Week 5

Question 1

Ego syntonic

Answer 1

not seen as problematic by individual

Question 2

ego dystonic

Answer 2

seen as problematic by individual

Question 3

3 p’s of PDs

Answer 3

pervasive
persistent
pathological

Question 4

Cluster A

Answer 4

odd/eccentric
paranoid
schizoid
schizotypal

Question 5

Cluster B

Answer 5

dramatic/erratic
antisocial
borderline
histrionic
narcissistic

Question 6

Cluster C

Answer 6

anxious/fearful
avoidant
dependent
obsessive-compulsive

Question 7

DSM paranoid PD

Answer 7

1. pervasive distrust + suspicion of others, begins by early adulthood, 4+ 0f: suspects that others are exploiting, harming, deceiving; preoccupied with unjustified doubts of loyalty; reluctant to confide in other because of fear it’ll be used against them; reads hidden threatening meanings; persistently bears grudges; perceives attacks not seen by others and quick to attack; recurrent suspicion without justification about fidelity of spouse or partner
2. not occur exclusively during course of PS/BD.depressive disorder with psychotic features; another psychotic disorder; another medical condition

Question 8

DSM schizoid PD

Answer 8

1. pervasive social relationship detachment and restricted interpersonal emotional expression from early adulthood, 4+ of: not enjoying close relationships; always chooses solitary activities; little sexual experience interest; few activities pleasurable; lacks close friends or confidants; indifferent to praise/criticism; emotional coldness/detachment
2. not occurring exclusively with SP, BD, DD with PF, Psychotic disorder, ASD and other medical condition

Question 9

DSM schizotypal PD

Answer 9

1. pervasive social and interpersonal deficits;; acute discomfort with close relationships and distprtions and behaviour eccenricities; beginning by early adulthood and in various contexts with 5+ of: ideas of reference/delusions of reference; off beliefs/magical thinking; unusual perceptual experiences; odd thinking/speech; suspiciousness; inappropriate/contricted affect; behaviour or appearance eccentric; lack close friends; excessive social anxiety that doesn’t diminish with familiarity
2. not exlusively with sp, bd, dd with psychosis, other psychotic disorder or asd

Question 10

DSM APD

Answer 10

1. pervasive disregard and violation of others rights since 15Y and 3+ of: failure to conform to social norms; deceitfulness; impulsivity; irritability; reckless diregard for safety; irresponsibility; lack of remorse
2. 18+ YO
3. conduct disorder before 15YO
4. AS behaviour not exclusively during SP or BD course

Question 11

BPD dysregulation of up to 5 domains

Answer 11

emotional
cognitive
behavioural
interpersonal
sense of self

Question 12

DSM5 BPD

Answer 12

1. pervasive pattern of instability of IPR, SI, affects and impulsivity from early adulthood across contexts, with 5+: frantic efforts to avoid abandonment; unstable and intense relationships; identity disturbances; impulsivity in at least 2 areas that are self dmaaging; recurrent suicidal behaviour; affective instability; chronic emptiness; intense anger; transient paranoid ideation or severe dissociative symptoms

Question 13

linehan’s biosocial model

Answer 13

BPD produced by combination of high emotional sensitivity and invalidating enviornment

Question 14

emotional sensitivity

Answer 14

reactivity of emotional system comprising:
ease of activation of an emotional response
peak intensity of emotions
time to return to emotional baseline

Question 15

DSM5 histrionic PD

Answer 15

pervasiv excessive emotionality and attention seeking from early adulthood and across contexts, with 5+: uncomfortable when not centre of attention; interaction sexually seductive/provocative; rapid shifting/shallow emotions; physical appearance to draw attention to self; excessive style; self-dramatisation of emotions; suggestible; considers relations more intimate than actually are

Question 16

DSM5 narcissistic PD

Answer 16

pervasive grandiosity, admiration need, empathy lacking, beginning by early adulthood and across context with 5+ of:
grandiose self importance
preoccupies with fantasies of unlimited success, power, brilliance, idela love
believes they are special
require excessive admitation
entitlement
exploiting others
lacks empathy
envious of others or believes they are of them
arrogant

Question 17

DSM5 Avoidant PD

Answer 17

pervasive socoial inhibition, inadequace, hypersensitivyt to negative ecaluation from early adulthood and across context, 4+ of: avoids occupational activities requiring interpersonal contact; unwilling to get involved with others unless certain of being likes
restrained with intimate relationships; preoccupied with criticism; inhibited in new interpersonal situations; views self as inept and inferior; reluctant to take risks in case of embarassment

Question 18

DSM5 Dependent PD

Answer 18

pervasive need to be taken care of leading to submissive/clinging behaviour and separation fears from early adulthood across contexts and 5+ of:
difficulty making everyday decisions without reassurance
needs others to take their responsibilities
cant disagree
cant initiate
extreme lengths to get support
uncomfortable when alone
urgently seeking new relationships when one ends
unrealistically preoccupied with fears of being left

Question 19

DSM5 O-C PD

Answer 19

pervasive preoccupation with orderliness by early adulthood across contexts and 4+ of:
preoccupied with details to point of activity being lost
perfectionism interferes with task completion
excessively devoted to work to exxlusion of leisure and friends
overly inflexible
unable to discard wornout object
reluctant to delegate
does not spend
rigid and stubborn

Question 20

issues with categorical models

Answer 20

excessive cooccurrence
heterogeneity within diagnostic categories (number of criteria required)
diagnosis instability over time
low prevalence

Question 21

Dimensional models

Answer 21

continuum
look at outliers, and their personality pathologies