Personality and identity Flashcards

1
Q

What is a personality disorder

A

a deeply ingrained pattern of behaviour that deviates markedly from the norms of generally accepted behaviour, causing long-term
difficulties in personal relationships or in
functioning in society

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2
Q

Give 5 features of a personality disorder according to ICD 10

A
  • engrained enduring behavioural patterns
  • Pervasive and inflexible
  • Impairments in relating to self and others
  • Onset adolescence / early adult
  • Deviates from cultural expectations
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3
Q

What are 3 RFs for personality disorders

A
  • attachment issues in childhood
  • poor parenting
  • FHx
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4
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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5
Q

Give 3 types of personality disorder that fall under cluster A

A
  • Paranoid
  • Schizoid
  • Schizotypal
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6
Q

Give 4 types of personality disorder that fall under cluster B

A
  • Antisocial
  • Emotionally unstable (borderline)
  • Histrionic
  • Narcissistic
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7
Q

Give 3 types of personality disorder that fall under cluster C

A
  • Obsessive-compulsive
  • Dependant
  • Anxious avoidant
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8
Q

Define Paranoid personality disorder

A

features difficulty in trusting or revealing personal information to others
* suspicious, perceives attack

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9
Q

Define Schizoid personality disorder

A

features a lack of interest or desire to form relationships with others and feelings that this is of no benefit to them.
* emotionally cold, detached

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10
Q

Define Schizotypal personality disorder

A

features unusual beliefs, thoughts and behaviours, as well as social anxiety that makes forming relationships difficult

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11
Q

Define Antisocial personality disorder

A

features reckless and harmful behaviour, with a lack of concern for the consequences or the impact of their behaviour on other people

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12
Q

Define Borderline personality disorder

A

features fluctuating strong emotions and difficulties with identity and maintaining healthy relationships.

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13
Q

Define Histrionic personality disorder

A

involves the need to be the centre of attention and performing for others to maintain that attention.

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14
Q

Define Narcissistic personality disorder

A

features feelings that they are special and need others to recognise this, or else they get upset.
* grandiosity, lack of empathy

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15
Q

Define Avoidant personality disorder

A

features severe anxiety about rejection or disapproval and avoidance of social situations or relationships.

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16
Q

Define dependent personality disorder

A

heavy reliance on others to make decisions and take responsibility for their lives, taking a very passive approach

17
Q

Define Obsessive-compulsive personality disorder

A

features unrealistic expectations of how things should be done by themselves and others and catastrophising about what will happen if these expectations are not met
* perfectionism

18
Q

Give the 9 symptoms of borderline personality disorder

A
  • unclear or shifting self-image
  • unstable interpersonal relationships
  • mood swings
  • impulsive and self-destructive behaviour
  • fear of rejection or abandonment
  • self-harm or suicidal tendencies
  • explosive anger
  • feelings of emptiness
  • loss of touch with reality
19
Q

How are personality disorder diagnosed

A
  • psych Hx and MSE
  • personality diagnostic questionnaire (PDQ-IV)
  • Minnesota multiphasic personality inventory
20
Q

How are personality disorders managed

A
  • risk management - self-harm, suicide, harm to others
  • psychotherapy - dialectical BT, CBT, mentalisation based therapy
  • no specific meds - can treat depression/anxiety
21
Q

Give 4 features of dialectal behaviour therapy

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