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Personality Disorders & Human Sexuality Flashcards

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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?

Study These Flashcards
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

Study These Flashcards
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

Study These Flashcards
A

Antisocial Personality Disorder

24
Q

People with antisocial personality disorder

MAY also show _____

25
Psychopathy describes a set of what 3 personality traits?
* 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
Most people with psychopathy meet criteria for a diagnosis of _____ personality disorder.
antisocial
27
T or F? | Most people w/ antisocial personality disorder meet criteria for psychopathy.
FALSE Most people with antisocial personality disorder do NOT meet criteria for psychopathy
28
Is "Psychopathy" a DSM IV or 5 diagnosis?
No, Psychopathy is NOT a DSM IV or 5 diagnosis but is widely used in forensic literature
29
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
Borderline Personality Disorder
30
T or F? | Parasuicidal behavior is very common in ppl w/ Borderline Personality Disorder.
True, common in 70-80%
31
Parasuicidal behavior -- is it intended to be lethal?
Usually not intended to be fatal
32
Which personality disorder is most highly associated with suicidal behaviors?
Borderline Personality Disorder Of persons diagnosed with BPD, • 8-10 % commit suicide • Up to 75% attempt suicide
33
_____ Personality Disorder involves a disturbance in all 4 areas of Personality Disorder.
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
What are the Demographics of Borderline Personality Disorder?
Predominantly female (up to 2:1 F > M) • High incidence of childhood emotional, physical & sexual abuse (up to 75%)
35
Meds to address Anxiety & panic?
SSRIs | Benzos (w/ care)
36
Meds to address Depression symptoms?
Antidepressants, preferably SSRI
37
Meds to address Impulsivity?
SSRI, beta-blockers
38
Meds to address poor reality testing?
Low dose neuroleptics
39
When does a personality "style" become a "disorder?
When pervasive, inflexible, & causes distress
40
Personality Disorders affect 2 or more of what 4 things?
Cognition Affectivity Interpersonal relationships Impulsivity
41
Cluster Group ___ overlaps w/ normal
C
42
Cluster Group ___ overlaps w/ psychotic spectrum disorders.
A
43
T or F? | Amphetamine, but not Methylphenidate, is a mild inhibitors of MAO
False. | Both Amphetamine & Methylphenidate are mild inhibitors of MAO
44
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.
False. | Amphetamine does both of these.
45
3 select brain regions where Methylphenidate increases DA activity?
Prefrontal Cortex, Nucleus Accumbens, & Striatum
46
Stimulants: what are potential effects on height & weight?
Preschool Study of ADHD (PATS) demonstrated a 20% decrease in expected height and 55% decrease in expected weight over 1 year of treatment
47
When monitoring a child's height & weight while they are prescribed stimulants, when would you refer them to a pediatric endocrinologist?
if height for age decreases by > 1 standard deviation while on stimulants
48
T or F? | Parents of children w/ ADHD have about the same risk of getting divorced as the parents of non-ADHD children.
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
What are the 3 main symptoms of ADHD?
inattention, hyperactivity, impulsivity
50
T or F? | ADHD symptoms are just excess amounts of normal behavior.
True

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