Personality Disorders Flashcards
A General Personality Disorder requires 2 of the following; __________ and _________
perceptions, affect, interpersonal, functioning, impulse control; occurs across a range of personal social situations, leads to clinically significant distress or impariment
Type A personality disorder includes:
paranoid personality disorder: what most normal people see as being “odd” Person is extremely paranoid, distrustful, harm them, thinks people are out to get them, relunctant to share information with them, act as if they’re under attack
schizoid personality disorder:
people who are really flat, and don’t usually seek help because they don’t want it, prefer to be alone, NOT UPSET IF YOURE CRITICAL OF THEM
schizotypal personlity:
most like schizophrenia, not exactly hallucinatinos, ideas of referes (incorrect interpertations of events that they say are just for them)
cIuster B personality disorder is characterized by:
dramatic emotional or erratic behavior
one type of cluster B disorder is antisocial personality disorder and it is characterized by:
failure to conform to social norms, laws, deceitfulness, impusivity (don’t care about laws, etc, only care about themselves and they’re)
if someone beats their significant other and then says “its your fault for making me angry”
antisocial personality disorder cluster B
borderline personality disorder has 4 main characteristics
unstable relationships, trouble regulating their emotions, poor self image, very impulsive (FEAR OF ABANDONMENT)
an impulsive suicide attempt is common for people with:
borderline personality disorder
histrionic personality disorder is a type ____ and is characterised by:
type B, attention seeking, maybe likeable, anything to get attention, make more out of friendship than they really should be
Narcissistic personality disorder is a _____ and is characterised by:
type B, grandiose sense of self-importance, preoccupied with unlimited success, power, brilliance, want people to kiss their feet, think so much of themselves and so little of everyone else
cluster C are:
anxious or fearful
avoidant personality disorder is:
avoid situations involving interpersonal interactions for fear of criticism, or rejection, feels inadequate, views self as inept, unappealing, or inferior
both avoidant personality disorder and narcisistic personality disorder both have _____, but:
narcisistic people take that low self esteem and direct it out towards others while avoidant personality disorder patients direct those feelings towards themselves (call themselves stupid, asshole, etc)
dependent personality disorder:
diff bc these people can only survive when they’re in a relationship with someone else who says it’s ok, what they’re doing is ok, and if they get out of one, they’re right bac in another, and they’ll stick in a relationship with an abusive person
obsessive-compulsive personality disorder:
not impulsive! Total opposite, super rigid, not flexible, need to be in control, workaholic, may obsess about details to the point they miss the big picture
56 yo man presents to psychiatrist bc pcp concern of restricted affect and depression, who reports no complaints but gives a history of isolation and very limited interactions with others. The results of the patien’ts mental status examination are essentially normal, other than showing a restricted emotional range:
schizoid personality disorder
48 yo woman presents to psychotherapist. She lives a very secluded life as a night time janitor at a department store and takes care of her elderly mother. She complains of feeling longely and is aware that she has a great deal of difficulty relating to othe people. What distinguishes her condition from someone with schizoid personality disorder?
A family history of a cousin with schizophrenia
a desire to engage in interpersonal relationships
lack of hallucinations or delusional thinking
her gender
a history of alcoholism
a desire to engage in interpersonal relationships
hallmark of schizoid personality disorder is detachment and disinterest in social relationships. This patient is clearly distressed by her lack of social relationships, which would clearly steer the diagnosis away from schizoid personality disorder. Men are more frequently, though not exclusively diagnosed with schizoid personality disorder
a patient with schizoid pd comes to pcp with complaint of polyuria and polydipsia. He is found to have insulin-dependent diabetes. Which of the following interventions is likely to be most well received by the patient?
asking the patient to bring in a relative or close friend so that he can describe the treatment regimen to both of them at the same time
Referring the patient to a therapist for support in dealing with a chronic illness
Giving the patient detailed written information about the disease and telling him that the physician will be available to answer any questions
Referring the patient to a group that helps its members learn about diabetes
Scheduling frequent appointments with the patient so that all the treatment details cann be explained on a one-to-one basis
Giving the patient detailed written information about the disease and telling him that the physician will be available to answer any questions
They generally prefer to keep social interaction to a minimum .They do better with a more technical approach with as little human interaction as possible
a woman with schizoid personality disorder was in a care accident and was rear-ended. The driver of the other car refused to take responsibility and hired a lawyer to provide his defense. The woman spends hours every day thinking about the specifics of the accident, including the colors of the cars involved, and what each party to the accident was wearing. Which of the following defense mechanisms is she using? sublimation undoing projecting intellectualization introjection
intellectualization
this is characterized by rehashing events over and over
a 20 yo man is brough to psychiatrist by his parents for odd thinking. He is dressed in clothes more consistent with a 1960's hippie, with long hair and marginal hygiene. He was reently fired for not showing up for his shifts and was forced to move back with parents. He has artistic aspirations and is very interested in philosophy, metaphysics, magic and occult. He talks about his desire for fame and wealth, given his special talents. He has recently gotten into some legal trouble as he prduced art work of fanciful paper currency, which he attempted to use at some local stores. Hower, he admits that he did not think that this was going to work and describes this as a performance art. Which of the following is most likely the diagnosis? schizophrenia schizoid personality disorder schizotypal personality disorder delusional disorder bipolar disorder
schizotypal personality disorder