Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Undeleted > personality disorders > Flashcards

personality disorders Flashcards

1
Q

personality disorder: definition

A

enduring pattern of inner experience and behavior that deviates markedly from the individual’s culture

  • pervasive, inflexible
  • stable over time
  • leads to distress, impairment
  • rarely seek treatment, rarely hospitalized
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

personality disorder: onset

A

adolescence or early childhood

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

personality disorders: cluster a

A

“odd and/or eccentric”
- indifference, impassivity, formality

  1. paranoid
  2. schizoid
  3. schizotypal
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

personality disorders: cluster b

A

“dramatic, emotional, erratic”
- chaotic, impulsive

  1. antisocial
  2. borderline
  3. histrionic
  4. narcissistic
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

personality disorders: cluster c

A

“anxious, fearful”
- over-control

  1. avoidant
  2. dependent
  3. obsessive compulsive
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

personality disorder: diagnostic criteria

A 
in addition to defintion -
pattern manifests 2 or more areas:
- cognition
- affectivity
- interpersonal functioning
- impulse control

NOT all four areas at once, unless severe illness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

defense mechanism

A

used by ego to protect the self from being overwhelmed by anxiety

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

paranoid personality disorder

A

pervasive, enduring distrust and suspicion

  • defensive, abrasive, sarcastic, hostile
  • avoidant, jealous
  • attempts to appear unemotional

common defense mechanism: projection

therapeutic communication: supportive, honest, concrete

treatment: (rarely seek it) supportive, occasional anti-psychotics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

paranoid personality disorder: common defense mechanism

A

projection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

schizoid personality disorder

A

detachment and restricted emotional expressions

  • constricted, indifferent, remote
  • lack desire for intimacy
  • react passively to adverse circumstances

common defense mechanism: intellectualization

communication: engage
treatment: (unlikely to seek) short-term, solution-focused, brief, short-term pharm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

schizoid personality disorder: common defense mechanism

A

intellectualization

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

schizotypal personality disorder

A

interpersonal deficits and acute discomfort with close relationships (can be frightening)

  • perceptual disturbances, eccentricities
  • constricted, distrustful

common defense mechanism: undoing

treatment: supportive, structured therapy that encourage social interaction, skills training (slowly, because threatening!); acute psychosis following stress may require short-term medication

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

schizotypal personality disorder: common defense mechanism

A

undoing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

antisocial personality disorder

A

disregard for, violation of, the rights of others
- deceitful, manipulative, callous
- irresponsible, impulsive, aggresive
- must be > 18 yo with hx of conduct disorder > 15yo
- 3% men, 1% women, first degree relatives high risk
common dm: acting out

treatment: (don’t seek) considered one of the most difficult to treat
therapeutic community: token system, limit setting
pharm: acute axis I or extreme aggression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

antisocial personality disorder: common defense mechanism

A

acting out

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

DSM IV: Axis I

A

the collection of signs and symptoms that together constitute a particular disorder

  • depression, substance abuse, somatization, eating disorders, PTSD, anxiety disorders, etc
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

DSM IV: Axis II

A

personality disorders

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

borderline personality disorder

A

instability of interpersonal relationships, self-image, affect

  • marked impulsivity; manipulative, volatile
  • patterns of undermining self, self-inflicted abuse
  • premature death from suicide, recurrent job loss, broken relationships (intense for short time)
  • significant family history (abuse, neglect, conflict, loss, separation); risk 5x in first degree
  • 75% female

common dm: regression

therapy: boundaries & limits, providers work as team
pharm: transient symptoms of axis I, mood-stabilizers effective for severe

19
Q

borderline personality disorder: common defense mechanism

A

regression

20
Q

borderline personality disorder: course

A

early adulthood: chronic instability, serious dyscontrol

young adult: greatest time of risk for impairment, suicide

30-40’s: stabilize

21
Q

histrionic personality disorder

A

pattern of excessive emotionality and attention seeking

  • need to be center of attention, dramatic, manipulative, superficial
  • high degree of suggestibility

common dm: dissociation
treatment: (quicker to seek treatment, exaggerate sx, reluctant to stop tx) - no known effective therapy; use modeling, concrete/detailed interaction

