5: 3 clusters; continuum model of PDs like big 5 model (normal-abnormal)
criticims for DSM-5 approach to PDs
treats PD as if they are entirely different from “normal” personality traits; clustering system is limited (ex: limitations for co-occurring PDs from diff clusters); not consistently validated
anorexia nervosa symptoms
restricted intact, significantly low weight, intense fear of gaining weight, distorted perception
anorexia: restrictive type
last 3 mo, weight loss primarily gained through dieting/fasting, excessive exercising
anorexia: binge-purge type
last 3 mo, engage in binge-purge behavior
treatment of anorexia nervosa
psychotherapy, meds: control anxiety and depression, group/family therapy, hospitalization