Personality Disorders & Human Sexuality Flashcards

1
Q

Do personality disorders usually change & fluctuate over time or are they relatively stable over time?

A

Relatively stable over time

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2
Q

When do personality disorders usually begin?

A

Adolescence or early adulthood

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3
Q

Personality Disorder symptoms affect 2 or more of what 4 things?

A
  • Cognition (sense of self and others, feeling of self-mastery, identity, understanding of events)
  • Affectivity (range, intensity, lability)
  • Interpersonal functioning (empathy, intimacy, capacity for emotional investment in/ maturity of relationships with others)
  • Impulse control
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4
Q

DSM: Cluster A Personality Disorders?

A

Schizotypal, Paranoid, Schizoid

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5
Q

DSM: Cluster B Personality Disorders?

A

Antisocial, Borderline, Narcissistic Histrionic

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6
Q

DSM: Cluster C Personality Disorders?

A

Avoidant, Obsessive-Compulsive, Dependent

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7
Q

Dx?
Cognitive or perceptual distortions and
eccentricities in behavior

A

Schizotypal

A

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8
Q

Dx?
Pervasive sense of distrust or
suspiciousness (prominent personality traits:
suspiciousness, intimacy avoidance, hostility, unusual
beliefs)

A

Paranoid

A

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9
Q

Dx?
Pattern of detachment from social
relationships, restricted range of emotion in social
relationships (prominent personality traits social
detachment, intimacy avoidance, restricted affect,
anhedonia)

A

Schizoid

A

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10
Q

Dx?
Stereotype = Computer Programmer

  • these ppl do better in POW camp (b/c don’t have urge to make relationships)
A

Schizoid

A

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11
Q

Dx?

  • Not psychotic or delusional, but see the world a little weird
  • Slightly on the edge

Ex: ppl who believe you can read minds

A

Schizotypal

A

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12
Q

Dx?

Regularly disregard and violate the rights of others

A

Antisocial/Psychopath

B

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13
Q

Dx?

Instability of interpersonal relationships, self-image, and affects, and marked impulsivity

A

Borderline

B

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14
Q

Dx?

Grandiosity (in fantasy or behavior), need for admiration, lack of empathy

A

Narcissistic

B

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15
Q

Dx?

Excessive emotionality and attention seeking

A

Histrionic

B

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16
Q

Dx?
Socially inhibited, persistent feelings of inadequacy, hypersensitivity to negative evaluation, avoidance of people or situations where might get criticised or rejected

A

Avoidant

C

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17
Q

Dx?
Preoccupation with orderliness, perfectionism, & control, at the expense of flexibility, openness, and efficiency; seen by others as cold, rigid

A

Obsessive-Compulsive
(different from OCD)
(C)

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18
Q

Dx?
Excessive dependence on others, clinging, fears of separation, needs others to make decisions, constant reassurance (prominent personality traits submissiveness, anxiety, separation insecurity)

A

Dependent

C

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19
Q

Cluster A overlaps with ______

A

psychotic spectrum disorders

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20
Q

Cluster C overlaps w/ ______

A

normal

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21
Q

Most common Cluster seen in medical practice?

A

Cluster B

Borderline Personality Disorder and Antisocial
Personality Disorder
• High utilization of health care, often in urgent/
emergent settings
• Disproportionate use of care-giver time

22
Q

People with _____ & _____ personality

disorders are more likely to have experienced abuse &/ or neglect in childhood

A

borderline & antisocial

23
Q

Dx?
Pervasive pattern demonstrating 3 or more of the following:
• failure to conform to social norms with respect to lawful behaviors as indicated by repeatedly performing acts that are grounds for arrest
• deceitfulness, as indicated by repeated lying, use of aliases, or conning others for personal profit or pleasure
• impulsivity or failure to plan ahead
• irritability and aggressiveness, as indicated by repeated physical fights or assaults
• reckless disregard for safety of self or others
• consistent irresponsibility, as indicated by repeated failure to sustain consistent work behavior or honor financial obligations
• lack of remorse, as indicated by being indifferent to or rationalizing having hurt, mistreated, or stolen from another

A

Antisocial Personality Disorder

24
Q

People with antisocial personality disorder

MAY also show _____

A

psychopathy

25
Q

Psychopathy describes a set of what 3 personality traits?

A
  • Arrogant interpersonal style: egocentricity, lack of concern for others, superficiality, manipulativeness
  • Deficient affective experience: less able to appreciate the emotional significance of events or experiences -> lack empathy, remorseless
  • Impulsive behavioral style
26
Q

Most people with psychopathy meet criteria for a diagnosis of _____ personality disorder.

