Personality Development & Disorders Flashcards

1
Q

Freud’s Development Therory

A
  • Believed that basic character was formed by 5 years of age.
  • The structure of the personality organized three major components:
    • Id
    • Ego
    • Superego
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2
Q

What are Freud’s stage of personality development?

A
  • Oral stage (birth to 18 months)
  • Anal stage (18 months to 3 years)
  • Phallic stage (3 to 6 years)
  • Latency stage (6 to 12 years)
  • Genital stage (13 to 20 years)
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3
Q

What was Sullivan’s theory on development of personality.

A
  • Based on the belief that individual behavior and personality development are the direct result of interpersonal relationships
  • Major concepts of this theory include:
    • Anxiety
    • Satisfaction of needs
    • Interpersonal security
    • Self-system
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4
Q

What are Sullivan’s stages of development?

A
  • Infancy (birth to 18 months)
  • Childhood (18 months to 6 years)
  • Juvenile (6 to 9 years)
  • Preadolescence (9 to 12 years)
  • Early adolescence (12 to 14 years)
  • Late adolescence (14 to 21 years)
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5
Q

Infancy (Sullivan) Major Developmental Tasks?

A

Relief from anxiety through oral gratification of needs

Age: Birth - 18 months

  • mouth
  • crying
  • nursing
  • thumb sucking
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6
Q

What are the Childhood Stage (Sullivan) major developmental tasks?

A
  • Age: 18 mo. -6 years
  • Learning to experience a delay in personal gratification without undue anxiety
    • delayed gratification often results in parental approval, a more lasting type of reward.
  • Tools of this stage include:
    • the mouth,
    • the anus,
    • language,
    • experimentation,
    • manipulation,
    • and identification.
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7
Q

Juvenile: 6 to 9 Years (Sullivan) major developmental tasks?

A

Learning to form satisfactory peer relationships. Achieved through use of:

  • competition,
  • coop- eration,
  • and compromise.
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8
Q

Preadolescence: 9 to 12 Years (Sullivan) major developmental tasks?

A

Learning to form satisfactory relationships with persons of same gender; initiating feelings of affection for another person

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9
Q

Early Adolescence: 12 to 14 Years (Sullivan) major developmental tasks?

A

Learning to form satisfactory relationships with persons of the opposite gender; developing a sense of identity

  • emergence of lust in response to biological changes as a major force occurring during this period.
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10
Q

Late Adolescence: 14 to 21 Years (Sullivan) major developmental tasks?

A
  • Establishing self-identity;
  • experiencing satisfying relationships;
  • working to develop a lasting, intimate opposite-gender relationship
  • genital organs are the major developmental focus of this stage.
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11
Q

Erikson’s Psychosocial Stages of Development

A
  • Based on the influence of social processes on the development of the personality
  • Erikson identified eight stages of development and the major tasks associated with each.
    • Trust versus mistrust (birth to 18 months)
    • Autonomy versus shame and doubt (18 months to 3 years)
    • Initiative versus guilt (3 to 6 years)
    • Industry versus inferiority (6 to 12 years)
    • Identity versus role confusion (12 to 20 years)
    • Intimacy versus isolation (20 to 30 years)
    • Generativity versus stagnation (30 to 65 years)
    • Ego integrity versus despair (65 years to death)
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12
Q

Trust versus Mistrust: Birth to 18 Months

Major Developmental Task

A

major task is to develop a basic trust in the mothering figure and learn to generalize it to others.

  • Achievement of task = when basic needs are met consistently → self-confidence, optimism, faith in the gratification of needs and desires, and hope for the future.
  • Nonachievement =
    • emotional dissatisfaction with the self and others,
    • suspiciousness, and
    • difficulty with interpersonal relationships.
    • primary caregivers fail to respond to the infant’s distress signal promptly and consistently.
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13
Q

Autonomy versus Shame and Doubt: 18 Months to 3 Years (Erikson)

Major Developmental Tasks

A

gain some self-control and independence within the environment.

  • Achievement → Autonomy is achieved when parents encourge and provide opportunities for independent activities.
    • sense of self- control and the ability to delay gratification, and a
    • feeling of self-confidence in one’s ability to perform.
  • Nonachievement = task unresolved when primary caregivers restrict independent behaviors, both physically and verbally, or set the child up for failure with unrealistic expectations. Results in:
    • lack of self-confidence,
    • lack of pride in the ability to perform
    • sense of being controlled by others
    • rage against the self.
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14
Q

Mahler: Object Relations Theory is based on ____?

A
  • Based on the separation-individuation process of the infant from the maternal figure (primary caregiver)
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15
Q

What are Mahler: Object Relations stages of development?

A
  • Phase I: Autism (birth to 1 month)
  • Phase II: Symbiosis (1 to 5 months)
  • Phase III: Separation-Individuation (5 to 36 months)
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16
Q

What are the Mahler Stage III subphases?

A
  • Differentiation ( 5 to 10 months)
  • Practicing (10 to 16 months)
  • Rapprochement (16 to 24 months)
  • Consolidation (24 to 36 months)
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17
Q

What’s Paget: Cognitive Development theory based on?

