Personality Disorders Flashcards
A client is frequently late for therapy sessions and often avoids answering the therapist’s questions during sessions. A practitioner of dialectical behavior therapy would describe these behaviors as:
A. psychological reactance.
B. therapy-interfering behaviors.
C. emotional resistance.
D. a dialectical impasse.
Answer B is correct. Therapy-interfering behaviors (TIBs) interfere with the progress of therapy and include the behaviors described in this question. When TIBs occur, the therapist addresses them without judgment using problem-solving and other DBT techniques. (Note that therapists can also engage in TIBs and, when they occur, they are addressed during peer consultation.)
A person with __________ personality disorder is most likely to say she’d like to have friends but doesn’t spend time with people because she thinks she’s “not as good as other people” and fears that they’ll criticize and reject her.
A. avoidant
B. schizoid
C. borderline
D. histrionic
Answer A is correct. The woman’s symptoms are most suggestive of avoidant personality disorder, which is characterized by a pervasive pattern of social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation.
Which of the following best describes obsessive-compulsive personality disorder and obsessive-compulsive disorder?
A. Both disorders involve obsessions and compulsions, but they’re more pervasive in obsessive-compulsive disorder.
B. Both disorders involve obsessions and compulsions, but they’re of a longer duration in obsessive-compulsive personality disorder.
C. Only obsessive-compulsive personality disorder involves mood-incongruent obsessions.
D. Only obsessive-compulsive disorder involves true obsessions and compulsions.
Answer D is correct. As noted in the DSM-5, obsessive-compulsive personality disorder and obsessive-compulsive disorder share some characteristics, but only obsessive-compulsive disorder involves true obsessions and compulsions.
Which of the following is the most likely DSM-5 diagnosis when a young man says he prefers being alone, doesn’t have any close friends, isn’t bothered by the negative things his co-workers sometimes say about him, and thinks he’s “pretty stable” because he rarely experiences strong positive or negative feelings when he’s around other people?
A. schizoid
B. schizotypal
C. paranoid
D. avoidant
Answer A is correct. The young man’s lack of interest in social relationships and restricted range of emotional expression in interpersonal settings are most characteristic of schizoid personality disorder.
Emotion dysregulation has been identified by Linehan (1993) as a cause of which of the following personality disorders?
A. histrionic
B. borderline
C. antisocial
D. dependent
Answer B is correct. Linehan’s dialectical behavior therapy (DBT) is based on the assumption that borderline personality disorder is due to emotion dysregulation, which is the result of a combination of biological and environmental factors.
The DSM-5 diagnosis of antisocial personality disorder cannot be assigned to a person who is less than _____ years of age.
A. 12
B. 15
C. 18
D. 21
Answer C is correct. With one exception, a diagnosis of a personality disorder can be assigned to a person under the age of 18 when symptoms have been present for at least one year. The exception is antisocial personality disorder, which cannot be assigned to a person under 18 years of age.
