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Disciplines Exam 1 > Personality Disorders > Flashcards

Personality Disorders Flashcards

1
Q

Stages of Personality Development : Which Age?

  • take initiative
  • Learns to plan their own activities
  • Harsh scolding for poor initiatives → promotes feelings of being unworthy, guilty and/or resentful
A

3 to 6 years

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2
Q
  • Often hostile, angry, and irritable
  • Inability to relax, muscular tension, and a need to scan the environment for clues
  • Manner is humorless and serious
  • Speech is goal directed and logical in their arguments
A

Paranoid PD

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3
Q

Which personality factor?

  • tendency for one to relate to other people in a friendly way
    • Soft-hearted vs. ruthless
    • Trusting vs. suspicious
    • Helpful vs. uncooperative
A

Warmth (agreeableness)

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4
Q

Mnemonic for Paranoid PD

A

S – spouse is cheating suspected

U – unforgiving / bears grudges

S – suspicious of others

P – perceives attacks and reacts quickly

E – enemy in everyone → suspects associates, friends

C – confiding in others feared

T – threats seen in very benign events

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5
Q

Behavior pattern associated w/ a distorted world view

  • One’s thoughts regarding one’s self
A

Intrapersonal relations

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6
Q

Which cluster? Which 3 types?

  • Individuals may appear odd or eccentric
A
  • Cluster A
  1. Paranoid
  2. Schizoid
  3. Schizotypal
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7
Q
  • Culture group
  • (personality traits valued in one culture may not be as highly valued in another)
  • Parents/home environment directly impacts a child’s personality
    • hate/anger
    • happiness/politeness
A

Environment affecting a patient’s personality

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8
Q

Everyone in group is alike in some ways but also different

(which personality)

A

Group personality

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9
Q

Birth order:

  • more affectionate/peacemakers
A

Middle born

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10
Q
  • Of stable and long duration, onset traced back to at least adolescence or early adulthood
  • Patter not explained as manifestation or consequence of another mental disorder
  • Not due to physiological effects of substance (drug abuse, meds) or another medical condition (head trauma)
A

Personality Disorder

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11
Q
  • Twin and adoption studies
  • 50% of trait variation is due to genetic influences
A

Genetics as an influencing factor or personality

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12
Q

Stages of Personality Development : Which Age?

  • Create and nurture
  • Important for adults to stay productive and creative
A

40 to 65 years

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13
Q
A
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14
Q

How many disorders are divided into the 3 “clusters”?

A

10

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15
Q

Which personality factor?

  • How much one likes being with other people
    • Sociable vs. retiring
    • Fun-loving vs. sober
    • Affectionate vs. reserved
A

Extroversion

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16
Q
  • Suspects others are exploiting/harming/deceiving him or her
  • Doubts loyalty/trustworthiness of friends or associates
  • Reluctant to confide in others, bc/ fear info will be used maliciously against him or her
  • Reads hidden demeaning/threatening meanings into benign remarks
  • Persistently bears grudges
A

4 or more indicates Paranoid PD

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17
Q
  • Think of this as like a “skill”
  • Each skill allows us to take on a different persona, assume a particular role, mask or face
  • Important to have a set of skills to choose from
  • At times we consciously transition from one to another → there are many instances in which these transitions occur subconsciously
A

Personality Style

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18
Q

•Expect belittling comments, accusations, and potentially litigious threats from these patients

A

Paranoid PD

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19
Q

What are the 3 influencing factors of personality?

A
  • Genetic (hereditary)
  • Environment
  • Birth order
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20
Q

Of the personality disorders, which is rare and which is more prevalent in Normway compared to Germany, UK, and US?

  • Internalization personality disorder
  • Externalization personality disorder
A

Internalization = more prevalent

Externalization = rare

21
Q
  • This type of PD may result from early learning that people and the world is a dangerous place
  • Comorbid disorders:
    • MDD
    • Substance abuse
    • Agoraphobia
    • OCD
    • Borderline PD, Narcissistic PD
A

Paranoid PD

22
Q

Which personality factor?

  • how open-minded one is
    • Imaginative vs. practical
    • Preference for variety vs. preference for routine
    • Independent vs. conforming
A

Openness

23
Q

Stages of Personality Development : Which Age?

  • development of trust
  • Needs are met → learns to trust others
  • Needs are not met → learns to mistrust and may become withdrawn
A

Birth to 18 months

24
Q

Behavior pattern associated w/ a distorted world view

  • One’s thoughts regarding one’s environment
A

Interpersonal relations

25
Q

Stages of Personality Development : Which Age?

