Personality disorders Flashcards

1
Q

What is personality?

A

A cluster of relatively predictable patterns of thinking, feeling, and behaving that is generally consistent across time, space, and context

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2
Q

What are the 5 factors of personality (5-factor model) - OCEAN

A
  • O - Openness
  • C - Conscientiousness
  • E - Extraversion
  • A - Agreeableness
  • N - Neuroticism
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3
Q

What are some parts of the self that contribute to personality?

A
  • Identity
  • Self-evaluation
  • Affect regulation
  • Direction
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4
Q

What are some parts of relationship to others that contribute to personality?

A
  • Intimacy
  • Boundaries
  • Sense of security in relationships
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5
Q

What are personality disorders?

A

Lifelong, persistent, deeply ingrained maladaptive behaviour that characterizes an individual and deviates markedly from culturally expected or expected ‘normal’ range

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6
Q

What are the 3 methods of categorisation of personality disorders according to ICD-11?

A

Dominant trait
Severity
Borderline (Y/N)

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7
Q

What are the 5 ICD-11 classes of personality disorder by dominant trait?

A
  • Negative affectivity
  • Detachment
  • Dissociality
  • Disinhibition
  • Anankastia
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8
Q

Features of anankastia Pas?

A
  • Perfectionism
  • Concern with social rules
  • Obligations
  • Scrupulous attention to detail
  • Rigid routines
  • Hyper-scheduling & planfulness
  • Emphasis on organisation, orderliness, & neatness
  • Rigid control of expressions of emotion
  • Inflexibility
  • Risk avoidance
  • Perseveration
  • Deliberativeness
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9
Q

Features of negative affectivity PDs?

A
  • Negative emotions with:
    • Disproportionate frequency & intensity
    • Labile
    • Poor regulation of emotions
    • Negative attitudes & attributions
    • ↓self esteem & confidence
    • ↓ trust
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10
Q

Features of detachment PDs?

A
  • Social & emotional distance
  • Avoidance of intimacy
  • Reserved
  • Aloof
  • Limited experience & expression of emotionn.
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11
Q

Features of dissociality PDs?

A
  • Disregard for rights & feeling of others
  • Egotistic
  • Lack of empathy
  • Entitled
  • Attention-seeking
  • Indifferent to the consequences for others & thus uses deception, manipulation, & exploitation
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12
Q

Features of disinhibition PDs?

A
  • Acts rashly
  • 2-ary to immediate internal or external stimuli
  • Impulsive
  • Reckless
  • Distractible
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13
Q

What is meant by borderline pattern?

A

Pervasive pattern of instability of interpersonal relationships, self-image and affect, & marked impulsivity

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14
Q

What are some features of borderline pattern personality disorder?

A
  • Frantic efforts to avoid abandonment;
  • Pattern of intense & unstable r-ships;
  • Identity disturbance;
  • Tendency to act rashly in states of highly –ive affect;
  • Recurrent episodes of DSH;
  • Emotional instability;
  • Chronic feelings of emptiness;
  • Intense anger a/o difficulty controlling anger;
  • Transient dissociative states in situations of high affective aroused.
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15
Q

What are some causes of personality disorder?

A
  • Heritable
  • Antenatal adversity
  • ACEs (physical, emotional, sexual, abuse, neglect, parental Ψ illness)
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16
Q

What are some theoretical models of personality development?

A

Bowlby’s attachment theory
Object-relations theory
Cognition/behavioural model

17
Q

What is Bowlby’s attachment theory?

A

Early disruption in relationship with primary care-givers leads to pathology of regulation of affect & development of identity

18
Q

What is the object-relations theory?

A

Early internal representations of self & important others is recapitulated in adulthood

19
Q

What is the cognitive/behavioural model?

A

Conditioning (e.g through invalidating environments) and modelling has repercussions on emotions, cognition, behavioural patterns, & on phenotypes

20
Q

What is an alternative to the current ICD-11 dimensional classification of PDs?

A

3-cluster model

21
Q

What are the 3 clusters of the 3-cluster model of PD

A

Cluster A - Suspicious
Cluster B - Emotional or impulsive
Cluster C - Anxious

22
Q

What are the 3 sub-types of cluster A (Suspicious) PD?

A
  • Paranoid
  • Schizoid
  • Schitzotypal
23
Q

What are the 4 sub-types of cluster B (Emotional or impulsive) PD?

A
  • Antisocial
  • Borderline
  • Histrionic
  • Narcisisstic
24
Q

What are the 3 sub-types of cluster C (Anxious) PD?

A
  • Avoidant
  • Dependant
  • Obsessive-compulsive
25
Q

How can personality disorders be managed?

A

There is no cure, it is about long term management to find ways around the persons disorder

Dialectical behaviour therapy is a form of therapy used in borderline personality disorder and is a way of managing acceptance and change

26
Q
A