Mehl. personality disorders Flashcards
M. Cluster A (odd, eccentric). what 3 types?
Paranoid, Schizoid, Schizotypal
M. Cluster A (odd, eccentric).
Paranoid defintion?
Broad, general suspicion and distrust of others that causes impairment in many areas of life, such as relationships and work.
M. Cluster A (odd, eccentric).
Broad, general suspicion and distrust of others that causes impairment in many areas of life, such as relationships and work.??
Paranoid
M. Cluster A (odd, eccentric). Paranoid. what defense mechanism?
Projection is a common defense mechanism.
M. Cluster A (odd, eccentric). Paranoid. vs delusional disorder?
Delusional disorder, in contrast, will be one false belief in just one area of life (e.g., work
M. Cluster A (odd, eccentric). Schizoid. definition?
Person is a loner/recluse and prefers for it to be that way (ego-syntonic).
M. Cluster A (odd, eccentric).
Person is a loner/recluse and prefers for it to be that way (ego-syntonic).?
Schizoid.
M. Cluster A (odd, eccentric). Schizoid. vs avoidant personality disorder?
This is in contrast to avoidant personality disorder (discussed below), where the patient doesn’t wish for this to be the case (ego-dystonic).
M. Cluster A (odd, eccentric). Schizoid.
The USMLE will say a guy works at a plastics factor or is computer programmer (i.e., some random boring job without social interaction) and just stays alone.
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M. Cluster A (odd, eccentric). Schizotypal.
definition?
Wild thinking / unusual beliefs. Patient may have superstitious thinking or fixation on astrology or Buddhist temples, but he/she doesn’t qualify for any psychotic disorder.
M. Cluster A (odd, eccentric).
Wild thinking / unusual beliefs. Patient may have superstitious thinking or fixation on astrology or Buddhist temples, but he/she doesn’t qualify for any psychotic disorder.???
Schizotypal
M. Cluster A (odd, eccentric). Schizotypal.
Often experience socio-occupational dysfunction, where they might appear odd or peculiar to coworkers, clients, or others.
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M. Cluster B (dramatic, emotional, erratic). 4 types?
Borderline, Histrionic, Narcissistic, Antisocial
M. Cluster B (dramatic, emotional, erratic). Borderline. definition?
Unstable personal relationships, self-image, emotions, and impulsivity.
M. Cluster B (dramatic, emotional, erratic).
Unstable personal relationships, self-image, emotions, and impulsivity.
Borderline
M. Cluster B (dramatic, emotional, erratic). Borderline. what behavious can demostrate?
Patient can demonstrate parasuicidal behavior, which are suicidal gestures without true intent to commit suicide, such as slicing/cutting of one’s wrists and legs.
M. Cluster B (dramatic, emotional, erratic). Borderline. Hx of what?
Patient may have history of being engaged to multiple prior partners.
M. Cluster B (dramatic, emotional, erratic). Borderline. Dx?
Tx = dialectal behavioral therapy (DBT).
M. Cluster B (dramatic, emotional, erratic). Histrionic. definiton/CP?
Attention-seeking, eccentricity, sexual suggestibility.
M. Cluster B (dramatic, emotional, erratic). Attention-seeking, eccentricity, sexual suggestibility.
Histrionic.
M. Cluster B (dramatic, emotional, erratic). Histrionic.
Patient is uncomfortable when not center of attention, often using their appearance to draw attention.
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M. Cluster B (dramatic, emotional, erratic). Histrionic.
USMLE might give a female who is highly flirtatious and sexually provocative with her physician. They can also give a male who wears bright colors (i.e., a 44-year-old man presents to emergency high-energy and dressed all in yellow).
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M. Cluster B (dramatic, emotional, erratic). Narcissistic.
definition?
Inflated sense of self-importance; deep need for excessive attention and admiration; lack of empathy for others.
M. Inflated sense of self-importance; deep need for excessive attention and admiration; lack of empathy for others.Dx?
Cluster B (dramatic, emotional, erratic). Narcissistic.
M. Cluster B (dramatic, emotional, erratic). Antisocial. CP, age?
Person who breaks the law who is over 18.
M. Cluster B (dramatic, emotional, erratic). Antisocial. must have Hx of what?
they must have had a history of conduct disorder starting earlier than 15.
This demonstrates the pattern of law-breaking is consistent, rather than haphazard or one-off.
M. Cluster C. (anxious, fearful). 3 types?
Avoidant, Dependent, Obsessive- compulsive (OCPD)
M. Cluster C. (anxious, fearful). Avoidant. definition?
Extreme social inhibition, inadequacy, and sensitivity to rejection or negative criticism.
Extreme social inhibition, inadequacy, and sensitivity to rejection or negative criticism.
M. Cluster C. (anxious, fearful). Avoidant.
M. Cluster C. (anxious, fearful). Avoidant.
Patient might be reluctant to engage in new activities or meet strangers due to fears of inadequacy; patient might view him or herself as socially inept or unappealing.
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M. Cluster C. (anxious, fearful). Avoidant.
do they want social engagement?
go-dystonic, where the patient desires social interaction but is unable to engage in it. This contrasts with schizoid, which is ego-syntonic, where the patient prefers not to have social interaction.
M. Cluster C. (anxious, fearful). Avoidant. vs what?
Schizoid.
Ego-dystonic, where the patient desires social interaction but is unable to engage in it. This contrasts with schizoid, which is ego-syntonic, where the patient prefers not to have social interaction.
M. Cluster C. (anxious, fearful). Dependent. defintion?
Pervasive/excessive need to be taken care of; clinging behavior and fear of separation.
Pervasive/excessive need to be taken care of; clinging behavior and fear of separation. ???
Cluster C. (anxious, fearful). Dependent.
M. Cluster C. (anxious, fearful). Dependent.
Patient will often go to great lengths to avoid being alone, constantly seeking to be physically close to intimate partner.
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M. Cluster C. (anxious, fearful). Obsessive- compulsive (OCPD). Definition?
Preoccupation with orderliness, perfectionism, and control; patient is overly focused on productivity to the detriment of personal relationships, often with insistence that his/her way of doing things is the only right way.
Preoccupation with orderliness, perfectionism, and control; patient is overly focused on productivity to the detriment of personal relationships, often with insistence that his/her way of doing things is the only right way.
Cluster C. (anxious, fearful). Obsessive- compulsive (OCPD).
M. Cluster C. (anxious, fearful). Obsessive- compulsive (OCPD).
The key here is that the pattern of behavior causes detriment to socio-occupational functioning – e.g., a secretary insists on reading every letter she prints a minimum of 9 times before sending it off to check for spelling errors, but this creates inefficiency at the office.
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M. Cluster C. (anxious, fearful). Obsessive- compulsive (OCPD). vs OCD?
Ego-syntonic, whereas OCD is ego-dystonic.
