Personality Disorders Flashcards

1
Q

What is a personality disorder?

A

an enduring pattern of inner experience and behavior that …
–Deviates markedly from the expectations of the individual’s culture
–Is pervasive and inflexible
——Most but not all
——Pervasive: affect every aspect of the individual’s life
-Has an onset in adolescence or early adulthood
-Is stable over time; not highly amenable to change
-Leads to distress or impairment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the three clusters of personality disorders?

A

-cluster A: odd or eccentric
-cluster B: dramatic, emotional, or erratic
-cluster C: anxious or fearful

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are examples of cluster A?

A

paranoid, schizoid, and schizotypal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are examples of cluster B?

A

Antisocial, borderline, histrionic, and narcissistic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are examples of cluster C?

A

Avoidant, dependent, and obsessive compulsive

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is paranoid personality disorder?

A

-Suspects others are exploiting, harmful, or deceiving
-Preoccupation with unjustified doubts re: loyal and trustworthiness of friends or associates
-Reluctant to confide in others
-Reads hidden meanings in benign remarks/events
-Persistently bears grudges
-Perceives character attacks by other
-Recurrent, unjustified suspicions of partner’s fidelity
-cluster A

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is schizoid personality disorder?

A

-Does not desire or enjoy close relationships
-Lacks close friends
-Chooses solitary activities
—Preference for mechanical or abstract tasks
-Little or no interest in sexual experiences with others
-Takes pleasure in few, if any, activities
-Appears indifferent to praise or criticism
-Emotional coldness, detachment or flat affect
—Tend to not feel strong emotions like anger
-Do not exhibit cognitive disorders
-cluster A

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is schizotypal personality disorder?

A

-Pervasive pattern of social or interpersonal deficits
-Ideas of reference: incorrect interpretations of events
—Assuming they have specific meaning relevant to individual
—Not as extreme as delusions
-Odd beliefs or magical thinking influence behavior
—EX: Thinking someone should take the dog out, someone takes the dog out, person thinks it was because they thought it
-Unusual perceptual experiences
—Do not typically reach the level of being out of touch with reality as in hallucinations
-Odd thinking and speech
-Suspiciousness or paranoia
-Inappropriate or constricted affect
-Odd, eccentric, peculiar behavior and appearance
-Lack of close friends
—Decreased desire for intimate contacts even if they are unhappy about it
-Excessive social anxiety
—Realize that they don’t fit in tied to their suspiciousness of others
-cluster A

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is antisocial personality disorder?

A

-Anti means against
—Not the same as social anxiety disorder
-Failure to conform to social norms re: lawful -behavior
-Deceitfulness
-Impulsivity
-Irritability and aggressiveness
-Reckless disregard for safety of self or others
-Consistent irresponsibility
-Lack of remorse
-At least 18 years of age
-Evidence of conduct disorder before age 15
-cluster B

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is borderline personality disorder?

A

-Frantic efforts to avoid real or imagined abandonment
—If they perceive that there may be an impending separation from another person in their life or that they may be rejected, this can lead to profound changes in their identity
-Causal: individuals with this disorders do not have a strong sense of identity and their identity is often rooted in others
-Pattern of unstable and intense interpersonal relationships
—Swift changes in how they view others identity
-Identity disturbance
—Swift switches in goals, values, and friends
-Potentially self-damaging impulsivity
—Gambling, spending money irresponsibility, un-safe sex practicies etc.
-Recurrent suicidal behavior, gestures, or self-mutilating behaviors
—With the purpose of trying to keep person engaged in relationship
—Completed suicide = 8-10%
-Affective instability due to mood reactivity
-Chronic emptiness
—Due to lacking strong sense of self or identity
-Anger issues
-Transient paranoia or dissociation
—When individual is experiencing extreme fear of abandonment or impulsivity or anger
-cluster B

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is histrionic personality disorder?

A

-Uncomfortable when not the center of attention
—If they are not they create a situation where they are
-Sexually seductiveor provocative behavior
-Rapid shifts in emotions; shallow emotion
-Uses physical appearance to draw attention to self
-Style of speech
—Tend to express strong opinions dramatically with vague reasons for expressing those opinions
-Dramatic, theatrical, exaggerated emotional expression
-Suggestible
—Easily influenced by opinions and feelings of others
-Inaccurate evaluation of relationships intimacy
-cluster B

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is narcissistic personality disorder?

