Personality Disorders Flashcards
What is personality?
Cluster of relatively predictable patterns of thinking, feeling and behaving that is generally consistent across time and onset
How is personality defined?
Generally multi-dimensional spectrum rather than rigidly-defined categories
5 factor model = openness, conscientiousness, extraversion, neuroticism, agreeableness
What is a personality disorder?
Individual’s characteristic and enduring patterns of inner experience and behaviour markedly from the culturally expected and accepted range
What aspects do personality disorders manifest in?
Cognition, affectivity, impulse control and interpersonal functioning
What is cognition?
Ways of perceiving things and forming attitudes and images
What is affectivity?
Range, intensity and appropriateness of emotional response
What is interpersonal functioning?
Relating to others
What are some features of personality disorders?
Pervasive behaviour = inflexible and maladaptive
Personal distress or adverse impact on social areas
Can’t be explained by another adult mental disorder
Why are traits and disorders sometimes confused?
Some people may have traits that can sometimes cause problems
When is something classed as a disorder?
Only a disorder if pervasive, causes distress and/or impairs functioning
What are some rating scales of personality disorders?
ZAN-BPD, Personality assessment schedule, Personality disorders questionnaire, Minnesota multiphasic personality inventory, Borderline personality questionnaire, International personality disorder examination
What is the Personality assessment schedule?
Semi-structured interview of personality pathology from trait perscpetive
What is the Personality disorders questionnaire (PDG-4)?
100 item true or false questionnaire
What is the Borderline personality questionnaire?
80 true or false statements
How common are personality disorders?
10.6% of population have personality disorder
1 in 3 psychiatric outpatients have PD
1 in 2 psychiatric inpatients have PD
What is the classification of personality disorder under the DSM V?
Cluster A = paranoid, schizoid, schizotypal
Cluster B = antisocial, borderline, histrionic, narcissistic
Cluster C = avoidant, dependent, obsessive-compulsive
What is the classification of personality disorders under the ICD-10?
Cluster A = paranoid, schizoid
Cluster B = dissocial, emotionally unstable (impulsive or borderline), histrionic
Cluster C = anxious, dependent, anankastic
What is needed to diagnose paranoid PD?
At least 4 = Excessive sensitivity to setbacks
Tendency to bear grudges
Suspiciousness and tendency to misconstrue friendly actions of others as hostile
Combative and tenacious sense of personal rights outkeeping of the actual situation
Recurrent suspicions, without justification, about fidelity of partner
Persistent self-referential attitude, associated particularly with excessive self-importance
Preoccupation with unsubstantiated conspiratorial explanations of events in the world
What is the criteria for schizoid PD?
At least 4 = Few, if any, activities provide pleasure
Emotional coldness, detachment or flattened affectivity
Limited capacity to express warm feelings or anger
Indifferent to either praise or criticism of others
Little interest in having sexual experiences with others
Almost always chooses solitary activities
excessive preoccupation with fantasy
Neither desires, nor has, any close friends
Marked insensitivity to prevailing social norms
What is the criteria for schizotypal PD?
At least 5 = Ideas of reference Odd beliefs or magical thinking Unusual perceptual experiences Odd thinking and speech Suspiciousness or paranoid ideation Inappropriate or constricted effect behaviour or appearance that is odd Lack of close friends other than 1st degree relatives Excessive social anxiety
What is the criteria for dissocial PD?
At least 3 = callous unconcern for feelings of others
Irresponsible and disregard for social norms
Incapacity to maintain enduring relationships
Very low threshold for aggression and tolerance for frustration
Incapacity to feel guilt or to profit from adverse experiences
Marked proneness to blame others
What is dissocial PD commonly mistaken for?
Psychopathy
What are the two factors of psychopathy?
Factor 1 = interpersonal/affective
Factor 2 = social deviance (lifestyle, antisocial)
What are some interpersonal features of a psychopath?
Grandoise self-worth, pathological lying, manipulative, superficial charm