Personality Disorders Flashcards
What 4 qualities determine personality
- Temperament - “nature”
- Development – effect of “nurture” on biology
- Character – “nurture”
- Psyche – self awareness (the ability to learn, adapt, change)
“Nature”
Apparent before traditional learning occurs
50% of personality is related to temperment
Temperament
Negative events in early childhood (typically repeated, chronic abuse or neglect) can physiologically alter the limbic system and cause permanent effects on emotional arousal, etc.
Development
unconscious mental processes that the ego uses to resolve conflicts…” between instinct (id), reality, important persons, conscience (superego)
Defense Mechanisms
What is the paradigm of defense mechanism
Instincts and drive (Id)
and
Conscience, reality, important persons (Super Ego)
feed into Defense mechanism =Ego
Info on defense mechanisms
In other words, they help you cope with difficult situations when your instinct is to do one thing (punch someone) and your mind/heart/conscience wants to do another (play nice).
When defense mechanisms work vs not so much
Defense mechanisms are universal, in everyone. They work!
When they remain rigid, despite changing situations, they don’t work!
When they are effective, they help resolve anxiety and depression. So changing it increases anxiety.
A major reason not to change!!!
____– ignoring reality (can be adaptive dealing with serious illness or can get in the way of treatment)
- ____– Mentally separating part of one’s consciousness from real life events
- ____– intentionally (consciously) pushing down to deal with now
Denial
Dissociation
Suppression
When is Personality a Disorder?
a relatively stable and enduring set of characteristic behavioral and emotional traits.” *
- Normally, it is flexible and adaptable
- “When disordered, it is …maladaptive, deeply ingrained , and often distressing for both the patient and significant others.”
Personailty is disordered when:
Personality is “disordered” when
It’s ingrained and inflexible
It gets in the way (of relationships, functioning)
It’s relatively stable
It distresses people around them
What’s the difference between Ego-syntonic vs. Ego-dystonic
Personality Disorders are often ego- syntonic rather than ego-dystonic.
Ego-syntonic means “acceptable to the ego” i.e. it doesn’t bother them, it bothers others, as opposed to
ego-dystonic – uncomfortable
OCPD – , perfection is expectation, not bothersome =
OCD – , “I know it doesn’t make sense, but…” =
ego-syntonic
ego-dystonic
Epidemiology of personality disorders
10-18% prevalence in the general population – i.e. your office
30-50% prevalence in psychiatric outpatient populations
Over 50% on inpatient psychiatric unit
Of patients with (Axis I) disorders, 34% have co-morbid personality disorder
Personality Disorders, in general, are _____ in men and women
Some personality d/o tend to be diagnosed more in one gender (borderline, histrionic for females, narcissistic, antisocial for males) - ?some validity, some stereotype
equally common
Describe Cluster A personality disorder
more detached, eccentric
Schizoid PD
Schizotypal PD
Paranoid PD
Emotionally detached, loners Don’t want relationships
schizoid P.D; Cluster A