personality disorders Flashcards
ICD 10 criteria for a PD?
- enduring, deeply ingrained pattern of maladaptive behaviour in several areas of functioning in an adult person’s life
- can trace the behaviour back to adolescence or childhood
- behaviour causes personal distress
- behaviour is abnormal culturally or religiously
what areas of functioning?
- cognition
- affect regulation
- interpersonal relations
- impulse control
3 Ps of PD?
Pathological
pervasive
persistent
cluster A PDs
paranoid
schizoid
cluster B PDs
dissocial
emotionally unstable
histrionic
cluster C PDs?
anxious
dependent
anankastic
other
what are the five domains of personality?
OCEAN
- openness to experience/novelty seeking
- conscientiousness
- extra/introversion
- agreeableness
- neuroticism
aetiology of PDs?
- genes - serotonin/dopamine transporter
2. environment - disorganised attachment style, maltreatment, trauma
heritability of PD?
possible cluster B
schizotypal
prevalence of PD?
community 2-14%
OPD 40%
inpatients 50%
male prisoners 60%
typical female PDs?
borderline
dependent
histrionic
typical male PDs?
dissocial
narcissistic
px BPD?
only 25% still have dx at age 50
average marriage rates
25% have kids
generally employed
personality traits _______ over time
become less prominent
dx of dependent PD?
at least 4 of:
- dependence
- fear of not coping
- subordination
- helplessness
- undemanding
- need to be reassured