Personality Disorders Flashcards

1
Q

What is a personality trait?

A

-An enduring, repetitive pattern of perceiving, relating to, and thinking about the environment and oneself

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2
Q

What is a personality disorder?

A
  • Inflexible, maladaptive, and rigidly pervasive pattern of behavior causing subjective distress and/or impaired functioning; person is usually not aware of problem
  • usually presents by early adulthood
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3
Q

Should personality disorders be diagnosed in children?

A

-No because personality develoment is not complete

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4
Q

is the diagnosis of personality disorder reliable in elderly population?

A

-no!

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5
Q

What is Cluster A?

A

-Paranoid personality disorder: characterized by irrational suspicions and mistrust of others

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6
Q

What is Schizoid personality disorder?

A
  • lack of interest in social relationships, seeing no point in sharing time with others
  • Appear different to the praise or criticism of others and often seem cold or aloof
  • marked by little pleasure in activities
  • lacks close friends or confidants other than first-degree relatives
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7
Q

What is the go to answer if we need to pick a therapy for the person?

A
  • cognitive behavioral therapy!!!!

- if we have no idea what the answer is, our odds are best when picking these

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8
Q

What is Schizotypal personality disorder?

A
  • odd behavior or thinking
  • ideas of reference
  • odd beliefs or magical thinking
  • vague, circumstantial, or stereotyped speech
  • Excessive social anxiety that does not diminish with familiarity
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9
Q

What is Cluster B personality disorders?

A

-Dramatic, emotional or erratic disorders

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10
Q

What is antisocial personality disorder?

A

-pervasive disregard for the law and the rights of others

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11
Q

What is Borderline personality disorder?

A

-exteme “black and white” thinking, instability in relationships, self-image, identity, and behavior

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12
Q

What is Histrionic personality disorder?

A

-pervasive attention-seeking behavior including inappropriate sexual seductiveness and shallow or exaggerated emotions

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13
Q

What is Narcissistic personality disorder?

A

-a pervasive pattern of grandiosity, need for admiration, and lack of empathy

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14
Q

What is antisocial personality disorder?

A
  • repeated violations of law
  • pervasive lying and deception
  • physical aggressiveness
  • reckless disregard for safety of self or others
  • consistent irresponsibility in work and family environments
  • lack of remorse
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15
Q

Is antisocial personality disorder more prevalent in men or in women?

A

-3x more prevalent in men

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16
Q

What is borderline personality disorder?

A
  • frantic efforts to avoid expected abandonment
  • unstable self image
  • affective intability
  • chronic feelings of emptiness
  • 3x more common in women than men
17
Q

How are borderline personality disorder people?

A
  • very manipulative
  • immature personality traits: teddy bear, tweety bird
  • Need to set rigid boundaries when treating these pts
  • are often victim of sexual abuse or emotional abuse
  • have a high rate of comorbid major depression
18
Q

What is labelle indifference in the histrionic personality disorder?

A

-a seemingly indifferent detachment, while describing dramatic physical symptoms

19
Q

What is Cluster C ?

A

-anxious or fearful disorders

20
Q

What is avoidant personality disorder?

A

-Social inhibition, feelings of inadequacy, extreme sensitivity to negative evaluation and avoidance of social interaction

21
Q

what is dependent personality disorder?

A

-pervasive psychological dependence on other people

22
Q

What is Obsessive-compulsive personality disorder?

A

-Characterized by rigid conformity to rules, moral codes and excessive orderliness

23
Q

How does avoidant personality disorder differ from schozoid personality disorder?

A
  • the desire relationships with others
  • paralyzed by their fear and sensitivity into social isolation
  • shy but not as odd as cluster A types
24
Q

If someone cuts, what do we think of?

A

Borderline personality disorder

25
Q

Does multiple personality disorder exist?

A

-no

26
Q

What does DSM 5 describe multiple personality disorder as?

A

-Dissociative identity disorder

27
Q

What is dissoviative identity disorder?

A

-presence of two or more distinct idnetities or personality states

28
Q

What is psychodynamic psychotherapy?

A
  • examines the ways that patients perceive events
  • assumption that perceptions are shaped by early life
  • identify perceptual distortions and their historical sources
  • facilitate the development of more adaptive modes of perception and response
  • frequency from several times a week to once a month; it makes use of transference
29
Q

What is cognitive behavior therapy (CBT)?

A
  • deals with how people think about their world and their perception of it
  • typically limited to episodes of 6-20 weeks, once weekly
30
Q

What is group psychotherapy?

A
  • allows interpersonal psychopathology to display itself among peer pts
  • usually once weekly over a course that may range from several months to years
31
Q

What is Dialectical behavior therapy (DBT)?*****Know this

A
  • skills-based therapy
  • applied to borderline personality disorder
  • manual-based therapy is on the development of coping skills to improve affective stability and impulse control and on reducing self-harmful behavior
  • Also being used with other cluster B personality disorders to reduce impulsive behavior
32
Q

What is the deal with medications in this lecture?

A
  • not curative for any personality disorder
  • adjunct to psychotherapy so that the pt may productively engage in psychotherapy
  • tx of symptom clusters such as cognitive-perceptual sx, affective dysregulation, and impulsive-behavioral dyscontrol
33
Q

Which drugs are safe and reasonably effective?

A

-SSRY’s and newer antidepressants

34
Q

Which anticonvulsant do we use?

A
  • Valproic acid

- impulse control

35
Q

Which disorder has homicide as a potential complication?

A

-paranoid and antisocial personality disorders

36
Q

Are disorders lifelong?

A

-yes

37
Q

Do cluster A and B personality disorders become les severe or more severe in middle age and late life?

A

-less severe

38
Q

Which cluster personality have the worst prognosis?

A
  • Cluster B personality disorders
  • Susceptible to problems of substance abuse
  • impulse control, and suicidal behavior, which may shorten their lives
39
Q

Which cluster thing tends to become exaggerated in later life?

A

-Cluster C characteristics