Lecture 20: Personality Disorders Flashcards

1
Q

what is personality?

what is nature vs nurture

A

nature= innate temperament (disposition), genetic
nurture= character is acquired
nature and nurture elicit traits– these traits become personality

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2
Q

what is important for diagnosis

A

social interaction

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3
Q

what are core features of personality disorders

A
  1. functional inflexibility= can’t adapt to situations
  2. self-defeating= other people’s reactions are damaging to self
  3. unstable when stressed= emotional, beh and cog instability
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4
Q

what is overall PDs feature

A
  • lack of insight: can’t realise dysfunctional part of their personality
  • can’t reflect
  • don’t realise they’re causing trouble
  • don’t think they’re wrong
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5
Q

DSM-5 PD

A

enduring pattern of inner experience + beh that:
- deviates from expectations of ind. culture
- inflexible
- onset in childhood
- stable overtime
- leads to distress (distress from consequences of beh)
ex. why aren’t people listening to me, my ideas are so
great

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6
Q

DSM-5 General PD

A
  • sig. impairment in self (identity) + interpersonal (empathy or intimacy) functioning
  • 1 or more pathological personality trait domains
  • these features must be:
    • stable over time, consistent across situations
    • not better understood as normative for person’s env
    • not due to direct physiological effects of substance or
      general medical condition
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7
Q

what are the 2 classifications systems

A

DMS-5 + ICD-10

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8
Q

DSM-5

A

10 PDs categorised in 3 clusters

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9
Q

ICD-10

A

9 PDs– but not clustered + with diff labels

- ex. antisocial= dissocial

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10
Q

cluster A (DSM-5 PDs)

A

(odd, eccentric– abnormal)

- paranoid, schizoid, schizotypal

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11
Q

cluster B

A

(dramatic, emotional)

  • antisocial
  • borderline
  • histrionic
  • narcissistic
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12
Q

cluster C

A

(anxious, fearful)

  • avoidant
  • dependent
  • obsessive-compulsive
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13
Q

what is categorical approach to PDs

A

categorical= DSM-5

  • assumes that PD represents distinct clinical syndromes
  • advantage= clear, easy to tell info
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14
Q

dimensional approach?

A

healthy personality functioning–> some problematic traits–> many problematic traits–> PD–> serious PD–> extreme PD

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15
Q

DSM-IV: multi-axial system

A

Axis 1 + Axis 2

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16
Q

what is Axis 1

A

major clinical disorders w/ acute symptoms= need treatment

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17
Q

what is Axis 2

A

personality disorders

  • early age of onset
  • affect daily functioning
  • involve identity
  • not self-aware
  • lower treatment response
18
Q

limitations of multi-axial system?

A
  • co-occurence of symptoms
  • unreliable diagnosis
  • no scientific evidence
19
Q

4 features of cluster A

A
  • introverted
  • isolate themselves
  • suspicious
  • prominent in childhood
20
Q

Paranoid PD

A
  • consistent + pervasive pattern of distrust, suspiciousness, grudge for long time
  • think others are deceptive= can’t trust
  • always think someones gonna get them
  • feel vulnerable
  • can’t let guard down
  • always expect worst
  • lots of jealousy
  • could harm others
  • hard to build close relationships
  • not delusional
  • get rly angry to insults
  • misinterprets comments
  • 2/3 meet criteria for other PDs
    • schizotypal, narcissistic, borderline, avoidant
21
Q

Schizoid PD

A
  • not interested in social relationships
  • withdraw from world
  • keep distance from others
  • v detached– can’t connect with people– can see them, but can’t establish connection
  • feel overwhelmed by others
  • hate social interaction
  • v avoidant
  • not introverted or emotionally anxious– just not interested in people
  • cold, distant, love yourself
  • anhedonia= can’t feel pleasure
  • comorbid w/ schizotypal + avoidant PDs
22
Q

Avoidant PD

A
  • prevalent social inhibition
  • discomfort in social situations
  • feelings of inadequacy
  • low self-esteem
  • hypersensitivity to criticism
  • disapproval
  • shame
  • rejection
  • avoid contact and groups
  • socially incompetent, unappealing, inferior to others
  • comorbid w/ dependent PD, Axis 1 mood, anxiety, eatinf disorders
23
Q

Dependent PD

A
  • prevalent–> need to be taken care of
  • scared of being incapable of doing stuff on their own
  • heavy reliance on others
  • lack self confidence, need reassurance
  • often in abusive relationships– fear abondonment
24
Q

dependent PD: what is self view

A

weak, needy, helpless, incompetent

25
Q

dependent PD: view of others

A

want strong caretaker– function well, as long as caretaker is there

26
Q

dependent PD: threats

A

rejection of abondonment

27
Q

dependent PD: strategy

A

create dependent relationship by subordinating

28
Q

dependent PD: affect

A
  • anxiety heightened= disrupts relationships
  • depression, if caretaker removed
  • euphoria, when wishes granted
29
Q

obsessive compulsive PD

A
  • prevalent pattern of perfectionism, orderliness
  • rigidity, inflexibility, stubborn
  • want to control people– hard to maintain relationships, employment
  • preoccupied w/ rules, minor details, structure
  • super detailed= so hard to complete tasks on time
  • unrealistic standards of morality, ethics
  • can’t delegate tasks
30
Q

obsessive compulsive PD comorbidity?

A
borderline 
narcissistic 
histrionic 
paranoid 
schizotypal PDs
31
Q

obsessive compulsive PD: self view

A

responsible for themselves + others

32
Q

obsessive compulsive PD: view of others

A

irresponsible, incompetent

33
Q

obsessive compulsive PD: threats

A

any flaws, errors, disorganisation

catastrophic thinking– things will be out of control

34
Q

obsessive compulsive PD: strategy

A

system of rules, punishing, disapproving

35
Q

obsessive compulsive PD: affect

A

regrets
disappointment
anger towards self + others because of perfectionistic standards

36
Q

PDs are associated w/

A

pattern of maladaptive traits which:

  • endure over long period– fixed into personality
  • traceable to adolescence or early adulthood
  • happens in many social situations– not episodic
  • important areas of life functioning affected
37
Q

can specific PD diagnosis be made if not general PD criteria met?

A

no. specific PD can be made only if general PD criteria are met

38
Q

shifting towards?

A

dimensional classification approach

39
Q

DSM-5 is a…

A

single axial model

40
Q

Schizotypal PD

A
  • interpersonal deficits
  • behavioural abnormalities
  • distortions in perception + thinking
  • magical thinking
  • extreme superstition
  • believe in paranormal phenomenon
  • seeing things others can’t= odd thoughts
  • believe in this all their life
  • not episodic
  • seeks trt for anxiety, depression
  • comorbid with: borderline, avoidant, paranoid, schizoid