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Mental Health-MJ > T3-Personality Disorder > Flashcards

T3-Personality Disorder Flashcards

1
Q

When do personalities tend to form?

A

Adolescence or early adulthood and continue throughout the lifetime

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2
Q

What are the disorders of cluster A (odd or eccentric)? [3]

A
  • Paranoid personality
  • Schizoid personality
  • Schizotypical personality
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3
Q

What are the disorders of cluster B )dramatic, emotional, erratic)? [4]

A
  • Antisocial
  • Borderline
  • Historionic
  • Narissistic
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4
Q

What are the disorders of cluster C (anxious, fearful, insecure, feelings of inadequacy)? [3]

A
  • Avoidant
  • Dependent
  • Obsessive Compulsive
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5
Q

All personality disorders share 4 common characteristics. What are they?

A
  1. Inflexibility (maladaptive responses to stress)
  2. Disability in social and professional relationships
  3. Tendency to provoke interpersonal conflict
  4. Capacity to cause irritation or distress in others
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6
Q

Are personality disorders easy to treat and manage?

A

No; DIFFICULT

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7
Q

Can personality disorders be cured?

A

No

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8
Q

What are some defense mechanisms in individuals with personality disorders?

A
  • Repression
  • Suppression
  • Regression
  • Undoing
  • Splitting
  • Externalization
  • Denial
  • Projection
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9
Q

______ have been shown to be the most effective intervention for modifying some forms of difficult behavior displayed by people with personality disorders. These treatments require time and special expertise and should be delivered by specialists

A

Psychotherapeutic interventions

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10
Q

People with personality disorders–do they have a lot or few support people?

A

FEW

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11
Q

Before diagnosing a personality disorder, the nuances of an individuals ____ must be considered

A

Culture

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12
Q

What disorder is diagnosed more frequently in men?

A

Antisocial personality

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13
Q

What disorders are more frequently diagnosed in men?

A

Borderline
Histrionic
Dependent

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14
Q

When do personality disorder traits appear?

A

Adolescence or early adulthood

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15
Q

What disorder has traits that tend to become less evident with age?

A

Antisocial

Borderline

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16
Q

What does gerontological implications mean?

A

Personality generally remains stable over time—a personality change may indicate a change in physical health

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17
Q

What is the core problem with personality disorders?

A

The inability to form close relationships

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18
Q

What is the treatment of choice for personality disorders?

A

Long term psychotherapy

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19
Q

What are the meds for cluster A?

A

Antidepressants

Low-dose antipsychotics

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20
Q

What are the meds for cluster B?

A

Anticonvulsant mood stablizing and MAOI

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21
Q

What are the meds for cluster C?

A

Antianxiety; possibly antidepressants

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22
Q

Cluster A: Odd Eccentric

What disorder is this:

  • Mistrustful, suspicous, watchful
  • Irritable, short-fuse, bad temper
  • Hostile attitude
  • Accusatory communication style
  • Externalizes blame for problems
A

Paranoid Personality

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23
Q

Cluster A-Odd Eccentric-Paranoid Personality

  • What is the challenge with treatment?
  • What kind of therapy?
A
  • Challenge= developing trust

- Therapy= Individual, not group (simple business like approach rather than insight oriented–focus on current problem)

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24
Q

Cluster A-Odd Eccentric

What disorder is this:

  • Detachment, social withdrawal [“hermit”]
  • Indifference to others feelings
  • Restricted emotional range
  • Prefers solitary interests and occupations
  • No close friends, loner
A

Schizoid Personality Disorder

25
Q

Cluster A: Odd Eccentric

T/F: Most people with schizoid personality disorder function adequately in everyday life but do not develop many meaningful relationships

A

True

26
Q

Schizoid personality disorder: What positions may they excel in?

A

Ones where they have minimal contact with other

27
Q

Cluster A: Odd eccentric–Schizoid Personality Disorder

  1. Developing what is a slow process?
  2. What should be short-term?
  3. What therapy is useful?
  4. What is not useful?
  5. When are meds useful?
A
  1. Develop a rapport and trusting therapeutic relationship is a slow process
  2. Psychotherapy=short term
  3. Cognitive therapy=useful
  4. Group therapy= not useful
  5. Meds are good if pt. is experiencing major depression or severe anxiety or has psychotic features
28
Q

Cluster A: Odd Eccentric

What disorder is this?

  • Odd though and behavioral patterns
  • Persistent pattern of social and interpersonal deficits
  • Severe social anxiety
A

Schizotypical personality

29
Q

Cluster B: Dramatic Emotional

What disorder?

  • Chronic antisocial behavior
  • Violates rights of others
  • Violates social norms and laws; criminal behavior
  • Lack empathy
  • Manipulative
  • Deceitful
  • Narcissistic
A

Antisocial personality (sociopath or psychopathy)

30
Q

A childhood disorder of _____ is a common characteristic of people with antisocial personality disorder

A

Conduct disorder

31
Q

What kind of approach is necessary for antisocial personality

*B: dramatic emotional

A

Strict behavioral approach!!

