Personality Disorders Flashcards
What is personality?
Personality refers to characteristics, emotional traits, and how we see, think and feel about the world around us.
What is a personality disorder?
- An enduring pattern of inner experience and behavior that deviates markedly from the expectations of the persons culture
- Manifested in two (or more) of the following: cognition, affect, interpersonal functioning and impulse control
- Considered inflexible; pervasive; constant crisis and functional impairment; early onset and long duration
- An Axis II disorder (personality/developmental disorders, as opposed to psychotic/schizo Axis I disorders)
What are personality disorders NOT due to?
- Other mental disorders
- Effects of a substance
- General medical conditions
What is the etiology of personality disorders?
- Psychological factors (often occurs with traumatic events, such as crime or sexual violence; it has to be something that really affects the way you see the world around you)
- Under psych factors, also include Freud’s incomplete psychosexual development, and object relations, the ability to relate to others as personality develops
- Genetic factors
- Neurochemical factors
Describe the epidemiology of personality disorders:
- Occurs in 10% of population
- High comorbidity rates with depression and panic disorders (25-50%), eating disorders, chronic pain, PTSD and substance abuse
- Wide range of disability from mild to severe
- 10 disorders organized into 3 clusters
What is Cluster A?
Odd and eccentric disorders
What is Cluster B?
Dramatic and erratic disorders
What is Cluster C?
Anxious and fearful disorders
What personality disorders fall under cluster A?
- Paranoid personality disorder
- Schizoid personality dis
- Schizotypal personality dis
What personality disorders fall under cluster B?
- Antisocial personality dis
- Borderline personality dis
- Histrionic personality dis
- Narcissistic personality dis
What personality disorders fall under cluster C?
- Dependent personality dis
- Obsessive compulsive personality dis
- Avoidant personality dis
Describe cluster A disorders:
- Odd, eccentric
- Difficulty relating to others
- Isolation
- Unusual ideas or perceptions
Describe cluster B disorders:
- Dramatic, emotional, erratic, flamboyant
- Dramatic approach to life situations
- Difficulty maintaining interpersonal relationships
- Impulsive, highly emotional; high risk of self-harm
Describe cluster C disorders:
- Anxious, fearful
- Excessive fear
- Social inhibition
- Internalize blame and emotions
Describe the treatment modalities for personality disorders:
- Team approach
- OT
- Art
- Music
- Movement
- Recreational
- Individual
- Group
- Family
- Milieu (structuring daily life in low-stimulation, positive, safe environment)