W6 - Personality disorders Flashcards
What are the three causes of personality disorders?
- genetic and heritability influences
- developmental and childhood experiences
- biological influences - neuropsychlogy
General heritability of PD?
Cluster A = 37%
Cluster B = 60%
Cluster C = 62%
All = 60%
Familial risk and BPD?
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
In what the ways can the environment influence personality disorders?
Childhood factors - parenting types:
- low level of affection
- lack of nurturing
- emotional and sexual abuse
- negative childhood experience
Bio factors: Cluster A
- Siever and Davis 1991
Higher levels of domaine leads -> cognitive/perceptual issues lead to cluster A PDs
Bio factors: Cluster B
lower level of serotonin -> impulsivity and aggression issues lead to cluster B PDs
Bio factors: Cluster C
Lower level of dopamine and higher levels of serotonin -> cause anxiety and inhibition which leads to Cluster C PDs
Bio factors: BPD
Noradrenergic-cholinergic -> cause affect regulation issues which cause BPD
What is dialectical behaviour therapy?
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
What is the DSM-5 criteria for personalty disorders?
- pattern of behaviours that deviate from the normal
- enduring, inflexible, pervasive
- ## stable over time; track back to early childhood
What are 3 characteristics of the healthy self?
- identity - unique individual with stable boundaries
- self-direction - meaningful goals, appreciation of social norms and how to interact with others
- Positive interpersonal relationships
How does the five factor model relate to PD?
SAULSAN & PAGE 2004
- Neuroticism is related to all PDs
- Extraversion is related to histrionic/avoidant PD
What are the 3 PD in cluster A?
- Schizotypal
- Schizoid
- Paranoid
- all are defined as odd or eccentric PDs
What is Schizotypal PD?
- extreme discomfort and reduced tendency for close relationships
- odd beliefs
- unusual perceptual experiences
- odd thinking/speech
- general social anxiety
How do cluster A pd link to schizophrenia?
- 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
What is the paranoid PD?
- extremely distressed and suspicious of people
- feelings often do not reflect reality
- hypersensitive to what other people say
- reluctant to confide in others
What are the 4 types of Cluster B PDs?
- Antisocial PD
- Borderline PD
- Histrionic PD
- Narcissistic PD
- Defined by being dramatic, emotional or erratic PD
What is Borderline PD?
- Intense unstable relationships
- fear of abandonment
- feelings of emptiness or worthlessness
- impulsive behaviours
- paranoid and delusions
- mood instability
- self harm
What are the causes of BPD?
- abuse
- insecure attachment
- having an impulsivity trait
- reduced volume in emotional and decision making areas of the brain? - Soloff et al 2012
What is Narcissistic PD?
- 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
Cluster C disorders?
- Obsessive compulsive PD
- Avoidant PD
- Dependent PD
- defined by being anxious and fearful
What is Obsessive compulsive PD?
- 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
What is dependent PD?
- need for others to take care of them
- difficulty making decisions without advice from others
- lack self confidence
- relationship seeking
What is clarification orientated psychotherapy?
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