Personality Disorders - Baldes Flashcards
What is Dr. Baldes’ definition of personality disorders?
A fixed, maladaptive pattern of coping in social contexts.
A.K.A. People problems.
What are the three flavors of personality disorders?
- Cluster A - Weird
- (psychotic disorders) – mostly heritable, environmental doesn’t matter much
- Paranoid, Schizotypal, Schizoid
- Cluster B - Wild
- 50/50 heritable, development and environment influential, rageful patients, but treatment effective
- Borderline, Narcissistic, Antisocial, Histrionic
- Cluster C - Worried
- some heritable, mostly development environment
- Avoidant, Dependent, Obsessive Compulsive
What personality disorder includes pervasive distrust and suspiciousness of others such that their motives are interpreted as malevolent, beginning by early adulthood; no hallucinations, very organized, don’t like authority figures; misinterpretation of the world, threat detector is over sensitive; and difficulty with relationships?
Paranoid Personality Disorder
(Cluster A - Weird)
What personality disorder includes a pervasive pattern of detachment from social relationships and a restricted range of expression of emotions in interpersonal settings beginning by early adulthood; no desire for close relationships; no sex drive; show little to no emotion, flat affect; not functioning particularly well; “Basement boys” of the world → those that don’t launch and are split off from society; no good feelings when around their family/friends, but they are not distressed by this?
Schizoid Personality Disorder
(Cluster A - Weird)
What personality disorder includes pervasive patterns of social and interpersonal deficits marked by acute discomfort with, and reduced capacity for, close relationships as well as cognitive or perceptual distortions and eccentricities of behavior beginning by early adulthood; have ideas of reference → perceptual experience/interpretation that something is referring to them specifically even though it is not, but it is challengeable (if not challengeable then it would be a delusion); perceptions of having “magical thinking” - 6th sense; unusual perceptual experiences - brain taking in info in a strange way; circumstantial thought/speech - train of thought is not tangential and skewed before it arrives at the end point, NOT LOGICAL (loose association); a lack close friends; social anxiety; paranoid fears but no negative judgements about self?
Schizotypal Personality Disorder
(Cluster A - Weird)
***Most like schizophrenia
What personality disorder includes pervasive patterns of instability of interpersonal relationship, self image, and affects, and marked impulsivity beginning in early adulthood; efforts to avoid perceived abandonment; unstable and intense interpersonal relationships → someone is either the greatest person ever or the worst person ever (and nowhere in between); not doing well with shades of grey, things either one thing or the other; identity disturbance - they don’t know who they are or what they stand for; impulsive in ways that can be damaging to their life; non-suicidal self injury (seen more in women); wanting to channel emotional pain into physical pain; sense of euphoria; suicidal threats - to maintain relationship, they can have accidental suicide; intense episodic mood swings based on things outside their control (external locus) ⇒ if they think they are bipolar then they are likely borderline; potentially daily mood swings; anger/rage problems, can’t control, get in fights; manifestations in early to middle adolescents; influences in developmental experiences; making frequent significant changes in appearance and identify strongly how they look to who they are?
Borderline Personality Disorder
(Cluster B - Wild)
What personality disorder includes pervasive patterns of grandiosity (fantasy or behavior), need for admiration, lack of empathy; thinking their achievements are bigger than they are - want to be recognized; big reality tv fanatics, believe they are special and unique and belong with only other special people; feeling entitled and taking advantage of others to get ahead; showing arrogance, feeling very powerful; envious of others, and they believe others are envious of them; causing distress when they are not recognized for their success; more prevalent in men than women; tendencies to have a moderate amount of success although feel they should be at the top of the world; manifestations in early adulthood?
Narcissistic Personality Disorder
(Cluster B - Wild)
What personality disorder includes pervasive patterns of disregard for and violation of the rights of others; not conforming to social norms (and they don’t give a fuck about it); breaking the law - ending up in jail; using aliases - they enjoy conning others for their own pleasure; irritable and aggressive behaviors- get into fights - don’t care about their own safety or others safety; attempts of trying to rationalize their behavior; unemployed so borrowing money and don’t pay it back; apologizing but they actually aren’t sorry - no shame; not very treatable condition, however are held accountable for their actions; no redeeming characteristics; prevalence higher in men than women; symptoms occurring since the age of 15 years → commonly abused as children; often had conduct disorder as children?
Antisocial Personality Disorder
(Cluster B - Wild)
What personality disorder includes pervasive patterns of excessive emotionality and attention seeking; attention whores; uncomfortable feelings when they are not the center of attention; seductive or sexually provocative - come to doctor office looking slutty; melodramatic behaviors - display emotions with arms for example; use of dramatic language; large influence by others - consider relationships to be more intimate than they actually are (will try and get with their doctors - watch out guys); prevalence higher in women than men; and manifestations begin in early adulthood?
Histrionic Personality Disorder
(Cluster B - Wild)
What personality disorder includes pervasive patterns of social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation, beginning by early adulthood (can show signs as kids); avoidance of occupational activities due to fear of criticism → more likely to have job that is very isolated; unwillingness to get involved unless they are certain they will be liked → therefore not in relationships; seeing the world as a dangerous place, but they would rather internalize their fear; struggling socially their entire life; and maybe bullied?
Avoidant Personality Disorder
(Cluster C - Worried)
What personality disorder includes pervasive and excessive need to be taken care of that leads to submissive and clinging behavior and fears of separation, beginning by early adulthood and presenting in a variety of contexts; VERY needy behaviors; needing others to assume responsibility over many aspects of their life; being unable to make decisions without a lot of reassurance; not initiate projects or do things on their own - secondary to lack of confidence (not lack of motivation); volunteering to do anything, even if it’s inconvenient to them; always needing to be in relationship due to fear of taking care of self?
Dependent Personality Disorder
(Cluster C - Worried)
What personality disorder includes pervasive patterns of preoccupation with orderliness, perfectionism, and mental and interpersonal control, at the expense of flexibility, openness, and efficiency, beginning in early adulthood; spending so much time optimizing that nothing actually gets done; perfectionism that affects production; over conscious/scrupulous that has nothing to do with religion; hoarding tendencies - unable to get rid of objects; not working well with others?
Obsessive Compulsive Personality Disorder
(Cluster C - Worried)
