Personality Disorders

Question 1

Personality def

Answer 1

Enduring patterns of perceiving, relating to, and thinking about the environment and oneself.
-> Typically conceptualized as a person’s range of possible behaviors/feelings they can generate in different situations.

Question 2

When we’re thinking about personality pathology, we’re often looking at ______. We’re looking at pple who cannot _____________ to situations.

Answer 2

rigidity; flexibly adapt
-> Kind of generate the same responses over and over again regardless of how adaptive that is to the situation.

Question 3

For a long time, personality disorders were called “____” disorders. Introduced in 1980, in ______.

Answer 3

Character, DSM-III

Question 4

When introduced, personality disorders were means of distinguishing longstanding ___________________________________ from phasic clinical“_______”.

Answer 4

maladaptive ways of relating to the world; syndromes
-> You might have personality disorder & MDD
-> The MDD was something you were supposed to move into and move out of again

Question 5

Inter-rater reliability forPD categorical diagnoses is ________ and Test-retest reliability (agreement in diagnosis over time) is _________

Answer 5

Reasonable; Weak

Question 6

Problems with Assessment of PDs (4)

Answer 6

(1) Insight–who reports? A person with a personality disorder (most) will have limited insight into their impact on other pple & very poor insight into interpersonal deficits.
(2) Informants? How do we find out which informant is BEST for talking about these pple?
(3) Who nominates the informants?
(4) Current mood states can exacerbate PD symptoms: most pple seek out treatment when they’re in an acute mood state. Pple don’t typically come when they’re doing okay -> we make a diagnosis of personality disorders whey they’re acutely distressed

Question 7

Model of assessment for PDs

Answer 7

Hybrid dimensional-categorical model

Question 8

Almost all of personality disorders are characterized by high ________. Often low on ________. Almost none are associated with the factor of _______.

Answer 8

neuroticism; agreeableness; openness

Question 9

Origins of the name of “Borderline” PD

Answer 9

Origins in the psychoanalytic tradition. Initially identified by Stern (30s). Observing a group of patients that - despite getting (psychoanalytic) treatment - did not improve.
=> Inordinately hypersensitive, problems with reality testing, and experienced negative reactions in therapy
Didn’t fit in Neurosis NOR Psychosis

Question 10

At the time, BPD patients didn’t fit the ________ nor the _______ category

Answer 10

Neurosis; Psychosis

Question 11

InternationalClassification of Diseases (ICD-10) uses the term ___________________ instead of BPD

Answer 11

Emotionally Unstable Disorder