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Personality Disorders Flashcards

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1
Q

Cluster A

A

weird, wild, worried
Paranoid
Schizoid
Schizotypal

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2
Q

Paranoid: looks for

A

wrong-doings, hidden malicious meanings
partner infidelity
doubts of other’s motives

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3
Q

Paranoid: acts like

A

rigid, defensive, self-righteous, pre-occupied

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4
Q

Paranoid: defense mechanism

A

projection (blaming)

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5
Q

solitary loner
Does not seek close relationships
Chooses solitary jobs/ night shifts
Takes pleasure in few (if any) activities

A

schizoid

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6
Q

Schizoid: emotionally

A

cold, detached

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7
Q

How is schizoid personality related to schizophrenia?

A

May be a premorbid phase

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8
Q

How are schizoid personality and social phobia compared?

A

Schizoid: does not desire social relationships

Social phobia: desires friends, afraid of embarrassment, avoids social contacts because of anxiety

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9
Q

cognitive and perceptual distortions and eccentricities

  • no close friends
  • suspicious and magical thinking
  • *may be odd enough to suspect psychosis
A

schizotypal

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10
Q

Schizotypal: appearance

A

odd appearance

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11
Q

Schizotypal: speech

A

odd: vague, methaporical, over-elaborate, but still in touch with reality

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12
Q

How is schizotypal personality related to schizophrenia?

A

May be a premorbid phase

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13
Q

Dramatic, emotional, erratic

  • impulsive, erratic, mood swings
  • life-long pattern
  • high on “extraversion” dimension
  • short attention span
  • seeks stimulation
A

Cluster B

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14
Q

Cluster B: married life

A

Often multiple marriages and divorces

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15
Q

Cluster B: defense mechanism

A

somatization, denial, preojection

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16
Q

Can be mistaken for bi-polar

A

Cluster B illness: borderline personality

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17
Q

What will medication do for Cluster B patient?

A

Usually will NOT improve symptoms, unless personality problems are also addressed with psychotherapy

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18
Q

the patients “defies social rules”

-Must be 18 or older to diagnose, with symptoms of conduct disorder before age 15 (pattern)

A

Antisocial personality disorder

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19
Q

Cluster B disorders

A

antisocial, no conscience, histrionic, narcissistic personality, borderline personality

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20
Q

No conscience: married life

A

multiple marriages, act as superficial charmers

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21
Q

Life long pattern

  • never at fault, no guilt or remorse
  • social class differences
  • Attracted to other Cluster B people
A

No conscience

22
Q

Histrionic: family history

A

Antisocial and alcohol

23
Q

Mostly women

  • multiple somatic complaints
  • highly suggestible, naive
  • sexually seductive (unaware)
  • emotionally labile
A

Histrionic

24
Q

Narcissistic: must watch for

A

may become suicidal when rejected

25
Q

Borderline Personality

A

unstable moods, mood swings

  • all-or-nothing thinking: “splitting”
  • poor choices
26
Q

Bordeline: married life

A

Stormy relationships

27
Q

grandiose sense of self-importance and entitlement

  • overlaps with antisocial
  • can be arrogant and devalue others
  • demand special treatment
A

Narcissistic Personality

28
Q

Seeing the world in only black or white

  • friends or not
  • good or bad
  • defense mechanism
A

splitting

29
Q

Borderline personality: must watch for

A
  • self-injurious: wrist cutting, stabbing, piercing, slashing to see blood
  • suicidal gestures or attempts
30
Q

Patient in acute emotional distress that requires special treatment. May cause great deal of strife and confusion in social environment, with rapid shifts in mood and manner

A

Borderline personality behavior

31
Q

Cluster C

A

anxious, fearful

  • obsessive-compulsive
  • dependent
  • avoidant
32
Q
  • substance abuse or mis-use
  • Hx: severe physical, emotional, or sexual abuse (alcoholic or mentally ill parent)
  • chronic feeling of emptiness
A

Borderline personality features

33
Q
  • rigid, orderly, miserly, “anal”
  • excessive devotion to work
  • humorless
  • hoarder
  • preoccupied with details
  • schedules everything
  • gets upset when things don’t go as planned
A

Obsessive-compulsive personality disorder

34
Q

Excessive need to be cared for

  • urgently seeks attachment
  • cannot be alone
  • cannot make independent decisions
  • clinging
  • insecure
A

Dependent personality

35
Q

closely linked to anxiety

  • cannot take risks
  • avoids conflict and responsibility
  • procrastinates
  • passive-aggressive
  • goes to great lengths to avoid being judged
A

avoidant

36
Q

Externalizing disorders

A

“disruptive, impulse-control, conduct disorders

  • intermittent explosive disorder
  • kleptomania (stealing)
  • pyromania (setting fire)
37
Q

What type of disorder is gambling according to DMS-5?

A

addictive

38
Q

Trichotillomania

A

compulsive hair pulling

*part of obsessive-compulsive disorder

39
Q 
Odd or eccentric
-inability to develop meaningful social relationships.
-no psychosis
-genetic association with schizophrenia
(which Cluster)
A

Cluster A

40
Q

-Pervasive distrust and suspiciousness
-projection is the major defense mechanism
(disorder)

A

paranoid

41
Q

-voluntary social withdrawal
-limited emotional expression
-content with social isolation (vs avoidant)
(disorder)

A

schizoid

42
Q

-eccentric appearance
-odd beliefs or magicaly thinking
-interpersonl awkwardness
(disorder)

A

schizotypal

43
Q

-darmatic, emotional, erratic
-genetic association with mood disorders and substance abuse
(Cluster Type)

A

Cluster B

44
Q
  • disregard for and violation of rights of others
  • criminality, impulsivity
  • male>female
  • *what is the time course required?
A

antisocial

must be >18 yo to diagnose with conduct disorder before age 15

45
Q
  • unstable mood and interpersonal relationahips
  • impulsiveness, self-mutilation, boredom, sense of emptiness
  • Female > male
  • splitting is major defense mechanism
A

Borderline

46
Q
  • excessive emotionally and excitability
  • attention seeking, sexually provacative
  • overly concerned with appearance
A

histrionic

47
Q
  • grandiosity, sense of entitlement
  • lacks empathy and requires excessive admiration
  • often demands the “best” and reacts to criticism with rage
A

narcissistic

48
Q

Anxious or fearful
-genetic association with anxiety disorders
(cluster type)

A

Cluster C

49
Q

-hypersensitive to rejection, socially inhibited, timid, feelings of inadequacy, desires relationships with others

A

avoidant

50
Q
  • preoccupation with order, perfectionism and control

- ego-syntonic: behavior consistent with one’s own beliefs and attitudes

A

obsessive-compulsive personality disorder

51
Q
  • submissive and clinging, excessive need to be taken care of
  • low self-confidence
A

dependent

Psych (12 decks)

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