ICD 11 Flashcards
Secure attachment
Tend to have good self-esteem
Are comfortable sharing feelings with partners and friends
Seek out social support
Ambivalent attachment
Reluctant to become close to others
Worry that their partner does not love them
Become very distraught when relationships end
Avoidant and disorganised attachment
Avoidant
May have problems with intimacy
Invest little emotion in social and romantic relationships
Unwilling or unable to share thoughts or feelings with others
Disorganised- havent developed a strategy to cope with pain so flip in and out of needing you
ICD 11 description of personality disorders
- General descriptor of personality disorder
-Severity: mild, moderate, severe - If appropriate select predominant trait (can have 1 or more): Negative affectivity, detachment, dissociality, disinhibition, anakastia, borderline pattern
- Also an option for personality difficulty
Personality disorder: An enduring disturbance characterised by problems in functioning of aspects:
- the self
- and/or interpersonal dysfunction (relationships and empathy)
- The disturbance has persisted over an extended period of time (> 2 years).
- The disturbance is manifest in patterns of cognition, emotional experience, emotional expression, and behaviour that are maladaptive
- The disturbance is manifest across a range of personal and social situations
- The patterns of behaviour characterizing the disturbance are not developmentally appropriate and cannot be explained primarily by social or cultural factors
- The symptoms are not due to the direct effects of a medication or substance, including withdrawal effects, and are not better explained by another disorder
- The disturbance is associated with substantial distress or significant impairment in personal, family, social, educational, occupational or other important areas of functioning
Mild personality disorder
- Disturbances affect some areas of personality functioning but not others and may not be apparent in some contexts
- There are problems in many interpersonal relationships and/or in performance of expected occupational and social roles, but some relationships are maintained and/or some roles carried out.
- Is typically not associated with substantial harm to self or others.
- May be associated with substantial distress or with impairment in personal, family, social, educational, occupational or other important areas of functioning that is either limited to circumscribed areas or present in more areas but milder
Moderate personality disorder
- Disturbances affect multiple areas of personality functioning. However, some areas of personality functioning may be relatively less affected.
- There are marked problems in most interpersonal relationships and the performance of most expected social and occupational roles are compromised to some degree. Relationships are likely to be characterized by conflict, avoidance, withdrawal, or extreme dependency.
- Is sometimes associated with harm to self or others.
- Is associated with marked impairment in personal, family, social, educational, occupational or other important areas of functioning, although functioning in circumscribed areas may be maintained.
Severe personality disorder
- There are severe disturbances in functioning of the self
- Problems in interpersonal functioning seriously affect virtually all relationships and the ability and willingness to perform expected social and occupational roles is absent or severely compromised.
- Specific manifestations of personality disturbance are severe and affect most, if not all, areas of personality functioning.
- Is often associated with harm to self or others.
- Is associated with severe impairment in all or nearly all areas of life, including personal, family, social, educational, occupational, and other important areas of functioning.
Trait domain= Negative affectivity
Core definition: A tendency to experience a broad range of negative emotions with a frequency and intensity out of proportion to the situation.
Specific features=Anxiety, anger, worry, fear, vulnerability, hostility, shame, depression, pessimism, guilt, low self-esteem, and mistrustfulness. For example, once upset, such individuals have difficulty regaining their composure and must rely on others or on leaving the situation to calm down.
New EUPD
Trait domain: Detachment
Core definition= A tendency to maintain interpersonal distance (social detachment) and emotional distance (emotional detachment)
Specific features= Social detachmentincluding avoidance of social interactions, lack of friendships, and avoidance of intimacy.Emotional detachmentincluding being reserved, aloofness, and limited emotional expression and experience. For example, such individuals seek out employment that does not involve interactions with others.
New avoidant personality disorder
Trait domain: Dissociality
Core definition: Disregard for the rights and feelings of others, encompassing both self-centeredness and lack of empathy.
Specific features: Self-centerednessincluding entitlement, grandiosity, expectation of others’ admiration, and attention-seeking.Lack of empathyincluding being deceptive, manipulative, exploiting, ruthless, mean, callous, and physically aggressive, while sometimes taking pleasure in others’ suffering. For example, such individuals respond with anger or denigration of others when they are not granted admiration.
New anti-social personality disorder
Trait domain: disinhibition
Core definition= A tendency to act rashly based on immediate external or internal stimuli (i.e., sensations, emotions, thoughts), without consideration of potential negative consequences.
Specific features:Impulsivity, distractibility, irresponsibility, recklessness, and lack of planning. For example, such individuals may be engaged in reckless driving, dangerous sports, substance use, gambling, and unplanned sexual activity.
New impulsive personality disorder
Trait domain: Anankastia
Core definition= A narrow focus on one’s rigid standard of perfection and of right and wrong, and on controlling one’s own and others’ behaviour and controlling situations to ensure conformity to these standards
Specific features: Perfectionismincluding concern with rules, norms of right and wrong, details, hyper-scheduling, orderliness, and neatness.Emotional and behavioral constraintincluding rigid control over emotional expression, stubbornness, risk-avoidance, perseveration, and deliberativeness. For example, such individuals may stubbornly redo the work of others because it does not meet their standards.
o New obsessive compulsive personality disorder
