Personality disorders

Question 1

Define what personalitiy disorder means

Answer 1

disintegrated, fixed and concrete organisation of the mental, moral and social qualities of an individual

Question 2

Paranoid personality disorder (A)

Answer 2

excessive sensitiveness to setbacks and rebuffs, persistently bears a grudge, suspicious – may misconstrue actions as hostile, tenacious sense of personal rights, suspicious regarding fidelity of partner, excessive self-importance

Question 3

Schizoid Personality Disorder (A)

Answer 3

social detachment, emotional coldness or detachment, finds few activities pleasurable, limited capacity to express feelings, indifference to praise or criticism, little interest in sexual experiences, preoccupation with fantasy and introspection = eccentricity, lack of desire for relationships

Question 4

Dissocial (antisocial) Personality Disorder (B)

Answer 4

callous unconcern for feelings of others, disregard for social norms, rules and obligations, unable to maintain enduring relationships, low tolerance for frustration, low threshold for violence and aggression, incapacity to experience guilt, blames others

Question 5

Psychopathy

Answer 5

severe form of antisocial pd, characterised by antisocial behaviour, callous disregard and lack of empathy

Question 6

Emotionally Unstable (Borderline) Personality Disorder (B)

Answer 6

Impulsive type: Emotional instability and lack of control, Outbursts of violence and threatening behaviour are common especially in response to criticism
Borderline type: Emotional instability, Chronic feelings of emptiness, Intense unstable relationships – repeated emotional crisis, Suicidal threats or self-harm

Question 7

Histrionic Personality Disorder (B)

Answer 7

Self-dramatization – theatricality, Seeks excitement – centre of attention, Suggestibility, Shallow and labile affect, Inappropriate seductiveness, Over concern with physical attractiveness

Question 8

Anankastic (obsessive-compulsive) Personality Disorder ©

Answer 8

Preoccupation with details, rules, lists, order, organisation and schedule, Perfectionism interferes with task completion, Pedantic, rigid and stubborn, Insists others submit to their ways of doing things, Reluctant to allow others to do things, Intrusion of unwelcome, insistent thoughts or impulses.

Question 9

Anxious (avoidant) Personality Disorder ©

Answer 9

Pervasive tensions and apprehensions, Believe they are socially inept, unappealing or inferior to others, Preoccupation with being criticised or rejected – social situations, Unwillingness to become involved, Avoidance of activities involving interpersonal contact because of fear of criticism, disapproval or rejection.

Question 10

Dependent Personalitiy Disorder

Answer 10

Allows others to make important life decisions, Subordination of own needs to those of others on whom they are dependent, Fear of being abandoned, Uncomfortable or helpless when alone, Fear inability to care for themselves.

Question 11

Prominent problems with type A

Answer 11

The prominent problems are with the perceived safety of interpersonal relationships

Question 12

Prominent problems with type B

Answer 12

The prominent problems are with keeping feelings tolerable without acting

Question 13

Prominent problems with type C

Answer 13

The prominent problems relate to anxiety and how it is managed (in relationships)

Question 14

what diagnostic interveiws are done?

Answer 14

IPDE = international personality disorder examination) and questionnaires (PDQ = personality disorder questionnaire)

Question 15

Aetiology

Answer 15

genetics, trauma, emotional, negative affectivity, affective instability, emotional dysregulation, Inherited tendencies towards anxiety, emotional instability, reactivity, sensitivity, self-consciousness and being easily upsettion,

Question 16

what does Pharmacology do?

Answer 16

Pharmacotherapy directly influences personality disorders, exerts an effect over core or nuclear symptom clusters, exerts its therapeutic effect by treating comorbid Axis I disorders

Question 17

what are the effective ingredients of psychotherapy treatment?

Answer 17

structured, enhance complicance, clear focus, theoretically coherant for bothe patient and therapist, long term, powerful relationship, intergrated in other services for the patient.

Question 18

what is Mentalisation based therapy?

Answer 18

process by which we make sense of each other and ourselves, implicitly and explicitly, in terms of subjective states and intentional varied mental processes