Test II Part 3 Flashcards

0
Q

Eccentric or odd cluster of PDs

A

Symptoms similar to schizophrenia

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1
Q

DSM 5 conceptualization

A

The symptoms of the various PDs often overlap greatly leading to frequent misdiagnosis or to multiple diagnosis for a given client

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2
Q

Dramatic cluster

A

Manipulative and uncaring in social relations

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3
Q

Anxious cluster

A

Fearful of being criticized or judged by others

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4
Q

Dimensional approach

A

Each key trait would be seen as varying along a continuum between normal and abnormal

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5
Q

Paranoid PD

A

Marked by a pattern of distrust and suspicion of others

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6
Q

Paranoid PD theories

Psychodynamic

A

Psychodynamic trace it to early interactions with demanding parents, and must always be on alert because they can’t trust others

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7
Q

Paranoid PD treatment

Psychodynamic- object relations therapists

A

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

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8
Q

Schizoid PD

A

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

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9
Q

Schizoid PD theories

Psychodynamic

A

Unsatisfied need for human contact, unaccepting parents or even abusive

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10
Q

Schizoid PD treatment

CBT

A

Techniques that make client think about emotions and pleasurable experiences
Teaching social skills through group therapy

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11
Q

Avoidant PD

A

Pervasive anxiety
Think horribly of themselves
Fear all social events and rejection

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12
Q

Avoidant PD theories

Psychodynamic

A

Trace shame to childhood experiences such as early bowel and bladder accidents to negative self image

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13
Q

Avoidant PD treatment

Psychodynamic

A

Help clients recognize and resolve unconscious conflicts

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14
Q

Dependent PD

A

Need to be cared for

Can’t make own decisions

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15
Q

Dependent PD theories

Psychodynamic

A

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

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16
Q

Dependent PD treatment

Psychodynamic

A

Focuses on transference of dependency needs on to the therapist

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17
Q

Obsessive compulsive PD

A

Very rigid in everything
Love order and schedules
Nervous

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18
Q

Obsessive compulsive PD theories

Psychodynamic

A

Overly harsh toilet training leads them to become angry and so they seek control

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19
Q

Histrionic PD

A

Rapidly shifting moods and hysteria
Unstable relations
Attention seekers, superficial and self centered and emotionally charged

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20
Q

Histrionic PD theories

Psychodynamic

A

As children they experienced unhealthy and cold relationships feeling unloved and abandoned

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21
Q

Histrionic PD treatment

Cognitive

A

Changing beliefs that they’re helpless

And develop better ways of thinking

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22
Q

Narcissistic PD

A

Think they’re special/important

High self worth

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23
Q

Narcissistic PD theories

Psychodynamic

A

Cold rejecting parents lead them to think they are actually perfect and desirable and that they don’t need anyone anyways

