First Aid CH6 Personality Disorders

Question 1

define personality

Answer 1

one’s set of stable, predictable, emotional, and behavioral traits, deviation from these may qualify as a disorder where the deviation is pervasive and inflexible

Question 2

what are quirks?

Answer 2

odd tendencies that don’t cause significant distress or impairment in daily functioning

Question 3

Cluster A

Answer 3

schizoid
schizotypal
paranoid

Question 4

Cluster B

Answer 4

antisocial
borderline
histrionic
narcissistic

Question 5

Cluster C

Answer 5

avoidant
dependent
OCPD

Question 6

tx for personality disorders

Answer 6

tx is very difficult, disorders tend to be chronic and life-long, psychotherapy most helpful

Question 7

paranoid PD

Answer 7

pervasive distrust and suspiciousness of others, interpret motives of others as malevolent, angry and hostile and jealous

Question 8

avoidant vs schizoid

Answer 8

avoidants want to have friends but often don’t, schizoids don’t want friends/prefer to be alone

Question 9

schizoid PD

Answer 9

social withdrawal, reclusive, quiet and unsociable, no desire for close relationships or sexual activity, indifference to praise or criticism, emotional coldness

Question 10

schizotypal PD

Answer 10

strange and odd behavior, magical thinking and odd beliefs (clairvoyance, telepathy, superstitious), social anxiety, discomfort with close relationships, involvement with cults or strange religious practices

Question 11

antisocial PD

Answer 11

exploitive of others, break rules to meet their own needs, lack empathy, compassion, lack remorse, violate the law, skilled at reading social cues

Question 12

what increases risk of having antisocial PD?

Answer 12

substance use, trauma (abuse)

Question 13

borderline PD

Answer 13

unstable moods, behaviors, and interpersonal relationships, fear abandonment, intense attachments, aggression, impulsive (repeat suicide attempts/gestures/self-mutilation), poor self-image

Question 14

what’s a common borderline PD tactic?

Answer 14

splitting, view others and themselves as all good or all bad

Question 15

course of borderline PD

Answer 15

varies but many dev stability by middle age, coexisting MDD and/or substance abuse, inc risk of suicide

Question 16

borderline tx

Answer 16

DBT (dialectical behavior therapy)

Question 17

histrionic PD

Answer 17

attention-seeking behavior, dramatic, extroverted, unable to form meaningful relationships, sexually inappropriate and provocative to draw attention

Question 18

common histrionic defense mech?

Answer 18

regression: reversion to childlike behaviors

Question 19

narcissistic PD

Answer 19

sense of superiority, need for admiration, lack empathy, consider themselves special, will exploit others for own gain, fragile self-esteem, arrogant

Question 20

avoidant PD

Answer 20

social inhibition and intense fear of rejection, avoid social interaction but desire companionship, extremely shy and easily injured, feeling of inadequacy

Question 21

dependent PD

Answer 21

poor self-confidence, fear separation, feel helpless if left alone, excessive need to be taken care of, difficulty making everyday decisions without reassurance from others, usually have a long-lasting relationship (not so in borderline or histrionic)

Question 22

obsessive-compulsive PD

Answer 22

perfectionism, inflexibility, orderliness, preoccupation with unimportant details that prevents completion of overarching objective, excessive devotion to work, penny-pincher

Question 23

other specified PD

Answer 23

disorder that does not meet full criteria for any of the disorders, clinician chooses to communicate specific reason criteria isn’t met (mixed PD)

Question 24

unspecified PD

Answer 24

disorder that does not meet full criteria for any of the disorders, clinician chooses not to specify the reason that the criteria are not met for any specific PD (not enough info)