Personality Disorder - Exam I Flashcards

1
Q

the style a person adopts to deal with the world

A

personality

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2
Q

a pattern of inner experience and behavior that deviates from the expectation of the individual’s culture .-pervasive and inflexible. Onset is in adolescence or early adulthood.

  • leads to distress or impairment (esp in social relationships)
  • difficult to treat
  • often times the individual doesn’t seek treatment until they are hiding out from the law or have another condition
A

personality disorder

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3
Q

Those who are at risk for a personality disorder are those that have experience chronic trauma. like repeated cycles of trauma or children living at home where this is domestic violence.
-as well as those who are acting out as a result of past history, disconnect from emotions, and developed fears of others

A

Risk for Personality Disorders

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4
Q

This type of personality disorder includes those who are paranoid, schizoid, and schizotypal.

A

Type A (ODD)

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5
Q

this type of personality disorder includes those who are antisocial, borderline, histrionic, and narcissitic.

A

type B (Dramatic or the bad ones or dealt a bad hand)

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6
Q

this type of personality disorder includes those who are avoidant, dependent, and OCD

A

Type C (anxious or the scaredy cats)

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7
Q

this type of personality disorder included those that are passive aggressive

A

non categorized

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8
Q
  • suspects that others are exploiting, harming, or deceiving them
  • preoccupied with unjustified doubts about loyalty and trustworthiness
  • reluctant to confide in others
  • reads hidden meaning or threats in remarks or events
  • bears grudges
  • perceives attacks on his or her character
  • recurrent unfounded suspicions regarding fidelity.
A

Paranoid (Type A)

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9
Q

detached from social relationships. restricted range of expressing emotion. early adulthood. does not want nor enjoy close relationships including those with family.
-chooses solitary activities
-little interest in sex
-takes pleasure in few if any activities
-lacks friends (because they don’t want friends)
-indifferent to praise or criticism
-emotional coldness, detachment, and flat affect. They don’t enjoy humor
-respect their need to be alone
-prefer non human contact but enjoy music, art, and etc
-can be highly intelligent and successful
(similar to traits of someone with Asperger’s and may develop a precursor to Schizophrenia later)

A

Schizoid (Type A)

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10
Q

social interpersonal deficits and reduced capacity for close relationships. Cognitive/Perceptual distortions, eccentric behavior beginning in early adulthood.

  • ideas of reference
  • magical thinking i.e. telepathy
  • unusual perceptual experiences
  • odd speech (ex metaphorical)
  • suspicious or paranoid
  • constricted affect. blunted. rested emotion that didn’t develop.
  • excessive social anxiety
  • close to schizophrenia but not as debilitating
  • would prefer friends but they are extremely awkward
A

Schizotypal (Type A)

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11
Q

abnormal hippocampus size (related to intelligence)

  • 90% have co occurring psyche conditions
  • BELITTLED or DEVALUED as a child
  • frequent mood changes
  • emotional liability
  • chronic depression
  • self MUTILATION
  • suicide prone behaviors
A

Borderline Personality (Type B - the bad ones)

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12
Q

Disregards and violates rights of others. Failure to conform to social norms. (Arrest)

  • entitlement (have the right)
  • deceitfulness (lying, using aliases, conning)
  • impulsiveness (inability to plan ahead)
  • irritability, aggressiveness, repeated fights
  • reckless disregard for self or others
  • irresponsible (can’t sustain work)
  • lack of remorse
A

Antisocial (psychopath) Type B

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13
Q

This personality disorder they usually fail at conforming to the law, sustaining employment, developing stable relationships. They tend to exploit and MANIPULATE others for personal gain. Not often seen for disorder specific in clinical settings. If they are they are usually to avoid legal consequences.
-They show no remorse and are masters of con and MANIPULATION and live to exploit others. They can be known as bullies but are also very charming.

A

Antisocial (psychopath) Type B

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14
Q

Grandiose sense of self-importance. They exaggerate achievements and talents and expects to be recognized as superior without commensurate achievements.

