Personality disorders

Question 1

DSM-5 defines a personality disorder as an enduring pattern of inner experience and behaviour that…

Answer 1

1. deviates markedly from the individual’s culture
2. pervasive, stable and inflexible over time
3. leads to distress or impairment

Question 2

The PD pattern must be manifested in two or more of these areas:

Answer 2

1. cognition
2. affect
3. interpersonal functioning
4. impulse control

Question 3

Core features of PDs according to Millon:

1. Functional inflexibility =
2. Self-defeating =
3. Unstable in response to stress =

Answer 3

1. failure to adapt to situations; rigid response
2. respond again and again in the same way to a variety of situations which leads to negative consequences
3. blame is always externalised - emotional, cognitive, behavioural instability

Question 4

What are the Cluster A (odd/eccentric) disorders?

Answer 4

Schizotypal PD
Paranoid PD
Schizoid PD

Question 5

What are the Cluster B disorders?

Answer 5

Histrionic
Borderline
Antisocial
Narcissistic

characterised by egocentricity, impulsivity

Question 6

What are the Cluster C (anxious/fearful) disorders

Answer 6

Avoidant
Dependent
Obsessive-Compulsive

Question 7

DSM-5 represents a _______ approach to PDs rather than a ________ approach

Answer 7

categorical, dimensional

Question 8

In DSM-IV, PDs were considered ________ disorders alongside ________

Answer 8

Axis II

intellectual disabilities

Question 9

People with Paranoid PD are _________ of people closest to them. They _________ to be deceived, exploited or harmed, and will interpret _______ in a negative light. They have a lot of trouble developing ___________.

Answer 9

distrustful
expect
compliments
close relationships

Question 10

People with Schizoid PD show ________ and _________ in social relationships. They have a flatness of ______. They have high levels of ________.
Often involved in computer games, solitary hobbies.

Answer 10

detachment, disinterest
affect
anhedonia

Question 11

People with Schizotypal PD show marked ________ deficits, behavioural __________, and ________ in perceptions and thinking that do not meet criteria for schizophrenia.
eg magical thinking, extreme superstition - log lady?

Odd thoughts and ______ patterns: vague but retains __________.

Answer 11

interpersonal
eccentricities
distortions

speech
coherence

Question 12

People with histrionic PD use their _____ to gain _________.

Answer 12

looks

attention

Question 13

People with Narcissistic PD compensate for their ________ self-esteem by reacting with ____________________.

Answer 13

fragile

pride, self-righteousness, contempt, vanity

Question 14

What is the OCPD self-view and view of others?

Answer 14

Self-view: Responsible for myself and others. Driven by ‘should’s
View of others: too casual, irresponsible, self indulgent and incompetent.