Final Exam Flashcards
criteria for General Personality Disorder
A:
- an enduring pattern of 2 or more:
- cognition (ways of perceiving self, others, or
events)
- affectivity (range, intensity, and
appropriateness of emotional response)
- interpersonal functioning
- impulse control
B:
- enduring pattern is inflexible and pervasive
across a broad range of personal and social
situations
C:
- enduring pattern leads to significant
distress/impairment in social, occupational, or
other important areas of functioning
D:
- pattern is stable and for a long time, can be
traced to childhood or adolescents
what are the three clusters of personality disorder
- odd-eccentric
- dramatic-emotional
- anxious-fearful
cluster A defining characteristics for GPD
- flat affect, odd thought or speech patterns
3 disorders:- paranoid personality disorder
- schizotypal personality disorder
- schizoid personality disorder
cluster B defining characteristics of GPD
- manipulative and potentially uncaring
- emotional dysregulation
- inappropriately sexual and seductive behavior
- extreme focus on appearance
disorders:
- histrionic personality disorder
- antisocial personality disorder
- borderline personality disorder
cluster C defining characteristics for GPD
extreme concern of criticism and abandonment that leads to impaired relationships
Schizotypal personality disorder
- cluster A
- symptoms of schizophrenia but not severe
enough to warrant diagnosis - mild perceptual and cognitive distortions
- discomfort with and deficits in interpersonal
relations (wants close relations but often
avoids them) - seen as bright and creative often times
how does cluster A in personality disorder differ from schizophrenia
Cluster A in personality disorder lists paranoia as a symptom but unlike schizophrenia, it does not reach a high level of severity
schizophrenia usually think widely, like the government is attacking them while cluster A focus more on people they know
characteristics of antisocial personality disorder/ASPD
- disregard for and violation of the rights of others:
- failure to conform to social norms
- deceitfulness
- impulsivity or failure to plan ahead
- lack of remorse
- heavily genetic
histrionic personality disorder (characteristics, core beliefs, and learning history)
- exaggerated emotionality that lacks depth
(shallow and rapidly shifting emotions) - discomfort when not center of attention
(constant seeking of reassurance, approval
and praise) - inappropriately sexual and seductive behavior
(extreme focus on appearance)
core beliefs:
- self: if I can’t entertain people, they will
abandon me
- other: if other people don’t respond, they are
rotten
learning history:
- selective interpersonal reinforcement by
family and peer relationships leads to
excessive attention-seeking behaviors
early learning environment in ASPD/environments ASPD is found in
- moral insanity/constitutionally deficient in
moral faculties - overrepresented in criminal and substance
abuse settings - characterized by either passive/neglectful
parenting attitudes or overly harsh parenting
styles- passive: children who receive little attention
for (+) behaviors may engage in (-) behavior
for attention
- passive: children who receive little attention
- incapable of profiting from
reward/punishment
function of healthy narcissism
helps one maintain:
- a positive self-image
- regulatory processes
- needs for validation and affirmation
- self-enhancement
behaviors associated with clinical/grandiose narcissism
- arrogant, conceited and domineering attitudes and behaviors
also internal manifestations:- repressing negative aspects of self
- distorting disconfirming external information
- engaging in regulatory fantasies of unlimited
power, superiority, perfection, and adulation
what are the two primary characteristics of Borderline Personality Disorder
- instability in emotion, cognition, behavior, sense of self, and interpersonal relationships
- profound fears of abandonment (real or imagined) and esperate bids to avoid abandonment
early learning experiences that are associated with Borderline Personality Disorder
- maternal / paternal absences
- discord between parents
- raised by other relatives or in a foster home
- familial physical violence
- physical or sexual abuse, neglect
what is the meaning of “good enough mothering”
parents don’t need to be perfect, just present enough to form their child into a functioning member of society
how does “good enough mothering” align with Linehan’s understanding of BP development
the child doesn’t learn to develop normally if this is the case, which leads to child’s inner experiences being met with erratic responses from parent
with respect to genetic factors, what do scientists believe is being inherited with respect to BPD
scientists believe that predisposing traits are being inherited, which leads to a propensity to the disorder but not inheriting the disorder itself
what is the main limitation with twin studies on BPD
no adoption studies have been conducted, making it hard to rule out environmental factors
particular features of OCPD
orderliness
perfectionism
mental and interpersonal control
what is a sexual paraphilia
sexual arousal to non-normative or deviant stimuli and the associated sexual behaviors
- qualitative aspects of sexuality / direction of
sexual feelings
which disorders belong to the victim/victimless categories
victimless:
- fetishism
- transvestic fetishism
- sexual masochism & sadism (receiving end)
victim:
- exhibitionism
- frotteurism
- pedophilia
- sexual masochism & sadism
(nonconsensual)
- voyeurism
learning-based etiological models for sexual paraphilias
classical conditioning
imprinting
conditioning and fantasy rehearsal
early sexual trauma
dispositional factors that are often found in individuals with sexual paraphilias
- men
- impulsivity, anger, aggression, etc.
- heterosocial deficits
- early attachment problems
- comorbid pathology:
- mood disorder
- anxiety
- substance abuse
what is a potentially potent non-shared environmental factor in the development of psychopathy?
peer relationships
what area of the brain is thought to have learning deficits in psychopathy? is it the only part of the brain to be impacted like this?
amygdala; no
response modulation hypothesis (RMH) and how does attention bottleneck factor in?
psychopaths’ inability to adapt their behavior to changing circumstances results from an inability to process peripheral cues in the midst of a dominant response
attention bottleneck - the simultaneous processing of multiple channels of information, which can be seen to be slowed/negatively affected in psychopathy
how does Gray’s BIS/BAS model shown in psychopathy
the BIS (sensitive to threat) can be seen as weak and along with a normal BAS (sensitive to reward) can be seen in psychopaths
6 criteria for psychopathy that have the strongest influence on current conceptualizations of the disorder
- superficial charm and good intelligence
- lack of remorse or shame (inability to feel it at all)
- poor judgement and failure to learn by experience
- inadequately motivated antisocial behavior
- incapacity for love
- general poverty in major affective reactions
negative life events that characterize the youth of those later diagnosed with BPD
physical abuse, sexual abuse, and/or neglect during childhood
what is considered a key environmental factor in the development of BPD?
invalidating family environment
2 core features of BPD listed in the textbook?
affective instability and fear/intolerance of aloneness
in what ways are people with BPD “unstable”?
instability in self-image when patients have difficulty in maintaining a sense of who they are and /or what they want from their lives
psychopaths in relation to aversive stimuli
- less influenced by fear reactions
- don’t experience anxiety the same way as typical
people as well as fear- experiences aren’t translating into behavior as
experiences are rarely lumped with anxiety
- experiences aren’t translating into behavior as
- chronic low levels of arousal and in need to increase arousal levels, ASPD individuals will engage in higher-risk sensation-seeking behaviors
high-functioning/exhibitionistic narcissism
- exaggerated sense of self-importance
- outgoing, articulate, and energetic
- show “good adaptive functioning and use their narcissism as a motivation to succeed”