Personality disorders and psychotic disorders and guest lectures Flashcards
5 factor model of personality
openness, conscientiousness, extroversion, agreeableness, neuroticism
personality disorder
chronic and inflexible and maladaptive traits, pervasive, impairing and distressing, rigid pattern of inner experience that affects sense of self, emotional experience, goals, and relationships, long term and spectrum
cluster A
odd and eccentric (paranoid, schizotypal, schizoid)
cluster B
dramatic, emotional, erratic (histrionic, borderline, narcissistic, antisocial)
cluster C
anxious and fearful (avoidant, dependent, obsessive compulsive)
paranoid personality disorder (a)
suspicious and distrust in others, hypersensitive, preoccupied with doubts of others, on edge (cognition - highly suspicious, affect - negative, interpersonal - poor relationship and does not have trust, impulse control - quick to react in a negative manner)
schizoid personality disorder (a)
no interest in interpersonal, wants to be alone, anhedonia, flat, detached (cognition - disinterest, affect - flat, interpersonal - limited)
schizotypal personality disorder (a)
eccentric behavior, perceptual oddities, constricted affect (cognition - odd thinking, affect - flat, interpersonal - limited)
histrionic personality disorder (b)
attention seeking, vague, suggestive, views relationships as more intimate than they actually may be (cognition - self worth is attention, affect - exaggerated, interpersonal - embarrassing to others, may get bored, suggestible, impulse control - easily bored)
narcissistic personality disorder (b)
grandiose self, power and success, feels unique, need for admiration, lack of empathy, arrogant (cognition - grandiose, sense of self esteem, affect - sensitive to insult, interpersonal - low empathy)
antisocial personality disorder (b)
failure to conform to norm, deceitful, impulsive, reckless, lack of remorse (cognition - inflated sense of self, affect - low empathy, depression, inability to tolerate bored, interpersonal - trouble, disregard for others, impulse control - little regard for responsibility and need)
borderline personality disorder (b)
abandonment fears, unstable interpersonal, unstable image of self, impulsive, suicidal or non suicidal self injury
avoidant personality disorder (c)
social anxiety disorder, avoids interpersonal, restrains relationships, sensitive to opinions of other, fear of criticism and shame (cognition - low self esteem, affect - anxious, depressed, interpersonal functioning - difficulty forming intimate relationships)
dependent personality disorder (c)
challenges with making decisions, fear of loss of relationships, helpless alone, seeks other relationships if relationships end (cognition - low self esteem, affect - anxious, depressed, interpersonal - poor, clingy, submissive, impulse control - seeks reassurance of a new relationship if one does end)
DBT
type of CBT, focused on building a life worth living, dialectics, life interfering behaviors then therapy interfering behaviors then behaviors that interfere with life (mindfulness, emotions and thoughts and impulses, interpersonal effectiveness, emotion regulation)
DBT approach 3 steps
emotional vulnerability, emotion modulation, environmental invalidation
psychotic symptoms
positive (delusions, hallucinations), disorganized (thinking and behavior), negative (blunted affect, social withdrawal)
delusions
fixed beliefs that are not amenable to change despite conflicting evidence
types of delusions
persecutory (going to be harmed), referential (meaning to something), grandiose (exceptional ability), erotomaniac (someone is in love with you), bizarre (implausible)
hallucinations
perception like experiences that occur without external stimulus (auditory, visual, olfactory, gustatory, somatic, tactile)
delusional disorder
one or more delusion for at least a month, functioning is not impaired, mania or depression are brief relative to delusion
brief psychotic disorder
sudden onset, more than one day less than one month, delusions, hallucinations, disorganized speech, disorganized behavior/catatonia
schizophrenia
lasts six months, delusions and hallucinations or disorganized speech with disorganized behavior, catatonia, negative symptoms
schizoaffective
major mood episodes concurrent with symptoms of schizophrenia, can have bipolar or unipolar