The individual is morally and ethically deficient–talk about consequence of behavior

32
Q

B: Dramatic emotional

What disorder?

  • Instability in interpersonal relationships, mood, behavior, and self image
  • Emotions overwhelm cognitive functioning
  • Intense anger; rage
  • Impulsivity
  • Splitting
A

Borderline personality

33
Q

B: Dramatic emotional

Borderline personality tend to act _____ without considering the consequences

A

Impulsively

EX: promiscuity, substance use, eating/spending binges, self multilation, suicide threats/attempts

34
Q

B: Dramatic emotional

Borderline personality impulsive behaviors are triggered by?

A

Fear of abandonment (clinging behavior)

35
Q

B: Dramatic emotional

Extreme sensitivity to?

A

Rejection

36
Q

B: Dramatic emotional-borderline personality

Tend to have stormy intense relationships alternating between all good or all bad view of others

A

Splitting

37
Q

B: Dramatic emotional-Borderline personality

Unable to incorporate positive and negative attributes into a whole picture of an individual

A

Splitting

38
Q

B: Dramatic emotional- Borderline personality

Perceptions of family members or friends may shift suddenly from great admiration and helpfulness t intense anger and dislike

A

SPlitting

39
Q

B: Dramatic emotional

What does it mean by saying borderline personality are manipulative?

A

They may pit people against one another

40
Q

B: Dramatic emotional

Borderline personality disorders are usually comorbid with what?

A
  • Other personality disorders
  • Bopolar
  • Depression
  • Anxiety
41
Q

B: Dramatic emotional

What disorder?

  • Vain
  • Attention seeking
  • Praise seeking
  • Dramatic
  • Demanding
  • Manipulative
  • Shallow
  • Theatrical
  • Provocative
  • Lacks fidelity and loyality
A

Histrionic Personality

42
Q

B: Dramatic emotional

Histrionic personality commonly coexists with ____

A

Depression

43
Q

B: Dramatic emotional

Why do insight oriented and cognitive approaches not effective with histrionic personality?

A

This patient lacks the capacity or incliination to examine their thoughts and conscious or unconscious motives

44
Q

Cluster B: Dramatic emotional

What disorder?-Arrogant, haughty

  • Extremely self-centered
  • Believes they are superior and entitled
  • Lack empathy
  • Easily takes advantage of others
  • Domestic violence history
A

Narcissistic personality

45
Q

B: Dramatic emotional

Narcissistic personality: Some believe that beneath the image is an ______

A

Insecure person with fragile self-esteem

46
Q

Cluster C: Anxious fearful

What disorder?

  • Extreme shyness
  • Feelings of inadequacy
  • Hypersensitivity to others opinions
  • Paucity of emotions, bland affect
  • Uncomfortable around others
  • Wants relationships but too fearful
  • Will not take a personal risk
  • Prefers solitary activities
A

Avoidant personality

47
Q

Cluster C: Anxious fearful

People with avoidant personality frequently escapes into fantasy. What does this mean?

A

Excessive reading, watching TV, day dreaming

48
Q

Cluster C: Anxious fearful

Do people with avoidant personality have low or high self esteem?

A

Low

49
Q

What disorder is this: Rejection of people who don’t live up to impossibly high standards

A

Cluster C: Anxious fearful

Avoidant personality

50
Q

Cluster C: Anxious fearful

What disorder?

  • Extreme need to be taken care of
  • Passive compliance
  • Deferes/avoids responsibility
  • Difficulty making decisions
  • Seek others to protect them
  • Strong need for reassurance
A

Dependent personality

51
Q

Cluster C: Anxious-fearful

Dependent personality–some people will get in to and remain in ____

A

Abusive relationships

52
Q

C: Anxious fearful

Dependent personality–predominately male or female disorder?

A

Female

53
Q

C: Anxious fearful

Is obsessive compulsive the same thing as OCD?

A

No obsessive compulsive is a personality disorder OCD is an anxiety disorder

54
Q

C: Anxious fearful

Do people with obsessive compulsive personality have any obsessions or compulsions? Explain.

A

No, but they are perfectionistic, conscientious, trustworthy, disciplined, and orderly

55
Q

C: Anxious fearful

What disorder?

  • Perfectionistic
  • Conscientious
  • Trustworthy
  • Disciplined
  • Orderly
A

Obsessive compulsive personality

56
Q

T/F: Someone with obsessive-compulsive personality accepts the way other people do things.

A

False! His/her way of doing something is the only right way; all other ways are wrong

*controlling

57
Q

Obsessive-compulsive personality: Chronic sense of ____ and inability to ____

A

Chronic sense of time pressure and inability to relax

58
Q

What child of the family is obsessive-complisve personality have the highest incidence?

A

Oldest child in family

Mental Health-MJ (39 decks)

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