Week Six: Personality Disorders Flashcards
What is personality?
patterns of behaving and relating to self, others, and environment
- perceptions, attitudes, and emotions
What is a personality disorder?
impairment of personality functioning, personality traits are maladaptive, identify problems, relationships are dysfunctional
How old do you have to be to perform a PD test?
18
What is the three types of clusters in a PD diagnosis?
Cluster A, B, and C
What is a Cluster A diagnoses?
odd or eccentric behaviours
- paranoid personality disorders
- schizoid personality disorders
- schizotypical personality disorders
What is a Cluster B diagnoses?
erratic or dramatic behaviours
- antisocial personality disorders
- boarderline personality disorders
- histrionic personality disorders
- narcissistic personality disorders
What is a Cluster C diagnoses?
anxious or fearful behaviours
- avoidant personality disorders
- dependent personality disorders
- obsessive personality disorders
What is the biological theories for personality disorders?
develop through the interaction of hereditary dispositions and environmental influences
temperament: biologic processes of sensation, association, and motivation that underlie the integration of skills and habits based on emotion
What are the four temperament traits?
- harm avoidance
- novelty seeking
- reward dependance
- persistence
these influence traits of a persons automatic responses to certain situations
What is the psychodynamic theories for personality disorders?
focues on character.
Character concepts about the self and the external; word that develops over time as one comes into contact with people and situations
What are the three major character traits for psychodynamic theories?
- self directness(responsible, goal oriented)
- cooperativeness (integral part of society)
- self-transcendence (integral part of universe)
What are the two treatment options for personality disorders?
psychopharmacology and psychotherapy
What is psychopharmacology treatment for personality disorders?
focus on clients symptoms rather than the particulate subtype
medications used: lithium, anticonvulsant, mood stabilizers, benzo, neuroleptics
What is psychotherapy treatment for personality disorders?
- individual and group therapy
- cognitive- behavioural therapy
- thought stopping
- positive self talk
- dialectical behavioural therapy
What is paranoid personality disorder? Nursing interventions?
pervasive, mistrust/suspicious, projection as defence mechanisms, conflict with authority figures, appear aloof and withdrawn
Nursing interventions: formal, business type approach, client involvement, validate idea before action
What is schizoid personality disorder? Nursing interventions?
\people avoid social activities and consistently shy away from interaction with others and have a limited range of emotional expression
nursing interventions: focus on improved functioning in community, greater chance of success if pt can relate needs to one person
What is schizotypal personality disorder? Nursing interventions?
consistent pattern of intense discomfort with close relationships and social interactions, behavioural eccentricities, odd appearance, wander , frequently use words incorrectly
nursing interventions:focus on self care, social skills, improve functioning in the community, encourage diary routines, identify inappropriate outlet
What is antisocial personality disorder? Nursing interventions?
disregard for rights of others, deceit, and manipulation. Not care for others feelings
nursing interventions: therapeutic relationships, enhancing problem solving, role performance
What is borderline personality disorder? Nursing interventions?
pervasive pattern of unstable interpersonal relationships, self image, affect, impulsive. impacts a person’s ability to regulate their emotions.
nursing interventions: safety, therapeutic interventions, strict adherence to boundaries, communication skills, coping, emotion control, reshaping thinking patterns, structuring of daily activities
What is histrionic personality disorder? Nursing interventions?
pattern of exaggerated emotionality and attention-seeking behaviors
nursing interventions: feedback about social interactions, social skills training, role playing, exploration of strengths and assets
What is narcissistic personality disorder? Nursing interventions?
unreasonably high sense of their own importance, belittle or discount the feelings of others
nursing interventions: self awareness skills to avoid anger and frustration, matter of fact approach, limit settings
What is avoidant personality disorder? Nursing interventions?
feelings of inadequacy and are highly sensitive to being negatively judged by others causing social discomfort, low self esteem, hypersensitivity to negative evaluation
nursing interventions: self affirmations, positive self talk, social skills training, be careful and patient with these clients
What is dependent personality disorder? Nursing interventions?
feel helpless, submissive or incapable of taking care of themselves. Excessive need to be taken care of.
Nursing interventions: help ct express feelings of grief and loss over the end of a relationship while fostering autonomy and self reliance, assistance in daily functioning, teaching problem solving, nurse must refrain from giving advice
What is obsessive-compulsive personality disorder? Nursing interventions?
extensive preoccupation with perfectionism, organization and control.
Nursing interventions: ct to view decision making and completion of projects from a different perspective, cognitive restructuring techniques
What are elder considerations for personality disorders?
continue from a young age and not diagnoses in elders, some may stabilize while others may age badly, have a higher risk for depression, suicide, and dementia
