Personality disorders Flashcards

1
Q

What are characteristics of cluster a personality disorders

A

Uncomfortable in interpersonal situations
Emotionally distant
Distrustful, suspicious
Isolative
Interpret others actions as negative, possibly against them
aloof

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2
Q

What are cluster b personality disorders

A

Antisocial
Borderline
Histrionic
Narcissistic

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3
Q

What are characteristics of cluster b personality disorders

A

Excessive and unstable expression of emotion
manipulative interpersonal relationships
disregard for others feelings or rights

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4
Q

What are cluster c personality disorders

A

avoidant
dependent
obsessive-compulsive personality (different from ocd)

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5
Q

What are characteristics of cluster c personality disorders

A

Anxious
social discomfort
sense of helplessness
inability to make decisions-rely on others
perfectionist-where obsessive personality comes in
inflexible

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6
Q

Which cluster has the strongest genetic assossiation

A

Cluster A

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7
Q

What are biological factors attributed personality disorders

A

Hormones, platelet monamine oxidase, neurotransmitters (serotonin)
Overactive amygdala
underactive prefrontal cortex

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8
Q

What are environmental factors attributed to personality disorders

A

40-71% of those w/ BPD have a hx of sexual abuse by non caregiver
family environments which are non-validating (needs aren’t met, feelings aren’t validated, have problems w/ ER

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9
Q

What is the impact of personality disorders on social

A

odd
distrustful
limited interpersonal skills

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10
Q

What is the impact on emotional modulation

A

changes emotions quickly and unpredictably
expression of emotion is intense
impulsivity w/ emotional modulation problems can lead to self-harm behaviors

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11
Q

What are the impacts on coping

A

limited coping skills (daily life, esp interpersonal relationships)

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12
Q

What do personality disorders affect

A

social participation
emotional modulation
coping

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13
Q

Medication for personality disorders

A

(Limited research on this)
low dose anti-psychotic
mood stabilizer

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14
Q

OT interventions

A

Understand defense mechanism
Est. a therapeutic relationship
Work on occupational dysfunction: grade activities, new ways to adapt and respond to change, affect modulation, appropriate expression of emotion, interpersonal skills

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15
Q

What is splitting

A

undoing of entire team. Pinning people against eachother.

manipulation of people to get their needs met

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16
Q

What’s the biosocial theory of BPD

A

Caused by joint outcome of biological disposition, environmental context and the transaction of the 2 during development. BPD have difficulty regulating emotions. This disregulation is caused by emotional vulnerability and by manipulative and inadequate emotion modulation strategies.

17
Q

emotional vulnerability characteristics w/ bpd

A

very high sensitivity to emotional stimuli
very intense response to emotional stimuli
slow return to baseline once emotional arousal has occurred

18
Q

characteristics of emotional modulation of bpd

A

unable to inhibit inappropriate behavior related to strong or negative or positive emotion
unable to organize oneself for coordinated action in the service of an external goal (act in a way that’s not mood dependent when necessary)
self-soothe any physiological arousal that motion has induced can’t self-soothe)
Cant refocus attention in the presence of a strong emotion

19
Q

What is BPD

A

Combo of emotional response system that’s oversensitive and over reactive w/ the inability to modulate the strong emotions and actions associated w/ them

20
Q

What are emotions a combo of

A

physiological arousal
subjective experience
behavioral/affective expression

21
Q

What are the systems involved in emotional regulation

A

Nervous

Endocrine

22
Q

What are the basic emotions

A

Mad
happy
sad
scared

23
Q

What is emotional regulation

A

efforts to control emotional states (necessary for functional occ. performance)

24
Q

what is emotional dysregulation

A

emotional responses that aren’t adaptive to the particular situation. Response that interferes w/ goal-directed behavior

25
Q

What’s dialectical behavior therapy

A

Combo of individual psychotherapy w/ psychosocial skills training
requires additional training
lots of research behind it
can be group or individual

26
Q

What is typically not done by OT’s

A

Psychotherapy

27
Q

What is a good fit for OT

A

Skills training

28
Q

What are the 4 areas DBT skills training works on

A

Mindfulness
Interpersonal effectiveness
Emotional regulation
Distress tolerance

29
Q

What is mindfulness

A

Being aware, being preset, not passing a lot of judgement

30
Q

What is interpersonal effectiveness

A

effective ways of achieving objectives w/ other people

31
Q

What is distress tolerance

A

ways to put up w/ emotional states when you can’t change them

32
Q

What are cluster a personality disorders

A

Paranoid, Schizoid, Schizotypal