Personality disorder Flashcards
What is a personality disorder?
Variations or exaggerations of normal personality attributes
What is the DSM-IV classification of personality disorders based in?
Personality traits
What are personality traits defined as in DSM-IV?
enduring patterns of perceiving, relating to, and thinking about the environment and oneself
What clusters are personality disorders grouped into in DSM-IV?
A. Odd/eccentric
B. Dramatic/erratic
C. Anxious/fearful
What personality disorders are in cluster A in DSM-IV?
Paranoid, schizoid and schizotypal
What personality disorders are in cluster B in DSM-IV?
Antisocial, borderline, histrionic, narcissistic
What personality disorders are in cluster C in DSM-IV?
Avoidant, dependent, obsessive-compulsive
What is The Big Five?
Neuroticism vs. stability
Extraversion vs. introversion
Agreeableness vs. antagonism
Conscientiousness vs. lack of self-discipline
Openness to experience vs. rigidity
What is the lifetime prevalence of individual personality disorders?
1-3%
How many in- and outpatients are believed to meet the criteria of a personality disorder?
30-40% outpatients
40-50% inpatients
How many adult prisoners are believed to meet criteria of a personality disorder?
50-78%
How many male mentally disorders offenders are believed to have one or more personality disorders?
2/3
What is the lifetime prevalence of any single personality disorder on community samples?
6.7-33.1% (median of 12.9%)
What is a more conservative lifetime prevalence of personality disorders?
6.7-9.4%
What is the criteria of a paranoid personality disorder (cluster A)?
Distrusting and suspicious interpretation of the motives of others
What is the criteria of a schizoid personality disorder (cluster A)?
Social detachment and restricted emotional expression
What is the criteria of a schizotypal personality disorder (cluster A)?
Social discomfort, cognitive distortions, behavioral eccentricities
What is the criteria of an antisocial personality disorder (cluster B)?
Disregard for and violation of the rights of others
What is the criteria of a borderline personality disorder (cluster B)?
Unstable relationships, self-image, affects, and impulsivity
What is the criteria of a histrionic personality disorder (cluster B)?
Excessive emotionality and attention seeking
What is the criteria of a narcissistic personality disorder (cluster B)?
Grandiosity, need for admiration, lack of empathy
What is the criteria of an avoidant personality disorder (cluster C)?
Socially inhibited feelings of inadequacy, hypersensitivity to negative evaluation
What is the criteria of a dependent personality disorder (cluster C)?
Submissive behavior, need to be taken care of
What is the criteria of an obsessive-compulsive personality disorder (cluster C)?
Preoccupation with orderliness, perfectionism, and control
What 8 personality diagnoses are there according to ICD-10?
Schizoid, paranoid, dependent, compulsive, anxious-avoidant, histrionic, dissocial, emotional unstable (last divided into impulsive and borderline)
Hvad er kriterie I for personlighedsforstyrrelser i ICD-10?
Karakteristiske vedvarende mønstre for adfærd og oplevelsesmåde som afviger fra det i kultursammenhængen forventede og accepterede for 2 eller flere af følgende områder:
- Erkendelse, holdning
- Følelsesliv
- Impulskontrol og behovstilfredsstillelse
- Interpersonelle forhold
Hvad er kriterie II for personlighedsforstyrrelser i ICD-10?
Adfærden gennemgribende unuanceret, utilpasset, uhensigtsmæssig
Hvad er kriterie III for personlighedsforstyrrelser i ICD-10?
Adfærden går ud over patienten selv eller omgivelserne
Hvad er kriterie IV for personlighedsforstyrrelser i ICD-10?
Varighed siden barndom eller adolescens
Hvad er kriterie V for personlighedsforstyrrelser i ICD-10?
Ikke udtryk for eller følge af anden psykisk lidelse, organisk ætiologi udelukkes
Hvor stor en andel af befolkningen udgør patienter med personlighedsforstyrrelser?
12-13%
Hvor hyppigt anvendte er personlighedsforstyrrelser i psykiatrien?
Personlighedsforstyrrelser er de 4.-6. hyppigst anvendte diagnoser i psykiatrien
Hvad er de typiske personlighedsforstyrrelser for kvinder i DK?
Emotionel ustabil og ængstelig-undvigende
Hvad er de typiske personlighedsforstyrrelser for mænd i DK?
Dyssocial og paranoid
Hvilke fire overordnede domæner er der indenfor personlighedsforstyrrelser (jf. Widiger & Simonsen)
Emotionel dysreguleret
Introvert
Antagonistisk
Impulsiv
Hvad er de seks vigtigste kategoriske typer af personlighedsforstyrrelser i DSM-5?
Antisocial, borderline, narcissistisk, undvigende og tvangspræget
Hvilke niveauer er en del af vurderingen af funktionsniveauet indenfor personlighedsforstyrrelser i DSM-5?
- Selvet, som er defineret ud fra:
a) identiet
b) målrettethed - Interpersonel adfærd, som omhandler:
a) empati
b) intimitet
Hvilke domæner er de 25 personlighedstræk, som indgår i vurderingen af personlighedsforstyrrelser i DSM-5, samlet under?
1) negativ affektivitet
2) tilbagetrækning
3) antagonisme
4) mangelfuld hæmning
5) psykoticisme
Hvilke domæner indgår i vurderingen af personlighedsforstyrrelser i ICD-11?
1) negativ affektivitet
2) tilbagetrækning
3) dyssocial adfærd
4) mangelfuld hæmning
5) tvangspræget adfærd