Personality Disorders Flashcards
What is a PD?
•An enduring pattern of altered (two at least)
- Cognition
- Affectivity
- Interpersonal functioning
- Impulse control
Here’s some criteria that describe a PD:
- Markedly disharmonious attitudes/behaviours
- Chronic & Pervasive (not episodic)
- Present in wide range of social situations
- Appear young and carry into adulthood
- Cause significant personal distress
- Oft associated with occupation & social problems
There are 3 clusters to PDs, what are they?
A - Odd or eccentric (traditionally MAD) - problem with relationships
B - Dramatic or emotional (traditionally BAD) - Problem with control & Stability
C - Anxious or avoidant (traditionally SAD) - Problem with anxiety & managing it in relationships
What PDs fall into each cluster?
A - Schizoid PD &Paranoid PD
B - Emotional PD, Narcissistic PD, Antisocial PD, narcissistic
C - Dependant PD, Anxious PD
Describe a schizoid PD
Appear cold & detached, taking little interest in relationships, sex or praise/criticism
Also take pleasure in few activities
Describe a Paranoid PD
They have a pervasive suspicion or others & their motives, reading hidden meaning, attacks or betrayal into everything
Describe a Narcissitic PD
Tend to be grandiose with a need for admiration as well as lacking empathy and taking advantage
Describe a Borderline PD
Instability in relationships, self-image, affects and impulsivity
Describe an Antisocial PD
Disregard & violate the rights of others
Describe a Dependant PD
Excessive need to be taken care of leads them to submissive, clingy behaviour and a fear of seperation
Describe an Obsessive Compulsive PD
Preoccupied with orderliness, control &perfectionism to the point of sacrificing flexibility, openness & efficiency
Describe an Avoidant PD
Severe anxiety with a pattern of social inhibition, feeling inadequate and hypersensitivity to -ve evaluation
What is Psychopathy?
An extreme form of Antisocial PD
They display antisocial behaviour, callous disregard for others and a complete lack of empathy
It requires a long Psychopathy Checklist - Revised (PCL-R) to diagnose
What are we treating in a PD?
It’s not a mental illness as such. It’s a person with an extreme personality who needs help integrating into society, hence it’s psychological therapies not medicines.
Although they tend to suffer from higher rates of substance abuse, suicide and other mental illnesses which can be handled as per.
How do we treat PD?
Dialectical Behavioural Therapy
Psychodynamic Psychosocial Therapy
Mentalisation based Therapy