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Psych Nursing > Personality Disorders > Flashcards

Personality Disorders Flashcards

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1
Q

All personality disorders deal with _____.

A

ID, EGO and SUPEREGO

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2
Q

When psyche is insulted at a young age because there’s no structure, what happens?

A

grow into not being able to think outside of dichotomous thinking.

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3
Q

What is dichotomous thinking?

A

unable to integrate the grays in the world. all good or all bad

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4
Q

What age do we start tearing away of our supergo?

A

13 to 14

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5
Q

What is the ID?

A

your desires

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6
Q

ID: Kids ______ this.
EGO: Kids _____ this.
SUPEREGO: Kids ____ this.

A

ID: have
EGO: dont have
SUPEREGO: have

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7
Q

What is borderline personality disorder (BPD)?

A

extensive pattern of instability of interpersonal relationships, self-image, and affects and noticeable impulsivity

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8
Q

Most common cause of BPD?

A

chaotic environment

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9
Q

How to deal with someone with “dichotomous thought”?

A

dont argues back

*only validates their behaviors and creates chaos

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10
Q

Who is at risk for borderline personality disorder?

A

female with history sexual abuse

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11
Q

Issues with the ego in BPD

A
  • malfunctioned

- ID went wild causing their ego to never develop

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12
Q

What type of affect BPD have?

A 
affective instability
day to day:
- manic
- psychotic
- depression (common)
- cutting
- suicidal attempts
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13
Q

TRUE diagnostic symptoms to be classified as BPD

A
  • Dichotomous thought
  • Attention seeking
  • Tumultuous relationships
  • Hx of substance and sexual abuse
  • Chaotic enviroment
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14
Q

How do BPD “seek attention”?

A
  • always feel abandoned
  • talk about being safe and someone who left them
  • will manipulate you for attention and cause chaos
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15
Q

Characteristics of borderline patients

A
  • Manipulative
  • Exhausting
  • Pleasure seeking (drugs, promiscuity)
  • Attention seeking
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16
Q

What usually happens when BPD pts are discharged?

A
  • discharged makes them feel liked their being “kicked-out”/abandoned
  • they act out
  • validate over-exaggerated feelings w/ drug use
17
Q

Caring for BDP patients

A
  1. validate loneliness as normal
  2. Use DBT
  3. Be a “united front” and stick to rules
  4. Treat evident symptoms
  5. Apply rules accordingly
18
Q

What is DBT? Why DBT and not just CBT?

A

DBT: dialectical behavior therapy - combines cognitive and behavior therapy strategies

Dichotomous thought process won’t allow them to see “in between”

19
Q

What happens during DBT?

A
  • peer groups and talk therapy

- changes BEHAVIOR

20
Q

What is the difference between TRANSFERENCE and COUNTER-TRANSFERENCE?

A

TRANSFERENCE: feelings you get from your patients

COUNTER-TRANSFERENCE: what you give pt; how you behave in response to your transference

21
Q

What is “Antisocial Personality Disorder”?

A

long-term pattern of manipulating, exploiting, or violating the rights of others.
lack emotional connection to things

22
Q

ASPD pts lack ________.

A

remorse

23
Q

ASPDs in regards to ID and superego?

A

All ID. Ego was never built up. Superego = so chaotic that ego was never built up

24
Q

ASPDs interpersonal relationship traits

A
  • charismatic, convincing and nice
  • very manipulative
  • cheat people and steal
  • lack remorse
25
Q

All ______ are _______, not all _____ are _______.

A

All sociopaths are anti-social, not all antisocials are socipaths

26
Q

What is a sociopath?

A

psychopathic personality whose behavior is antisocial, often criminal, and who lacks a sense of moral responsibility or social conscience.

27
Q

At risk for becoming a sociopath?

A

child with a WEAK father figure in the home. Father claimed child successes as his own

28
Q

What is histrionic personality disorder (HPD)?

A

people act in a very emotional and dramatic way that draws attention to themselves

Psych Nursing (10 decks)

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