  • preoccupied with fantasies of unlimited success, power brilliance, beauty or ideal love.
  • unwilling to recognize feelings and needs of others
A

Narcissitic (Type B)

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15
Q

have a style of speech that is excessively impressionstic and lacking in detail. the drama queen.

  • shows self dramatization, theatrically, and exaggerated expression of emotion.
  • easily suggestible and can be swayed by others.
  • they are uncomfortable in situations in which they are not the center of attention and have temper tantrums when they don’t get their way.
  • Interaction w/others if often characterized by inappropriate sexual and provocative behavior.
  • quick to cry
A

Histrionic (type B)

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16
Q

Type B were dealt a “bad hand” and typically utilize ______ mechanisms to either idolize or devalue things. It’s an all or nothing type of thing. They also utilize splitting.

A

defense

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17
Q

This type of personality disorder is serious and formal. They have difficulty expressing emotions and are severely disciplined PERFECTIONISM, too preoccupied with rules.

  • rigid, unbending rules
  • fear of making mistakes leads to difficulty in decision making
  • lacks spontaneity
  • ingratiating with authority
  • serious and formal demeanor
A

OCD (Type C)

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18
Q

This type of personality disorder has low self worth and socially alienates themselves. They have learned suspiciousness and are hostile and dangerous.

  • high levels of anxiety
  • awkward and socially uncomfortable
  • timid, withdrawn, and appears cold and strange from a distance
  • slow speech and constrained with frequent hesitations
  • lonely and express feelings of being rejected
  • view others as critical, betraying, and humiliating
  • desires close relationship but avoids them
  • typically people that were babied too long.
A

Avoidant Personality Disorder (Type C)

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19
Q

This type of personality disorder shows excessive care needs. They are submissive, clingy, and separation anxiety. Others make decisions. They are helpless when they are alone, submissive, subordinate and tolerate mistreatment.

  • Demeans self to gain acceptance.
  • Functions inadequately in situations that require assertive behavior.
  • nurses have to respect their need to be alone.
A

Dependent Personality Disorder (Type C)

20
Q

passively expression covert aggression. Irritable and uses defense mechanisms of blaming. Verbally aggressive, hostile, and manipulative.

  • often feel cheated and unappreciated. they express envy and resentment when asked to do anything. when wronged, may seek retribution but always in a subtle and passive way.
  • express feelings indirectly, actions are opposite to promises. and their work is characterized by procrastination and inefficiency.
A

Passive-Aggressive Personality Disorder (Type C)

21
Q
  • can’t have a short term goal with them.
  • difficult to treat
  • decrease manipulation
  • Rotate staff to avoid staff dependence
  • Encourage patient to examine behaviors
  • give positive reinforcement for independent behavior
  • explore feelings that relate to fear of abandonment (clinging/distancing)
  • explore how feeling interfere with relationships
  • set limits on acting out behaviors
A

Goals when dealing with those that have personality disorders

22
Q

successful in decreasing impulsivity and self destructive acts in borderline disorder.

A

Tegretol

23
Q

this drug shows an improvement in illusions, ideas of reference, paranoid thinking, anxiety and hostility in those with borderline disorder.

A

antipsychotic

24
Q

this drug is successful in reducing anger, impulsiveness, and mood instability.

A

SSRIs

25
Q

to treat violent episodes in those with antisocial personality disorder.

A

Lithium carbonate (Inderal)

26
Q

this type of drug is not recommended for those with antisocial personality disorder due to the high risk of substance abuse.

A

anxiolytics

27
Q

Emotional conflicts and stressors are addressed by meeting the needs of others. Unlike self sacrificing behavior, the person receives gratification from the response of others

A

altruism (a healthy defense mechanism)

28
Q

Unacceptable strong sexual or aggressive impulses unconsciously are substituted for constructive and socially acceptable activity. A man with hostile feelings becomes a butcher or participates in contact sports. A person unable to experience sexual activity channels energy into something creative like painting or art.

