Personality Disorders - Kohlenberg Flashcards
people with personality disorders are ego…. and their lives are miserable (relationship failures, depression, suicide)
syntonic
When a child’s relationship with their primary caregiver is problematic, it can affect the development of….
identity and emotion regulation
(blank’s) responses to the child’s emotions are central to the development of personality
parent’s responses
When parents consistently respond with inaccurate labels, out of sync emotion, or abuse, it leads to….
invalidation which can lead to psychopathology
children who experience childhood abuse or neglect were how many times more likely to be diagnosed with a personality disorder?
4x
What percent of pts with a PD have a history of abuse?
Hx of neglect?
73% abuse
82% neglect
what are the ultimate invalidators of a child’s internal emotional experience?
abuse and neglect
become tied to disorders of the self
What are 6 elements for a personality disorder?
- An enduring pattern of inner experience and behavior.
- The enduring pattern is inflexible and pervasive.
- The pattern leads to clinically significant distress or impairment in social or occupational areas of functioning
- The pattern is of long duration, onset in adolescence or early adulthood.
- Not better explained as a manifestation or consequence of another mental disorder.
- Not due to physiological effects of a substance or medical condition.
When are PD’s normally evident?18
by early adulthood
T/F: PD’s may not be considered problematic to the individual
true; aka ego-syntonic
Can you diagnose a PD in kids?
rarely; NEVER antisocial before 18
What are the cluster A personalities?
Odd or eccentric
paranoid, schizoid, schizotypal
What are the cluster B personalty disorders?
dramatic, emotional, erratic
antisocial, borderline, histrionic, narcssitic
What are the cluster C personality disorders?
Anxious and fearful
avoidant, dependent, OCD
what are the features of paranoid personality disorder?
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.
- reluctant to confide; thinks it will be used against them
- seeing insults in everything
- bears grudges
Why is paranoid personality disorder not paranoid schizophrenia?
no clear cut delusions, hallucinations, or other psychotic features and the symptoms are ENDURING
Does paranoid personality disorder happen during schizophrenia or a mood disorder?
nope
what are the qualities of schizoid PD?
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
Does schizoid PD occur during schizophrenia or mood disorders?
nope
How do you distinguish avoidant PD from schizoid?
in schizoid there is a preference for being alone
what are the features of schizotypal PD?
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
is schizotypal PD part of schizophrenia?
nope
what are Dx criteria for antisocial PD?
disregard/violatoin of rights of others that began in childhood and continues into adulthood
must be 18 to get Dx
what are the DSM5 criteria for antisocial PD?
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