A

-Greek mythology: narcist = character who saw reflection in body of water and fell in love with themself
-Grandiose pattern of self-importance
-Preoccupied with fantasies of success, power, beauty, etc.
-Belief is special and unique
-Requires excessive admiration
-Sense of entitlement
-Interpersonally exploitative
-Lack empathy
—High degree of difficulty recognizing that others have needs or desires as well
—Typically can’t stand to be in a conversation where another person is talking about themselves
-Often envious or believes others to be
-Arrogant behavior and attitudes
-cluster B

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is avoidant personality disorder?

A

-Avoid occupational activities involving interpersonal contact (fears)
-Avoids involvement with others unless being liked is certain
-Fears of shame or ridicule by others
-Preoccupied with being criticized or rejected
—Low threshold for others disapproving
-Feelings of inadequacy —> inhibited in social situations
-Sees self as socially inept, unappealing or inferior
-Reluctant to engage due to embarrassment fears
-cluster c

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is dependent personality disorder?

A

-Requires excessive advice from others in decision making
-Needs others to assume life responsibilities
—Wants others to make important decisions for them
-Difficulty expressing disagreement with others, fears loss of support or approval
-Lack of confidence —> difficulty with independent actions
-Excessive need to obtain nurturance and support
-Feels uncomfortable or helpless when alone
-Urgently seeks replacement relationships
-Unrealistic preoccupation with fears of having to take care of self
-cluster C

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is obsessive-compulsive personality disorder?

A

-Preoccupied with details, lists, order, organization or schedules
-Perfectionism that interferes with task completion
-Excessive work/productivity to exclusions of leisure and friendships
-Over-conscientious, scrupulous and inflexible remorality, ethics or values
-Unable to discard worthless or worn-out objects
-Reluctant to delegate
-Hoards
-Rigid and stubborn
-cluster C

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

How contributed to the psychodynamic theoretical perspective of personality disorders?

A

-Freud
-Hans Kohut
-Otto Kernburg
-Maragret Mahler

17
Q

What is the learning perspective theoretical perspective of personality disorders?

A

-Focus on maladaptive behaviors
-Childhood experiences shape personality
-Treatment: focus on learning histories and environmental factors that lead to maladaptive habits that lead to disorde

18
Q

What is the family theoretical perspective of personality disorders?

A

Disturbances in family relationships

19
Q

What is the sociocultural theoretical perspective of personality disorders?

A

Social conditions may contribute to personality disorders

20
Q

What did Freud say about personality disorders?

A

-Freud: focus is on problems with the oediabla complex during the phallic stage which is atets of the ego
-Individuals with personality disorders lack development of ego and superego

21
Q

What did Hans Kohl say about personality disorders?

A

-Hans Kohut: development of cohesive sense of self
-Focused on narcissistic: facade used to cover up deep feelings of inadequacy
-Pathological narcissism due to lack of parental empathy and support
-Healthy narcissism: appropriate in childhood; if it persists into adulthood it’s problematic

22
Q

What did Otto Kernburg say about personality disorders?

A

-Otto Kernburg: Borderline personality disorder = failure to develop constancy and unity of one’s self image
-Inability to synthesize both positive and negative view of one’s self

23
Q

What did Margaret Mahler say about personality disorders?

A

-Margaret Mahler: emphasized BPD which she proposed may develop from difficulties with separation from child and mother figure
—BPD results from failure developmental challenge with differentiating own identity from that of mother’s

24
Q

What are the components of biological theoretical perspective of personality disorders?

A

1.) Genetics
2.) Brain abnormal
3.) antisocial personality disorders

25
Q

What is the genetic component of the biological theory of personality disorder?

A

-Genetics
–Especially in narcissistic, paranoid, BPD and antisocial
–Concordance rates are higher among parents and siblings

26
Q

What is the brain abnormalities component of the biological theory of personality disorder?

A

-Brain abnormalities
–BPD and antisocial: abnormalities in prefrontal cortex due to that areas role in emotions and regulations impulsivity

27
Q

Individuals with antisocial personality disorder…

A

Lack of emotional responsiveness
Exaggerated cravings for stimulation to maintain interest in function

28
Q

What is the relation of drugs with personality disorders?

A

Drug therapy is not effective
SSRIs may be effective in decreasing anger in some situations