Personality Disorders Flashcards

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1
Q

Inflexible, maladaptive personality traits that cause impairment in social/occupational function

A

Personality disorders

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2
Q

At what age do personality disorders become present and enduring

A

Adolescence

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3
Q

T or F. Personality disorders inherently cause distress.

A

FALSE

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4
Q

Our enduring personal organization that determines our adjustment to environment and develops through interaction of hereditary dispositions and environment

A

Personality

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5
Q

Aspect of personality that describes the biologically derived elements of behavior and dimensions of personality.

A

Temperament

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6
Q

At what age is temperament identifiable?

A

Age 3-4

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7
Q

Cloninger’s 4 forms of temperaments:

A
  • Novelty seeking
  • Harm avoidance
  • Reward dependence
  • Persistence (delayed gratification)
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8
Q

Aspect of personality that is weakly related to heritable factors and develops from culture, unique life events, and social learning. More change w/ aging, therapy, and healing relationships.

A

Character

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9
Q

Cloninger’s 4 forms of character:

A
  • Self as autonomous individual
  • Self in relationships
  • Self in community
  • Self as part of universe
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10
Q

Elements of character

A
  • Mental (defense) mechanisms
  • Representation of self
  • Representations of significant others
  • Psychometric studies
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11
Q

Cloninger’s three measures of character/psychometric studies:

A
  1. Self-directedness,
  2. Cooperativeness
  3. Self transcendence - generativity
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12
Q

As people age, what happens to the following (increase/decrease:

  • Novelty seeking
  • Self-directedness/cooperativeness
  • Self-transcendence
A
  • Decreases
  • Increases
  • Decreases through 40’s, then bimodal change
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13
Q

Ternary Awareness

A

Knowledge of physical, mental, spiritual components, self-transcendence + self-directedness, sanctification/calling

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14
Q

Cluster A disorders

A

Schizoid, Schizotypal, Paranoid

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15
Q

Which cluster of personality disorders?

Phenomenology - odd, eccentric

Temperament - low reward dependence

Character - primitive mental mechanisms, esp projection

A

Cluster A

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16
Q
  • Indifference - to social relationships
  • Constricted - restricted range of emotional experience/expression
  • Solitary - Impaired capacity to form relational world
  • Asexual

(attenuated negative symptoms of schizophrenia)

A

Schizoid Personality Disorder

17
Q
  • Referential and magical thinking, connections destabilize and disorganize
  • Social anxiety and yearnings
  • Odd behavior and appearance
  • Express attachment needs more than schizoid

(attenuated positive symptoms of schizophrenia)

A

Schizotypal Personality Disorder

18
Q

Why is schizoid personality disorder a disorder if patient is content?

A

Makes him 10x more likely to develop psychosis/have psychotic episode

19
Q
  • Pattern of over-interpreting the environment, hypersensitive
  • Pervasive, unwarranted suspiciousness; mistrustful, unforgiving, isolated
  • Unremitting hyper-vigilance
  • Self referential (egocentric)

(attenuated paranoid subtype of schizophrenia)

A

Paranoid Personality Disorder

20
Q

Which cluster of disorders involve increased vulnerability of psychosis and decreased reward dependence?

A

Cluster A

21
Q

Cluster B Disorders

A

Histrionic, Antisocial, Narcissistic, Borderline

22
Q

Which cluster of personality disorders?

Phenomenology: dramatic and erratic

Temperament: High novelty seeking, low harm avoidance

Character: Empathic deficits, high self-direction, low transcendence, externalization

A

Cluster B

23
Q

Which personality disorder?

  • Pervasive pattern of grandiosity
  • Lack of empathy harms love relationships
  • Unquenchable need for admiration
  • Entitlement, grandiosity, competitive, exploitative, unempathic, envious
A

Narcissistic Personality Disorder

24
Q

More common in women or men? Narcissistic Personality Disorder

A

Men - 70% are male

25
Q

Which personality disorder is susceptible to mood disorders and early onset alcoholism?

A

Narcissistic (Cluster B)

26
Q

Which personality disorder?

  • Behavioral violation of others rights
  • Irresponsible at work, home
  • Lack of enduring attachments
  • Repetitive irritability and aggression
  • Irresponsible, aggressive, dishonest, unsocialized, impulsive, remorseless
A

Antisocial Personality Disorder

27
Q

More common in women or men? Antisocial Personality Disorder

A

Predominantly men

28
Q

Which personality disorder?

  • Extraordinary instability, vacillation
  • Deficient relational memory
  • Fragile view of self, others
  • Atrial fibrillation of psychiatry
  • Rageful/adulation, aggressive/self-destructive, idealization/devaluation, disconnect of effort and expectations
A

Borderline Personality Disorder

29
Q

More common in women or men? Borderline Personality Disorder

A

Predominantly women

30
Q

Cluster C disorders:

A

Avoidant, OCD, Dependent, Passive Aggressive

31
Q

Which cluster of personality disorders?

Phenomenology: Anxious, inhibited

Temperament: High harm avoidance, reward dependence

Character: Excess of mature mental mechanisms

A

Cluster C

32
Q

Which cluster of personality disorders has susceptibility to depression, late onset alcoholism?

A

Cluster C

33
Q

Which personality disorder?

  • Isolated, but longing for attachment
  • Easily embarrassed, but not egocentric
  • Plain & drab, but not eccentric
A

Avoidant

34
Q

Which personality disorder?

  • Deferential, obsequious, conciliatory, clinging, trades self actualization for approximation
A

Dependent

35
Q

Which personality disorder?

  • Pervasive pattern of perfectionism, control, inflexibility
  • Restricted access to (vulnerable) emotions of self, others
  • Misses forest, knows minutiae of trees
  • Direct/indirect efforts to control others
  • Deficits in play, joy, spontaneity
  • Perfectionist, controlling, tedious, rule bound, indecisive, shy, stingy, scrupulous
A

OCD