Personality Disorders

Question 1

What are the three clusters and what disorders fall under them?

Answer 1

1. Cluster A - Paranoid, Schizoid, Schizotypal
2. Cluster B - Antisocial Borderline, Histrionic, Narcissistic
3. Cluster C - [ADO] Avoidant, Dependent, Obsessive-Compulsive

Question 2

What personality disorders are NOT included in the alternative DSM-5 model for PDs?

Answer 2

Paranoid, Schizoid, Dependent (rarely occur); Avoidant (high comorbidity with other PDs)

Question 3

What are the criticisms of the DSM-5 list of PDs?

Answer 3

1. Arbitrary thresholds
2. High comorbidity with each other
3. Not stable over time (typically, PD is only stable for 2 years)

Question 4

[Defining Symptoms] Inflexible patterns of inner experience and behavior (taking into account culture and influences) affecting at least TWO of the following domains…

Answer 4

1. Cognition (of self and others)
2. Interpersonal functioning
3. Impulse Control
4. Affect
   [CIA-A]

Question 5

5-Factor Model used in Alternative DSM-5 Model

Answer 5

1. Negative Affect (vs. Emotional Stability)
2. Detachment (vs. Extraversion)
3. Antagonism (vs. Agreeableness)
4. Disinhibition (vs. Conscientiousness)
5. Psychoticism
   [NDA-DP]

Question 6

Which three PDs are highly associated with child abuse/neglect?

Answer 6

Narcissistic > Borderline > Antisocial [NBA 😭]

Question 7

Biological signs of schizoid personality disorder?

Answer 7

Has enlarged ventricles, less temporal grey matter and neurotransmitter dysregulation

Question 8

Antisocial personality disorder involves a history of _______ disorder before age __ to be diagnosed and can only be diagnosed (at the earliest) at age __.

Answer 8

conduct disorder, 15, 18

Question 9

____ gene predicted psychopathy among males who had experienced childhood physical/sexual abuse, or maternal rejection.

Answer 9

MAOA

Question 10

Length of a day treatment program?

Answer 10

Several months

Question 11

Length of individual therapy?

Answer 11

Minimum of a year

Question 12

2 major types of therapy for PDs and what they do

Answer 12

Psychodynamic - Focuses on childhood and how it drove their behavior

Cognitive - Challenging their maladaptive beliefs

Question 13

Treatments for for schizotypical and antisocial PD

Answer 13

1. risperidone/Risperdal
2. CBT

Question 14

Treatments for BPD

Answer 14

1. Psychodynamic approaches: Transference Therapy, Mentalization Therapy
2. Dialectical Behavior Therapy

Question 15

Components of emotion

Answer 15

expression, experience, and physiology