Personality Disorder Flashcards
1
Q
What are cluster A personality disorders?
A
- the prominent problems are with the perceived safety of interpersonal relationships
- paranoid personality disorder
- schizoid personaloity disorder
- schizotypal personality disorder
2
Q
What is the criteria for paranoid personality disorder (A)?
A
4 or more:
- suspects without basis that others are exploiting, harming or deceiving them
- preoccupied with unjustified doubts about loyalty/trust in friends/associates
- reluctant to confide in others, as unwarrented fear info will be maliciously used against them
- sees ambiguous/benign remarks as harmful/threatening
- persistently holds grudges
- perceives attacks on there charater/reputation that are not apparent to others + is quick to react angrily/counter-react
- reccurent unjustified suspicions of fidelity of spouse/sexual partner
3
Q
What is the criteria for schizoid personality disorder (A)?
A
4 or more:
- doesn’t want/enjoy close relationships, inc. family
- almost always chooses solidary activites
- little/no interests in sexual experiences with another person
- has pleasure in few, if any, activites
- lacks close friends/confidants
- appears indiferent to praise/criticism of others
- emotional coldness, detachment, flattened activity
4
Q
What is the criteria for schizotypal personality disorder (A)?
A
5 or more:
- ideas of reference (excl. delusions of reference)
- odd beliefs/magical thinking that influences behaviour + inconsistent with cultural norms
- unusual perceptual experiences
- odd thinnking + speech
- suspicious/paranoid ideation
- innapropriate/constricted affect
- odd, eccentric, peculiar behaviour/appearance
- lack close friends or confidants
- excessive social anxiety, not diminished by familiarity, associated with paranoid fears
5
Q
What are cluster B personality disorders?
A
- the prominent problems are with keeping feelings tolerable without acting (dramatic)
- antisocial personality disorder
- narcissistic personality disorder
- borderline personality disorder
- histrionic personality disorder
6
Q
What is the criteria for antisocial personailty disorder (B)?
A
3 or more:
- failure to conform to social norms with lawful behaviour, repeatedly performing acts which are ground for arrest
- repeated deceitfulness via repeated lying, aliases or conning others for profit/pleasure
- impulsivity/failure to plan ahead
- reckless disregard of safety of self/others
- consistently irresponsible, repeated failure to sustain consistent work or behaviour or honour financial obligations
- lack remorse; being indifferent/rationalising hurting, mistreating, stealing from others
7
Q
What is the criteria for narcissistic personality disorder (B)?
A
5 or more:
- grandiose sense of self-importance
- fantasies of unlimited success, power, brilliance, beauty, ideal love
- believe they are “special” + can only be understood bby/associated with other special or high status people/insitutions
- require excessive admiration
- sense of entitlement
- interpersonally exploitive
- lacks empathy
- envious of other or believes others are envious of them
- arrogant behaviours/attitudes
8
Q
What is the criteria for borderline personality disorder (B)?
A
5 or more:
- frantic effort to avoid real/imagined abandonment
- pattern of unstable/intense interpersonal relationships
- indentify disturbance; markedly + persistently unstable self-image/sense of self
- impulsivity in at least 2 potentially damaging areas (e.g. spending, driving, sex)
- recurrent suicidal behaviour, gesters, threats, self-mutilating behaviour
- affective instability/anxiety lasting a few hrs
- chronic feelings of emptiness
- innapropriate, intense anger or difficulty controlling anger
- transiet, stress-realted paranoid ideation or severe symptoms
9
Q
What is the criteria for histrionic personality disorder (B)?
A
5 or more:
- uncomfortable if they’re not centre of attention
- interactions; inappropriately sexually seductive or provocative behaviour
- rapidly shifting + shallow expression of emotions
- uses physical appearance to draw attention
- style of speech; excessively impressionistic + lacking detail
- self-dramatisation, theatrically + exagerated expression of emotion
- is suggestible
- sees relationships as more intimate than they actually are
10
Q
What are cluster C personality disorders?
A
- the prominent problems relate to anxiety and how it is managed (in relationships)
- OCD/anankastic personality disorder
- avoidant personality disorder
- dependant personality disorder
11
Q
What is the criteria for OCD/anankastic personality disorder (C)?
A
4 or more:
- preoccupied with details, rules, order, organisation or shedules, to the extent that the major point fo the activity is lost
- perfectionism that interferes with task completion
- excessively devoted to work + productivity to the exclusion of leisure activation + friends
- over-conscientious, scrupulous, inflexible on morailty, ethics, values
- unable to discard worn out/worthless objects even if they have no sentimental value
- reluctant to delegate tasks or do work with others unless they submit to exactly their way of doing work
- tight spending style towards self + others, money hoarded for future catastrophes
- rigidity + stubborness
12
Q
What is the criteria for avoidant personality disorder (C)?
A
4 or more:
- avoids occupational activites with significant interpersonal contact for fear of; criticism, disapproval, rejection
- not willing to get involved with interpersonal relationships, for fear of; shame/ridicule
- preoccupied with being criticised or rejected in social situations
- hibited in ner interpersonal situations from feelings of inadequecy
- views self as; socially inept, personally unappealing or inferior to others
- unusually reluctant to take personal risk or engage in new activites in case of embarrasment
13
Q
What is the criteria for dependant personality disorder (C)?
A
5 or more:
- difficulty making everyday decisions with excessive advice/reassurance from others
- needs others to assume responsibility for most major areas of their life
- difficulty expressing disagreement with others for fear of loss of support/aproval
- difficulty initiating projects/doing things on their own
- goes to excessive lengths to obtain support from others, to the point of volunteering to take care of themsleves
- urgently seeks another relationship for care + support when a close relationship ends
- unrealistically preoccupied with fears or being left to take care of themselves
14
Q
What are management options?
A
- dialectic behavioural therapy
- mentalisation-based treatment
- symptomatic prescribing
