Personality disorders Flashcards
Personality disorders
5-13% of the population has at least one personality disorder
Dissocial PD
- most prevalent PD in prison
- 78% of male remand, 64% of sentenced men and 50% female prisoners
Inpatients with drug, alcohol and eating disorders
-70% have a PD
Antisocial PD
-63% remand prisoners 49% sentenced prisoners -31% female prisoners -in general population the prevalence is 0.6% -rate is 5x more in men than in women
Borderline PD
- seen in nearly 2% general population
- 10% outpatients
- 15-20% inpatients
- 30-60% of all PD patients in clinical samples
- 3:1 female :male
- 5x more common in first degree relatives of borderline patients
McLean Study of Adult development
- 5 core borderline symptoms are found to decline with particular rapidilty: quasi-psychotic thought, self-mutilation, help-seeking suicide efforts, treatment regressions and countertransferance problems
- however, chronic dysphoria, intense anger, nondelusional paranoia and general impulsivity remain common even after 10 years
Collaborative Longitudinal Personality Disorders Study
-abandonment fears and physically self-destructive acts are found to be the least stable and rapidly remitting
J shape curve
-over age, PDs decrease with a small increase in PDs in older people
Seivewright and Tyrer
- 12 year follow up
- Cluster B traits become less prounounced over 12 years
- CLuster A and C types become more pronounced
Remission
- McLean
- 40% of patients with BPD remit after 2 years
- 88% no longer meet the criteria after 10 years
Cluster A personality disorders
- odd and eccentric
- Paranoid personality disorder
- Schizoid personality disorder
- Schizotypal personality disorder
Paranoid personality disorder
- suspicious of other people and their motives
- hold longstanding grudges against people
- believe others are not trustworthy
- emotionally detached
- feel other people are deceiving, threatening or making plans against them
Schizoid personality disorder
- have difficulties in expressing emotions, particularly around warmth or tenderness
- prefer loneliness
- aloof or remote
- difficulty developing social relationships
- remain unaware of social trends
- unresponsive to praise or criticism
Schizotypal personality disorder
- in ICD10 this in under schizophrenia
- odd and eccentric
- may have illusions, magical thinking
- obsessions without resistance
- may be members of quasi-cultural groups
- thoughts disorders and paranoia
- may believe in ESP, clairvoyance
- have transient psychotic features
Cluster B personality disorders
- dramatic and erratic
- Antisocial personality disorder
- Borderline personality disorder
- Histrionic personality disorder
- Narcissistic personality disorder