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Block 8 Week 6 Rhonda > Personality Disorders - Kohlenberg > Flashcards

Personality Disorders - Kohlenberg Flashcards

1
Q

people with personality disorders are ego…. and their lives are miserable (relationship failures, depression, suicide)

A

syntonic

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2
Q

When a child’s relationship with their primary caregiver is problematic, it can affect the development of….

A

identity and emotion regulation

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3
Q

(blank’s) responses to the child’s emotions are central to the development of personality

A

parent’s responses

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4
Q

When parents consistently respond with inaccurate labels, out of sync emotion, or abuse, it leads to….

A

invalidation which can lead to psychopathology

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5
Q

children who experience childhood abuse or neglect were how many times more likely to be diagnosed with a personality disorder?

A

4x

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6
Q

What percent of pts with a PD have a history of abuse?

Hx of neglect?

A

73% abuse

82% neglect

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7
Q

what are the ultimate invalidators of a child’s internal emotional experience?

A

abuse and neglect

become tied to disorders of the self

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8
Q

What are 6 elements for a personality disorder?

A
  1. An enduring pattern of inner experience and behavior.
  2. The enduring pattern is inflexible and pervasive.
  3. The pattern leads to clinically significant distress or impairment in social or occupational areas of functioning
  4. The pattern is of long duration, onset in adolescence or early adulthood.
  5. Not better explained as a manifestation or consequence of another mental disorder.
  6. Not due to physiological effects of a substance or medical condition.
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9
Q

When are PD’s normally evident?18

A

by early adulthood

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10
Q

T/F: PD’s may not be considered problematic to the individual

A

true; aka ego-syntonic

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11
Q

Can you diagnose a PD in kids?

A

rarely; NEVER antisocial before 18

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12
Q

What are the cluster A personalities?

A

Odd or eccentric

paranoid, schizoid, schizotypal

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13
Q

What are the cluster B personalty disorders?

A

dramatic, emotional, erratic

antisocial, borderline, histrionic, narcssitic

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14
Q

What are the cluster C personality disorders?

A

Anxious and fearful

avoidant, dependent, OCD

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15
Q

what are the features of paranoid personality disorder?

A

A pattern of pervasive distrust and suspiciousness of others such that their motives are considered malevolent. Begins in early adulthood, across a variety of contexts.

  1. reluctant to confide; thinks it will be used against them
  2. seeing insults in everything
  3. bears grudges
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16
Q

Why is paranoid personality disorder not paranoid schizophrenia?

A

no clear cut delusions, hallucinations, or other psychotic features and the symptoms are ENDURING

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17
Q

Does paranoid personality disorder happen during schizophrenia or a mood disorder?

A

nope

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18
Q

what are the qualities of schizoid PD?

A

detachment from social relationships; does not desire or enjoy close relationships, including being part of a family
no interest in sex
lacks close friends
emotional coldness

19
Q

Does schizoid PD occur during schizophrenia or mood disorders?

A

nope

20
Q

How do you distinguish avoidant PD from schizoid?

A

in schizoid there is a preference for being alone

21
Q

what are the features of schizotypal PD?

A 
social and interpersonal difficuties
reduced capacities for close relationships 
cogntive/perceptual distortions
eccentric behavior
magical thinking
bodily illusions
odd thinking and speech
peculiar behavior/appearance
paranoid
constricted affected
22
Q

is schizotypal PD part of schizophrenia?

A

nope

23
Q

what are Dx criteria for antisocial PD?

A

disregard/violatoin of rights of others that began in childhood and continues into adulthood
must be 18 to get Dx

24
Q

what are the DSM5 criteria for antisocial PD?

A 
ID: ego-centrism
self direction: personal gratification--does not abide by law or culture
Emapthy: lack of concern for others
intimacy: incapacity for mutual relationships
manipulative
deceitful
callousness
hostility
irresponsibility
impulsivity
risk taking
25
Q

What are the Tx for antisocial PD?

A

no EST
involuntary Tx
aging

26
Q

What are the features of borderline PD?

A 
instability of interpersonal relationships and self image
marked impulsviity in early adulthood
frantic efforts to avoid abandonment
idealized and devalued interpersonal relationships
unstable sense of self
impulsive behavior
reactivity of mood
chronic feelings of emptiness
recurrent SI or self harm
inappropriate anger
stress related paranoid ideation
27
Q

what is the Tx for Borderline PD?

A

DBT

28
Q

what percent of borderline PD pts improve with DBT?

A

80%

29
Q

borderline PD is as common as what other disorders?

A

schizophrenia or bipolar disorder

30
Q

What percent of outpts and psych inpts have borderline pd?

A

11% outpt
20% inpt
6% primary care

31
Q

describe the biological vulnerability of a person with borderline PD

A 
high sensitivity
high reactivity
long lasting arousal
mood instability
these things make abuse especially powerful
32
Q

what is inhibited greiving?

A

involuntary, automatic avoidance of painful emotional experience

33
Q

What is the function of self harm?

A

decrease in negative emotion or shame

feel as if they exist

34
Q

What was Linehan’s work in DBT?

A

skills focused on inner experience (emotional dysregulation, mindfulness, wise mind)
skills on effectiveness in the world (chain analysis, problem solving, affirmation)

35
Q

what is the wise mind?

A

the balance between the rational/logical mind and the emotional mind

36
Q

what are the features of histrionic PD?

A

excessive emotionality and attention seeking behavior
begins in early adulthood
dramatic, colorful, extroverted, excited
Deep seated inability to maintain strong, reciprocal, long lasting friendships
Love attention, unable to be ignored, shallow

37
Q

Narcissistic Pd has what features?

A

grandiose sense of self importance
preoccupied with fantasies of unlimited power, success, love, etc.
believes they are unique
no ability to be empathic

38
Q

Is narcissism in adolescents predictive of NPD in adults?

A

nope

39
Q

is NPD heritable?

A

nope

40
Q

what are the features of avoidant PD?

A 
social inhibition
feelings of inadequacy
hypersensitivity to negative eval
avoids jobs with interpersonal contact 
fears disapproval and rejection
restraint in intimate relationships
41
Q

What are the features of dependent PD?

A

need to be taken care of leading to submissive and clinging behaviors
difficulty making everyday decisions without advice
needs other to assume responsibility for most major areas in life
has difficulty disagreeing with others

42
Q

what are the features of OCD?

A

A preoccupation with orderliness, perfectionism, and mental and interpersonal control, at the expense of flexibility, openness, and efficiency.

43
Q

Describe the difference between OCD and OCPD/

A

OCD: much suffering; compulsive behaviors and thoughts
OCPD: personality style, not in misery

Block 8 Week 6 Rhonda (12 decks)

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