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Medicine II: Psychiatry > Personality Disorders > Flashcards

Personality Disorders Flashcards

1
Q

What are the types of psychological defense mechanisms to deal with stress and maintain self-image?

A

Mature, Neurotic, Immature

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2
Q

What are the types of mature defense mechanisms?

A 
Altruism
Sublimation
Humor
Alteration
Suppression
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3
Q

How does one use altruism as a defense mechanism?

A

Deriving personal satisfaction from helping others

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4
Q

How does one use anticipation as a defense mechanism?

A

Planning for future stress with preparation

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5
Q

How does one use humor as a defense mechanism?

A

Disarming the negativeness of the situation by bringing laughter to the situation

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6
Q

How does one use sublimation as a defense mechanism?

A

Transforming a negative instinct into positive actions

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7
Q

How does one use suppression as a defense mechanism?

A

Intentionally avoiding thoughts which are distressing until a time when one will be more able to handle them

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8
Q

What are the types of neurotic defense mechanisms?

A

Displacement
Intellectualization
Rationalization
Repression

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9
Q

How does one use displacement as a defense mechanism?

A

Shifting aggressive impulses onto a less threatening target

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10
Q

How does one use intellectualization as a defense mechanism?

A

Focusing on the intellectual rather than anxiety producing emotional aspects of the situation

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11
Q

How does one use rationalization as a defense mechanism?

A

convincing oneself that they did no wrong

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12
Q

How does one use repression as a defense mechanism?

A

Unconsciously putting unacceptable thoughts or memories out of mind (the feeling is still there)

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13
Q

What are the immature defense mechanisms?

A 
Passive Aggression
Denial
Splitting
Projection
Projective identification
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14
Q

How does one use passive aggresion as a defense mechanism?

A

Aggression towards others is expressed indirectly or passively

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15
Q

How does one use denial as a defense mechanism?

A

refusal to accept external reality because it is too threatening

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16
Q

How does one use repression as a defense mechanism?

A

seeing oneself or others as either all good or all bad

17
Q

How does one use denial as a defense mechanism?

A

Denial of ones own deficiency and then perceiving that deficiency in others

18
Q

How does one use projective identification as a defense mechanism?

A

The object of the projection begins to act in a way to confirm the projectors feelings

19
Q

What are the personality disorder criteria?

A 
CAPRI
Cognition
Affect
Personal Relations
Impulse control
20
Q

What are the cluster A disorders? What are they known as?

A

Paranoid Personalty Disorder
Schizoid Personalty Disorder
Schizotypal Personalty Disorder

“weird” or MAD - patients are eccentric, peculiar withdrawn

PSS

21
Q

What is the criteria for paranoid Personalty Disorder?

A

pervasive distrust and suspisciousness, interprets motives as malevolent

blame own problems on others, seems angry/hostile

quick to counter attack, reluctant to confide, grudges

22
Q

What is the treatment for paranoid Personalty Disorder?

A

psychotherapy

23
Q

What is the criteria for schizoid Personalty Disorder?

A

life long pattern of social withdrawal; eccentric and reclusive.
quiet and unsociable, NO DESIRE for relationships of SEX
prefer to be alone, indifferent to criticism or praise

24
Q

What is the criteria for schizotypal Personalty Disorder?

A

pervasive eccentric behavior and thought patterns are peculiar. Cognitive or perceptual distortions, discomfort w/ close relationships.

ideas of reference and magical thinking, bodily illusions, odd thinking or speech

excessive social anxiety that doesnt change with familiarity

paranoid and suspicious

25
Q

What are the cluster B disorders?

A

antisocial personality disorder
borderline personality disorder
narcisitic personality disorder
histrionic personality disorder

emotinal, dramatic and inconsistent/impulsive (BAD) - “wild”
h-ban

26
Q

What is the criteria for antisocial personality disorder?

A

refuse to conform, lack remorse, impulsive and deceitful

lawbreakers, appear charming and normal
MUST BE ATLEAST 18, hx of conduct disorder is likely

manipulates others for personal gain, irritable/aggressive, reckless disregard for others, irresponsible

may have multiple somatic complaints

27
Q

What is the criteria for borderline personality disorder?

A

unstable moods behaviors and relationships; feel alone in the world, problem with self image

hx of suicide attempts/self mutilation

I- impulsive
M- moody
P- paranoid under stress
U- unstable self image
L- labile, intense relationships
S- suicidal
I- inappropriate anger
V- vulnerable to abandonment
E- emptiness

repeated lying, thrill seeking

28
Q

What is the criteria for histrionic personality disorder?

A

attention seeking, excessive emotionally, dramatic, flamboyant, extroverted

unable to form lon lasting meaningful relationships, sexually inappropriate

center of attention, easily influenced by others, rapidly changing emotions

29
Q

What type of defense mechanism is commonly seen with histrionic personality disorder?

A

regression

30
Q

What is the criteria for narcissistic personality disorder?

A

sense of superiority, “special”, need for admiration, exploits others for gain, fragile self-esteem

fantasies about wealth, beauty and success

LACKS EMPATHY, envious

31
Q

What are the cluster C personality disorders?

A

Avoidant personality disorder
Dependent personality disorder
Obsessive Compulsive personality disorder

32
Q

What is the criteria for avoidant?

A

pervasive pattern of social inhibition and intense fear of rejection

avoid social interactions, little interpersonal contact
DESIRE FOR COMPANIONSHIP BUT SHY

feelings of inadequacy, fear of rejection/criticism, believes that they are socially inept/inferior

33
Q

What is the criteria for dependent personality disorder?

A

poor self confidence, fear of separation, need to be taken care of

submissive, clingy, helpless if left alone

urgently seeks new relationships when one ends

MUST MANIFEST BEFORE ADULTHOOD

34
Q

What is the criteria for obsessive compulsive personality disorder?

A

pattern of perfectionism, inflexibility, orderliness, unable to complete simple tasks in a timely fashion, appear stiff and serious

successful professionally, poor interpersonal skills, devotion to work, will not delegate

unable to discard items

most often in oldest child

***ego-syntonic- not aware of problems unlike OCD (ego-dystonic)

35
Q

What is ego-syntonic?

A

not aware of their problems

ie OCPD

Medicine II: Psychiatry (11 decks)

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