A
  • Based on the premise that human intelligence is an extension of biological adaptation or one’s ability for psychological adaptation to the environment
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18
Q

Paget: Cognitivite Development Theory

Stages of Development?

A
  • Piaget identified four stages of development that are related to age, demonstrating at each successive stage a higher level of logical organization than at the previous stage:
    • Sensorimotor ( birth to 2 years)
    • Preoperational (2 to 6 years)
    • Concrete operations ( 6 to 12 years)
    • Formal operations (12 to 15+ years)
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19
Q

What is Kohlberg: Moral Development Theory?

A

Stages of moral development are not closely tied to specific age groups; they are more accurately determined by the individual’s motivation behind the behavior.

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20
Q

What are Kohlberg’s 3 major levels of moral development?

A
  • Preconventional level (4 to 10 years)
  • Conventional level (10 to 13 years and into
    adulthood)
  • Postconventional level (from adolescence
    on)
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21
Q

What is Peplau’s: Nursing Model of Interpersonal Development?

A
  • Applies interpersonal theory to nurse-client relationship development
  • Correlates the stages of personality development in childhood to stages through which clients advance during the progression of an illness
  • Views interpersonal experiences as learning situations for nurses to facilitate forward movement in the development of personality
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22
Q

Peplau’s 7 nursing roles

A
  • Nurses function to assist individuals in need of health services
    • Stranger
    • Resource person
    • Counselor
    • Teacher
    • Leader
    • Technical expert
    • Surrogate
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23
Q

Four Stages of Personality Development

A
  • Stage 1: Learning to count on others
  • Stage 2: Learning to delay gratification
  • Stage 3: Identifying oneself
  • Stage 4: Developing skills in participation
24
Q

Personality, defined:

A
  • The totality of emotional and behavioral characteristics that are particular to a specific person and that remain somewhat stable and predictable over time.
25
Q

Personality traits are enduring patterns of_____?

A
  • Perceiving
  • Relating to
  • Thinking about environment and oneself.
26
Q

Personality disorders occur when personality traits become____?

A
  • Inflexible
  • Maladaptive
  • The cause of significant
    functional impairment or
    subjective distress
27
Q

Personality development occurs in response to a number of biological and psychological influences which include___?

A
  • Heredity
  • Temperament
  • Experiential learning
  • Social interaction
28
Q

Cluster A Personality Disorders

A

Behaviors that are described as odd or eccentric

  • Paranoid personality disorder
  • Schizoid personality disorder
  • Schizotypal personality disorder
    • Ghost
29
Q

Cluster B Personality Disorders

A

Behaviors that are described as dramatic, emotional, or erratic

  • Antisocial personality disorder
    • Pulp Fiction
  • Borderline personality disorder
    • Fatal Attraction
  • Histrionic personality disorder
  • Narcissistic personality disorder
    • Gone With the Wind
30
Q

Cluster C Personality Disorders

A

Behaviors that are described as anxious or fearful

  • Avoidant personality disorder
    • Breakfast Club
  • Dependent personality disorder
  • Obsessive-compulsive
    personality disorder
31
Q

Paranoid personality disorder definition:

A

A pervasive distrust and suspiciousness of others such that others’ motives are interpreted as malevolent; condition begins by early
adulthood
and presents
in a variety of contexts

32
Q

Paranoid clinical picture

A
  • Constantly on guard
  • Hypervigilant
  • Ready for any real or
    imagined threat
  • Trusts no one
  • Constantly tests the
    honesty of others
33
Q

Paranoid predisoposing factors

A
  • Possible hereditary link
  • Subject to early parental
  • *antagonism** and harassment
34
Q

Schizoid Personality Disorder Definition

A
  • Characterized primarily by a profound defect in the ability to form personal relationships.
  • Failure to respond to others in a meaningful emotional way.
35
Q

Schizoid Clinical Picture

A
  • Indifferent to others.
  • Client is aloof.
  • Client is emotionally cold.
  • No close friends; prefer to be alone.
  • In the presence of others, clients appear shy, anxious, or uneasy.
  • Inappropriately serious about everything
    and have difficulty acting in a light-hearted
    manner.
36
Q

Schizoid predisposing factors

A
  • Possible hereditary factor
  • Childhood has been characterized as
    • Bleak
    • Cold
    • Unempathic
    • Notably lacking in nurturing
37
Q

Schizotypal definition

A
  • A graver form of the pathologically less severe schizoid personality pattern
  • Affects about 3 percent
    of the population.
38
Q

Schizotypal Clinical Picture

A
  • Clients are aloof and isolated.
  • Behave in a bland and apathetic manner.
  • Everyday world manifests
    • Magical thinking
    • Ideas of reference
    • Delusions
    • Depersonalization
    • Superstitiousness
    • Withdrawal into the self
  • Exhibit bizarre speech pattern.
  • When under stress, may decompensate and demonstrate psychotic symptoms.
  • Demonstrates bland, inappropriate affect.
39
Q

