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Psychiatry > SM_110b-111b: Personality Disorders I and II > Flashcards

SM_110b-111b: Personality Disorders I and II Flashcards

1
Q

____ is a pattern of inner experience and behavior that deviates markedly from expectations of the individual’s culture

A

Personality disorder is a pattern of inner experience and behavior that deviates markedly from expectations of the individual’s culture

(cognition, affect, impulse control, and interpersonal functioning)

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2
Q

Personality disorders are ____, ____, and cause ____

A

Personality disorders are inflexible and pervasive, stable and long duration, and clinically significant distress or impairment

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3
Q

Cluster A personality disorders are ____ and include ____, ____, and ____

A

Cluster A personality disorders are odd / eccentric and include schizoid, schizotypal, and paranoid

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4
Q

Cluster B personality disorders are ____ and include ____, ____, ____, and ____

A

Cluster B personality disorders are dramatic / emotional / erratic and include borderline, narcissistic, antisocial, and histrionic

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5
Q

Cluster C personality disorders are ____ and include ____, ____, and ____

A

Cluster C personality disorders are anxious / fearful and include avoidant, obsessive-compulsive, and dependent

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6
Q

Paranoid personality disorder involves ____ and ____

A

Paranoid personality disorder involves distrust / suspiciousness and interpreting motives of others as malevolent

(Cluster A: odd or eccentric)

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7
Q

Describe symptoms of paranoid personality disorder

A

Paranoid personality disorder symptoms (4/7)

  • Spouse infidelity suspected
  • Unforgiving (grudges)
  • Suspicious of others
  • Perceives attacks (and reacts quickly)
  • Enemy or friend - suspects associates and friends
  • Confiding in others is feared
  • Threats perceived in benign events

(SUSPECT)

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8
Q

Schizoid personality disorder involves ____ and ____

A

Schizoid personality disorder involves a pattern of detachment from social relationships and restricted range of emotional expression

(Cluster A: odd or eccentric)

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9
Q

Describe symptoms if schizoid personality disorder

A

Schizoid personality disorder symptoms (4/7)

  • Detached or flattened affect
  • Indifferent to criticism and praise
  • Sexual experiences of little interest
  • Tasks (activities) done solitarily
  • Absence of close friends
  • Neither desires nor enjoys close relations
  • Takes pleasure in few activities

(DISTANT)

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10
Q

Schizotypical personality disorder involves ____, ____, and ____

A

Schizotypical personality disorder involves acute discomfort in close relationships, cognitive or perceptual distortions, and eccentricities of behavior

(Cluster A: odd or eccentric)

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11
Q

Describe symptoms of schizotypal personality disorder

A

Schizotypal personality disorder symptoms (5/9)

  • Magical thinking / odd beliefs
  • Experiences unusual perceptions
  • Paranoid ideation
  • Eccentric behavior or appearance
  • Constricted or inappropriate affect
  • Unusual (odd) thinking and speech
  • Lacks close friends
  • Ideas of reference
  • Anxiety in social situations
  • Rule out psychotic disorders and pervasive developmental disorder

(MEPECULIAR)

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12
Q

Antisocial personality disorder involves ____, ____, and ____

A

Antisocial personality disorder involves deceit, disregard for / violation of others’ rights, and manipulation

(Cluster B: dramatic, emotional, or erratic)

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13
Q

Describe symptoms of antisocial personality disorder

A

Antisocial personality disorder symptoms (3/7)

  • Conformity to law lacking
  • Obligations ignored
  • Reckless disregard for safety of self or others
  • Remorse hacking
  • Underhanded (deceitful, lies, cons others)
  • Planning insufficient (impulsive)
  • Temper (irritable and aggressive)

CORRUPT

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14
Q

Borderline personality disorder involves ____, ____, ____, and ____

A

Borderline personality disorder involves instability in interpersonal relationships, instability in self-image, affective lability, or marked impulsivity

(Cluster B: dramatic, emotional, or erratic)

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15
Q

Describe symptoms of borderline personality disorder

A

Borderline personality disorder symptoms (5/9)

  • Abandonment fears
  • Mood instability
  • Suicidal / self-injurious behavior
  • Unstable, intense relationships
  • Impulsivity
  • Control of anger is poor
  • Identity disturbance
  • Dissociative / paranoid symptoms
  • Emptiness

AM SUICIDE

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16
Q

Histrionic personality disorder involves ____ and ____

A

Histrionic personality disorder involves excessive emotionality and attention seeking

(Cluster B: dramatic, emotional, or erratic)

17
Q

Describe symptoms of histrionic personality disorder

A

Histrionic personality disorder (5/8)

  • Provocative or sexually seductive behavior
  • Relationships considered more intimate than they are
  • Attention (uncomfortable when not center of attention)
  • Influenced easily
  • Style of speech is impressionistic and lacks details
  • Emotions are rapidly shifting and shallow
  • Made up (physical appearance used to draw attention to self)
  • Emotions exaggerated (theatrical)