A

antisocial

27
Q

T or F?

Most people w/ antisocial personality disorder meet criteria for psychopathy.

A

FALSE

Most people with antisocial personality disorder do NOT meet criteria for psychopathy

28
Q

Is “Psychopathy” a DSM IV or 5 diagnosis?

A

No, Psychopathy is NOT a DSM IV or 5 diagnosis but is widely used in forensic literature

29
Q

Dx?
A pervasive pattern of instability of interpersonal relationships, self-image, and affects, and marked impulsivity as indicated by at least 5 of the following signs/symptoms
• Frantic efforts to avoid real or imagined abandonment
• Unstable and intense interpersonal relationships alternating between extremes of idealization and devaluation
• Identity disturbance: markedly and persistently unstable sense of self
• Impulsiveness in at least two areas that are potentially self-damaging
• Recurrent suicidal threats, gestures or behavior, or self-mutilating behavior (“parasuicidal”)
• Affective instability due to a marked reactivity of mood
• Chronic feelings of emptiness
• Inappropriate intense anger or difficulty controlling anger
• Transient, stress-related paranoid ideation or severe dissociative symptoms

A

Borderline Personality Disorder

30
Q

T or F?

Parasuicidal behavior is very common in ppl w/ Borderline Personality Disorder.

A

True, common in 70-80%

31
Q

Parasuicidal behavior – is it intended to be lethal?

A

Usually not intended to be fatal

32
Q

Which personality disorder is most highly associated with suicidal behaviors?

A

Borderline Personality Disorder

Of persons diagnosed with BPD,
• 8-10 % commit suicide
• Up to 75% attempt suicide

33
Q

_____ Personality Disorder involves a disturbance in all 4 areas of Personality Disorder.

A

Borderline

  • Cognition (identity disturbance, sense of emptiness, dissociation, extreme sensitivity to perceived interpersonal slights, loss or disappointments)
  • Affectivity (labile affect, intense anger, rapidly changing, intense, and unpredictable emotions, easily feel misunderstood, mistreated)
  • Interpersonal functioning (chaotic relationships, fears of abandonment, relationships often veer between excessive dependency and flight from involvement)
  • Impulse control (parasuicidal behavior, impulsivity often with risky behaviors eg substance misuse, reckless driving, binge eating, dangerous sexual encounters)
34
Q

What are the Demographics of Borderline Personality Disorder?

A

Predominantly female (up to 2:1 F > M)

• High incidence of childhood emotional, physical & sexual abuse (up to 75%)

35
Q

Meds to address Anxiety & panic?

A

SSRIs

Benzos (w/ care)

36
Q

Meds to address Depression symptoms?

A

Antidepressants, preferably SSRI

37
Q

Meds to address Impulsivity?

A

SSRI, beta-blockers

38
Q

Meds to address poor reality testing?

A

Low dose neuroleptics

39
Q

When does a personality “style” become a “disorder?

A

When pervasive, inflexible, & causes distress

40
Q

Personality Disorders affect 2 or more of what 4 things?

A

Cognition
Affectivity
Interpersonal relationships
Impulsivity

41
Q

Cluster Group ___ overlaps w/ normal

A

C

42
Q

Cluster Group ___ overlaps w/ psychotic spectrum disorders.

A

A

43
Q

T or F?

Amphetamine, but not Methylphenidate, is a mild inhibitors of MAO

A

False.

Both Amphetamine & Methylphenidate are mild inhibitors of MAO

44
Q

T or F?
Amphetamine promotes release of NE and DA from cytoplasmic pools, but does NOT promote passive diffusion of NE and DA into synaptic cleft.

A

False.

Amphetamine does both of these.

45
Q

3 select brain regions where Methylphenidate increases DA activity?

A

Prefrontal Cortex, Nucleus Accumbens, & Striatum

46
Q

Stimulants: what are potential effects on height & weight?

A

Preschool Study of ADHD (PATS) demonstrated a 20% decrease in expected height and 55% decrease in expected weight over 1 year of treatment

47
Q

When monitoring a child’s height & weight while they are prescribed stimulants, when would you refer them to a pediatric endocrinologist?

A

if height for age decreases by > 1 standard deviation while on stimulants

48
Q

T or F?

Parents of children w/ ADHD have about the same risk of getting divorced as the parents of non-ADHD children.

A

False.
Parents of children w/ADHD are 3-5x more likely to become separated or divorced.

Then also have a higher incidence of depression & family discord

49
Q

What are the 3 main symptoms of ADHD?

A

inattention, hyperactivity, impulsivity

50
Q

T or F?

ADHD symptoms are just excess amounts of normal behavior.

A

True