WEEK 10 Flashcards

Personality Disorders

1
Q

What is personality?

A

-Attributes, motives, values and behaviours unique to each person.
- A unique pattern of Inner experience and Outward behaviour
- Often described in terms of “traits” –> characteristics way of thinking, feeling and
acting.

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2
Q

The ‘Big 5’

OCEAN

A
  • Personality trait model
  • Openness
  • Conscientiousness
  • Extraversion
  • Agreeableness
  • Neuroticism
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3
Q

Definition personality disorders in the DSM- 5

A

“Persistent pattern of emotions, cognitions, and
behaviours that results in enduring emotional
distress for the person affected and/or for others and
may cause difficulties in relationships and work”
- individual may not feel subjective distress
- observed in different contexts
- originate in childhood, diagnosed adolescence or adulthood

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4
Q

Categorical v Dimensional

A

DSM mainly views disorders in terms of categories (i.e., criteria are met or unmet).

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5
Q

DSM- 5 Personality Disorders

A,B,C

A
  • 10 PD in DSM 5
  • Cluster A: “Odd or eccentric behaviour”
    ◦ Paranoid, schizoid, and schizotypal personality disorders
  • Cluster B: “Dramatic, emotional, or erratic behaviour”
    ◦ Antisocial, borderline, narcissistic, and histrionic personality disorders
  • Cluster C: “Anxious or fearful behaviour”
    ◦ Avoidant, dependent, and obsessive-compulsive personality disorder
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6
Q

A: Paranoid PD

  • Definition and Criteria
A

A pervasive distrust and suspiciousness of
others such that their motives are interpreted as malevolent.

Four or more:

  • Suspects that others are exploiting, harming or deceiving. - Preoccupied with unjustified doubts about loyalty or trustworthiness of friends. - Reluctant to confide in others (unwarranted fears that information could be used against them).
  • Reads hidden demeaning/threatening meanings into remarks or events.
  • Persistently bares grudges.
  • Perceives attacks on reputation that are not apparent to others and quick to react angrily.
  • Has recurrent (unjustified) suspicions regarding fidelity of partner
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7
Q

A: Paranoid PD

Causes

A
  • Biological- link to family with schizophrenia- not strong
  • Psychological: trauma, style of parenting
  • Cultural factors: certain groups may be more at risk due to their experiences (eg. prisoners, refugees)
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8
Q

A: Paranoid PD

Treatment

A
  • Unlikely to seek help; a crisis can be the catalyst for seeking help
  • CBT: challenge assumptions
  • Currently no evidence for any interventions for paranoid PD
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9
Q

A: Schizoid PD

Definition and Criteria

A

A pervasive pattern of detachment from social relationships and a
limited range of expression of
emotions in interpersonal situations.

Four or more:

  • Neither desires or enjoys close relationships.
  • Almost always chooses solitary activities.
  • Has little interest in sexual experiences with another person.
  • Takes pleasure in few (if any) activities.
  • Lacks close friends (other than immediate family).
  • Appears indifferent to praise or criticism.
  • Emotional, detachment or flattened affect.
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10
Q

A: Schizoid PD

Causes

A
  • Childhood shyness- precursor
  • Abuse and neglect- sometimes reported
  • Some overlap with the occurrence of autism
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11
Q

A: Schizoid PD

Treatment

A
  • Rare to seek treatment (in some cases treatment is sought at a time of crises).
  • Social skills training.
  • Limited evidence demonstrating effectiveness.
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