Personality disorders worksheet Flashcards
- What is personality? What are the factors identified in Chapter 18 (Evans, Nizette & O’Brien, 2017) which contribute to shaping our personalities?
Enduring and recognised characteristics that make us unique and shape our responses to live events.
Factors: genetics, family, life events, culture, society
- What are personality traits?
Aspects of maladaptive personality behaviours that do not meet the diagnosis for a disorder, often emerges when an individual is under stress.
- Deliberate self-harm can be a feature in the experience of people with a Personality Disorder. Outline some of the reasons for self-harming:
- Self-control
- emotional relief
- relieving tension build up
- alleviating empty feelings
- Escaping flashbacks
- expressing anger
- releasing self-hatred
- Decreasing alienation from others
Aetiology of personality disorders
5. The causes of personality disorder are not known. However there are some risk factors which have been identified as contributing to the development of personality disorders.
Genes
Parent with personality disorder
Early experiences of neglect and/ or trauma
- Summarise the criteria for the following DSM V TR classifications of ‘cluster B’ personality disorders
Antisocial personality disorder
At least 18 years old
Expressed conduct disorder before 15 years potentially
Disregard for the law
Reckless, aggressive, deceitful and impulsive behaviour
Do not show remorse
Difficulty sustaining employment/ study
- Summarise the criteria for the following DSM V TR classifications of ‘cluster B’ personality disorders
Borderline personality disorder
- Terrified of abandonment and actively attempts to avoid it
- Experiences intense and unstable moods
- Forms intense and unstable relationships
- Experiences disturbances of identity
- Engages in impulsive self-destructive behaviours
- Exhibits recurrent suicidal behaviours
- Experiences chronic feelings of emptiness and transient paranoia
- Summarise the criteria for the following DSM V TR classifications of ‘cluster B’ personality disorders
Histrionic personality disorder
- Craves being the centre of attention and engages in self-dramatization and/or uses physical appearance to attain this
- Displays inappropriately sexually seductive behaviour
- Uses speech to impress others but is lacking in depth
- Is prone to exaggeration and dramatic expression of emotion
- Tends to exaggerate the degree of intimacy that they share with others
- Tends to be easily led by others
- Summarise the criteria for the following DSM V TR classifications of ‘cluster B’ personality disorders
Narcissistic personality disorder
- Filled with self-importance and grandiosity
- Preoccupied with fantasies of success, power, genius and/ or beauty
- Profound belief of being special and entitles
- Displays arrogance
- Needs to be admired
- Lacks empathy
- May exploit others for own benefit
- Having looked at these criteria what do you think could be some problems with diagnosing personality disorders?
- Subjective criteria
- Negative stereotyping
- Checklists (what if someone meets 4/5 criteria?)
- Outline and explain the nursing interventions for working with someone with a Personality Disorder
- Management of self-harm
- Therapeutic communities
- Crisis interventions
- Team nursing
- Pharmacology
- Limit setting
- Self-management
- Outline the crisis assessment of a client with a personality disorder and the rationale for that assessment
Current risk level of violence to self and / or others
Identify and manage risk
- Outline the crisis assessment of a client with a personality disorder and the rationale for that assessment
Current level of understanding and previous self-management tools
Identify current and agreed strategies of use to manage the crisis (advanced directives)
- Outline the crisis assessment of a client with a personality disorder and the rationale for that assessment
Previous useful strategies
Often clients are aware of what has worked previously- engaging in these is useful
- Outline the crisis assessment of a client with a personality disorder and the rationale for that assessment
Drug and alcohol use
Identify likelihood of intoxication, withdrawals, impulsivity and risk.
- What other assessments are required for people presenting in crisis with a Personality Disorder?
- MSE
- AOD
- Functional assessment
- Risk assessment
- Current management plan?
