Personality Disorders Flashcards
Personality Disorders
-Definitions
- Fixed and Rigid
- Lifelong behavioral pattern that negatively affects life
- Behavior deviates markedly from expectations of culture
- Described in negative terms such as:
- hostile, needy, detached, obsessive, antisocial
Personality
- Unique bio-psychosocial characteristics that consistently influence inner experience and behavior
- Personality is as essential to self-identity as physical appearance
Personality Disorders
-Theories of Causes
- Abuse, neglect, trauma, and inadequate parenting
- Nature not nurture is responsible
- A combination of psychosocial and biologic factors
Personality Disorders
-Manifestation of Symptoms
- Cognition
- Affectivity
- Interpersonal behavior
- Impulse control
Personality Cluster A
- ODD or ECCENTRIC behavior as the core characteristic
- Paranoid personality
- Schizoid
- Schizotypal
Personality Disorder Cluster A
-Paranoid
- Avoidance of accepting deserved blame and unwarranted view of others
- Suspicious, hypersensitivity, mistrust
Personality Disorder Cluster A
-Schizoid
- Avoid social activities
2. Often seen as LONERS
Personality Disorder Cluster A
-Schizotypal
- Don’t understand forming relationships
Cluster B Personality Disorders
- Dramatic, Emotional or erratic manifestations
- Antisocial
- Borderline
- Histrionic
- Narcissistic
Personality Disorder Cluster B
-Antisocial
- No regard for right and wrong
Personality Disorder Cluster B
-Borderline
- Unstable or turbulent emotions
Personality Disorder Cluster B
-Histrionic
- Emotional and Dramatic behavior
2. Drawing attention to self
Personality Disorder Cluster B
-Narcissistic
- Inflated sense of self-importance
Cluster C Personality Disorders
- Anxious or fearful behaviors
- Avoidant
- Dependent
- Obsessive-compulsive
Personality Disorder Cluster C
-Avoidant
- Very shy, inadequate, and sensitive to rejection
Personality Disorder Cluster C
-Dependent
- Depend too much on others to meet their emotional and physical needs
Personality Disorder Cluster C
-OCD
- Preoccupation w/ orderliness, perfectionism, and mental and interpersonal control
Personality Disorders
-Co-Morbidities
- Major Depression
- Anxiety
- Suicide Crises
Personality Disorders
-Treatment Goals
- Immediate Problem solving
- Enhancement of coping
- Improvement of social skills
- Increased tolerance of anxiety w/out resorting to maladaptive coping
- Increase self-awareness
- Elimination of more destructive personality traits
Personality Disorders
-Goals for Care
- Risk Control: client will experience physical safety
- Adherence Behavior: Client will participate in therapy
- Symptom Control: Client will exhibit improved coping
Personality Disorders
-Nurse Self-Care
- Know that it is difficult to work with personality patients
- Discuss emotional reactions to clients with trusted colleagues
- ID additional sources for support that can enhance and promote personal and professional growth
Splitting & Borderline Personality Disorder
- Splitting is commonly associated with borderline personality disorder
- Client says to a nurse “You are the best person” followed by “You are the worst person”