Personality Disorders Dr. Schmidt Flashcards
ID
EGO
SUPEREGO
ID = i want (bad) SUPEREGO = I should (good) EGO = problem solves to decide and compromise
defense mechanism when unable to reason through reality
rearrange external experiences to eliminate the need to cope with reality
Projection is what
primitive behavior
= delusions about reality, self projecting ideas to other people
= person cheated on wife and then accuses wife of cheating
Denial is what
Primitive behavior
= refuse to accept reality due to anxiety so you state it does not exist
= common in initial shock during grief (healthy only then)
Splitting is what
Primitive behavior COMMON IN BORDERLINE PERSONALITY
= seeing people as all good or all bad
= there is no inbetween
Basic Defenses are what and other name
Displacement (neurotic behavior)
= shifting sexual or aggressive impulses to non threatening targets
= parents yells at child when mad at spouse, doctor yells at nurse when mad at patient
Regression is what
Neurotic Behavior
= temporary reversion of behavior to more childlike immature in certain situations
= adult starts baby talking in stressed situations
Somatization / Hypochondriasis is what
Neurotic Behavior
= transform negative feelings towards others to negative feelings about self (pain, illness, anxiety)
= student is embarrassed by resident and then next day has upset stomach when going to rotations (opposite of projection)
Introjection / Identification
Neurotic Behavior
= person imitates behaviors and emotions of others
= abused child becomes abusive parent , student takes on characteristics of their mentor
Isolation of effect is what
Neurotic Behavior
= separate feelings from ideas/events
= calm when talking about something sad, shocking, stressful
= person remembers events only avoids emotions
= common in alzheimers and conversion disorder
Intellectualization is what
Neurotic Behavior
= emotions replaced by thought, separate emotions from ideas focusing on intellectual things
= doctor focus on results then patients emotions, focusing on bone sticking and the physiology out then the pain and emotion of the event
Blocking is what
Neurotic Behavior
= temporarily stops thinking (stops for a moment)
Acting out is what
Neurotic Behavior
= cover up true feelings by showing a different usually anger
= drinks alcohol to cope with parents divorce, physician fights or bullies because cant handle internal emotions
Reaction Formation is what
Neurotic Behavior
= convert unconscious wishes and impulses that are threatening —-> opposite
= true belief causes anxiety to you believe the opposite
= co-workers fight only secretly attracted to eachother, student doesnt like kids becomes pediatrician
Undoing is what
Neurotic Behavior
= do something to fix a previous unacceptable behavior
= bulimia, partner violence, OCD
= buy flowers to partner after fight, superstitions
Rationalization is what
Neurotic Behavior
= convince yourself that the wrong thing you did is right (excuses)
= justify behavior or you or someone
= if my room wasnt so noisy i would have passed the exam
Passive aggressive is what
Neurotic Behavior
= aggression indirectly or passive (not physical or verbal)
= return a borrowed cup late because youre mad at them for letting their dog eat your plant
Dissociation is what
Neurotic Behavior
= drastic change in character or behavior to avoid distress TEMPORARY
= traumatic event boxed away so unable or hard to recall, assaulted person recalls what happened as if looking at someone else getting assaulted
Humor defense mechanism is what
Mature behavior
= overly expressing ideas or feelings about feelings that are terrible to talk about
= laughing when getting fired
= Making jokes out of being so sleep deprived (Sarcasm)
Suppression is what
Mature behavior
= intensionally (so no repression)
= decide to delay paying attention to an emotional need, can readily accept and access that emotion later
= after pt dies the doctor delays the emotion to treat others and deal with it later at home
= have fun at bar and forget stress even though you have an exam
Altruism defense mechanism is what
Mature behavior
= serve others to bring pleasure and satisfaction (above own needs to avoid discomfort)
= doctor does not go to childs play because hospital needs him
Sublimation is what
Mature behavior
= transform unpleasant emotions to positive action or emotion
= youre mad at someone and instead of yelling you go exercise, chop wood, paint, sing, clean hard
to diagnose a personality disorder you have to meet what criteria
- onset early adulthood/adolescence
- leads to distress /impairment
- infelxible, pervasive, deviating form culture, enduring pattern of inner and outer behaviors = Functional Impairment
DSM-5 defines personality disorders how
pattern enduring that deviates from culture of inner experience and behavior in 2 OR MORE :
- cognition (perceiving self and others),
- Affectivity (appropriateness and intensity)
- Interpersonal function
- impulse control
DSM 5 personality disorder you have to exclude what
trace back to early adulthood of distress and impairment
= cant be explained by another mental disorder
= no substance or alcohol use
Cluster A Paranoid Personality Disorder SX
suspicious esp infidelity, keeps grudges, easily offended, angry, suspects they have been victimized, preoccupied with loyalty and trustworthiness (thinks everyone is out to get them)
Cluster A Paranoid Personality Disorder management
be confident and clear when talking to them (they can pick up on small things and get paranoid)
- listen to complaints and accusations
- be honest
- clearly explain what you are doing and results
- acknowledge mistakes