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24
Narcissistic PD treatment
Rarely seek treatment voluntarily and when they do it's more likely for depression
25
Borderline PD
Rapid shifting mood | Highly impulsive
26
Borderline PD theories | Psychodynamic
Parental frustration and early lack of acceptance leading to loss of self esteem and increased dependence
27
Borderline PD treatment for suicidal patients
1. Reduce the dysfunctional and out of control behaviors 2. Explore past traumas and how they interfere with emotions 3. Helping clients trust and value themselves
28
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
29
Psychopathy
Antisocial behavior, no sense of shame, superficially charming, manipulative, inability to learn from mistakes, impulsive. Not in DSM 5
30
Antisocial PD
Persistently disregard and violate others rights and is most closely linked with adult criminal behavior
31
Gender differences in anti social PD
Men are 5x more likely to be diagnosed than women
32
Causal factors for antisocial PD
``` Genetic predisposition Testosterone Serotonin deficiency ADHD Low arousability ```
33
Deficits linked to antisocial PD
Low impulse control Inability to reason Low self awareness
34
Sociocultural factors and anti social PD
Noncompliancy is reinforced by parent giving into non compliant behavior
35
Treatment for antisocial PD effectiveness
Typically ineffective because | Most don't seek treatment voluntarily and don't have desire to change
36
5 factor model of personality Rate how? What traits?
``` Rate high or low Neuroticism Extroversion Openness to experience Agreeableness Conscientiousness ```
37
Personality disorder traits specified
DSM 5 possible approach to PDs where clinicians would further identify and list the problematic traits and rate of severity of impairment caused by them using 5 groups
38
Cormobidity
A person with a PD suffers also from another disorder
39
Paranoid PD theories | Cognitive
People with this disorder Generally hold broad maladaptive assumptions
40
Paranoid PD theories | Biological
Genetic causes
41
Paranoid PD treatment | Psychodynamic- self therapists
Try to help clients reestablish self cohesion, a unified personality which they believe has been lost in the persons continuous negative focus on others
42
Paranoid PD treatments | CBT
Anxiety reduction techniques + developing more realistic interpretations of others words and actions
43
Schizoid personality theories | Cognitive
Suffer from deficiencies in their thinking, trouble forming meaningful thoughts and responding to emotions
44
Schizotypal PD
Chronic pattern of inappropriate social behavior and odd speech
45
Schizotypal PD theories
Mostly Biological, linked to disorders in parents and deficits in short term memory and attention
46
Treatments for schizotypal PD | CBT
CBT teaches clients to ignore inappropriate thoughts and and evaluate their thoughts objectively Speech lessons and social skills training
47
Treatments for schizotypal PD | Biological
Anti psychotic drugs
48
Which PD most closely resembles schizophrenia?
Schizotypal PD
49
Treatment for antisocial PD- cognitive
Try to guide clients to think about moral issues and the needs of others
50
Borderline PD theories | Biological
Overly reactive amygdala Under active prefrontal cortex Lower serotonin activity 5HTT gene
51
Borderline PD theories | Biosocial
Results from combination of internal forces and external forces
52
Borderline PD theories | Sociocultural
Suggest that they are particularly likely to emerge in cultures that change rapidly leaving them with identity problems
53
Borderline PD treatment | Psychodynamic
Therapists take more supportive and egalitarian posture and provide an empathetic setting where they can explore their unconscious
54
Borderline PD treatment | DBT
Client therapist relationship is at center of treatment, regularly empathize and use many CBT techniques
55
Which type of therapy has received more research support than any other in the treatment of borderline PD?
DBT
56
Histrionic PD theories | Cognitive
Look at extreme suggestibility See individuals as becoming less interested in knowing about the world Hold general assumptions that they're unable to care for themselves
57
Histrionic PD theories | Sociocultural
Produced in part by cultural norms and expectaions
58
Histrionic PD treatment | Psychodynamic
Ultimately aim to help clients recognize their excessive dependency and become more self reliant
59
Narcissistic PD theories | Cognitive behavioral
Develops when people are treated too positively early in life, with admiring parents
60
Narcissistic PD theories | Sociocultural
Family values and social ideals in society periodically break down, producing generations who are self centered and materialistic
61
Narcissistic PD Treatment | Psychodynamic
Help them recognize and work through their basic insecurities and defenses
62
Narcissistic PD treatment | Cognitive
Try to redirect clients focus onto opinions of others and to interpret criticism more rationally and increase ability to empathize
63
Avoidant PD theories | Cognitive
Harsh criticism and rejection in early childhood lead people to assume that others will always judge them negatively
64
Avoidant PD theories | Behavioral
Fail to develop normal social skills developing from avoiding social situations
65
Avoidant PD treatment | Cognitive
Help them change distressing beliefs and thoughts and carry on through the face of painful emotions, and improve their self image
66
Avoidant PD treatment | Behavioral
Social skills training and exposure | Group therapy
67
Key difference between avoidant PD and social anxiety disorder
SAD primarily fear social situations | APD fear close social relationships
68
Dependent PD theories | Behavioral
were unintentionally rewarded for clingy behavior or parents own dependent behavior served as a model for them
68
Dependent PD theories | Cognitive
Two maladaptive attitudes: 1. I am inadequate and helpless to deal with the world 2. I must find a person to provide protection so I can cope
69
Dependent PD treatment | Cognitive behavioral
Provide assertiveness training to help them better express individual wishes in relationships Also try to help them challenge and Change attitudes of helplessness
70
Obsessive compulsive PD theories | Cognitive
Propose that illogical thinking processes help keep it going and they tend to misread or exaggerate potential outcomes of mistakes
71
Obsessive compulsive PD treatments | Psychodynamic
Try to help them recognize and accept their personal limitations
72
Obsessive compulsive PD treatment | Cognitive
Focus on helping them change their dichotomous all or nothing thinking, perfectionism and chronic worrying
73
Obsessive compulsive PD treatment | Biological
SSRI
74
Negative affectivity
Experience negative emotions frequently and intensely
75
Detachment
Withdraw from others and social interactions
76
Antagonism
Behave in ways that put them at odds with other people such as hostility or manipulativeness
77
Disinhibition
Behave impulsively without reflecting on possible consequences
78
Psychoticism
Unusual and bizarre behaviors or beliefs
79
``` Treatment for ASPD Effectiveness of: Traditional psychotherapy Biological treatments Behavior therapy/Group therapy ```
- not shown to be effective - not proved helpful, but lithium has worked for some - seems promising
80
What factors most strongly predicted not engaging in antisocial behaviors?
Getting married | Military service