Psychizotypal Predisposing factors

A
  • Possible hereditary factor
  • Possible physiological influence, such as anatomic deficits or neurochemical dysfunctions within certain areas of the brain
  • Early family dynamics characterized by:
    • Indifference
    • Impassivity
    • Formality
    • Pattern of discomfort
      with personal affection
      and closeness
40
Q

Antisocial - definition

A
  • A pattern of
    • Socially irresponsible
    • Exploitative
    • Guiltless behavior
  • that reflects a disregard for the rights of others.
    • Prevalence estimates in the United States from 3% in men to about 1% in women
41
Q

Antisocial Clinical Picture

A
  • Fails to sustain consistent employment.
  • Fails to conform to the law
  • Exploits and manipulates others for
    personal gain.
  • Fails to develop stable
    relationships
42
Q

Borderline - definition

A
  • Characterized by a pattern
    of intense and chaotic
    relationships with affective
    instability.
  • Clients have fluctuating
    and extreme attitudes
    regarding other people.
  • Clients are highly impulsive.
  • *Most common form of
    personality disorder
    *
  • Emotionally unstable
  • Directly and indirectly
    self-destructive
  • Lacks a clear sense of
    identity
43
Q

Histrionic personality disorder - definition

A
  • Excitable
  • Emotional
  • Colorful
  • Dramatic
  • Extroverted in behavior.
    • Prevalence is thought to be about 2% to 3%.
    • More common in women than in men.
44
Q

Histrionic Clinical Picture

A
  • Affected clients are
    • Self-dramatizing
    • Attention-seeking
    • Overly gregarious
    • Seductive
    • Manipulative
    • Exhibitionistic
  • Individuals with histrionic personalities
    • Are highly distractible
    • Have difficulty paying attention to detail
    • Are easily influenced by others
    • Have difficulty forming
      close relationships
    • Strong need for approval; feel
      dejected and anxious if they
      don’t get it
45
Q

Histrionic predisoposing factors

A
  • Possible link to the noradrenergic
    and serotonergic systems
  • Possible hereditary factor
  • Biogenetically determined
    temperament
  • Learned behavior patterns
46
Q

Narcissistic - definition

A
  • Characterized by an exaggerated sense of self-worth.
  • Lack empathy.
  • Believe they have the inalienable
    right to receive special consideration.
  • Prevalence from 2% to 16% hospitalized
  • Less than 1% in the general population
  • Disorder more common in men than
    in women.
47
Q

Narcissistic - Clinical Picture

A
  • Mood can easily change because of fragile self-esteem if they do not
    • Meet self-expectations.
    • Receive positive feedback they
      expect from others.
  • Criticism from others may
    cause them to respond with
    rage, shame, and humiliation.
48
Q

Narcissistic - Predisposing Factors

A
  • As children, these people have had their fears, failures, or dependency needs responded to
    with criticism, disdain, or neglect.
  • Parents were often narcissistic
    themselves.
  • Parents may have overindulged
    their child and failed to set
    limits on inappropriate behavior.
49
Q

Avoidant - Definition

A
  • Characterized by:
    • Extreme sensitivity to rejection
    • Social withdrawal
  • Prevalence is between 0.5%
    and 1% and is equally common
    in both men and women.
50
Q

Avoidant Personality Disorder - Clinical Picture

A
  • Awkward and uncomfortable in social situations.
  • Desire close relationships but avoid them because of their fear of being rejected.
  • Perceived as timid, withdrawn,
    or cold and strange.
  • They are often lonely and feel
    unwanted.
  • They view others as critical and betraying.
51
Q

Avoidant Personality Disorder - Predisposing Factors

A
  • Possible hereditary influences
  • Parental rejection and
  • *criticism**
52
Q

Dependent Personality Disorder - Definition

A
  • Characterized by a pervasive and excessive need to be taken care of that leads to submissive and clinging behavior and fears of
    separation.
  • Relatively common within the population.
  • More common among women than men.
  • More common in the youngest children
    of a family than in the oldest ones.
53
Q

Dependent Personality Disorder - Clinical Picture

A
  • They have a notable lack of self-confidence that is often apparent in their:
    • Posture, Voice, and Mannerisms
  • Typically passive and acquiescent to desires of others.
  • Overly generous and thoughtful, while underplaying their own attractiveness and achievements.
  • Low self-worth and easily hurt by criticism and disapproval.
  • Assume passive and submissive roles in relationships.
  • Avoid positions of responsibility and
    become anxious when forced into
    them.
54
Q

Dependent Personality Disorder - Predisposing Factors

A
  • Possible hereditary influence.
  • Stimulation and nurturance are experienced exclusively from one source.
  • A singular attachment is made by the infant to
    the exclusion of all others.
55
Q

OCD - definition

A
  • Relatively common and occurs more often in men than in women.
  • Within the family constellation,
    it appears to be most common
    in the oldest children.
56
Q

OCD - clinical picture

A
  • Especially concerned with matters of organization and efficiency.
  • Tend to be rigid and unbending.
  • Clients are polite and formal.
  • Clients are rank-conscious
    (ingratiating with authority
    figures).
  • Appear to be very calm and controlled.
  • Underneath there is a great deal of:
    • Ambivalence
    • Conflict
    • Hostility