personality disorders Flashcards
the development of personality
where does the child develop?
what does the child bring into the process?
what do others bring into the process?
the idea of personality disorder
people can have habitual ways of relating to others and managing their feelings, that can be very problematic, and the focus of clinical concern
while personalities are complex and multifaceted, there can be predictable patterns - defining these patterns can be helpful
Personality
characteristics in the way someone relates to others, understands and manages their feelings, understands and manages their time, their movements, their habits and preferences. Determines to others who they are
Who you are to others and yourself
borderline personality disorder
when relationships are strained, real distress with frantic efforts to avoid abandonment
self-injury sometimes to regulate feelings
transient stress-related mood and psychotic-like disturbances
borderline personality disorder: what is worked on during therapy
improving capacity to keep reflective function at time of distress - mentalisation-based treatment
improving skills for distress tolerance and helping make emotions more predictable - Dialectical behaviour therapy
factor analysis: 5 constructs used to define how people vary
openness to new experience conscientiousness extrovertion/introversion agreeableness neurotisism - tendency to negative emotions
who gets borderline PD
often had serious problems with attachment and relationships growing up - have real reasons not to trust people and not to feel safe + secure in relationships
antisocial personality disorder
tendency towards offending behaviour, difficulties with impulse control and anger, often difficulty with empathetic concern for others
treating of antisocial personality disorders
small number of motivated patients do work with skilled psychotherapists, particularly in mild ASPD without significant psychopathy, but this is unusual and a condition at the boundary of treat-ability
cluster A disorders
paranoid, schizoid and schizotypal personality disorders
basic mistrust of others, and tend towards a withdrawal from ordinary sociality
cluster B disorders
EUPD, antisocial, narcissistic
serious problems of behaviour and impulse control
cluster C disorders
obsessive compulsive, dependent, avoidant
constitutional difficulty in the way anxiety is managed, particularly anxiety relating to ordinary social roles and responsibilities
treatment of personality disorders
need a formulation to provide a rationale for the treatment that suggests it has a high chance of being helpful
