Personality Disorders Flashcards
Personality Disorder Definition
An enduring pattern of inner experience and behaviour that deviates from expectations of the individual’s culture, is pervasive and inflexible, has an onset in adolescence or early adult hood, is stable over time, and leads to distress or impairment.
PD Class Types
Class A - Odd, eccentric - “Mad”
Class B - Impulsive, emotional, erratic - “Bad”
Class C - Anxious, fearful - “Sad”
PD Class A subtypes
Paranoid PD
Schizoid PD
Schizotypal PD
PD Class B subtypes
Antisocial PD
Borderline PD
Histrionic PD
Narcissistic PD
PD Class C subtypes
Avoidant PD
Dependent PD
OCPD
Paranoid PD Definition
Distrust and suspiciousness such that others’ motives are interpreted as malevolent
Schizoid PD Definition
Detachment from social relationships and a restricted range of emotional expression
Shy (disinterested), solitary, suspicious, sensitive (to own needs)
Premorbid personality of Schizophrenia
Schizotypal PD Definition
- Acute discomfort in close relationships
- Cognitive or perceptual disorders
- Eccentricities of behaviour
Antisocial PD Definition
Disregard for, and violation of, the rights of others
Borderline PD Definition
Patient fluctuates between psychosis and reality, self-harm is a hallmark.
Paranoid ideas Relationship instability Abandonment fears, Anger outbursts, Affective instability Impulsion, Identity disturbance Suicidal behaviour Emptiness
Histrionic PD Definition
Excessive emotionality and attention seeking
Narcissistic PD Definition
Grandiosity, need for admiration, and lack of empathy
Avoidant PD Definition
Social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation
Dependent PD Definition
Submissive and clinging behaviour related to an excessive need to be taken care of
Obsessive-Compulsive PD Definition
Preoccupation with orderliness, perfectionism, and control
The distinction between OCD (disorder) and OCPD (PD) is that in OCD the symptoms are ego-dystonic, where the patient realises the obsessions are not reasonable, whereas in OCPD the symptoms are ego-syntonic, consistent with the patient’s way of thinking. The need for perfectionism interferes with task completion.
