Oct 30: Personality Disorders and Occupation

Question 1

What are the 5 Big 5 Personality Traits?

Answer 1

• Extraversion
• Agreeableness
• Conscientiousness
• Neuroticism
• Openness
  (a high school equals a lot of the trait)

Question 2

State

Answer 2

• Highly changeable characteristics of one’s
  personality

Question 3

Trait

Answer 3

• less changeable characteristics of one’s personality
• Some personality traits are adaptive, others maladaptive

Question 4

State vs trait, when does personality disorder result?

Answer 4

when TRAITS are enduring and severe enough that they interfere with functioning

Question 5

Personality disorder types: Cluster A
- Diagnoses
- Traits

Answer 5

Diagnoses: Paranoid, Schizoid, Schizotypal

Traits:
- discomfort in interpersonal relations
- emotionally distant / isolative
- distrustful / suspicious

Question 6

Personality disorder types: Cluster B

Answer 6

Diagnoses: Antisocial, Borderline, Histrionic, Narcissistic

Traits:
- Excessive and unstable emotional
expression
- maladaptive interpersonal interactions
- disregard for the needs/ rights of others

Question 7

Personality disorder types: Cluster C

Answer 7

Diagnoses: Avoidant, Dependent, Obsessive-Compulsive

Traits:
- Anxiety
- fear of rejection or humiliation
- need to be cared for
- perfectionism

Question 8

Trajectory of Personality Disorders

Answer 8

• diagnosed if traits last >1yr
• exacerbated by loss of support system
• stable over time

Question 9

Sex differences in PD prevalence

Answer 9

++ BPD in females
++ Avoidant PD in males
No difference in OCD PD

Question 10

Assessments Used by OT in Personality
Disorders

Answer 10

Social Skills (Interpersonal Processes)
- Social Functioning Scale (SFS)
- Observational/Behavioural Assessment of Social Skills

Emotion Regulation/ Modulation
- Difficulties in Emotion Regulation Scale (DERS)

Coping strategies (Occupational Actions)
- COPE

Cognitions (Thought Processes)
- Thought Records (CBT)