  • search for identity
  • Search for identity / sense of self
A

12 to 19 years

26
Q

Which personality factor?

  • Those who tend to be relaxed, secure, and calm even during difficult situations
    • calm vs anxious
    • secure vs insecure
    • self satisfied vs self pitying
A

Emotional stability

27
Q

An enduring pattern of inner experience and behavior that deviates markedly from the expectations of the individual’s culture.

A

Personality Disorder

28
Q

Birth order:

achievement oriented

A

1st born

29
Q
  • Rarely present for treatment → early termination common
  • Psychotherapy is the treatment of choice
  • Individual client centered therapy focused on building rapport / counter negative thinking
A

Tx for Paranoid PD

30
Q

Stages of Personality Development : Which Age?

  • establish intimacy
  • Establish close bonds with others
A

20 to 40 years

31
Q
  • Enduring patterns of perceiving, relating to, and thinking about the environment and oneself.
  • Tendency to feel, perceive, behave, and think in relatively consistent ways across time and across situations in which the trait may manifest.
  • levels can and do change over time

Ex: Anxious in circumstances in which most people would be calm and relaxed (high anxiety)

A

Personality traits

32
Q
  • unique and relatively stable behavior patterns
  • Relatively enduring pattern of the thoughts, feelings and behaviors that distinguish one individual from another
  • Emerges early in life and changes in meaningful ways throughout the lifespan
  • Influenced by a multitude of personality traits
A

Individual personality

33
Q

•We are all alike in some ways

(which personality)

A

Universal Personality

34
Q

Stages of Personality Development : Which Age?

  • development of independence
  • Learns to do things on their own
  • Failure to master promotes self-doubt
A

18 months to 3 years

35
Q

Which personality factor?

  • how responsible and self-disciplined one is
    • Organized vs. disorganized
    • Careful vs. careless
    • Disciplined vs. impulsive
A

Conscientiousness

36
Q

What are the 5 primary personality factors?

A
  1. Emotional stability
  2. Extroversion
  3. Openness
  4. Warmth (agreeableness)
  5. Conscientiousness
37
Q

Individuals often appear anxious or fearful

•Avoidant, Dependent, Obsessive-Compulsive

A

Cluster C

38
Q

Stages of Personality Development : Which Age?

  • Look back on their lives
  • Reflection and resultant acceptance or non-acceptance may influence changes
A

65 years +

39
Q
  • Fear that provider or others may harm them
  • Misinterpretation of innocuous or even helpful behaviors
  • Increased likelihood of argument or conflict with staff
A

Pt behavior of Paranoid PD

40
Q
  • Pharmacotherapy mainly used for agitation or anxiety
  • Anti-anxiety agents for severe anxiety or agitation

•Buspirone (Buspar)

•Hydroxyzine (Vistaril)

•Clonazepam (Klonopin)

•Anti-psychotic medication such as haloperidol (Haldol) may be used if a patient decompensates into severe agitation or delusional thinking

A

Tx for Paranoid PD

41
Q
  • Defensive, argumentative, or angry response that “confirms” patient’s suspicions
  • Ignoring the patient’s suspicious or angry stance
A

Provider behavior w/ Paranoid PD patient

42
Q

Individuals often appear dramatic, emotional, or erratic

•Antisocial, Borderline, Histrionic, Narcissistic

A

Cluster B

43
Q

Which 4 comorbid physical disorders are associated w/ personality disorders?

A
  • Cardiovascular disease
  • Arthritis
  • Diabetes
  • GI disorders

(all contribute to reduced life expectancy)

44
Q

Stages of Personality Development : Which Age?

  • skill development
  • Strong skill development children feel competent → capable of achieving their goals
  • Poor skill development children may feel like a failure
A

6 to 12 years

45
Q
  • Personality style: independent/vigilant
  • Theme: distrust, suspicious of others
  • Constantly on guard (believe society is hostile)
  • Defensive
  • Refuse responsibility for their own feelings, assign responsiblity to others
A

Paranoid PD

46
Q

Birth order:

Risk taker/intellectual rebels

A

Last born

47
Q

Individuals may appear odd or eccentric

•Paranoid, Schizoid, Schizotypal

A

Cluster A

48
Q
  • Cognition (i.e., ways of perceiving and interpreting self, other people, and events)
  • Affectivity (i.e., the range, intensity, lability, and appropriateness of emotional response)
  • Interpersonal functioning
  • Impulse control
A

Pt needs 2 or more of these to be dx w/ personality disorder accorindg to DMS 5

Disciplines Exam 1 (13 decks)

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