[Exam 3] Chapter 18 - Personality Disorders Flashcards
What is personality?
Ingrained, enduring patterns of behaving and relating to the self and others. Includes perceptions, atittudes, and emotions
What are personality disorders?
Diagnosed when there is impairment of personality functioning and personality traits that are maladtive
Individuals may have identity problems such as
egocentrism or being self-centered
Personality disorders are not diagnosed until when?
At age 18 when personality is more compeltely formed
Personality Disorders: DSM-5 definition of this?
Generalized pattern of behaviors, thoughts, and emotions that begins in adolescence and remains stable over time. Characterized by
Impaired personality functioning
Pathological personality factors
Personality Disorders: Clusters of this?
Cluster A - Odd or Eccentric Behaviors
Cluster B- Erratic or Dramatic BEhaviors
Cluster C- Anxious or fearful disorders
Personality Disorders: What fulls under Cluster A?
Paranoid personality disorder
Schizoid Personality Disorder
Schizotypal Personality disorder
Personality Disorders: What falls under Cluster B?
Antisocial Personality Disorder
Borderline Perosnality Disorder
Histrionic Personality Disorder
Narissistic Disorder
Personality Disorders: what falls under Cluster C?
Avoidant Personaltiy Disorder
Dependent Personality Disorder
Obsessive Personality Disoroder
Personality Disorders: In psychiatric seettings, nurses most often encounter which type of client?
Antisocial and Borderline Personality Disroder
Personality Disorders: What is Depressive Behavior
Characterized by pervasive pattern of depressive cognitions and behaviors in various contexts. It occurs more often in people with relatives who have major depressive disorders. People with depressive personality disorders often seek tx for their distress
Personality Disorders: What is passive-aggressive behavior?
Chacterized by a negative attitude and a pervasive pattern of passive resistance to demand for adeequate social and occupational performance
Personality Disorders & Onset/Clinical: How common?
10-20% of population
Personality Disorders & Onset/Clinical: Percentage of psychiatric inpatients?
15% have primary diagnoses of personality disorder.
Personality Disorders & Onset/Clinical: This has been highly correlated with what?
Criminal behavior, alcoholism, and drug abuse
Personality Disorders & Onset/Clinical: These people are often described as what?
Treatment resistant. This is due to personality being deeply ingrained.
Personality Disorders & Onset/Clinical: Another barrier to treatment?
Many patients do not perceive their dysfunctional or maladaptive behaviors as a problem. Will view themselves as having strong personality that can’t be pushed around
Personality Disorders & Onset/Clinical: When does this tend to dimish?
In the 40s and 50’s.
Personality Disorders & Onset/Clinical: What tendancies do those with borderline personality disorder tend to demonstrate as they age?
Decreased impulsive behavior, increased adaptive behavior and more stable relationships by 50
Personality Disorders & Biologic Theories: Personality develops how
through interaction of hereditary dispositions and environmental influences
Personality Disorders & Biologic Theories: What does temperament refer to?
Biologic processes of sensation, association, and motivation that underlie the integration of skills and habits based on emotions
Personality Disorders & Biologic Theories: What are the for temperament traits?
harm avoidance, novelty seeking, reward dependence, and persistence
Personality Disorders & Biologic Theories: Those with high harm avoidance exhibit what?
Fear of uncertainty, social inhibition, shyness with strangers, rapid fatigability and pessimistic worry in anticipation of problems
Personality Disorders & Biologic Theories: tHose with low harm avoidance act how?
Carefree, energetic, outgoing and optimistic
Personality Disorders & Biologic Theories: High harm avoidance behaviors may result in what?
maladaptive inhibition and excesive anxiety
Personality Disorders & Biologic Theories: Low harm avoidance behaviors may result in what?
unwarranted optimism and unresponsiveness to potential harm or danger
Personality Disorders & Biologic Theories: High novely-seeking temperament results in someone who
is quick tempered, curious, easily bored, impulsive, extravagant, and disorderly. Easily bored and distracted with life and prone to angry outbursts
Personality Disorders & Biologic Theories: Person with low novelty seeking acts how?
Is slow-tempered, stoic, reflective, frugal, reserved, orderly, adn tolerant of monotony. Adheres to routine of activites
Personality Disorders & Biologic Theories: People high in reward dependence act how?
