personality Flashcards
Criterion A for personality disorders
cognition, affectivity, interpersonal functioning, impulse control
clusters
A: paranoid, schizoid, schioptypal
B: histrionic, borerline, antisocial, narcissistic
C.avoidant, dependent, obsessive compulsive
mahler’s theory for narcissistic PD
infant lacked sense of individuality, symbiotic phase until about 5 mo of age
inadequate southing during this phase
also inadequate refueling during separation/individuation
prevalence of borderline personality in psych outpatient
10%
projective identification
borderline personality
pt assigns component of himself to another individual
pt manipulates individual into integrating this component into his or her consciousness
process leads to increased feeling of closeness between parties.
hypothesized to be disrupted in Borderline personality, Mahler’s theory
rapprochement
percentage of population that meets criteria for one or more personality DO
15%
10% prevalence of borderline in outpatient.
APD have onset of CD before age…
15
1st line for treating impulsivity and behavioral dyscontrol in personality-disordered patients?
mood stabilizers
self system
social system
self-in-relation system
self system: stable and realistic sense of self
social system: a means of interpreting social situation and understanding the relational motives and actions of others
self in relation system: capacity to observe self as it relates to others
Kohut
diagnosis of narcisstic personality disorder is based on predominant tranference established
kernberg: confronted defenses more actively.
narcisstic personality is based on defenses that patient uses.
main defenses: splitting, projective identification, primitive idealization.
benefits from assertiveness training
dependent
avoidant
personality DO with temporal lobe abnormalities
differences in corpus callosum
thalamic nuclei on MRI
schizptypal
Mahler’s theory
autistic phase: first few weeks of life
symbiotic phase: until 5 mo of life. infant recognizes his or her mother but lacks individuality
separation-individuation
1. hatching : infant shows inc interest in outside world
- practicing (9-16 mo)- infant develops physical ability to separate from the mother
- rapproachment: (15-24 mo) in which the infant explores the outside world but requires that mother is till there
Borderline: problem with rapproachment
Narcissm: inadequate soothing during symbiotic phase, inadequate refueling during reparation-individualization
reactive formation
identifying with the OPPOSITE of what is causing anxiety
