W6 - Personality disorders Flashcards

1
Q

What are the three causes of personality disorders?

A
  1. genetic and heritability influences
  2. developmental and childhood experiences
  3. biological influences - neuropsychlogy
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2
Q

General heritability of PD?

A

Cluster A = 37%
Cluster B = 60%
Cluster C = 62%
All = 60%

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3
Q

Familial risk and BPD?

A

SKOGLUND et al 2019
- total population study
- risk was less associated with unaffected relatives
increased for MZ twins
Over all heritability of 46% therefore the environment also plays a part

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4
Q

In what the ways can the environment influence personality disorders?

A

Childhood factors - parenting types:

  • low level of affection
  • lack of nurturing
  • emotional and sexual abuse
  • negative childhood experience
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5
Q

Bio factors: Cluster A

  • Siever and Davis 1991
A

Higher levels of domaine leads -> cognitive/perceptual issues lead to cluster A PDs

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6
Q

Bio factors: Cluster B

A

lower level of serotonin -> impulsivity and aggression issues lead to cluster B PDs

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7
Q

Bio factors: Cluster C

A

Lower level of dopamine and higher levels of serotonin -> cause anxiety and inhibition which leads to Cluster C PDs

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8
Q

Bio factors: BPD

A

Noradrenergic-cholinergic -> cause affect regulation issues which cause BPD

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9
Q

What is dialectical behaviour therapy?

A
LINEHAN 1993 - BPD 
- problem solving and acceptance of the experience of the moment 
stages:
- pretreatment 
- stage 1 stabilising stage 
- stage 2 - processing traumatic events 
- stage 3 - developing a sense of self 
- schema focused theory
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10
Q

What is the DSM-5 criteria for personalty disorders?

A
  • pattern of behaviours that deviate from the normal
  • enduring, inflexible, pervasive
  • ## stable over time; track back to early childhood
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11
Q

What are 3 characteristics of the healthy self?

A
  1. identity - unique individual with stable boundaries
  2. self-direction - meaningful goals, appreciation of social norms and how to interact with others
  3. Positive interpersonal relationships
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12
Q

How does the five factor model relate to PD?

A

SAULSAN & PAGE 2004

  • Neuroticism is related to all PDs
  • Extraversion is related to histrionic/avoidant PD
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13
Q

What are the 3 PD in cluster A?

A
  1. Schizotypal
  2. Schizoid
  3. Paranoid
    - all are defined as odd or eccentric PDs
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14
Q

What is Schizotypal PD?

A
  • extreme discomfort and reduced tendency for close relationships
  • odd beliefs
  • unusual perceptual experiences
  • odd thinking/speech
  • general social anxiety
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15
Q

How do cluster A pd link to schizophrenia?

A
  • beloved to be on the same spectrum as schizophrenia but less extreme/severe
  • those related to someone with SZ are more likely to have Cluster A PDs
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16
Q

What is the paranoid PD?

A
  • extremely distressed and suspicious of people
  • feelings often do not reflect reality
  • hypersensitive to what other people say
  • reluctant to confide in others
17
Q

What are the 4 types of Cluster B PDs?

A
  • Antisocial PD
  • Borderline PD
  • Histrionic PD
  • Narcissistic PD
  • Defined by being dramatic, emotional or erratic PD
18
Q

What is Borderline PD?

A
  • Intense unstable relationships
  • fear of abandonment
  • feelings of emptiness or worthlessness
  • impulsive behaviours
  • paranoid and delusions
  • mood instability
  • self harm
19
Q

What are the causes of BPD?

A
  • abuse
  • insecure attachment
  • having an impulsivity trait
  • reduced volume in emotional and decision making areas of the brain? - Soloff et al 2012
20
Q

What is Narcissistic PD?

A
  • inflated self importance
  • fantasies about now success
  • seeks admiration from others and quite demanding of this
  • lacks empathy and the ability to identify needs of others
  • envious
21
Q

Cluster C disorders?

A
  • Obsessive compulsive PD
  • Avoidant PD
  • Dependent PD
  • defined by being anxious and fearful
22
Q

What is Obsessive compulsive PD?

A
  • overly concerned with details, organisation and rules
  • level of perfectionism that interferes with completion of tasks
  • extremely dedicated to work - work life over social life
  • inflexible and over-conscientious about moral issues
  • difficulty working with others
23
Q

What is dependent PD?

A
  • need for others to take care of them
  • difficulty making decisions without advice from others
  • lack self confidence
  • relationship seeking
24
Q

What is clarification orientated psychotherapy?

A

Aims of therapy: identify the dysfunctional schemas and the process of modifying the schemas
- helps to make the client behave more consecutively in their daily lives
BUT there are high drop out rates due to lack of motivation to complete the therapy