Personality disorders Flashcards

1
Q

Define personality

A

the combination of characteristics or qualities that form an individual’s distinctive character.

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2
Q

personality disorder

define (ICD-10)

A

a severe disturbance in the characterological condition and behavioural tendencies of the individual, usually involving several areas of the personality and nearly always associated with considerable personal and social disruption.

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3
Q

Name the 3 Cluster A personality disorders

‘weird’

A

‘odd and Eccentric’

Paranoid

Schizoid

Schizotypal

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4
Q

Name the 4 Cluster B personality disorders

‘wild’

A

‘Dramatic, Emotional and Erratic’

Antisocial, or Dissocial

Borderline, or Emotionally Unstable

Histrionic

Narcissistic

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5
Q

Name the 3 Cluster C personality disorders

‘worried’

A

‘Anxious and Fearful’

Obsessive-Compulsive (aka Anankastic)

Avoidant (aka Anxious/Avoidant)

Dependent

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6
Q

Paranoid personality disorder

Cluster A

A
-Accusatory-
suspicious
feel that other people are being nasty to you (even when evidence shows this isn’t true)
feel easily rejected
tend to hold grudges
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7
Q

Schizoid personality disorder

Cluster A

A

-Aloof-
emotionally ‘cold’
don’t like contact with other people, prefer your own company
have a rich fantasy world

this is characterised by withdrawal from affectional, social and other contacts. This type of person is isolated and has a limited capacity to experience pleasure and express feelings.

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8
Q

Schizotypal personality disorder

Cluster A

A

-Awkward-
eccentric behaviour
odd ideas
difficulties with thinking
lack of emotion, or inappropriate emotional reactions
see or hear strange things
sometimes related to schizophrenia, the mental illness

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9
Q

Antisocial, or Dissocial personality disorder

Cluster B

A

don’t care much about the feelings of others
easily get frustrated
tend to be aggressive
## commit crimes ##
find it difficult to make close relationships
impulsive - do things on the spur of the moment without thinking about them
don’t feel guilty about things you’ve done
don’t learn from unpleasant experiences

there is a tendency to act outside social norms, a disregard for the feelings of others and an inability to modify behaviour in response to adverse events (eg, punishment). A low threshold for violence and a tendency to blame others may be features.

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10
Q

Borderline, or Emotionally Unstable personality disorder

Cluster B

A

impulsive - do things on the spur of the moment
find it hard to control your emotions
feel bad about yourself
often self-harm, e.g. cutting yourself or making suicide attempts
feel ‘empty’
make relationships quickly, but easily lose them
can feel paranoid or depressed
when stressed, may hear noises or voices

people with this personality disorder tend to be impulsive and unpredictable. They may act without appreciating the consequences. Outbursts of emotion and quarrelsome behaviour may be exhibited. Relationships tend to be unstable and there may be suicidal gestures and attempts.

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11
Q

Histrionic personality disorder

Cluster B

A
over-dramatise events
self-centered
have strong emotions which change quickly and don't last long
can be suggestible
worry a lot about your appearance
crave new things and excitement
can be seductive

this is characterised by shallow and labile affectivity and theatricality. There is lack of consideration for others and a tendency for egocentricity. People with this type of personality often crave excitement and attention.

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12
Q

Narcissistic

Cluster B

A

have a strong sense of your own self-importance
dream of unlimited success, power and intellectual brilliance
crave attention from other people, but show few warm feelings in return
take advantage of other people
ask for favours that you do not then return

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13
Q

Obsessive-Compulsive personality disorder

aka
Anankastic personality disorder

Cluster C: ‘Anxious and Fearful’

A
worry and doubt a lot
perfectionist - always check things
rigid in what you do, stick to routines
cautious, preoccupied with detail
worry about doing the wrong thing
find it hard to adapt to new situations
often have high moral standards
judgemental
sensitive to criticism
can have obsessional thoughts and images (although these are not as bad as those in obsessive-compulsive disorder)

this is characterised by feelings of doubt, perfectionism and excessive conscientiousness. There is a compulsion to check and a preoccupation with details. This personality type tends to be stubborn, cautious and rigid. Insistent and unwelcome thoughts may intrude or impulses that do not attain the severity of an obsessive-compulsive disorder.

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14
Q

Avoidant personality disorder

aka
Anxious personality disorder

Cluster C: ‘Anxious and Fearful’

A
very anxious and tense
worry a lot
feel insecure and inferior
have to be liked and accepted
extremely sensitive to criticism

this is characterised by feelings of tension and apprehension, insecurity and inferiority. People with this type yearn to be liked and accepted, are sensitive to rejection. There is a tendency to exaggerate potential dangers and risks, leading to an avoidance of everyday activities.

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15
Q

Dependent personality disorder

Cluster C: ‘Anxious and Fearful’

A
passive
rely on others to make decisions for you
do what other people want you to do
find it hard to cope with daily chores
feel hopeless and incompetent
easily feel abandoned by others

this is characterised by a reliance on others to take decisions and a fear of abandonment. There is an excessive reliance on authority figures and difficulty in acting independently. This can affect the capacity to deal with the intellectual and emotional demands of daily life.

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16
Q

Risk factors for development of a personality disorder

A

Upbringing
physical or sexual abuse in childhood
violence in the family
parents who drink too much

Early problems
Severe aggression, disobedience, and repeated temper tantrums in childhood.

Brain problems
Triggers

17
Q

Psychological Management for personality disorders

A
Mentalisation Based Therapy (MBT) -
Dialectical Behaviour Therapy (DBT) – 
Cognitive Behavioural Therapy (CBT) - 
Schema Focused Therapy  
Transference Focused Therapy 
Dynamic Psychotherapy 
Cognitive Analytical Therapy  
Treatment in a therapeutic community