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Psych Exam 1 > Personality Disorders - Vertrees/Berges > Flashcards

Personality Disorders - Vertrees/Berges Flashcards

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1
Q

personality disorder

A

pattern of inner experience - deviates from expectations from culture

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2
Q

diagnosis of personality disorder

A

2 or more areas

cognition
affectivity - emotion
interpersonal function
impulse control

impair social functionaling

begins adolescence/early adult

not caused other condition

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3
Q

med causes causing personality change

A 
hyperPTH
HIV
neurosyphilis
sleep apnea
brain tumor
head injury
MS
huntingtons
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4
Q

personality disorder clusters

A

A - odd and eccentric
B - dramatic, emotional, erratic
C - anxious, fearful

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5
Q

cluster A PD

A

odd and eccentric

paranoid
schizoid
schizotypal

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6
Q

cluster B PD

A

dramatic, emotional, erratic

borderline
narcissistic
histrionic
antisocial

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7
Q

cluster C PD

A

anxious and fearful

anxious
dependent
obsessive compulsive

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8
Q

paranoid personality

A

Pervasive distrust and suspiciousness of others such that their motives are very often interpreted as malevolent

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9
Q

dx of paranoid personality

A

4 of following

  • other lie, harm them
  • doubt others loyalty
  • fear of confiding in others
  • cannot forgive
  • see character attacks
  • recurrent suspicious of infidelity
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10
Q

defenses paranoid personality

A

splitting

projection

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11
Q

tx paranoid personality

A

supportive psychotherapy
low dose antipsychotics

trust is main concern

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12
Q

schizoid personality

A

pervasive detachment from social relationships

-restricted range of emotional expression

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13
Q

diagnosis of schizoid personality

A

4 or more of following

  • neither desire/enjoy close relation
  • choose solitary activity
  • little interest in having sex
  • pleasure in few activities
  • lacks close friends - other than 1st degree relatives
  • indifferent to praise
  • emotional cold, detachment, flat affect
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14
Q

tx schizoid personality

A

supportive psychotherapy

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15
Q

schizotypal personality

A

magical thinking

-appearance and behavior odd, eccentric, peculiar

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16
Q

diagnosis of schizotypal personality

A

5 of following

  • ideas of reference
  • magical thinking
  • unusual perceptual experience
  • odd form thought
  • suspicious of paranoid aspect
  • odd affect
  • odd behavior
  • no close social ties
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17
Q

tx schizotypal personality

A

defense - denial, distortion, projection, schizoid fantasy

support reality based therapy
-low dose antipsychotics

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18
Q

antisocial personality

A

pattern of exploiting others
-disregard rights of others and society

does not learn from past
evidence before 15
irritable and aggressive
lack of remorse
reckless disregard for safety of self

more in males
substance abuse, depression, suicide

difficult to tx

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19
Q

diagnosis antisocial PD

A

3 of following

  • failure conform social norms
  • deceitful
  • impulsive, short term thinking
  • irritable and aggressive
  • disregard safety of others
  • fail assume responsibility self
  • lack of remorse

age >18yo

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20
Q

MC comorbid with antisocial

A

substance abuse

21
Q

tx of antisocial

A

individual/group therapy

22
Q

tx of antisocial

A

individual/group therapy

23
Q

magical thinking

A

belief thoughts can cause something to happen

24
Q

psychopath

A

lots of planning

25
Q

conduct disorder

A

behavior in:

  • theft
  • violation of age appropriate rules
  • physical aggression

on way to antisocial - but not 15

triad - bed wetting, fire setting, cruelty to animals

26
Q

bed wetting, fire setting, cruelty to animals

A

conduct disorder

27
Q

high prevalence in family of schizophrenia

A

schizotypal PD

28
Q

cluster B

A

dramatic personalities

antisocial
borderline
histrionic
narcissistic

29
Q

cluster C

A

shy and needy

avoidant
dependent
obsessive compulsive

want friends, but don’t know how to do it

30
Q

everything needs to be perfect

A

obsessive compulsive PD

31
Q

tattoo

A

alcohol use
drug use
antisocial

32
Q

mixed personality disorder

A

PD not otherwise specified

no longer diagnostic - but focus of tx

33
Q

borderline PD

A

world of turmoil and intensity
-everything intense

major internal stress

significant use of physicians and therapy

non-adherent to tx

34
Q

borderline PD sex

A

more in females

35
Q

perceive others as all good or all bad

A

borderline PD

splitting

36
Q

borderline

A

between schizophrenia and depression

37
Q

10% borderline

A

commit suicide

38
Q

arrested oedipal development between patient and mother

A

borderline PD

frequently - mother absent
-between 18mo-3yo

39
Q

marked mood lability and instability

A

borderline PD

40
Q

histrionic PD

A

overly dramatic
2% of population

everything bigger, better, and more impressive

tx - CBT, group therapy

41
Q

flamboyant in appearance and unaware of how appear to others

A

histrionic PD

42
Q

narcissistic PD

A

I am the greatest

inflated sense self importance

entitlement

relationships superficial, cold, serving

lawyers, doctors, executives

43
Q

prevalence narcissistic PD

A

6%

may enter therapy for tx of anger/depression

hard to tx

44
Q

avoidant PD

A

shy personality

desire to have relationships - but don’t know how to do it

45
Q

schizoid

A

don’t need other people

46
Q

tx avoidant

A

SSRI and benzos

47
Q

tx avoidant

A

SSRI and benzos

48
Q

OC PD

A

see traits as perfectionism

49
Q

OCD

A

see traits as pathologic

Psych Exam 1 (16 decks)

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