22
Q

histrionic personality disorder: common defense mechanism

A

dissocation

23
Q

narcissistic personality disorder

A

grandiosity and need for admiration, lack of empathy
- acts self-assured, nonchalant, arrogant, exploits others, lies

common dm: rationalization
therapy: (often terminate therapeutic relationship prematurely) brief, supportive OR long-term intensive

24
Q

avoidant personality disorder

A

social inhibition, feelings of inadequacy, hypersensitivity
- ambivalent, preoccupied, guarded, empty

common dm: fantasy

communication: empathetic understanding, reassurance, friendly
therapy: assertiveness training, social exposure with relaxation training, cognitive therapy
pharm: comorbid anxiety disorders

25
Q

avoidant personality disorder: common defense mechanism

A

fantasy

26
Q

dependent personality disorder

A

excessive need to be taken care of leading to submissive and clinging behavior; fear of separation

  • timid, kind, passive, gullible
  • prognosis: good!

common dm: introjection

communication: limits, feedback
therapy: insight oriented, assertiveness/social skills, anxiety management, combo therapy

27
Q

dependent personality disorder: common defense mechanism

A

introjection

28
Q

obsessive compulsive personality disorder

A

preoccupation with orderliness, perfectionism, mental and interpersonal control at the expense of flexibility/efficiency
- tense, disciplined, industrious

common dm: reaction formation

treatment: difficult s/t intellectualizing; combo therapy
pharm: SSRI, TCA

29
Q

therapeutic management (all personality disorders): 3 main foci

A

boundaries
consistent
persistence in therapy

30
Q

manipulative client: characteristics

A

verbal?

non-verbal?

31
Q

therapeutic strategy: manipulative client

A

limits: clear, realistic, enforceable, have consequences

DO NOT NEGOTIATE

avoid power struggles

32
Q

therapeutic strategy: angry client

A

LISTEN!

- calm, don’t touch, communicate expectations, problem-solve

33
Q

therapeutic strategy: impulsive client

A

identify feelings/needs
explore impact
anger management
assertive skills, roleplay

34
Q

group therapy helpful for which clusters?

A

c and some b

35
Q

projection

A

common defense mechanism of: paranoid personality disorder

person unconsciously rejects emotionally unacceptable personal features and attributes them to other people, objects, or situations through

36
Q

intellectualization

A

common defense mechanism of: schizoid personality disorder

a form of isolation; concentrating on the intellectual components of a situation so as to distance oneself from the associated anxiety-provoking emotions

37
Q

undoing

A

common defense mechanism of: schizotypal personality disorder

compensates for an act or communication
- ex: giving a gift to undo an argument, compulsive hand washing as cleansing oneself of act/thought perceived as unacceptable

38
Q

regression

A

common defense mechanism of: borderline personality disorder

temporary reversion of the ego to an earlier stage of development rather than handling unacceptable impulses in a more adult way

39
Q

dissociation

A

common defense mechanism of: histrionic personality disorder

disruption in the usually integrated functions of consciousness, memory, identity, or perception of the environment

40
Q

rationalization

A

common defense mechanism of: narcissistic personality disorder

justifying illogical or unreasonable ideas, actions, or feelings by developing acceptable explanations that satisfy the teller as well as the listener

41
Q

fantasy

A

common defense mechanism of: avoidant personality disorder

tendency to retreat into fantasy in order to resolve inner and outer conflicts.

42
Q

introjection

A

common defense mechanism of: dependent personality disorder

a subject takes into itself the behaviors, attributes or other external objects, especially of other people (ex: husband having sx that dead wife experienced; child seeing self as inferior thanks to over critical parents)

43
Q

reaction formation

A

common defense mechanism of: obsessive compulsive personality disorder

aka “overcompensation” - unacceptable feelings or behaviors are kept out of awareness by developing the opposite behavior or emotion

Undeleted (79 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions