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Year 4 - Psych > Personality Disorders > Flashcards

Personality Disorders Flashcards

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1
Q

Personality
- Definition

A

Personality
- Definition

  1. Individual differences
  2. Patterns
    - Thinking
    - Feeling
    - Behaving
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2
Q

Personality
- Framework Factors

A

Personality
- Factors

  1. Bio
    - Appearance/ disability
    - Temperament
    - IQ
  2. Psycho
    - Early attachment
    - Siblings
    - Peers
    - Traumas
  3. Social
    - Socioeconomic status
    - War/peace
    - Social media
    - Climate
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3
Q

Personality disorder
- Definitions

A

Personality disorder
- Definitions

  1. Enduring maladaptive patterns (persistent)
    - Behaviour
    - Cognition
    - Experience
  2. Across many contexts (pervasive)
    - Deviating markedly from culture
  3. Inflexible (problematic)
    - Significant distress
    - Significant disability
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4
Q

Personality disorder
- 3 Ps of diagnosis

A

Personality disorder
- 3 Ps

  1. Persistent
  2. Problematic
  3. Pervasive
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5
Q

Personality disorder
- Clusters

A

Personality disorder
- Clusters

A - Odd/eccentric
1. Paranoid
2. Schizoid
3. Schizotypal

B - Dramatic
1. EUPD
2. Narcissistic
3. Histrionic
4. Antisocial

C - Anxious
1. Avoidant
2. Dependant
2. Anankastic

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6
Q

Cluster A

A

Cluster A

  1. Paranoid
    - Suspicious
    - Mistrustful/grudging
    - Persecutory
  2. Schizoid
    - Detached
    - Little interest in people
    - Lacks close friends
  3. Schizotypal
    - Eccentric
    - Odd behaviour and thinking
    - Unconventional beliefs
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7
Q

Cluster B Personalities

A

Cluster B

  1. EUPD
    - Emotional instability
    - Impulsive
    - Parasuicidal acts
    - Chronic emptiness
  2. Narcissistic
    - Grandiose
    - Degrading
    - Lost later in life
  3. Antisocial
    - Unconcern for feeling of others
    - Fail to take responsibility
  4. Histrionic
    - Theatrical and dramatic
    - Superficial, seductive, suggestible
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8
Q

Cluster C personalities

A

Cluster C

  1. Anankastic (Obsessive compulsive)
    - Rigid, stubborn, perfectionistic, moral
  2. Dependent
    - Need other to make decisions
    - Need reassurance
  3. Avoidant
    - Persistent anxiety
    - Sensitive to rejection
    - Only pursue guaranteed acceptance
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9
Q

Attachment Theory
- Sense of Security

  1. Origins
  2. Notion
A

Attachment Theory
- Security

  1. Bond between parent and child
  2. World feels safe and they are loveable
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10
Q

Attachment Theory
- In adults

A

Attachment Theory
- In adults

  1. Care and affection
    - model of relating
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11
Q

Self-harm
- Function

A

Self-harm
- Function

  1. A coping mechanism
  2. Common in EUPD
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12
Q

Hamilton Model
- Boundary Seesaw

A

Hamilton Model
- Boundary Seesaw

  1. Controller
    - Too-controlling
  2. Pacifier
    - Over involved
    - Too indulging
  3. Negotiator zone
    - Care with explicit limits
    - Flexible balance
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13
Q

Personality disorders
- Treatment principles

A

Personality disorders
- Treatment principles

  1. Importance of attachment
  2. Crisis indicators used to anticipate
  3. Appropriate boundaries and contract
  4. Empowerment
    - recovery-focussed
  5. Well-coordinated
    - shared treatment
  6. Reflective practice
    - MDT
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14
Q

Harm minimisation
- Self harm physiology
- Treatment

A

Harm minimisation

  • Self harm physiology
    1. Endorphin relief
    2. Addictive wellbeing
  • Treatment
    1. Elastic bands on wrists
    2. Holding ice cube
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15
Q

Personality disorders
- Treatment

A

Personality disorders
- Treatment

  1. Therapy
    - Group treatment
  • DBT
    (Understanding two ‘opposite’ ideas. Accept self, but change behaviour)
  • Mentalisation Based Therapy
    (thinking about feelings, causes, and behaviour)
  1. Pharmacology
    - Psychotropic
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16
Q

Personality disorder
- Diagnostic value

A

Personality disorder
- Diagnostic value

  1. Finding harmful/distressing traits
  2. Addressing these traits
17
Q

EUPD
- Management

A

EUPD
- Management

  1. Long term DBT
    - 2 year program +
  2. Brief admission is helpful
    - 2-3 weeks max
    - Safety plans
    - Coping mechanisms
  3. Longer admissions are harmful
    - Risks increase
  4. Short term medications in crisis
    - Sedating (benzodiazepines, antipsychotics)
18
Q

EUPD VS Borderline

A

EUPD

  • Impulsive subtype
  • Borderline subtype
19
Q

Eupd
- Mx

A

Eupd
- Mx

  1. DBT
    - Managing symptoms
  2. Therapeutic community
    - Living with others with diagnosis
    - Shared decision making and reduced impulsiveness
    -

Year 4 - Psych (11 decks)

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