PD Flashcards
How to categorise PD
ICD-10/DSM IV
What are the classifications of PD using DSM
Cluster A = paranoid, schizoid
Cluster B = dissocial, emotionally unstable, histrionic
Cluster C = anxious/avoidant, dependent, anankastic
What is the mental illness connected with Cluster A
schizophrenia
What is the mental illness related to cluster C
anxiety
Are people with a PD more likely to experience mental illness
oui
What are the components of cluster A
paranoid and schizoid
what are the components of cluster B
dissocial, emotionally unstable, histrionic
what are the components of cluster C
anxious/avoidant, dependent and anankastic
what is the definition of a pD
It is an enduring pattern of inner experience and behaviour that deviates markedly from the expectations of the individuals culture in two or more of the following areas:
- cognition
- affectivity
- interpersonal functioning
- impulse control
if it aint pervasive or causing distress it aint a disorder xx
can a PD be tracked back to childhood or is that more likely to be a mental illness
yes it can
What are the five components of the five-factor model?
CANOE
C - conscientiousness A - agreeableness N - neuroticism O - openness to experience E - extraversion
What are the components of the three-factor model?
PEN
P - psychoticism
E - extraversion
N - neuroticism
Why is defining a PD hard
hard to know what the ‘normal’ standard of behaviour and personality is
in a clinical scenario should you use a dimensional/categorical approach to diagnosing PD
categorical - ICD-10 or DSM IV
What is important to remember when taking a psychiatric history and considering PD as a diagnosis
that psychiatric illness can distort someones personality
hallmarks of a dissocial PD
doesnt care, no empathy, low frustration tolerance, no care for social norms, blames others
Good test for dissocial PD
the blink reflex
the two classifications of emotionally unstable PD
impulsive type and a borderline type
hallmarks of an impulsive type emotionally unstable person
at least three of:
- unpredictable
- quarrelsome
- explosive
- desultory
- capricious
definition of a borderline emotionally unstable person
at least three from impulsive and 2 of:
- poor self-image
- relationship crisis
- fear of abandonment
- self-harm
- feelings of emptiness
Believed aetiology of borderline emotionally unstable PD
increased rates of childhood sexual and physical abuse
What does beck and freeman propose about emotionally unstable PD
the world is a dangerous place, the person is vulnerable and powerless, and the person is inherently unacceptable
Characteristics of anankastic/obsessive compulsive PD
At least four of the following:
- cautious
- orderliness
- perfectionist
- conscientiousness
- productivity
- pedantic
- rigid
- marinette
Defining qualities of a narcissistic PD
at least four of:
- grandiose
- high ideals
- self-opinionated
- needs admiration
- exploits others
- expects privilege
- lacks empathy
- envy
- arrogant
