Lecture 1 Flashcards

1
Q

overall prevalence of PDs

A

9.1%

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2
Q

Prevalence of the clusters:

A

Cluster A: 5.7%
Cluster B: 1.5%
Cluster C: 6%

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3
Q

Characteristics of a PD (the three Ps)

A

Persistent, Pervasive, Pathological

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4
Q

Cluster A

  • Codeword
  • PDs included
  • Prevalence
A
ATYPICAL
1. Paranoid 
2. Schizoid
3. Schizotypal 
Prevalence: 5.7%
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5
Q

Terms for Paranoid

A

Paranoid; Careful; Distrust; Suspiciousness

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6
Q

Terms for Schizoid

A

Loners; Independent; Autonomous; Detachment from social relationships

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7
Q

Terms for Schizotypal

A

Eccentric; Unique; Discomfort around Social relationships; Eccentric behavior and thoughts

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8
Q

Cluster B

  • Codeword
  • PDs included
  • Prevalence
A
BOOHOO (dramatic cluster)
1. Antisocial 
2. Borderline
3. Histrionic 
4. Narcissistic 
Prevalence: 1.5%
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9
Q

Terms for Antisocial

A

Disregard or violation of rights; they do not care about rules

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10
Q

Terms for Borderline

A

Drama queens; sensitive; instability in their self-perception; splitting; self-harm is related to self-image

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11
Q

Terms for Histrionic

A

Attention seekers; flair; being center of attention; splitting;

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12
Q

Terms for Narcissistic

A

Special; unique; wanting to be big and important; lack of empathy, overwhelming need for being special

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13
Q

Cluster C

  • Codeword
  • PDs included
  • Prevalence
A
CAREFUL (anxious, fearful thinking and behavior)
1. Avoidant
2. Dependent
3. Obsessive-compulsive 
Prevalence: 6%
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14
Q

Terms for Avoidant

A

Shy; stay clear of social relationships; feelings of inadequacy; sensitive to rejection; interested in social relationships, but scared

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15
Q

Terms for Dependent

A

Clingy; loyal; submissiveness; fear of being left alone

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16
Q

Terms for Obsessive-Compulsive

A

Controlling; perfectionistic; wanting things to be neat and orderly

17
Q

Gender differences among PDs

A

Males: antisocial PD
Females: borderline, histrionic, dependent PD

18
Q

DMS: paranoid PD

  1. Diagnostic feature
  2. How many items needed?
  3. Prevalence
A
  1. A pervasive distrust and suspiciousness of others such that their motives are interpreted as malevolent, beginning by early adulthood and present in a variety of contexts
  2. 4/7
  3. between 2.3 and 4.4%; more common in males
19
Q

DMS: schizoid PD

  1. Diagnostic feature
  2. How many items needed?
  3. Prevalence
A
  1. A pervasive pattern of detachment from social relationships and a restricted range of expression of emotions in interpersonal settings.
  2. 4/7
  3. between 3.1 and 4.9%; slightly more common in males
20
Q

DMS: schizotypal PD

  1. Diagnostic feature
  2. How many items needed?
  3. Prevalence
A
  1. A Pervasive pattern of social and interpersonal deficits marked by acute discomfort with, and reduced capacity for, close relationships as well as by cognitive or perceptual distortions and eccentricities of behavior.
  2. 5/9
  3. in community samples: 0.6 to 4.6%; in infrequent rates in clinical populations (0 to 1.9%), with higher estimated prevalence in general population (3.9%); slightly more common in males
21
Q

DMS: antisocial PD

  1. Diagnostic feature
  2. How many items needed?
  3. Prevalence
A
  1. A pervasive pattern of disregard for and violation of the rights of others, occurring since age 15 years
  2. 3/7
  3. between 0.2 and 3.3%, highest prevalence (greater than 70%) among severe sample of males with alcohol use disorder; much more common in males
22
Q

DMS: borderline PD

  1. Diagnostic feature
  2. How many items needed?
  3. Prevalence
A
  1. A pervasive pattern of instability of interpersonal relationships, self-image, and affects, and marked impulsivity.
  2. 5/9
  3. between 1.6 and 5.9%; in primary care settings: 6%; in outpatient mental health clinics: 10%; in psychiatric inpatients: about 20%.; predominantly diagnosed in females (about 75%).
23
Q

DMS: histrionic PD

  1. Diagnostic feature
  2. How many items needed?
  3. Prevalence
A
  1. A pervasive pattern of excessive emotionality and attention seeking, beginning by early adulthood and present in a variety of contexts
  2. 5/8
  3. 1.84%; more frequently diagnosed in females
24
Q

DMS: narcissistic PD

  1. Diagnostic feature
  2. How many items needed?
  3. Prevalence
A
  1. A pervasive pattern of grandiosity (in fantasy or behavior), need for admiration, and lack of empathy
  2. 5/9
  3. estimates from 0 to 6.2%; often in males (about 50-75%)
25
Q

DMS: avoidant PD

  1. Diagnostic feature
  2. How many items needed?
  3. Prevalence
A
  1. A pervasive pattern of social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation
  2. 4/7
  3. estimates about 2.4%; equally frequent in males and females
26
Q

DMS: dependent PD

  1. Diagnostic feature
  2. How many items needed?
  3. Prevalence
A
  1. A pervasive and excessive need to be taken care of that leads to submissive and clinging behavior and fears of separation
  2. 5/8
  3. estimated prevalence between 0.5 and 0.6%; more frequently diagnosed in females
27
Q

DMS: obsessive-compulsive PD

  1. Diagnostic feature
  2. How many items needed?
  3. Prevalence
A
  1. A pervasive pattern or preoccupation with orderliness, perfectionism and mental and interpersonal control, at the expense of flexibility, openness and efficiency
  2. 4/8
  3. estimates from 2.1 to 7.9%; twice as often among males