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Psychiatry > Personality > Flashcards

Personality Flashcards

1
Q

What is a Personality trait?

A

An enduring, repetitive pattern of perceiving, relating to & thinking about the environment & oneself

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2
Q

What is a Personality disorder?

A

Inflexible, maladaptive & rigidly pattern of behavior causing subjective distress &/or impaired functioning

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3
Q

Are pts w/ personality disorder aware of their condition?

A

No, not aware of problem

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4
Q

When does personality disorder present?

A

Early adulthood

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5
Q

What are Cluster A personality disorders?

A
  • Odd or eccentric
  • Inability to develop meaningful social relationships
  • No psychosis
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6
Q

What are the different types of Cluster A personality disorder?

A
  • Parnoid
  • Schizoid
  • Schizotypal
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7
Q

What is Paranoid personality disorder?

A

Pervaisve distrust & suspiciousness

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8
Q

What is the major defense mech in paranoid personality disorder?

A

Projection

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9
Q

What is Schizoid personality disorder?

A

Voluntary social w/drawal, limited emotional expression, content w/ social isolation

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10
Q

What is Schizotypal personality disorder?

A

Eccentric appearance, odd beliefs or magical thinking, interpersonal awkwardness

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11
Q

What are Cluster B personality disorders?

A

Dramatic, emotional or erratic; genetic assoc w/ mood disorders & substance abuse

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12
Q

What are the different types of Cluster B personality disorders?

A
  • Antisocial
  • Borderline
  • Histrionic
  • Narcissistic
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13
Q

What is Antisocial personality disorder?

A

Disregard for & violation of rights of others, criminality

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14
Q

Who is antisocial personality disorder MC in?

A

Males>females

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15
Q

When is antisocial personality disorder acutally considered misconduct disorder?

A

If <18yo

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16
Q

What is Borderline personality disorder?

A

Unstable mood & interpersonal relationships, impulsiveness, self-mutilation, boredom, sense of emptiness

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17
Q

Who is Borderline personality disorder MC in?

A

Females>males

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18
Q

What is the major mech of defense in borderline personality disorder?

A

Splitting

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19
Q

What is Histrionic personality disorder?

A

Excessive emotionally & excitability, attention seeking, sexually provocative, overly concerned w/ appearance

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20
Q

What is Narcissistic disorder?

A

Grandiosity, sense of entitlement

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21
Q

Narcissistic personality disorer lacks ___ & requires ____ ___.

A

Empathy

excessive admiration

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22
Q

What does Narcissistic personality disorder demand?

A

The “best” & reacts to criticism w/ rage

23
Q

What are Cluster C personality disorders?

A

Anxious or fearful; genetic assoc w/ anxiety disorder

24
Q

What are the different types of Cluster C personality disorders?

A
  • Avoidant
  • Obsessive-compulsive
  • Dependent
25
Q

What is Avoidant personality disorder?

A

Hypersensitive to rejection, socially inhibited, timid, feelings of inadequacy, desires relationships w/ others

26
Q

What is Obsessive-compulsive personality disorder?

A

Preoccupation w/ order, perfectionism & control; ego-syntonic

27
Q

What do Obsessive-compulsive personality d/o pts behavior consist w/?

A

One’s own belief & attitudes

28
Q

What is Dependent personality disorder?

A

Submissive & clinging, excessive need to be taken care of low self-confidence

29
Q

What is the Schizophrenia time course?

A
  • <1mo- brief psychotic disorder, us. stress related
  • 1-6mo-schizophreniform disorder
  • >6mo- schizophrenia
30
Q

What do Anorexia nervosa pts do?

A

Excessive dieting +/- purging

31
Q

What is Anorexia nervosa?

A

Intense fear of gaining wt, body image distortion & Inc exercise, l/t body wt <85% of ideal body wt

32
Q

What is Anorexia nervosa assoc w/?

A
  • Dec bone density
  • Severe wt loss
  • metatarsal stress fx
  • Amenorrhea
  • Anemia
  • Electrolyte disturbances
33
Q

Who is Anorexia nervosa usually seen in?

A

Adolescent girls

34
Q

Anorexia nervosa commonly coexists w/ ____.

A

Depression

35
Q

What do Bulimic pts do?

A

Binge eating +/- purging often followed by vomiting or use of laxatives, diuretics or emetics

36
Q

What is the body wt like in Bulimic pts?

A

Maintained w/in normal range

37
Q

What is Bulimia nervosa assoc w/?

A
  • Parotitis
  • Enamel erosion
  • Electrolyte disturbances
  • Alkalosis
  • Russell’s sign
38
Q

What is Russell’s sign?

A

Dorsal hand calluses from induced vomiting

39
Q

Who is Bulimia nervosa predominant in?

A

Adolescent girls

40
Q

What is Gender identity disorder?

A

Strong, persisten cross-gender identification

41
Q

What is Gender identity disorder characterized by?

A

Persistent discomfort w/ one’s sex causing significant distress &/or impaired functioning

42
Q

What is TransSEXualism?

A

Desire to live as the opposite sex often through surgery or hormone tx

43
Q

What is TransVESTism?

A

Praphilia; wearing clothes of the opposite sex (cross-dressing)

44
Q

What is substance dependence?

A

Maladaptive pattern of substance use defined as 3 or more “associated” signs in 1 year

45
Q

What are the assoc signs of substance dependence?

A
  • Tolerance
  • Withdrawal
  • Substance taken in larger amounts for longer time
  • Persistent desire or unsuccessful attempts to cut down
  • Significant energy spent obtaining, using or recovering from substance
  • Activities reduced d/t abuse
  • Continued use despite knowing problems
46
Q

What is substance abuse?

A

Maladaptive pattern l/t clinically significant impairment or distress

47
Q

What does recurrent substance abuse use result in?

A
  • Failure to fulfill major obligations
  • Use in hysically hazardous situations
  • Substance-related legal problems
  • Continued use in spite of persisited problems cause by use
48
Q

What are the stages of change in overcoming substance addiction?

A
  • Precontemplation
  • Contemplation
  • Preparation/determination
  • Action/willpower
  • Maintenance
  • Relapse
49
Q

What is Precontemplation?

A

Not yet acknowledging that there is a problem

50
Q

What is Contemplation?

A

Acknowledging that there is a problem but not yet ready or willing to make a change

51
Q

What is preparation/determination?

A

Getting ready to change behavior

52
Q

What is Action/willpower?

A

Changing behaviors

53
Q

What is Maintenance?

A

Maintaining the behavior change

54
Q

What is Relapse?

A

Returning to odd behaviors & abandoning new changes

Psychiatry (6 decks)

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