Personality Disorder Flashcards

1
Q

What is personality?

A

A cluster of relatively predictable patterns of thinking, feeling and behaving that is generally consistent across time, space and context.

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2
Q

What are the 5 robust dimensions of personality?

A
Openness.
Conscientiousness. 
Extraversion. 
Approachableness. 
Neuroticism.
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3
Q

What is a personality disorder?

A

An enduring pattern of inner experience and behaviour that deviates markedly from the expectations of the individual’s culture.

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4
Q

The pattern of a PD manifests in 2/2+ areas. What are these areas?

A
  1. Cognition
  2. Affectivity
  3. Interpersonal function
  4. Impulse control
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5
Q

The enduring pattern is __________ and _________ across a broad range of personal and social situations

A

Inflexible

Pervasive

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6
Q

The enduring pattern leads to clinically significant ________ or __________ in social, occupational or other important areas of functioning

A

Distress

Impairment

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7
Q

The pattern is ______ and of ____ duration, and its onset can be traced back at least to ___________ or _____ _________

A

Stable
Long
Adolescence
Early adulthood

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8
Q

The enduring pattern is not better explained as a manifestation or consequence of another _______ ________

A

Medical disorder

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9
Q

The enduring pattern is not attributable to the physiological effects of a _________ (ie. drug abuse, medication) or _______ _______ _________ (ie. head trauma).

A

Substance

Another medical condition

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10
Q

What does anakastic mean?

A

Of obsessive nature

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11
Q

List the (8) criteria for an anakastic PD.

A
  • Excessive doubt/caution
  • Preoccupation with details, rules, lists, order, organization or schedule
  • Perfectionism
  • Excessive conscientiousness and scrupulousness
  • Undue preoccupation with productivity to the exclusion of pleasure and interpersonal relationships
  • Excessive pedantry and adherence to social conventions
  • Rigidity/stubbornness
  • Unreasonable insistence that others submit to exactly his or her way of doing things, or unreasonable reluctance to allow others to do things
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12
Q

What % of the population have a personality disorder?

A

10%

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13
Q

What % of psychiatric outpatients have a personality disorder?

A

33%

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14
Q

What % of all psychiatric inpatients have a personality disorder?

A

50%

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15
Q

What is the difference between antisocial PD and psychopath?

A

Antisocial PD is largely based on behaviour, while psychopathy describes a set of ‘deficits’ in emotional and cognitive functioning

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16
Q

What are the 2 main factors of psychopathy?

A

1 – interpersonal/affective

interpersonal or affective

2 – social deviance

lifestyle or antisocial

17
Q

Generally, there isn’t good quality evidence to guide treatment for most PDs.

What, however, is effective and should be the focus of tx?

A

Treatment of comorbidity i.e depression, anxiety

18
Q

What is the main psychological treatment of borderline PD?

A

Dialectical Behavioural Therapy (DBT)

19
Q

What is DBT?

A

A complex package of groups, firm boundaries, and managing interpersonal issues

20
Q

What does DBT intend to do?

A

Combine behavioural approaches with ‘Buddhist’ concepts such as ‘acceptance’ and ‘mindfulness.’

21
Q

What, although not supported by as much evidence, has become increasingly popular in recent years?

A

Mentalisation

22
Q

What is metallisation informed by?

A

Psychodynamic concepts

23
Q

What is metallisation?

A

The process by which we interpret our own actions as being meaningful, based on our own internal maternal states

24
Q

What is impaired ability to mentalise supposed to affect?

A

Our ability to regulate our emotions and maintain interpersonal relationships.

25
Q

What is drug tx primarily focussed on?

A

Co-morbid conditions

There is no drug licenced for borderline PD

26
Q

What drug tx may be effective for comorbid depression and borderline PD?

A

MAOI’s

27
Q

What antipsychotic can be used in PD? What is the side effect of this?

A

Olanzapine – weight gain