Are tenderhearted, sensitive, socialable, and socially dependent. Become overly dependent on approval from others adn readily assume ideas or wishes of others without regrd for their own beliefs
Personality Disorders & Biologic Theories: People with low reward dependence act how?
Are practical, tough-minded, cold, socially insensitive, irresolute and indifferent to being a lone. Social withdrawal, detachment and aloofness can result
Personality Disorders & Biologic Theories: How do highly persisitent people act?
Are harmworking and overachievers who respond to fatigue as personal challenge. May perserve even with siutation dictates they should change or stop.
Personality Disorders & Biologic Theories: How do low persistent people act?
Inactive, indolent, unstable and erratic. They tend to give up easily when frustrated and rarely strive for higher accomplishments
Personality Disorders & Psychodynamic Theories: What is character/
Consists of concepts about the self and the external world. Develops over time as perosn comes into contact with people
Personality Disorders & Psychodynamic Theories: Three major character traits?
Self-fDirectedness, Cooperativeness, and Self-Transcedence
Personality Disorders & Psychodynamic Theories: Wha is self-directedness?
Extend to which a person is responsible , reliable, resourceful, goal-oriented and self-confident.
Personality Disorders & Psychodynamic Theories: Self-directed people act how
are realistic and effective and can adapt to their behavior to achieve goals
Personality Disorders & Psychodynamic Theories: People low in self-directedness act how
they blame, are helpless, irresponsible and unreliable . Cannot pursue goals
Personality Disorders & Psychodynamic Theories: What is cooperativeness?
Refers to the extent to which a person sees him or herself as integral part of human society.
Personality Disorders & Psychodynamic Theories: How are highly coperative people described?
As empathic, tolerant, compassionate, supportive and principled
Personality Disorders & Psychodynamic Theories: People with low cooperativeness are described how?
As self-absorbed, intolerant, critical, unhelpful, revengeful and opportunistic
Personality Disorders & Psychodynamic Theories: What is self-transcedence?
Describes extent to which a person considers themselves to be an integrl part of the universe. Are spiritual, unpretentious, humble and fulfilled.
Personality Disorders & Psychodynamic Theories: People low in self-transcendence act how?
Are practial, self-conscious, materialistic, and controlling. May have difficulty accepting suffering, loss of control and material losses
Personality Disorders & Psychodynamic Theories: Personality disorders results when
combination of temperament and character development produces maladaptive, inflexible ways of viewing self, coping with world, and relaitng ot others
Personality Disorders & Psychopharmacology: The four symptom categories that underlie personaltiy disorders are cognitive-perceptual distortions including:
Psychotic symptoms
Affective symptoms and mood dysregulation
Aggression and behavioral dysfunction
Anxiety
Personality Disorders & Psychopharmacology: Low reward dependence corresponds with what disorder?
Affective dysregulation, ddetachment adn cognitive disturbances
Personality Disorders & Psychopharmacology: High novely seek corresponds with what?
target symptoms of impulsiveness and aggression
Personality Disorders & Psychopharmacology: High harm avoidance corersponds with what?
Categories of anxiety and depression symptoms
Personality Disorders & Psychopharmacology: Cognitive-perceptual disturbances include what?
magical thinking, odd beliefs, illusions, suspiciousnes, ideas of reference and low-grade psychotic symptoms
Personality Disorders & Psychopharmacology: Aggression may occur in what type of people?
Impulsive people, those who exhibit predatory or cruel behavior, or peope with organic like impulsivity, poor social judgement and emotional lability
Personality Disorders & Psychopharmacology: What is prescribed to treat aggresion?
Lithium, anticonvulsant mood stabilziiers, and benzodiazepines
Personality Disorders & Psychopharmacology: What may be useful in modifying predatory aggression?
Low-dose neuroleptic
Personality Disorders & Psychopharmacology: Mood dysregulations symptoms include what
emotional instability, emotional detachment, depression adn dysphoria
Personality Disorders & Psychopharmacology: Emotional instability and mood swings respond favorably to what?
Lithium
Carbamazepine (Tegretol), Valproate (Depakote)
Low dose Neuroleptics like Haloperidol (Haldol)