psych wk 2-personality disorders Flashcards
t or f personality disorders are unstable and flexible
f they are stable and inflexible and pervasive
t or f the pts personality disorder can be asymptomatic and then flare up when under stress
t
common fts and diagnostic criteria of Personaty disorder
Maladaptive cognitive schema
Affectivity and emotional instability
Impaired self-identity and interpersonal functioning
Impulsivity and destructive behaviour
what are maladaptive cognitive schema
their perception/interpretation of the world is skewed. They misinterpret the world incorrectly eg make assumptions that are incongruent witht he reality
• They often have dysfunctional responses to things. Misinterpret innocent gesture and have extreme reaction
t or f women are more likley to have personality disorders
f. it is seen to be equal in both genders
what kind of impulsive behav might a pt with personality disorder display and why do they often end up being seen by drs
often suicide attempts
often seen by drs due to destr behaviour
what are speculated et of personality disorders
- Temperament
- Environment
- Co-morbidity
- Genetic
- Emotional/Behavioural
what is temperament and how will they look at this
pt can have anxious, attached, relaxed, mellow temperament). Temperament has to do with adaptability. They will look all the way back to the infant and often temperamnt will show at this time
what kind of childhood might result in personality disorder
maltreatemet and childhood neglect. It significantly inc the risk of personality disorder
which meds indicate that there is a biologic influence in PDisorders
SSRIs–pts on these tend to have dec incidence of PDs
people w schizotypal PD can espond to atypical antipsychotics
what is one of the more common PDs we see in hospital
borderline PD
Cluster a b or c
Which has anxious, fearful thinking or behavior
Cluster c
Cluster a b or c
Odd or eccentric and often socially awkward or withdrawn
Cluster a-
a is for awkward and alone
Cluster a b or c
Orderly and anxious when in isolation
May display passive aggression
Cluster c
Cluster a b or c
Dramatic emotional and erratic
Cluster b
Cluster a b or c
Which is characterized by distorted thinking and what does this entail
A
Delusional or paranoid thoughts
What are general feat of cluster b
Dissociation or denial
Abusive behav both physical and emotional
Splitting or dichotomous thinking–no grey area just black and white
Emotional dysregulation-react before thinking and don’t modulate emtitions well
How might aggression manifest differently in cluster b and c
Cluster b
Abusive behav that is verbal and physical
Cluster c
Passive aggression-indirect displays of hostility
Beyond being orderly, anxious, fearful and passive aggressive what characteristics might you see in cluster c
Self chosen failure-they’ll take on things they know they can’t complete
Masochistix
Dysthymic-mild depression symptoms but can still fx in daily life
Cluster a disorders are
Paranoid PD
Schizoid
Schizotypal PD
Cluster A-pss
cluster B disorders
cluster B
-bhan
borderline PD..
histrionic
antisocial
narcissistic
cluster c disorders
avoidant PD
dependent PD
obsessive compulsive PD
OCPD vs OCD which would be more perfectionistic and orderly
OCPD
char of OCPD
- inhibited stubborn, rigid and -perfectionist\preoccpied w orderliness or perfection
- excess devotion to work-excluding recreation and friendships
- reluctant to delegate to tohers
- might have difficulty discarding worthless object
when something doesnt go their way does OCPD get anxious or angry
likely more angry than anxious
which PD might adapt their personality to please others and often needs excessive advice or reassurance
dependent personality disorder
dependent personality disorder how do they present
they have diff making own decisions and seek out help of others for all trivial decisions
-have a need to be taken care of
-submissive behav
-urgently ned to replace on relationship when another one ends
-will adapt their personality to please others
why are dependent PD pts submissive and what does this put them at risk of
they are submissive because they fear loss of support ordisapproval and abandonment
this puts them at risk of abuse
which PD is desperate for relationships but does not engage in social contact d/t shyness and sense of inadequacy
avoidant PD
which cluster is avoidant PD
C
char of avoidant PD
socially inhibited, shy and lonely
- sense of inadequacy w low self esteem
- desperate for relationships but avoid social contact
- reluctant to take risks or try new activities as they might be embarassed
are avoidant PD avoidant d/t performance anxiety
no. they are avoidant and their default is just not to deal with things as a maladaptive way to avoid the world
what is parasuicide
the deliberate self-injury w the intent to harm oneself
- compulsive self injurious behav
- episodic self-injurious behav
- repetitive self-mutilation
is parasuicide a way of showing their needs tothe world
no its an intimate private way of self soothing.
its a maladaptive form of coping that causes a numbing effct from endorphins and natural opiates
what is a common reason that people might use parasuicide as a coping method
people who have been sexually abused or abused in toher ways dont want to live in their bodies and dont feel anything. then they self harm and can feel something
what kind of compulsive self injurious behaviour is there and what is it often relieving
trichotillomania (hair pulling out), skin picking
these are often anxiety related