PERSONALITY DISORDERS

Question 1

_______are characterized by personality patterns that are pervasive, inflexible,
and maladaptive

Answer 1

Personality disorders (PDs)

Question 2

Clusters of personality DO

Answer 2

Cluster A: Peculiar thought processes, inappropriate affect
Cluster B: Mood lability, dissociative symptoms, preoccupation with rejection
Cluster C: Anxiety, preoccupation with criticism or rigidity

Question 3

RF for personality DO

Answer 3

Risk factors include innate temperamental
difficulties, such as irritability; adverse environmental events, such as child neglect or abuse; and personality disorders in parents.

Question 4

More males have______PDs, more

females have _____PDs.

Answer 4

antisocial and narcissistic

borderline and histrionic

Question 5

Symptoms of _____ PD often worsen with age; symptoms of _______
PD often ameliorate

Answer 5

paranoid, schizoid, and narcissistic

antisocial and borderline

Question 6

SSx of PD

Answer 6

Long pattern of difficult interpersonal relationships, problems adapting to
stress, failure to achieve goals, chronic unhappiness, low self-esteem

Question 7

Psychotherapy is the mainstay of treatment. _____ and _______are treatments of choice for most PDs

Answer 7

Intensive and long-term psychodynamic

and cognitive therapy

Question 8

Use of mood stabilizers

and antidepressants is sometimes useful for _____PDs.

Answer 8

Cluster B

Question 9

CLuster A personality DO

Answer 9

Paranoid PD:
Schizoid PD
Schizotypal PD

Question 10

Distrust and suspiciousness.

Individuals are mistrustful and suspicious of the motivations and actions of others and are often secretive and isolated.

They are emotionally cold and odd

Answer 10

Cluster A

Question 11

What DO?

A 57-year-old man living in a condominium complex constantly accuses his
neighbors of plotting to avoid payment of their share of maintenance. He writes
angry letters to other owners and has initiated several lawsuits. He lives alone and
does not socialize

Answer 11

Paranoid PD:

Question 12

Detachment and restricted emotionality. Individuals are emotionally distant.
They are disinterested in others and indifferent to praise or criticism

Answer 12

Schizoid PD:

Question 13

Associated features of schizod

Answer 13

Associated features

include social drifting and dysphoria

Question 14

What DO

A 24-year-old man lives alone and works nights as a security guard. He ignores
invitations from coworkers to socialize and has no outside interests

Answer 14

Schizoid

Question 15

Discomfort with social relationships; thought distortion; eccentricity

Answer 15

Schizotypal PD

Question 16

Difference between Schizoid and Schizotypal PD

Answer 16

Unlike Schizoid PD, they
have peculiar patterns of thinking, including ideas of reference and persecution, odd preoccupations,
and odd speech and affect

Question 17

Associated DO with schizotypal

Answer 17

PD in both psychotic disorders

and personality disorders.

Question 18

What are the cluster B personality DO

Answer 18

Histrionic PD
Borderline PD.
Antisocial PD
Narcissistic PD

Question 19

Usually characterized by colorful, exaggerated behavior and excitable, shallow
expression of emotions; uses physical appearance to draw attention to self; sexually seductive; and is uncomfortable in situations where he or she is not the center of attention

Answer 19

Histrionic PD.

Question 20

What DO?

A 30-year-old woman presents to the doctor’s office dressed in a sexually seductive manner and insists that the doctor comment on her appearance. When the doctor refuses to do so, she becomes upset

Answer 20

Histrionic PD.

Question 21

Usually characterized by an unstable affect, mood swings, marked impulsivity,
unstable relationships, recurrent suicidal behaviors, chronic feelings of emptiness or boredom, identity disturbance, and inappropriate anger. If stressed, may become psychotic.

Answer 21

Borderline PD.

Question 22

Borderline PD defense mechanism

Answer 22

If stressed, may become psychotic. Main

defense mechanism is splitting.

Question 23

What personality DO?

A 20-year-old nurse was recently admitted after reporting auditory hallucinations,
which have occurred during the last few days. She reports marriage difficulties and
believes her husband is to blame for the problem. She has several scars on her
wrists and has a history of substance abuse

Answer 23

Borderline PD.

Question 24

Usually characterized by continuous antisocial or criminal acts, inability to
conform to social rules, impulsivity, disregard for the rights of others, aggressiveness, lack of remorse, and deceitfulness.

Answer 24

Antisocial PD.

Question 25

A 22-year-old man was recently arrested after he set his mother’s house on fire. He
has had numerous problems with the law, which started at an early age when he
was sent to a juvenile detention center for his behavior at both home and school.
He lacks remorse for setting the fire and expresses a desire that his mother would
have died in the fire.

Answer 25

Antisocial PD.

Question 26

Usually characterized by a sense of self-importance, grandiosity, and preoccupation
with fantasies of success. This person believes s/he is special, requires excessive
admiration, reacts with rage when criticized, lacks empathy, is envious of others, and is interpersonally exploitative.

Answer 26

Narcissistic PD

Question 27

A famous actor is outraged when a director questions his acting abilities during
rehearsal for a play. The actor responds by walking off the stage and not returning
to the stage unless the director apologizes publicly for her behavior.

Answer 27

Narcissistic PD

Question 28

CLuster C personalities

Answer 28

Avoidant PD.
Dependent PD
Obsessive-Compulsive PD

Question 29

Individuals have social inhibition, feelings of inadequacy, and hypersensitivity
to criticism.

They shy away from work or social relationships because of fears of rejection that
are based on feelings of inadequacy. They feel lonely and substandard and are preoccupied
with rejection.

Answer 29

Avoidant PD

Question 30

A 43-year-old man dreads an upcoming company holiday party because he
believes that he is incapable of engaging in social conversation or dancing. He
believes that he will become an object of pity or ridicule if he attempts such things.
He anticipates yet another lonely holiday

Answer 30

Avoidant PD

Question 31

Submissive and clinging behavior related to a need to be taken care of.

Answer 31

Dependent PD

Question 32

Associated features of dependent PD

Answer 32

Associated features
include self-doubt, excessive humility, poor independent functioning, mood disorders, anxiety disorders, adjustment disorder, and other PDs

Question 33

A 26-year-old man is brought into the emergency room after sustaining severe
rectal lacerations during a sadistic sexual episode with his partner. The patient is
extremely concerned that the police not be informed because he doesn’t want to
upset his partner and cause the partner to leave

Answer 33

Dependent PD

Question 34

Individuals are preoccupied with orderliness, perfectionism, and control.

They are often consumed by the details of everything and lose their sense of overall goals.

They are strict and perfectionistic, overconscientious, and inflexible.

They may be
obsessed with work and productivity and are hesitant to delegate tasks to others

Answer 34

Obsessive-Compulsive PD

Question 35

Associated features of OCD include

Answer 35

indecisiveness, dysphoria, anger,

social inhibition, and difficult interpersonal relationships.

Question 36

A 37-year-old woman seeks psychotherapy as a result of an impending divorce.
She states that her demands to keep the house spotless, to maintain an extremely
detailed and fixed work and recreational schedule, and to observe rigid dietary
habits have driven her spouse away.

Answer 36

OCD