Test II Part 3 Flashcards
Eccentric or odd cluster of PDs
Symptoms similar to schizophrenia
DSM 5 conceptualization
The symptoms of the various PDs often overlap greatly leading to frequent misdiagnosis or to multiple diagnosis for a given client
Dramatic cluster
Manipulative and uncaring in social relations
Anxious cluster
Fearful of being criticized or judged by others
Dimensional approach
Each key trait would be seen as varying along a continuum between normal and abnormal
Paranoid PD
Marked by a pattern of distrust and suspicion of others
Paranoid PD theories
Psychodynamic
Psychodynamic trace it to early interactions with demanding parents, and must always be on alert because they can’t trust others
Paranoid PD treatment
Psychodynamic- object relations therapists
Object relations theorists try to see past the patients anger and work on what they view as his or her deep wish for satisfying relationships
Schizoid PD
Persistently avoid and are removed from social relationships and demonstrate little in the way of emotion, prefer to be alone and not worried about lack of relationships
Schizoid PD theories
Psychodynamic
Unsatisfied need for human contact, unaccepting parents or even abusive
Schizoid PD treatment
CBT
Techniques that make client think about emotions and pleasurable experiences
Teaching social skills through group therapy
Avoidant PD
Pervasive anxiety
Think horribly of themselves
Fear all social events and rejection
Avoidant PD theories
Psychodynamic
Trace shame to childhood experiences such as early bowel and bladder accidents to negative self image
Avoidant PD treatment
Psychodynamic
Help clients recognize and resolve unconscious conflicts
Dependent PD
Need to be cared for
Can’t make own decisions
Dependent PD theories
Psychodynamic
Unresolved conflicts during oral stage of development can give rise to lifelong need for nurturance, or parental loss or rejection may prevent normal attachment, or parents were over involved or over protective
Dependent PD treatment
Psychodynamic
Focuses on transference of dependency needs on to the therapist
Obsessive compulsive PD
Very rigid in everything
Love order and schedules
Nervous
Obsessive compulsive PD theories
Psychodynamic
Overly harsh toilet training leads them to become angry and so they seek control
Histrionic PD
Rapidly shifting moods and hysteria
Unstable relations
Attention seekers, superficial and self centered and emotionally charged
Histrionic PD theories
Psychodynamic
As children they experienced unhealthy and cold relationships feeling unloved and abandoned
Histrionic PD treatment
Cognitive
Changing beliefs that they’re helpless
And develop better ways of thinking
Narcissistic PD
Think they’re special/important
High self worth
Narcissistic PD theories
Psychodynamic
Cold rejecting parents lead them to think they are actually perfect and desirable and that they don’t need anyone anyways
Narcissistic PD treatment
Rarely seek treatment voluntarily and when they do it’s more likely for depression
Borderline PD
Rapid shifting mood
Highly impulsive
Borderline PD theories
Psychodynamic
Parental frustration and early lack of acceptance leading to loss of self esteem and increased dependence
Borderline PD treatment for suicidal patients
- Reduce the dysfunctional and out of control behaviors
- Explore past traumas and how they interfere with emotions
- Helping clients trust and value themselves
Borderline Personality features in non clinical adults Trull et al.
Identified college students high and low of BP symptoms and examined them 2 years later. Predicted adjustment problems above and beyond gender and predicted negative outcomes and impulsivity
Psychopathy
Antisocial behavior, no sense of shame, superficially charming, manipulative, inability to learn from mistakes, impulsive. Not in DSM 5
Antisocial PD
Persistently disregard and violate others rights and is most closely linked with adult criminal behavior
Gender differences in anti social PD
Men are 5x more likely to be diagnosed than women