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PSYCHIATRY > Personality Disorders > Flashcards

Personality Disorders Flashcards

1
Q

What does the 5-factor model comply of?

A
  • Openness
  • Conscientiousness
  • Extraversion
  • Agreeableness
  • Neuroticism
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2
Q

What are 3 main things that occur in a Personality d.o?

A
  • INNER Behaviour that is markedly deviated from the individual’ culture
  • pattern in inflexible
  • pattern leads to SIGNIFICANT DISTRESS
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3
Q

There are 3 more fts of tthe pattern of Personality d.so?

A
  • stable pattern +LONG duration(onset - adolescence)
  • pattern not better explained as consequence OF another condition (other diseases- Head trauma)
  • pattern not attributable to the effexts of drugs
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4
Q

What is anankastic personality d.o?

A
  • excessive DOUBT
  • preoccupied with DETAILS, RULES, schedule
  • perfectionism (interferes with task)
  • stbborn
  • productivity sans pleasure
  • excessive pedantry
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5
Q

When is it considered a disorder (over a trait)?

A
  • when it is PERVASIVE (occurs in a lot of situations)
  • causes DISTRESS
  • and/or causes impairment of FUNCTIONING
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6
Q

What conditions must be ruled out when considering personality d.o?

A
  1. hypertension
  2. hypercholestrolemia
  3. anemia
  4. insulin resistance
  5. mild COGNITIVE impairment
  6. hypothyroidism
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7
Q

How may personality be measured?

A
  • ZAN-BPD (Zanarini Rating scale for___)
  • PAS (personality assessment schedule)
  • PDQ-4 (T/F)
  • Minnesota MPI (t/f)
  • IPDE (T/F)
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8
Q

What areas may be markedly affected in Personality disorders?

A
  • cognition
  • affectivity
  • impulse control
  • interpersonal functioning
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9
Q

What does it mean to have a condition of heritability of 0.29?

A

the variation of a trait with 0.29 heritability is said to be influenced by genetics at about 29%
and the environment at 71%

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10
Q

Which conditions are said to have a great heritability?

A 
Borderline personality d.o
histrionic d.o
OCD PD
ANXIOUS AND FEARFUL
Dramatic and emotionao
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11
Q

Name 2 words to describe Cluster A PD.

A

Odd and Eccentric

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12
Q

Name 2 PD under Cluster A.

A
  • Paranoid
  • Schizoid
  • Schizotypical
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13
Q

What occurs with Paranoid PD?

A
  • excessive sensitivity
  • suspicious about friendly actions, sexual fidelity of partner
  • HUGE conspiracy theories of world events
  • combatitive sense of personal rights
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14
Q

What are the fts. of Schizoid PD?

-don’t give a shit pd

A
  • few joy from any activities
  • emotionally COLD
  • can’t be warm; flattened AFFECTIVITY
  • indifferent to praise
  • little interest in sexual exp.
  • solitary activities
  • preoccupation with FANTASY
  • no close friends
  • insensitivity to prevailing social norms
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15
Q

What occurs in schizotypical PD?

~~WILLY WONKA~~

A
  • ideas of reference
  • magical thinking (telepathy, sixth sense)
  • unusual perceptual exp.
  • odd thinking/speech
  • paranoid ideation
  • constricted AFFECT
  • peculiar behaviour
  • lacks close friends
  • excessive social anxiety (d/t PARANOIA)
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16
Q

What 2 words describe Cluster B PD?

A

Dramatic and Emotional

17
Q

Name pd conditions in Cluster B.

A
  • Histrionic
  • Borderline
  • Dissocial
18
Q

What are the fts of Dissocial/Anti-social PD?

  • (need 3 of these)
A
  • callous for others
  • disregard for social NORMS/ obligations
  • can’t maintain enduring relations (not hard to establish them)
  • Very low tolerance to frustration, aggression/violence
  • can’t feel GUILT
  • blames others
19
Q

What is the diff. between pscyhopathy and antisocial d.o?

A
  • antisocial PD is based on BEHAVIOUR

- psychopathy = set of deficits in emotional and cognitive functioning

20
Q

What (at least 3)fts are seen in Borderline/emotionally unstable personality d.o?

A
  • tendency to act UNEXPECTEDLY
  • quarrelsome behaviour; conflicts with others
  • outbursts of ANGER/VIOLENCE
  • unstable mood
  • won;t maintain action which has no immediate reward
21
Q

What are the additional fts of Emotionally Unstable PD? (at least 2)

A
  • uncertainty about self-image
  • intense, unstable relationships> emotional crisis
  • excessive effort to AVOID abandonment
  • recurrent threats of SELF-harm
  • chronic feeling of emptiness
22
Q

What are the fts of Histrionic PD? (at least 4)

A
  • self-dramatization, theatrical
  • shallow affectivity
  • seeks centre of attention
  • inappropriately SEDUCTIVE in appearance
  • overly concerned with physical attractiveness
23
Q

How would a Narcissist act? (at least 5)

A
  • grandiose of self-importance
  • fantasies of INFINITE success, beauty
  • thinks theyre EXTRA-ordinary; only connects those equallt extra-ordin.
  • sense of entitlement
  • no empathy
  • conceited
  • interpersonally OPPRESSIVE behaviour
  • desires admiration
24
Q

What 2 words describe Cluster C PDs?

A

anxious and avoidant

25
Q

What are conditions under cluster c?

A

Anankastic PD

Anxious PD

26
Q

What 4 fts should be present to confirm DX of avoidant PD?

A
  • PERSISTENT feeling of TENSION
  • belief that they are inferior to others
  • preoccupied about being rejected in social situations
  • unwilling to be involved with people unless CERTAINof being liked
  • avoids social/ occupational activities that require interpersonal contact
  • fears disapproval, rejection
27
Q

What are fts of dependent PD?

A

At least 4:

  • needs other to assume responsibility
  • diff. to assume DISAGREEMENT with other (fear of support)
  • diff. initiating thing
  • urgently seeks another relationship as a source of support when a close relationship ends
28
Q

What are the 4 fts of Obsessive-compulsive PD?

A
  • preoccupied with details –that the major point of the activity lost
  • interferes with task
  • devoted to work (neglects friendships and leisure)
  • inflexible about ethics, morals and values
  • ——rigidity and stubborness
  • –hoards money
29
Q

In psychopathy, what fts are seen in the interpersonal facet?

A
  • superficial charm
  • grandiose SELF-HARM
  • pathological lying
  • manipulative
30
Q

What are the antisocial fts seen in psychopathy? (voldemort)

A
  • poor behavioural controls
  • early behavioural problems
  • JUVENILE delinquency
  • CRIMINAL versatility
31
Q

What are the affective changes seen in psychopathy?

A
  • lack of REMORSE
  • shallow affect
  • CALLOUS
  • failure to ACCEPT responsibility for actions
32
Q

What is the treatment of avoidant PDs (OCPD/Dependant pd/ Avoidant pd) ?

A
  • social skills training !

- some evidence of anti-depressants

33
Q

What is the treatment of emotional PD (Borderline pd/ Anti-social PD/ Narcisstic pd/ histrionic pd) ?

A
  • DBT (reduces suicidal behaviour)
  • mentalisation
  • lamotigrine/ anti-psychotics
34
Q

What is seen with the avoidant PD?

A
    • fears criticisms, rejection, so avoids occupational activities
  • hangs with people if certain theyre liked
  • resistant in a relationship (fear of being judged)
  • feeling of inadequacy
  • not risk takers

PSYCHIATRY (32 decks)

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