Personality DIsorders Flashcards
def: cluster A PD
behavioural description: odd, eccentric
* paranoid
* schizoid
* schizotypal
WEIRD
def: cluster B PD
behavioural description: dramatic and erratic
* antisocial
* borderline
* histrionic
* narcissistic
WILD
high neuroticism
def: cluster C PD
behavioural description: anxious, fearful
* avoidant
* dependent
* obsessie-compulsive
WORRIED
def: paranoid PD
presistent
* fear
* mistrust
* suspicios
* bears grudges
* excessively sensitive to setbacks and rebuffs
* difficult to engage in close relationships
* withdraw from others
* low agreeableness
* more common in males
* jump between new paranoid consirpacy theories
def: schizoid PD
- solitary
- emotional coldness
- lack of desire/interest in close relationships
- anhedonia
- preoccupation with fantasy and introspection
- not bothered by PD
- being alone prefereable for them - actively avoiding
- low extraversion
def: schizotypal
- odd beliefs - paranormal, supersticious, delusions
- difficulty relating to other people
- hearing name called in empty room
- lonliness and avoidance that others will judge for thoughts, appearance and behaviours
cluster B
borderline and antisocial tends to affect day to day more (can’t hold down job, very lonely) than histrionic and narcissitic (often has job etc)
borderline adn histrionic are more likely in females and antisocial and narciisstic more likely in males
def: borderline PD
I DESPAIR
Identity
Dysphoria
Emotional instability
Suicidal/Self-harm
Psychotic/dissociative
Anger/hostility
Impulsivity
Relationships (unstable and fear of abandonment)
- F>M
- common result from childhood sexual abuse
def: anti-social PD
ACID LIAR
Adult
Criminality
Impulsivity
Disregard for safety and others
Lying/cheating
Irresponsibility
Aggression
Remorselessness
- M>F
- unlikely to be able to hold down job
def: narcissistic PD
- superior to those around
- sense of entitlement
- fantasise about success and power
- act in way of strong sense of self worth
- coping strategy to hide insecurity and fear of not being loved
- sensitive to critiscism
- can be manipulative but not that severe
- struggle with relationships
- M:F 2:1
def: histrionic
- excessive or exaggerated behaviours to gain approval of others or be centre of attention
- seductive/provocative
- over the top expressions of emotion
- flashy dress/makeup
- unstable affect
- tendancy to feel relationships more intimate than they are
- intense desire to be loved
- M:F 1:4
- least impairing disorder
def: dependent
- undue compliance with others wishes
- limited capacity to make everyday decisions
- exaggerated fears of inability to care for oneself
- allowing others to make important decisions
- when relationships end they make desperate attempts to get into others to avoid being on their own
def: obsessive compulsive PD
- unwilling to delegate for fear of doing it uncorrectly
- neat controlled and orderly at all times
- rigidity to a point of maladaptiveness- unable to complete jobs if not able to be done perfectly
- lost in details
- reglect hobbies or other relaxing areas
- NOT OCD
- ego-syntonic (not ego-dystonic)
- they believe their way is the best way
- high conscientiousness
def: avoidant PD
- chronic avoidance of others
- still desire for connection
- self-doubt and fear of disapproval
- felling of inferiority to others
tx; personality disorders
support and communication
* help manage crisis
* treat comorbid conditions
* reflect patient goals
* balanced response to suicidality
pharmacology has no role
DBT - dialectical behaviour therapy
* makes hierarchy of behaviours patient agrees to decrease and behaviours to increase
* interactions revolve arounf working on this hierarchy
mentilisation based therapy
* psychogherapy for those who suffer from borderline personality disorder