A

Sublimation (a healthy defense mechanism)

29
Q

Conscious denial of a disturbing situation or feeling. A student has been studying for the state board says, “I can’t worry about paying my rent until after my exam tomorrow.”

A

Suppression ( a healthy defense mechanism)

30
Q

Exclusion of unpleasant or unwanted experiences, emotions from awareness like forgetting the name of a former boyfriend

A

Repression (intermediate defense mechanism)

31
Q

Transfer emotions associated with a particular person, object , situation that is non-threatening. Boss yells at the man, The man yells at his wife the wife yells at the child and the child kicks the dog.

A

Displacement (intermediate defense mechanism)

32
Q

Unacceptable behavior or feelings are kept out of awareness by developing the opposite behavior or emotion. A person who is hostile toward children becomes a boy scout leader

A

Reaction Formation (over compensation) Intermediate defense mechanism

33
Q

Unconsciously transforming anxiety into a physical symptom that has no organic cause. Usually the symptoms function as an attention seeking ploy. (usually in a medical world). manifested their anxiety into a physical form and no medical root cause. Rather an attention seeking ploy.

A

Somatization (intermediate defense mechanism)

34
Q

Compensates for an act or statements such as giving a gift to undo an argument.

A

Undoing (intermediate defense mechanism)

35
Q

Justifying illogical or unreasonable ideas, actions or feelings by developing acceptable explanations that satisfy the teller as well as the listening. Ex. “If I had her brains I would get good grade too.” Everyone cheats so why shouldn’t I?”

A

Rationalization (intermediate defense mechanism)

36
Q

Dealing with emotional conflicts or stressors by indirectly and unassertively expressing aggression. On the surface there is compliance that masks covert resistance, resentment or hostility. Aggression is expressed through PROCRASTINATION, failure, inefficiency, passivity or illness. They intentionally fail or are inefficient at doing it.

A

passive aggressive (immature defense)

37
Q

Individual address emotional conflict by destructive actions rather than reflecting on the feelings. Its all about distracting self from acknowledging threatening thoughts or feelings. Lashing out in anger make them feel less helpless or vulnerable.

A

Acting out (immature defense)

38
Q

Emotional conflicts or stressors are addressed by attributing exaggerated positive qualities to others. Important to developing the self. Children grow up and respect and idealize parents. Sometimes people overvalue a person and later they are disappointment. Causes decreased self esteem

A

Idealization (immature defense)

39
Q

The inability to integrate the positive and negative qualities of oneself or others into cohesive image. Aspect of self are usually at opposite poles. Good, loving ,smart, nurturing vs. bad, dumb, selfish, hostile.

A

Splitting (immature defense)

40
Q

Disruption in the usually integrated functions of consciousness, memory, identity, or perception of the environment.
Example: An adult remembers nothing about his childhood abuse,

A

Dissociation (immature defense)

41
Q

Occur when emotional conflicts or stressors are handled by attributing negative qualities to self and others. By devaluing someone, the individual appears better when contrasted.
Example: A peer who is jealous states, “That award means nothing. I wondered what she had to do to be chosen.”

A

Devaluation (immature defense)

42
Q

Unconsciously rejecting emotionally unacceptable personal features and attributing them to other people, objects, or situations. It is a form of blaming or scape goating. Persons who think others are out to cheat them are unconsciously projecting on others what they fund unacceptable in themselves.

A

Projection (immature defense)

43
Q

Escaping unpleasant realities by ignoring their existence. A man who thinks physical pain reflect negatively on his manhood might deny he is having chest pain

A

Denial (immature defense)

44
Q

what therapy is specifically designed for treating borderline personality disorder?

A

Dialectic Behavior Therapy and Systems Training for Emotional Predictability

45
Q

What type of medicine is not recommended for those with personality disorders due to substance abuse?

A

Benzodizapine