Personality Disorders Flashcards
What are the components of Personality Functioning?
Self: Identity, Self Direction
Interpersonal: Empathy, Intimacy
What are components of a healthy Personality?
1) Flexible
2) Varied Coping Strategies
3) Response driven by current conditions
4) Responds to External reality rather than internal beliefs
What are Pathological Personality Traits?
Negative Affectivity: Detachment Antagonism Disinhibition Psychotim
_________is Freq intense experiences of high levels of wide range of neg. emotions.
Negative Affectivity:
________is Avoidance of Socioemotional experience
Detachment
________is Behaviors that put the individual at odds with other people. Self-important
Antagonism
________ is Orientation toward immediate gratification leading to impulsive behavior without regard for past learning or future consequences
Disinhibition
________is Exhibiting a wide range of culturally incongruent odd, eccentric, or unusual behaviors or cognitions.
Psychotim
What is the DSM-5 Definition of a personality disorder?
> 2 of: Cognition, Affectivity, Interpersonal functioning, impulse control
- Range of Situations and Inflexible
- Significant distress or impairment
- Onset in adolescence or EAdulthood
What are char of Encounters w/ patients with Personality Disorder?
Akward and Uncomfortable
Clinician has strong unusual emotions
Pt mispercieves clinician intent
Pt and Clin can’t comprehend E/o perspective
What are Gen char of all Personality Disorders?
Sx appear early Sx in variety of interactions and stable across time Sx feel norma for Pt Maladaptive patterns inc during stress Malad patt, elicit malad beh from others Others more distressed by Beh than Pt is
What is PD Cluster A?
ODD, ECENTRIC
Paranoid
Schizoid
Schizotypal
What is PD Cluster B?
DRAMATIC, EMOTIONAL Antisocial Borderline Histrionic Narcissistic
What is PD Cluster C?
ANXIOUS, FEARFUL
Avoidant
Dependent
Obsessive-Compulsive
What is the Approach to Paranoid PD?
Be open about what you are doing and Why. Avoid being defensive or dismissive
What is the Approach to Schizoid PD?
Maint Professional Style and interest in their well-being. Respect privacy. EXPLAIN reasoning for advice. May not volunteer info unless you ask
What is the Approach to Schizotypal PD?
Avoid confronting odd beliefs or behaviors and accept their reality. Gently confront belief or beh if causing medical problems
What is the Approach to Antisocial PD?
Unlikely to follow rules of clin-Pt relationship. Set/enforce clear boundaries. Drug seeking or malingering?
Lack of Remorse
What is the Approach to Borderline PD?
Rel w/ HCP intense and idealizing or devaluing
Be predictable and Stable. Set/enforce clear boundaries.
Avoid Rescuing or abandoning. SPLITTING
What is the Approach to Histrionic PD?
Take Dramatic nature into account. Maint clear boundaries. neither too formal or too casual. SUGGESTABLE
What is the Approach to Narcissistic PD?
Avoid Confronting entitlement directly. Frame suggestion as giving the best care possible.
What is the Approach to Avoidant PD?
Pt fearful of you disliking them.
Be calm, transparent, and reassuring, Matter-of-fact, relaxed style
What is the Approach to Dependent PD?
Avoid Making decisions for Pt. Offer options and support the Pt in making a decision. Slow process. Reg visits. Reward independence.
What is the Approach to Obsessive- Compulsive PD?
Lengthy lists at Appts or need to share detail. Upset about sched or billing errors.
