Unit 24 Personality Disorders Flashcards
What is personality?
Characteristic, stable totality of emotional
and behavioral traits.
What does the personality become a disorder?
Occurs when traits become maladaptive and cause significant functional impairment or subjective distress.
What are common characteristics in all P.D.’s?
- Maladaptive response to stress.
- The tendency to evoke intense interpersonal conflict.
- Capacity to get “under the skin” of others.
- Relationships with others are problematic, and they rarely reach their potential.
What does ego-syntonic mean?
Behaviors, values, and feelings that are in harmony/consistent with one’s ideal self-image.
What are cluster B disorders and what are they described as?
- Antisocial personality disorder
- Borderline personality disorder
- Histrionic personality disorder
- Narcissistic personality disorder
They are described as behaviors that are dramatic, emotional, or erratic.
Describe Antisocial Personality Disorder.
- A pattern of exploitative and
guiltless behavior, - tendency to fail to
conform to the law or to sustain employment. - Do whatever they want attitude. Get what they want or they’ll go crazy attitude.
- Exploiting and manipulating others for personal gain, to deceive, and to fail to sustain relationships.
- Lacks remorse
- Impulsive and reckless
- Most frequently seen in prisons and rehab services
- Sometimes called sociopathic or psychopathic.
- Prevalence 3% Men, 1% Women
What are possible causes of Antisocial Personality Disorder?
- Possible genetic influence
- Sociopathic or alcoholic father
-Parental deprivation during
the first 5 years of life
- Inconsistent parenting
- History of severe physical abuse
- Extreme poverty
-Growing up without parental figures
of both sexes
What are predisposing factors of Antisocial Personality Disorder?
- History of ADHD or conduct disorder during childhood or adolescence
- Being “rescued” each time they are in trouble (never having to suffer the consequences of their own behavior)
- Maternal deprivation
What are the nursing interventions of Antisocial Personality Disorder behavior aimed to do?
- Nursing intervention is aimed at protection of others from the client’s aggression and hostility.
- The nurse also seeks to assist the client to delay gratification by setting limits on unacceptable behavior.
Describe Borderline Personality Disorder.
Think of someone who is needy and demands love and if not they’ll do something crazy like cut themselves.
- Pattern of intense, chaotic relationships, with instability,
- Fluctuating and extreme attitudes towards other people
- Impulsive
- Self-destructive behaviors like (gambling, SA, unsafe sex, driving recklessly, and binge eating)
- Chronic depression(cutting is seen frequently)
**-Splitting (black and white thought, you’re either good or bad)
- Border between neurosis and psychosis
- Most common form of personality disorder
What is Splitting?
- A primitive ego defense mechanism.
- Seeing one way or the other, no in-between (black and white)
-Splitting is a failure to integrate the
positive and negative qualities of self
and others.
What is Self-Mutilation?
- Deliberate alteration or destruction of body tissue without conscious suicidal intent.
- Skin cutting, head banging, scratching, burning, etc.
- May be used as a self-soothing behavior.
What are nursing intervention for Borderline Personality Disorder?
- Protect client from self-mutilation
- Consistent limit setting
- Assist client to recognize needs
- Assist client with boundaries
What are predisposing factors to Borderline Personality Disorder?
- Biochemical: Possible serotonergic defect
- Genetic
- Childhood trauma and abuse
- Developmental factor (Toddler never achieves autonomy)
Describe Histrionic PD.
**Dramatic, charming, flamboyant, and excessively emotional in order to seek the constant attention, love, and admiration that they require.
-Use of sexually provocative clothing and behavior.
-False sense of intimacy with others
-Constant emotional shifts
-Excessive concern with physical appearance.
• Seductive
• Manipulative
-More common in women
