Personality Disorders and Self Harm Flashcards
common features of personality disorders
- impaired cognitive abilities - tendency to misinterpret or not recognize details, distorted thinking patterns (cognitive schemas) eg. car crash once think its going to happen again every time
- emotional instability - heighten neg emotions or lack sensitivity
- impaired self-identity - uncertain, disturbed identity shaped by others (impaired interpersonal function)
- impulsivity and destructive behaviour - tendency for impulsive acts affecting self/others
distinct focus of Cluster A
odd-eccentric, distortions in thinking or perception
distinct focus of Cluster B
dramatic-emotional
distinct focus of Cluster C
anxious-fearful
BPD features
instability of interpersonal relationships, self-image, and mood, marked impulsivity
- dissociation
- parasuicide
- fear of abandonment
self injury (parasuicide) vs suicide
self injury - non-fatal self injury, intention not to commit suicide, may be a cry for help to resolve upset, give feeling when feeling empty
suicide - intention is fatal
Linehan’s Biosocial theory
biologically based emotional vulnerability in combination with an invalidating environment
emotional vulnerability
sensitivity and reactivity to environmental stress
invalidating environment
a highly personal social situation that negates the individual’s emotional responses and communication
interventions for sleep, nutrition, and preventing self-harm
sleep - regular sleep-wake cycles, moderate exercise
nutrition - learn basics, make reasonable choices, develop coping strats
prevention of self harm - observe for antecedents of self-harm and intervene before episode, develop strats of prevention, distraction
staff splitting
tell you one thing about another staff member to value or devalue their work and turn staff on each other, makes environment rigid
