Personality Flashcards
What is a Personality trait?
An enduring, repetitive pattern of perceiving, relating to & thinking about the environment & oneself
What is a Personality disorder?
Inflexible, maladaptive & rigidly pattern of behavior causing subjective distress &/or impaired functioning
Are pts w/ personality disorder aware of their condition?
No, not aware of problem
When does personality disorder present?
Early adulthood
What are Cluster A personality disorders?
- Odd or eccentric
- Inability to develop meaningful social relationships
- No psychosis
What are the different types of Cluster A personality disorder?
- Parnoid
- Schizoid
- Schizotypal
What is Paranoid personality disorder?
Pervaisve distrust & suspiciousness
What is the major defense mech in paranoid personality disorder?
Projection
What is Schizoid personality disorder?
Voluntary social w/drawal, limited emotional expression, content w/ social isolation
What is Schizotypal personality disorder?
Eccentric appearance, odd beliefs or magical thinking, interpersonal awkwardness
What are Cluster B personality disorders?
Dramatic, emotional or erratic; genetic assoc w/ mood disorders & substance abuse
What are the different types of Cluster B personality disorders?
- Antisocial
- Borderline
- Histrionic
- Narcissistic
What is Antisocial personality disorder?
Disregard for & violation of rights of others, criminality
Who is antisocial personality disorder MC in?
Males>females
When is antisocial personality disorder acutally considered misconduct disorder?
If <18yo
What is Borderline personality disorder?
Unstable mood & interpersonal relationships, impulsiveness, self-mutilation, boredom, sense of emptiness
Who is Borderline personality disorder MC in?
Females>males
What is the major mech of defense in borderline personality disorder?
Splitting
What is Histrionic personality disorder?
Excessive emotionally & excitability, attention seeking, sexually provocative, overly concerned w/ appearance
What is Narcissistic disorder?
Grandiosity, sense of entitlement
Narcissistic personality disorer lacks ___ & requires ____ ___.
Empathy
excessive admiration
What does Narcissistic personality disorder demand?
The “best” & reacts to criticism w/ rage
What are Cluster C personality disorders?
Anxious or fearful; genetic assoc w/ anxiety disorder
What are the different types of Cluster C personality disorders?
- Avoidant
- Obsessive-compulsive
- Dependent
What is Avoidant personality disorder?
Hypersensitive to rejection, socially inhibited, timid, feelings of inadequacy, desires relationships w/ others
What is Obsessive-compulsive personality disorder?
Preoccupation w/ order, perfectionism & control; ego-syntonic
What do Obsessive-compulsive personality d/o pts behavior consist w/?
One’s own belief & attitudes
What is Dependent personality disorder?
Submissive & clinging, excessive need to be taken care of low self-confidence
What is the Schizophrenia time course?
- <1mo- brief psychotic disorder, us. stress related
- 1-6mo-schizophreniform disorder
- >6mo- schizophrenia
What do Anorexia nervosa pts do?
Excessive dieting +/- purging
What is Anorexia nervosa?
Intense fear of gaining wt, body image distortion & Inc exercise, l/t body wt <85% of ideal body wt
What is Anorexia nervosa assoc w/?
- Dec bone density
- Severe wt loss
- metatarsal stress fx
- Amenorrhea
- Anemia
- Electrolyte disturbances
Who is Anorexia nervosa usually seen in?
Adolescent girls
Anorexia nervosa commonly coexists w/ ____.
Depression
What do Bulimic pts do?
Binge eating +/- purging often followed by vomiting or use of laxatives, diuretics or emetics
What is the body wt like in Bulimic pts?
Maintained w/in normal range
What is Bulimia nervosa assoc w/?
- Parotitis
- Enamel erosion
- Electrolyte disturbances
- Alkalosis
- Russell’s sign
What is Russell’s sign?
Dorsal hand calluses from induced vomiting
Who is Bulimia nervosa predominant in?
Adolescent girls
What is Gender identity disorder?
Strong, persisten cross-gender identification
What is Gender identity disorder characterized by?
Persistent discomfort w/ one’s sex causing significant distress &/or impaired functioning
What is TransSEXualism?
Desire to live as the opposite sex often through surgery or hormone tx
What is TransVESTism?
Praphilia; wearing clothes of the opposite sex (cross-dressing)
What is substance dependence?
Maladaptive pattern of substance use defined as 3 or more “associated” signs in 1 year
What are the assoc signs of substance dependence?
- 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
What is substance abuse?
Maladaptive pattern l/t clinically significant impairment or distress
What does recurrent substance abuse use result in?
- Failure to fulfill major obligations
- Use in hysically hazardous situations
- Substance-related legal problems
- Continued use in spite of persisited problems cause by use
What are the stages of change in overcoming substance addiction?
- Precontemplation
- Contemplation
- Preparation/determination
- Action/willpower
- Maintenance
- Relapse
What is Precontemplation?
Not yet acknowledging that there is a problem
What is Contemplation?
Acknowledging that there is a problem but not yet ready or willing to make a change
What is preparation/determination?
Getting ready to change behavior
What is Action/willpower?
Changing behaviors
What is Maintenance?
Maintaining the behavior change
What is Relapse?
Returning to odd behaviors & abandoning new changes