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Test 2 NUR 207 > Personality Disorders > Flashcards

Personality Disorders Flashcards

1
Q

Personality

A

A group of fixed, predicatable, personal characteristics that determine who an individual percieves, interrupts, and relates to self, others and events within their environment

Most authorities believe personality characteristics are fixed by age 3

Patterns are enduring and pervasive
Patterns lead to distress of impairment in social, occupational, or other areas of functioning
patterns usually can be traced to traits beginning in childhood
Patterns are not due to substance abuse or other psychiatric illness

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2
Q

Cluster A

A

Odd or Eccentric
High genetic link
Many have schizophrenia in family

Paranoid Personality Disorder
Schizoid Personality Disorder
Schizotypal Personality Disorder

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3
Q

Paranoid Personality Disorder

A

Pervasive and unwarranted tendency to interpret other people’s actions as deliberately demeaning and threatening

Distrust and are suspicious of others

Perceive without sufficient evidence that others are out to exploit, harm or deceive them

Questions fidelity of sexual partner

Bears grudges

Reluctant to confide in others

Perceives attack on character or reputation not apparent to others

Sees hidden meanings in others responses or in events

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4
Q

Schizoid Personality Disorder

A

Pervasive pattern of lifelong withdrawal, introversion, and bland affect

Will not sustain eye contact

Interested in math or astronomy

Attached to animals

Detachment from social relationships including own family

Restricted range of emotional expression

Doesn’t want to be with others

Chooses solitary activities

Lacks close friends

Indifferent to praise or criticism

Emotionally cold and detached

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5
Q

Schizotypal Personality Disorder

A

Pervasive Pattern of Peculiar Thinking, Behavior, And Appearance

Speech content may be private language (Neologism)-Need Interruption

Pervasive Pattern of Social Deficits

Reduced capacity for Close Relationships

Cognitive/Perceptual Distortions

Odd Beliefs or Magical thinking - 6th Sense-Telepathy

Circumstantial pattern of Speech

Illusions

Ideas of Reference

Paranoid

Inappropriate & Constricted Affect

Very Odd behavior and Appearance

Lack of Relationships in Life

lack of smooth eye pursuit

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6
Q

Cluster B

A

Dramatic and Emotional

Antisocial Personality Disorder
Borderline Personality Disorder
Histroionic Personality Disorder
Narcissistic Personality Disorder

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7
Q

Antisocial Personality Disorder

A

Pervasive disregard for rights of others

Disregard and violoate rights of others reaching back to age 5 year

Illegal activity

repeated lying

impulsive–increased testosterone

irritability and aggression

Reckless disregard for safety of others

lack of remorse

Conduct disorder by 15 yoa

Does no honor financial obligations

Abnormal EEG

Soft neurological signs

  • Impulsive
  • Poor balance
  • Mild incoordination
  • Asymetry of gait
  • persistanct infantile reflexes
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8
Q

Borderline Personality Disorder

A

Pervasive pattern of instability of relationships and self image with labile affect and marked impulsivity

Unstable relationships

Marked impulsivity especially with sex, substance abuse, and reckless driving–again, impulsiveness related to increased testosterone

Frantic attempt to avoid real or imagined abandonment (See Mahler)

Unstable relationships alternating between idealizing and devaluing

Frequent suicide attempts

Self mutilation

Instability of affect

Feel empty inside

Split reality into all good or all bad

Flashback or other dissociative experiences

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9
Q

Histronic Personality Disorder

A

Pervasive pattern of excessive emotionality and attention seeking

Is uncomfortable in situations in which he or she is not the center of attention

Is inappropriately seductive or provocative

Displays rapidly shifting expressions of emotion

Consistently uses physical appearance to draw attention

Style of speech is excessively impressionistic but lacking in detail

is very dramatic in style

Is easily influenced by others

considers relationships to be closer than they are

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10
Q

Narcissistic Personality Dsorder

A

Pervasive pattern of grandiosity (in fantasy and behavior), need to admiration, and lack of empathy for others

Have a grandiose sense of self inportance

Is preoccupied with fantasies fo unlimited success, beauty and power

Believes is special

Has a sense of entitlement

Is interpersonally exploitative

Lacks empathy

Is often envious of others and believes other are of them

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11
Q

Cluster C

A

Anxious or fearful

Avoidant Personality Disorder
Obsessive Compulsive Personality Disorder
Dependant Personality Disorder

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12
Q

Avoidant Personality Disorder

A

Pervasive pattern of social inhibition, feelings of inadequacy and hypersensitivity of negative evaluation

Avoids occupational activities that involves significant interpersonal contact–fear of rejection

Is unwilling to become involved with other unless sure they will be liked

Shows resteraint with intimate relationships

Is preoccupied with being criticized or rejected

Is inhibitted in new social settings

Views self as socially inept, inferior, and unappealing

Is unusually unable to take personal risks

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13
Q

Obsessive Compulsive Personality Disorder

A

Pervasive pattern of preoccupation with orderliness, perfectionism as well as mental and interpersonal control

Is preoccupied with details, rules, schedules, lists and organization

Shows perfectionism

Is excessively devoted to work

Is overconscientious and inflexible concerning morality, ethics, or values

Is reluctant to delegate

Adopts a miserly spending style

Is rigid and stubborn

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14
Q

Dependent Personality Disorder

A

Pervasive and excessive need to be taken care of that leads to submissive and clinging behaviors with others

