Personality Disorder

Question 1

What is a personality disorder?

Answer 1

Persistent Pervasive abnormality of social relationships and social functioning

Question 2

What percentage of remission is there at 16 years?

Answer 2

93% (Zannarini)

Question 3

How many people world wide are given a diagnosis of PD?

Answer 3

1 in 16

Question 4

How much earlier do men with PD die?

Answer 4

18 years

Question 5

How much earlier do women with PD die?

Answer 5

19 years

Question 6

What percentage of PD have completed suicide?

Answer 6

8-10%

Question 7

What percentage of PD patients have depression?

Answer 7

40%

Question 8

What percentage of bipolar disorder patients have PD?

Answer 8

13%

Question 9

Percentage of people attending GP have a PD

Answer 9

24%

Question 10

How more often do PD patients visit GP than regular?

Answer 10

5x as often

Question 11

WHat percentage of A&E visits are from PD?

Answer 11

9%

Question 12

What is PD cluster A?

Answer 12

Paranoid, schizoid, schizotypal

Question 13

What is PD cluster B?

Answer 13

antisocial, borderline, histrionic, narcissistic

Question 14

WHat is PD cluster C?

Answer 14

Avoidant, dependent, obsessive-compulsive

Question 15

What are the heritability rates for each cluster?

Answer 15

Cluster A 0.37, Cluster B 0.6, Cluster C 0.62

Question 16

Is aggressive or non-aggressive behaviour more heritable?

Answer 16

Aggressive

Question 17

What is Kernberg’s developmental theory?

Answer 17

Excessive aggression leads to splitting

Question 18

What is splitting?

Answer 18

The failure in a persons thinking to bring together the dichotomy of both positive and negative qualities of the self and others into a cohesive, realistic whole

Question 19

What is Adler and Buie’s developmental theory?

Answer 19

Object constancy

Question 20

What is object constancy?

Answer 20

An inability to remember that people or objects are consistent, trustworthy and reliable. Especially when out of your immediate field of vision

Question 21

What is Mahler’s developmental theory?

Answer 21

Abandonment the organising conflict

Question 22

What is Bowlby’s developmental theory

Answer 22

Attachment theory

Question 23

What is dialectical behaviour therapy?

Answer 23

Dialectical behaviour therapy (DBT) is a type of talking treatment. It’s based on cognitive behavioural therapy (CBT), but has been adapted to help people who experience emotions very intensely.

Question 24

What does mentalisation based therapy include?

Answer 24

Reflective function and attachment

Question 25

WHat is reflective function?

Answer 25

Refers to the essential human capacity to understand behaviour in light of underlying mental states and intentions

Question 26

What are the steps in Kernbergs transference focused therapy?

Answer 26

• Step 1 tolerance
• Step 2 define dominant object relations
• Step 3 name the protagonists
• Step 4 identify and interpret role reversal in dyads.
• Step 5 identify defensive linkages between dyads.
• Step 6 identify the difference in the real relationship.

Question 27

What is claustro-agoraphobic cycle?

Answer 27

need to find out

Question 28

Which two of Jaak Panksepp’s 7 basic emotion command systems are applied in PD?

Answer 28

Panic and seeking system

Question 29

dyad’s in context in transference focused therapy

Answer 29

The factual and fantasized information become blended together, all organized according to the dominant affect that is characteristic of that relationship. Once formed, these object relationship pairs (self-other dyads) function as templates through which later relationships may be understood. These internal object relation dyads are activated in future relationships and influence, or even determine, how people will experience and relate to others.