PRAISE ME

18
Q

Narcissistic persoanlity disorder involves ____, ____, and ____

A

Narcissistic persoanlity disorder involves grandiosity, need for admiration, and lack of empathy

(Cluster B: dramatic, emotional, or erratic)

19
Q

Describe symptoms of narcissistic personality disorder

A

Narcissistic personality disorder symptoms (5/9)

  • Special (believes he/she is special)
  • Preoccupied with fantasies: unlimited success, power, beauty, etc
  • Envious of others or believes others are envious of him/her
  • Entitlement
  • Excess admiration required
  • Conceited: grandiose sense of self-importance
  • Interpersonal exploitation
  • Arrogant (haughty)
  • Lacks empathy

(SPEEECIAL)

20
Q

Avoidant personality disorder involves ____, ____, and ____

A

Avoidant personality disorder involves social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation

(Cluster C: anxious or fearful)

21
Q

Describe symptoms of avoidant personality disorder

A

Avoidant personality disorder symptoms (4/7)

  • Certainty of being liked required before getting involved with others
  • Rejection / criticism preoccupies thoughts in social situations
  • Intimate relationships: restraint due to fear of being shamed
  • New interpersonal relationship inhibition
  • GFets around occupational activity (involving significant interpersonal contact)
  • Embarrassment (potential) prevents new activity or taking personal risks
  • Self viewed as unappealing, inept, or inferior

CRINGES

22
Q

Dependent personality disorder involves ____, ____, and ____

A

Dependent personality disorder involves submissive, clinging behavior, and excessive need to be taken care of

(Cluster C: anxious or fearful)

23
Q

Describe symptoms of dependent personality disorder

A

Dependent personality disorder symptoms (5/8)

  • Reassurance required for decisions
  • Expressing disagreement is difficult due to fear of loss of approval
  • Life responsibilities assumed by others
  • Initiating projects difficult due to lack of self-confidence
  • Alone (feels helpless and discomfort)
  • Nurturance (goes to excessive lengths)
  • Companionship (another relationship) sought urgently when close relationship ends
  • Exaggerated fears of being left to care for self

RELIANCE

24
Q

Obsessive compulsive personality disorder involves ____, ____, and ____

A

Obsessive compulsive personality disorder involves preoccupation with orderliness, perfectionism, and being controlling

(Cluster C: anxious or fearful)

25
Q

Describe symptoms of obsessive-compulsive personality disorders

A

Obsessive-compulsive personality disorders symptoms (4/8)

  • Loses point of activity (due to preoccupation with detail)
  • Ability to complete tasks (compromised by perfectionism)
  • Worthless objects (unable to discard)
  • Friendships / leisure activities excluded due to preoccupation to work
  • Inflexible, scrupulous, over conscientious (ethics / values / morality)
  • Reluctant to delegate (unless others submit to exact guidelines)
  • Miserly toward and others
  • Stubbornness and rigidity

(LAW FIRMS)

26
Q

Personality disorders are thought to begin in ____ but DSM-5 diagnosis is uncommon

A

Personality disorders are thought to begin in childhood but DSM-5 diagnosis is uncommon

(chronic, high comorbidity rates)

27
Q

____ is a key risk factor for bipolar personality disorder, which may develop in adolescence

A

Affective instability is a key risk factor for bipolar personality disorder, which may develop in adolescence

28
Q

DSM-5 categorical classification of personality disorders may be inappropriate due to ____, ____, ____, ____, and ____

A

DSM-5 categorical classification of personality disorders may be inappropriate due to substantial diagnostic overlap, arbitrary thresholds, within-diagnosis heterogeneity, lack of inter-rate agreement on personality disorder categories, and high levels of comorbidity (within PD and across PD and axis I disorders)

29
Q

Five factor model of personality includes ____, ____, ____, ____, and ____

A

Five factor model of personality includes openness, conscientiousness, extraversion, agreeableness, and neuroticism

30
Q

Some argue that personality disorders are better understood as ____ than categorical disease entities

A

Some argue that personality disorders are better understood as variants of normal personality than categorical disease entities

31
Q

DSM-5 alternative to personality disorders general criteria are ____ and ____

A

DSM-5 alternative to personality disorders general criteria are impairment in self and interpersonal functioning and pathological traits

32
Q

Describe the DSM-5 alternative to personality disorders

A

DSM-5 alternative to personality disorders

  • Relatively pervasive across situations
  • Relatively inflexible and maladaptive
  • Relatively stable across time: onset in adolescence or early adulthood

Emphasis on relatively because some adaptability is expected with most personality disorders

33
Q

DSM-5 alternative to personality disorders requires ____

A

DSM-5 alternative to personality disorders requires ≥1 pathological personality trait

  • Negative affectivity
  • Detachment
  • Antagonism
  • Disinhibition
  • Psychoticism

Psychiatry (37 decks)

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