TOPIC 13 - personality disorders Flashcards
cluster A personality disorders
Cluster A: (odd, eccentric)
paranoid, schizoid and schizotypal
cluster B personality disorders
Cluster B: (dramatic, emotional, erratic)
antisocial, borderline, histrionic and narcissistic
cluster C personality disorders
Cluster C: (anxious, fearful)
avoidant, dependent and obsessive-compulsive
what happens in people with personality disorders
personality traits are exaggerated and rigid to the point that they cause dysfunction in their relationships.
core symptoms of personality disorders
enduring pattern of inner experience or behavior that deviates from the norm which is apparent in the persons thinking, affect, relationships, and impulse control
seen in personal and social situations
significant distress or impaired functioning
when do personality disorders emerge
in adolescence
effected by combination of hereditary and temperamental traits plus environmental and developmental events
childhood trauma can result in what types of personality disorders
borderline PD or antisocial PD
groups at higher risks for PD’s
Native Americans
African-Americans
Young adults
Lower socioeconomic status
Divorced, separated, widowed, or never married
groups at lower risk for PD
Asian families
Jewish families
paranoid personality disorder
pervasive distrust and suspiciousness
preemptively attack others they feel threatened by
distorted thinking
holding grudges
do not confide in others
hostility, irritable, jealous, fearfully and confrontational
schizoid personality disorder
pervasive pattern of social detachment
restricted range of emotional expression
do not seek or out or enjoy close relationships
often indifferent to criticism or praise
may appear detached, aloof, cold
often fail to reciprocate gestures or facial expressions
most rare
schizotypal personality disorders
odd belief or magical thinking that influences behavior and is inconsistent with subcultural norms
in children and adolescents - bizarre fantasy
unusual perceptual experiences
odd thinking and speech
suspiciousness or paranoid ideation
inappropriate or constricted affect
lack of close friends
excessive social anxiety
which type of personality disorder has a high link of developing latent schizophrenia
schizotypal personality disorder
antisocial personality disorder
pervasive pattern of disregard for or violation of rights of others
deceitful
irritable and aggressive
irresponsible
reckless disregard for safety
lack of remorse
histrionic personality disorder
characterized by a pattern of excessive emotionality and attention seeking
often flirty
need to be center of attention
can appear disingenuous and insincere
flamboyant
flighty, fickle
highly suggestible and easily influenced
difficulty cultivating intimate personal relationships
narcissistic personality disorder
grandiose sense of self importance
preoccupied with fantasies of unlimited success, power, brilliance, beauty
requires excessive admiration
sense of entitlement
is interpersonally exploitative
lacks empathy
envious of other
arrogant
borderline personality disorder
often present in crisis
powerless, vulnerable
high sensitivity to emotional triggers
inappropriate or intense anger
strong fear of abandonment
intense and unstable relationships
impulsive
compulsive shopping
frequent SI or self harm
avoidant personality disorder
avoids occupational activities involving significant interpersonal contact
unwilling to get involved with people
shows restraint within intimate relationships
preoccupied with being criticized or rejected in social situations
inhibited in new interpersonal situations
views self as unappealing or inferior
unusually reluctant to take personal risks or to engage in new activities
dependent personality disorder
strong need to be cared for by others
clingy behavior
easily submits to desires and wishes of others
goes to great lengths to avoid conflcit
vulnerable to manipulation
finds it difficult to be alone
obsessive compulsive personality disorder
Preoccupied with details, rules, lists, order, organization, or schedules
Perfectionism interferes with task completion
Excessively devoted to work & productivity (to the exclusion of leisure activities and friendships)
Overly conscientious, scrupulous, and inflexible
Often unable to discard worn-out or worthless objects
Reluctant to delegate tasks or to work with others unless they submit to exactly his or her way of doing things
Miserly spending style
Shows rigidity and stubbornness
nursing care for personality disorders
Develop relationship based on empathy and trust, while maintaining appropriate boundaries
Remain alert to suicide risk
Promote effective coping and problem solving
Promote development and engagement with their support network
Work collaboratively with staff to ensure consistency in treatment and approach
Support and promote self care and coping for families or significant others of the client
therapies for personality disorders
Psychotherapy
Psychodynamic Therapy
Cognitive Behavioral Therapy
Dialectical Behavior Therapy
STEPPS
primary focus for DBT
Stabilizing client, achieving behavioral control, regulating emotions, developing distress tolerance skills, and constantly using crisis interventions
target behaviors include decreasing
Life-threatening suicidal behaviors
Therapy-interfering behaviors
Quality-of-life interfering behaviors
