Personality and identity Flashcards

1
Q

What is a personality disorder

A
  • a group of mental health conditions characterised by persistent patterns of thinking, feeling, and behaving that are significantly different from cultural expectations
  • These patterns can lead to distress or problems in personal, social, and occupational functioning
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2
Q

Give the features of a personality disorder according to ICD 11

A
  • Pervasive and inflexible across different situations
  • Impairments in relating to self and/or others
  • Onset adolescence / early adult
  • Deviates from cultural expectations
  • stable over time
  • patterns are not explained by another a medical condition, or substance misuse.
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3
Q

What are the Personality Disorder Trait Domains in ICD-11 used for?

A

They represent the predominant problematic areas in an individual’s personality

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4
Q

State the 6 Personality Disorder Trait Domains used in ICD-11

A
  • internalising: negative affectivity, detachment, anankastia
  • externalising: dissociality, disinhibition, borderline pattern
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5
Q

What are the key characteristics of the Negative Affectivity trait domain?

A
  • Tendency to experience negative emotions such as anxiety, depression, guilt, and anger
  • Individuals may have mood swings, insecurity, and emotional lability.
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6
Q

What defines the Detachment trait domain?

A
  • Avoidance of social interactions, emotional withdrawal, and limited pleasure from relationships
  • Individuals may appear cold, aloof, and isolated.
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7
Q

What are the key features of the Dissociality trait domain?

A
  • Disregard for the rights and feelings of others, lack of empathy, and difficulty forming prosocial relationships.
  • Impulsivity and manipulative behaviours are common.
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8
Q

What defines the Disinhibition trait domain?

A
  • Impulsiveness, risk-taking, and difficulty controlling behaviours
  • Individuals may struggle with planning and foresight, leading to reckless actions.
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9
Q

What are the characteristics of the Anankastia trait domain?

A
  • Preoccupation with orderliness, control, and perfectionism
  • Individuals may be rigid, stubborn, and excessively focused on rules and details.
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10
Q

What define the Borderline Pattern trait domain?

A
  • individuals showing emotional instability, intense and unstable interpersonal relationships, a fluctuating sense of identity, and impulsivity
  • It is similar to EUPD in ICD-10 and DSM-5
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11
Q

Give RFs for developing personality disorders

A
  • attachment issues in childhood
  • FHx
  • trauma
  • Female
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12
Q

How are personality disorders broadly categorised by DSM-V

A
  • Cluster A - odd/ suspicious
  • Cluster B - emotional/ impulsive
  • Cluster C - anxious/ fearful
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13
Q

Give 3 types of personality disorder that fall under cluster A

A
  • Paranoid
  • Schizoid
  • Schizotypal
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14
Q

Give 4 types of personality disorder that fall under cluster B

A
  • Antisocial
  • Emotionally unstable (borderline)
  • Histrionic
  • Narcissistic
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15
Q

Give 3 types of personality disorder that fall under cluster C

A
  • Obsessive-compulsive
  • Dependant
  • Anxious avoidant
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16
Q

Features of Paranoid personality disorder

A
  • difficulty in trusting or revealing personal information to others
  • Hypersensitivity and an unforgiving attitude when insulted
  • Unwarranted tendency to questions the loyalty of friends/ partners
  • Reluctance to confide in others
17
Q

Features of Schizoid personality disorder

A
  • emotionally cold, Lack of desire for companionship
  • Preference for solitary activities, few friends
  • Lack of interest in sexual interactions
  • Indifference to praise and criticism
18
Q

Define Schizotypal personality disorder

A
  • Odd beliefs and magical thinking
  • Odd, eccentric behaviour
  • Lack of close friends other than family members
  • Odd speech without being incoherent
19
Q

Features of Antisocial personality disorder

A
  • More common in men
  • Failure to conform to social norms with respect to lawful behaviours
  • Impulsiveness or failure to plan ahead
  • Reckless disregard for the safety of self or others
  • Deception - repeated lying
  • Irritability and aggressiveness
20
Q

Features of emotionally unstable (Borderline) personality disorder

A
  • unstable affect
  • intense unstable relationships
  • fears and attempts to avoid abandonment
  • unstable self-image
  • impulsivity and self harm
  • transient stress induced paranoia
21
Q

Features of Histrionic personality disorder

A
  • Need to be the centre of attention
  • Rapidly shifting and shallow expression of emotions
  • Inappropriate sexual seductiveness
22
Q

Features of Narcissistic personality disorder

A
  • Grandiose sense of self importance
  • Preoccupation with fantasies of unlimited success, power, or beauty
  • Sense of entitlement
  • arrogant and lacking empathy
23
Q

Features of Avoidant personality disorder

A
  • Preoccupied with ideas that they are being criticised or rejected in social situations
  • Avoidance of occupational activities which involve significant interpersonal contact
  • Social isolation accompanied by a craving for social contact
24
Q

Features of dependent personality disorder

A
  • Difficulty in expressing disagreement with others due to fears of losing support
  • Lack of initiative
  • Urgent search for another relationship as a source of care and support when a close relationship ends
  • Unrealistic feelings that they cannot care for themselves
  • heavy reliance on others to assume responsibility for major areas of their life
25
Q

Features of Obsessive-compulsive personality disorder

A
  • meticulous and rigid with respect to morals, ethics, or values
  • Demonstrates perfectionism that hampers with completing tasks
  • Is occupied with details, rules, lists, order, organization, or agenda
  • Is unwilling to pass on tasks or work with others except if they surrender to exactly their way of doing things
26
Q

How are personality disorder diagnosed

A
  • psych Hx and MSE
  • personality diagnostic questionnaire (PDQ-IV)
  • Minnesota multiphasic personality inventory
27
Q

How are personality disorders managed

A
  • risk management - self-harm, suicide, harm to others
  • psychotherapy - dialectical BT, CBT, mentalisation based therapy
  • trauma processing
  • no specific meds - can treat depression/anxiety
28
Q

Give 4 features of dialectal behaviour therapy

A
  • mindfulness
  • emotional regulation
  • distress tolerance
  • interpersonal effectiveness