Personality Disorders Flashcards
what are the components of personality
openness conscientiousness extraversion agreeableness neuroticism
OCEAN
what aspects are affected in a personality disorder
cognition
affectivity
- intensity/range/appropriateness of emotional response
interpersonal functioning
impulse control
what is the criteria of a PD
an enduring pattern that:
- is inflexible
- leads to social/occupational impairment
- is stable and long in duration (can be tracked back to adolescence)
- not better explained by mental disorder
- is not attributable to effect of drug abuse or another medical condition (e.g. head trauma)
what is an Anankastic personality disorder also known as
obsessional personality disorder
what are the features of Anankastic personality disorder
Feelings of excessive doubt and caution.
Preoccupation with details, rules, lists, order, organization or schedule.
Perfectionism that interferes with task completion.
Undue preoccupation with productivity to the exclusion of pleasure and interpersonal relationships.
Excessive adherence to social conventions.
Rigidity and stubbornness.
Unreasonable insistence that others submit to exactly his or her way
what are the recognised PD
paranoid schizoid dissocial impulsive borderline anxious (avoidant) anankastic histrionic (dramatic)
Tx of PD
treat co-morbid factors
i.e. anxiety, depression
what is the Tx for borderline PD
Dialectical Behavioural Therapy (DBT)
what common co-morbid disease is seen in borderline PD and how is this treated
atypical depression
with MAOIs
what are the cluster A personality disorders
Paranoid PD
Schizoid PD
what are features of the paranoid PD
pervasive distrust and suspiciousness of others such that their motives are interpreted as malevolent
begins in early adulthood
what are features of the Schizoid PD
pervasive pattern of detachment from social relationships and a restricted range of emotions in interpersonal settings
begins by early adulthood
what are the cluster B personality disorders
Antisocial PD
Borderline PD
Histrionic PD
what are features of Antisocial PD
pervasive pattern of disregard for and violation of the rights of others
occurs since the age of 15
does not equal to psychopathy
what are features of borderline PD
pattern of instability of interpersonal relationships, self-image, affects and marked impulsivity
begins by early adulthood
can be confused or appear along with bipolar disorder
what is borderline PD associated with
ADHD
learning difficulties
what are features of histrionic PD
pattern on excessive emotionality, attention seeking and inappropriately provocative behaviour
beginning in early adulthood
what are cluster C personality disorder
Avoidant PD
Dependant PD
what are the interpersonal features of psychopathy
glibness/superficial charm
grandiose self worth
pathological lying
conning/manipulative
what are the affective features of psychopathy
lack of remorse or guilt
shallow affect
callous/lack of empathy
failure to accept responsibility for actions
what are lifestyle features of psychopathy
need for stimulation; prone to boredom parasitic lifestyle lack of realistic, long term goals impulsivity irresponsibility
what are anti social features of psychopathy
poor behaviour controls
early behavioural problems
juvenile delinquency
what are the features of avoidant PD
pattern of social inhibition, feeling of inadequacy and hypersensitivity to negative evaluation
what are the features of dependent PD
excessive need to be taken care of that leads to submissive, clinging behaviour and a fear of separation