Has difficulty making decisions without much guidance and advice

Needs others to assume responsibility for most major areas of life

Has difficulty expressing disagreement

has difficulty initaiting projects or working independently

Goes to excessive length to obtain nurturance and support

Feels uncomfortable and helpless when alone

Urgently seeks another relationship when one ends

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15
Q

Paranoid Personality Disorder Cluster A

A

Constantly testing people

Usually seeks help at insistence of others

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16
Q

Schizoid Personality Disorder - Cluster A

A
  • When you think of Schizoid PD - think of World of Warcraft Nerd in basement playing WOW all the time - solitary
  • Biggest difference between Schizoid PD and Schizotypal PD is Schizoid PD doesn’t want to hang out with anyone and Schizotypal PD does

Provide brief education sessions throughout shift

  • Will not sustain eye contact
  • Doesn’t want to be with others
  • Chooses Solitary activities
  • Lacks Close Friends
  • Uncomfortable with Human Interaction
17
Q

Schizotypal Personality Disorder - Cluster A

A
  • Think Schizophrenia for Test*
  • Speech Content may be private language (neologism) - Need Interruption
  • Cognitive/Perceptual Distortions
  • Odd beliefs or Magical Thinking - 6th Sense -Telepathy
  • Circumstantial Pattern of Speech - talking about something and then go off on a different topic
  • INAPPROPRIATE and constricted AFFECT - At a funeral and laughing

**Biggest difference between Schizoid PD and Schizotypal PD is Schizoid PD doesn’t want to hang out with anyone and Schizotypal PD does

18
Q

Borderline Personality Disorder - Cluster B

A
  • Unstable Relationships - every relationship is quick, very dysfunctional
  • marked Impulsivity especially with Sex, Substance Abuse, and Reckless Driving - (Impulsiveness r/t increased Testosterone)
  • Abandonment issues
  • Unstable Relationships between idealizing and devaluing - Constantly building them up and then realizing they are not what you need
  • Frequent Suicide Attempts - Always being CAUGHT IN THE ACT- Attention Seeking
  • Feel Empty Inside- Things are really really good or really realy bad- Very Very Dramatic
  • Flashbacks or other Dissociative Experiences
19
Q

AntiSocial Personality Disorder - Cluster B

A
  • Know this is associated with CONDUCT DISORDER - Children with conduct disorder will be diagnosed with Anti- Social PD as adult **Know that Children CANNOT be diagnosed with a Personality Disorder*
  • Tx with CBT
  • Disregards and violates rights of others reaching back to age 5 years old- don’t care about others
  • Lack of Remorse - don’t feel guilt
  • Conduct disorder by age 15 years old
  • Soft neurological Signs : Impulsive, Poor balance, mild Incoordination, Asymetry of Gait, Persistant Infantile Reflexes
  • Exploits others for personal gain
20
Q

Histrionic personality Disorder - Cluster B

A
  • Difference between histrionic PD and Borderline PD is that Histrionic PD uses SEX APPEAL - If not the center of attention -will make self center of attention
  • Hysterical
  • Is Uncomfortable in situations in which they are not center of attention
  • Is Inappropriately Seductive and Provocative
  • Consistently uses physical appearance to draw others
  • Is easily influenced by others - Not going to be the chief but one of the indians, follower
  • Considers relationships closer than they really are - OMG your my new best friend -take pic and put it on facebook right away - here’s my new best friend
  • Super Emotional, attention seeking, excitable, always seeking affirmation
21
Q

Narcissistic Personality Disorder Cluster B

A

*Think Donald Trump

  • Have a Grandoise Sense of Self Importance
  • Is preoccupied with Fantasies for unlimited success, beauty, and power - Worried about Self Image
  • Believes is special
  • lacks empathy or Humility
22
Q

Avoidant Personality Disorder - Cluster C

A
  • Tx with Anti Anxiety Meds
  • Tx- Build up their self esteem and let them know what they are feeling is irrational
  • Biggest difference between Avoidant pD and Schizoid PD is people with Avoidant PD don’t WANT personal relationships and desire companionship whereas Schizoid PD (WOW Nerd) DO NOT
  • Dont want to go into new settings unless they are sure they will be accepted/liked
  • Avoids Occupational activities that involve significant interpersonal contact - fear of rejection -Really shy, afraid of rejection
    Can lead to Social Withdrawal
  • Is preoccupied with being criticized or rejected
  • usually unable to take personal risks
23
Q

Obsessive Compulsive Personality Disorder - Cluster C

A
  • Think Type A people for test
  • Nazi parents - children getting more condemnation than praise
  • Can appear calm and controlled from outside but inside they feel conflict and hostility- Don’t want you to know things bother them - Internally mad (Ex: Everything has to be perfect- If something is out of place it will bother them so much)
  • Shows perfectionism - Think STEPFORD WIVES MOVIE for test
  • Is reluctant to delegate - Nobody can do it as good as I do it
24
Q

Dependent Personality Disorder - Cluster C

A
  • Difference in Dependant PD and Histrionic PD is Dependent PD is not as dramatic and doesn’t need to be the center of attention whereas Histrionic PD does need to be the center of attention
  • Clingy
  • has difficulty expressing disagreement - Not assertive- Easily taken advantage of
  • feels uncomfortable and helpless when alone (EX: Child that everyone does everything for as a kid and as an adult they wonder why people aren’t doing things for them)
  • Urgently seeks another relationship when one ends – may even demean themselves to be accepted by their partner just to maintain relationship

Test 2 NUR 207 (11 decks)

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