Personality Disorders Flashcards
Personality disorder:
Enduring pattern of inner experience and behavior
Cognitive, emotional, interpersonal, and behavioral components
Leads to distress or impairment
Pervasive and inflexible
Onset in adolescence or early adulthood and stable over time
4 main character types:
narcissistic, compulsive, hysterical, masochistic
Cluster A personalities; include what?
Psychotic-like, but not psychotic;
Paranoid
Schizoid
Schizotypal
Paranoid PD:
A pervasive distrust and suspiciousness of others such that their motives are interpreted as malevolent, beginning by early adulthood
Does not occur exclusively during the course of schizophrenia or other psychotic disorder
Schizoid PD:
A pervasive pattern of detachment from social relationships and a restricted range of expression of emotions
Does not occur exclusively during the course of schizophrenia or other psychotic disorder
Schizotypal PD:
A pervasive pattern of interpersonal deficits marked by cognitive or perceptual distortions and eccentricities of behavior
Does not occur exclusively during the course of schizophrenia or other psychotic disorder
Cluster B personalities are; include
Dreaded disorders, behavioral; Antisocial Histrionic Narcissistic Borderline
Antisocial PD:
Pervasive pattern of disregard for and violation of the rights of others occurring since age 15 years
Evidence of a Conduct Disorder with onset before age 15 years
Antisocial behavior is not exclusively during schizophrenia or a manic episode
Histrionic PD:
Pervasive pattern of excessive emotionality and attention seeking, beginning by early adulthood, such as:
Sexually seductive or provocative behavior
Self-dramatization, theatricality, exaggerated emotional expression
Is easily influenced by others
Considers relationships to be more intimate than they actually are
Narcissistic PD:
A pervasive pattern of grandiosity (in fantasy and behavior) beginning by early adulthood
Need for admiration
Lack of empathy
Sense of entitlement
Borderline PD:
A pervasive pattern of instability of interpersonal relationships, self-image, and affects, and marked impulsivity beginning by early adulthood. > 5/9 needed
- Frantic efforts to avoid real or imagined abandonment
- Unstable and intense interpersonal relationships, alternating idealization and devaluation
- Persistently unstable self-image or sense of self
- Impulsivity that is potentially self-damaging
- Recurrent suicidal behavior or threats, or self-mutilation
- Mood lability and reactivity
- Chronic feelings of emptiness
- Frequent or intense anger outbursts
- Transient paranoid ideation or severe dissociative symptoms
Cluster C personalities; include
anxious, but not anxiety disordered;
Avoidant
Obsessive-Compulsive
Dependent
Avoidant PD:
Pervasive pattern of social inhibition beginning by early adulthood
Inhibited in social situations because of feelings of inadequacy
Hypersensitive to criticism or rejection
OCPD:
By early adulthood:
Preoccupied with details, rules, lists, schedules
Perfectionism interferes with task completion
Excessively devoted to work and productivity
Scrupulous about morality, ethics, and values
Unable to discard worn-out objects
Micro-manages tasks
Miserly spending style
Rigid and stubborn
Dependent PD:
Pervasive and excessive need to be taken care of beginning by early adulthood
Indecisive
Submissive and clingy
Difficulty expressing disagreement
Lack of self-confidence, feeling of helplessness
Goes to excessive lengths to obtain nurturance and support from others
