Personality Disorders Flashcards

Question

What are the main characteristics of histrionic personality disorder?

Answer 1

- Is uncomfortable in situations in which he or she is not the center of attention. - Inappropriate sexually seductive or provocative behavior. - Displays rapidly shifting and shallow expression of emotions. - Consistently uses physical appearance to draw attention to self. - Has a style of speech that is excessively impressionistic and lacking in detail. - Shows self-dramatization, theatricality, and exaggerated expression. - Easily influenced by others or circumstances. - Considers relationships to be more intimate that they actually are

Answer 2

- Has a grandiose sense of self-importance - Is preoccupied with fantasies of unlimited success, power, brilliance, beauty, or ideal love. - Believes that he or she is “special” and unique and can only be understood by, or should associate with, other special or high-status people (or institutions). - Requires excessive admiration. - Has a sense of entitlement - Is interpersonally exploitative =>takes advantage of others to achieve his or her own ends. - Lacks empathy: is unwilling to recognize or identify with the feelings and needs of others. - Is often envious of others or believes that others are envious of him or her. - Shows arrogant, haughty behavior or attitudes. - Serious/"successful" suicide attempts

Answer 3

- 3% in men - 1% in women - Familial pattern present - High co-morbidity with etoh dependence - High in prison populations.

Answer 4

- Low threshold of impulsive aggression | - Amygdala, reduced prefrontal

Answer 5

- Failure to conform to social norms with respect to lawful behaviors - Deceitfulness, use of aliases, or conning others for personal profit or pleasure. - Impulsivity or failure to plan ahead. - Irritability and aggressiveness, as indicated by repeated physical fights or assaults. - Reckless disregard for safety of self or others. - Consistent irresponsibility - Lack of remorse - The individual is at least age 18 years, and there is evidence of Conduct Disorder with onset before age 15 years.

Answer 6

1% - Overlap with social phobia => but would LIKE to have relationships - Treatment – exposure therapy

Answer 7

- Is unwilling to get involved with people unless certain of being liked. - Shows restraint within intimate relationships because of the fear of being shamed or ridiculed. - Is preoccupied with being criticized or rejected in social situations and avoids these situations - Is inhibited in new interpersonal situations because of feelings of inadequacy. - Views self as socially inept, personally unappealing, or inferior to others. - Is unusually reluctant to take personal risks or to engage in any new activities because they may prove embarrassing.

Answer 8

- 1.5% - F>M - High medical interactions/obesity

Answer 9

- Has difficulty making everyday decisions without an excessive amount of advice and reassurance from others. - Needs others to assume responsibility for most major areas of his or her life. - Has difficulty expressing disagreement with others because of fear of loss of support or approval. - Has difficulty initiating projects or doing things on his or her own (because of a lack of self-confidence in judgment or abilities rather than a lack of motivation or energy). - Goes to excessive lengths to obtain nurturance and support from others - Feels uncomfortable or helpless when alone because of exaggerated fears of being unable to care for himself or herself. - Urgently seeks another relationship as a source of care and support when a close relationship ends. - Is unrealistically preoccupied with fears of being left to take care of himself or herself.

Answer 10

- 1% | - NOT THE SAME AS OCD

Answer 11

- Preoccupied with details, rules, lists, order, organization, or schedules to the extent that the major point of the activity is lost. - Shows perfectionism that interferes with task completion - Is excessively devoted to work and productivity to the exclusion of leisure activities and friendships. - Is overconscientious, scrupulous, and inflexible about matters of morality, ethics, or values. - Is unable to discard worn-out or worthless objects even when they have no sentimental value. - Is reluctant to delegate tasks or to work with others unless they submit to exactly his or her way of doing things. - Adopts a miserly spending style toward both self and others; money is viewed as something to be hoarded for future catastrophes. - Shows rigidity and stubbornness

Answer 12

- Symptomatic - Psychotherapy – change disorder into traits - Psychodynamic, CBT, DBT - Social skills training - Medications (generally for related depression)