Personality Disorders Flashcards

1
Q

How can symptoms of personality disorders be viewed as maladaptive?

A

-Variations within the domains of traits, emotions, cognitions, motives, and self-concept
-Variations on common motives like power and intimacy
-Cognitive processes
-Levels in experienced emotion
-Distortion of self-concept

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2
Q

What is a Disorder?

A

-Pattern of behaviour or experience that is distressing and painful to the person, leads to disability or impairment in important life domains and that is associated with increased risk for further suffering, loss of function, death, or confinement (APA, 2013).

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3
Q

What are the 4 aspects of abnormality?

A

-Statistical
-Social
-Psychological
-Behavioral
only looking at one aspect is not enough

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4
Q

What is a Personality Disorder?

A

-Pattern of behaviour:
–is rigid and displayed across a variety of situations
–distress in key areas of life such as work and relationships
–long history in a person’s life, often back to adolescence or childhood
–must not be attributable to drug abuse, medication, or other medical condition
-All personality disorders involve impaired social relations

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5
Q

What 3 aspects do we consider when diagnosing PDs?

A
  • Must consider:
    1. Culture
    2. Age (we don’t diagnose at an early age)
    3. Gender
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6
Q

What are the characteristics of Cluster A?

A

The Eccentric Cluster
-Contains traits that combine to make people:
–ill at ease socially
–appear or act in highly abnormal ways
–mostly focused on interactions with others
* Exhibit similar traits as those with schizophrenia but subclinical

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7
Q

Which PDs are in Cluster A?

A
  1. Schizoid
  2. Schizotypal
  3. Paranoid personalities
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8
Q

What are the characteristics of Schizoid PD?

A

-Detached from normal social relationships
-Obtains little pleasure out of life
-Appears inept or socially clumsy
-Passive in the face of unpleasant events
-Indifferent in social relations
-Self concept: Self as loner, without ambition

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9
Q

What are the characteristics of Schizotypal PD?

A

-Similar interpersonal difficulties of schizoid personality but more anxious
-Eccentric thinking
-Odd beliefs or magical thinking
-Odd speech
-Ideas of reference
-Suspiciousness, Paranoid ideation
-Eccentric behaviour and appearance
-Self Concept: Self as different from others

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10
Q

What are the characteristics of Paranoid PD?

A

-Distrustful of others
-Misinterprets social events as threatening
-Harbors resentment towards others
-Prone to pathological jealousy
-Argumentative and hostile
-Self concept: Self as victim

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11
Q

What are the characteristics of Cluster B?

A

The Erratic Cluster
-Persons with these disorders appear erratic, emotional, and have difficulties getting along with others

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12
Q

Which PDs are in Cluster B?

A
  1. Antisocial
  2. Borderline
  3. Histrionic
  4. Narcissistic
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13
Q

What are the characteristics of Antisocial PD?

A

-Conduct disorder present before age 15 (i.e., truancy, running away from home, theft, arson)
-Pattern of anti-social behaviour continues into adulthood
–irresponsible and anti-social behaviour
–work only inconsistently
–break laws
–physically aggressive *
–reckless, impulsive
-Self concept: Self as unfettered by rules

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14
Q

What are the characteristics of Antisocial PD & Psychopathy?

A

-Key characteristic— poverty of emotions both positive and negative
–Lack of remorse
–No sense of shame
–Superficially charming
–Manipulates others for personal gain
–Lack of anxiety
–Lack of empathy
–BIS?

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15
Q

What are the characteristics of Borderline PD?

A

-Instability of relationships, emotions, and self-image
-Trouble regulating emotion
-Strong emotions
-Impairments in emotional perception making them prone to self-harm
-Fears of abandonment
-Splitting
-Self concept: Self as vague, diffuse, changing, unstable, with no strong feeling of identity

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16
Q

What are the characteristics of Histrionic PD?

A

-Excessive attention seeking
-Excessive and strong emotions
-Sexually provocative
-Opinions / discussions are shallow
-Suggestible
-Strong need for attention
-Self concept: Self as desirable and charming

17
Q

What are the characteristics of Narcissistic PD?

A

-Need to be admired
-Strong sense of self importance
-Lack of insight into other peoples’ feelings or needs
-Sense of entitlement
-Feelings of superiority
-Self-esteem appears strong, but is fragile (Narcissistic paradox; contingent on getting the attention they need)
-Envious of others
-Self concept: Self as unique, admirable, special

18
Q

What are the characteristics of Cluster C?

A

The Anxious Cluster
-Geared towards avoiding anxiety
-Neurotic paradox: one pattern of behaviour solves a problem but creates another

19
Q

Which PDs are in Cluster C?

A
  1. Avoidant
  2. Dependent
  3. Obsessive-compulsive
20
Q

What are the characteristics of Avoidant PD?

A

-Feelings of inadequacy
-Sensitive to criticism
-Restricts activities to avoid embarrassments
-Low self-esteem
-Self concept: Self as inadequate

21
Q

What are the characteristics of Dependent PD?

A

-Excessive need to be taken care of
-Submissive
-Seeks reassurance from others
-Rarely takes initiative, rarely disagrees with others
-Does not work well independently
-May tolerate abuse from others to obtain support
-Self concept: Self as needy, lacking self-direction

22
Q

What are the characteristics of Obsessive-Compulsive PD?

A

-Preoccupied with order
-Strives for perfection
-Often dissatisfied
-Devoted to work, seeks little leisure time or friendship
-Rigid and inflexible and stubborn
-Self concept: Self as rigid, with high standards and expectations

23
Q

What are the categorical and dimensional approaches to PDs?

A

-Categorical approach: Do the traits fit criteria? YES / NO
-Dimensional: spectrum approach; level of functionality; influence of multiple factors:
–Negative affect
–Detachment
–Antagonism
–Disinhibition
–Psychoticism