Personality and identity Flashcards
What is a personality disorder
- 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
Give the features of a personality disorder according to ICD 11
- 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.
What are the Personality Disorder Trait Domains in ICD-11 used for?
They represent the predominant problematic areas in an individual’s personality
State the 6 Personality Disorder Trait Domains used in ICD-11
- internalising: negative affectivity, detachment, anankastia
- externalising: dissociality, disinhibition, borderline pattern
What are the key characteristics of the Negative Affectivity trait domain?
- Tendency to experience negative emotions such as anxiety, depression, guilt, and anger
- Individuals may have mood swings, insecurity, and emotional lability.
What defines the Detachment trait domain?
- Avoidance of social interactions, emotional withdrawal, and limited pleasure from relationships
- Individuals may appear cold, aloof, and isolated.
What are the key features of the Dissociality trait domain?
- Disregard for the rights and feelings of others, lack of empathy, and difficulty forming prosocial relationships.
- Impulsivity and manipulative behaviours are common.
What defines the Disinhibition trait domain?
- Impulsiveness, risk-taking, and difficulty controlling behaviours
- Individuals may struggle with planning and foresight, leading to reckless actions.
What are the characteristics of the Anankastia trait domain?
- Preoccupation with orderliness, control, and perfectionism
- Individuals may be rigid, stubborn, and excessively focused on rules and details.
What define the Borderline Pattern trait domain?
- 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
Give RFs for developing personality disorders
- attachment issues in childhood
- FHx
- trauma
- Female
How are personality disorders broadly categorised by DSM-V
- Cluster A - odd/ suspicious
- Cluster B - emotional/ impulsive
- Cluster C - anxious/ fearful
Give 3 types of personality disorder that fall under cluster A
- Paranoid
- Schizoid
- Schizotypal
Give 4 types of personality disorder that fall under cluster B
- Antisocial
- Emotionally unstable (borderline)
- Histrionic
- Narcissistic
Give 3 types of personality disorder that fall under cluster C
- Obsessive-compulsive
- Dependant
- Anxious avoidant