Flashcards in 6 Personality Disorders Deck (78):
What are the 3 Behavioral Features of Personality Disorders?
1. Behavioral tends to be rigid & inflexible, resulting in distress and/or maladaptive coping skills
2. Extreme anxiety, distress, depression, impulsivity common
3. Difficulty adapting to change, tolerating frustration, forming healthy relationships
What are the 4 Challenges of Personality Disorders?
1. Often deny problems, lack insight
2. Use displacement and projection
3. Display an uncanny ability to create crisis
4. Nurses need to develop innovative treatment strategies
What are the 5 Special Needs in Patients with Personality Disorders?
1. Understand factors associated with personality development
2. Recognize impact of early trauma
3. Deal with intense personal reactions
4. Work with team to develop consistency and avoid splitting
5. Recognize the need to maintain boundaries
In Personality Disorders, what is Splitting? (2)
1. Primitive ego defense
2. Person unable to integrate and accept both negative and positive feelings (the pt splits things into 2: good or bad, nothing in between)
What is counter transference? (2)
1. Nurse’s behavioral and and emotional response to the patient
2. Feelings may be related to unresolved feelings towards significant others in the nurse’s past which can triggered by the patient’s behavior
what is boundaries?
Level of participation and interaction between individuals and subsystems
What are the 4 important concepts of Personality Disorders?
1. Understanding the etiology of personality disorders helps to minimize negative reactions
2. Working with these clients seen as a challenge rather than a burden
3. Patience, self-awareness, creativity and non-judgmental attitude important
4. Important to set consistent and firm boundaries
Name 3 things about the Theories of the Origins of Personality Disorders.
1. Emphasize the significance of primary care-givers in child growth and development
2. Child must master socialization within the family, foundation for later relationships
3. Early interactions mediate infant’s/child’s perception of the world
Name 3 things about the Developmental Factors of the
Mahler’s Theory of Object Relations.
1. Theory of object relations are important in conceptualizing personality disorders
2. Personality disorders represent a disturbance/disruption in separation and individuation
3. Individual with BPD is thought to be fixed in the rapprochement phase of development
Mahler’s Stages of Separation-Individuation: Normal autism. what is the age and task for this phase?
Birth to 1 year
task: fulfillment of basic need for survival and comfort
Mahler’s Stages of Separation-Individuation: symbiosis. What is the age and task for this phase?
1 to 5 months
Task: awareness of external source for need fulfillment
Mahler’s Stages of Separation-Individuation: separation-individual differentiation. What is the age and task for this phase?
5 to 10 months
TastK recognizes separateness from caretaker
Mahler’s Stages of Separation-Individuation: Practicing. what is the age and task for this phase?
10 to 16 months
task: increased independence and separateness of self
Mahler’s Stages of Separation-Individuation: rapprochement. What is the age and task for this phase?
16 to 24 months
task: seeks emotional refueling from caretaker to maintain feeling of security
Mahler’s Stages of Separation-Individuation: consolidation. What is the age and task for this phase?
24 to 36 months
task: sense of separateness established on the caretake. it was to object constancy, resolution of separation anxiety.
Name 2 things about psychodynamic theory.
1. Object relations internalized relationships recollected from early primary-caregivers
2. Object constancy
Name 3 things about Object constancy.
1. Phase of separation/individuation process when the child learns to relate in an effective, constant manner
2. Sense of separateness is established
3. Child able to internalize the loved object
What are the neurobiologic factors of Personality Disorders?
---Dysregulation in serotonin and dopamine implicated in impulsivity, aggression and suicidal behaviors
what are the 3 personality disorders in the Cluster A of DSM5 personality disorders?
1. Paranoid Personality Disorder
2. Schizoid Personality Disorder
3. Schizotypal Personality Disorder
what are the 4 personality disorders in the Cluster B of DSM5 personality disorders?
1. Antisocial Personality Disorder
2. Borderline Personality Disorder
3. Histrionic Personality Disorder
4. Narcissistic Personality Disorder
** they are overly emotional
what are the 3 personality disorders in the Cluster C of DSM5 personality disorders?
1. Avoidant Personality Disorder
2. Dependent Personality Disorder
3. Obsessive-compulsive Personality Disorder
What is Paranoid Personality Disorder?
Pattern of distrust and suspiciousness such that others’ motives are interpreted as malevolent
Paranoid personality disorder's Prevalence rate: ___ of the general population
Paranoid personality disorder is more commonly diagnosed in what gender?
What are the Clinical pictures of paranoid personality disorder? (4)
1. Constantly on guard, hyper-vigilant
2. Avoid interactions with others
3. Persistently bears grudges
Name one thing about paranoid personality disorder. hint: genetics
Possible hereditary link; higher incidence in relatives of people with schizophrenia
Name 3 things about Schizoid Personality Disorder.
1. Pattern of detachment form social relationships and a restricted range of emotional expression
2. Profound defect in the ability to form personal relationships
3. Lifelong pattern of social withdrawal
What is the prevalence rate of Schizoid Personality Disorder?
between 3 and 7.5%
Which gender is most frequently diagnosed with Schizoid Personality Disorder?
What are the 4 Clinical pictures of Schizoid Personality Disorder?
1. Cold, aloof, indifferent
2. Prefer to work alone, unsociable
3. Takes pleasure in few if any activities
4. no interest in sex
What is Schizotypal Personality Disorder?
Pattern of acute discomfort in close relationships, cognitive or perceptual distortions, and eccentricities of behavior
What is the Prevalence of Schizotypal Personality Disorder?
What are the clinical pictures of Schizotypal Personality Disorder?
Ideas of reference
Odd beliefs or magical thinking
Unusual perceptual experiences
Lack of close friends
What is the genetic relationship of Schizotypal Personality Disorder with schizophrenia?
More common among first-degree biological relatives of people with schizophrenia
What is Antisocial Personality Disorder?
Pattern of disregard for and violation of the rights of others
What are the 5 symptoms of Antisocial Personality Disorder?
1. Failure to conform to social norms
2. Deceitfulness, repeated lying
3. Irritability and aggressiveness
4. Consistent irresponsibility
5. Lack of remorse
How old are the pts diagnosed with antisocial personality disorder usually?
at least 18
What is the prevalence rate of antisocial personality disorder?
What is the 1 genetic factor of antisocial personality disorder?
More common in first degree biological relatives of those with the disorder
What is Histrionic Personality Disorder?
Pattern of excessive emotionality and attention seeking
What are the 2 symtoms of Histrionic Personality Disorder?
1. Characterized by colorful, dramatic, and extroverted behavior
2. Difficulty maintaining long lasting relationships
what is the prevalence rate of Histrionic Personality Disorder?
Which gender is more commonly diagnosed with Histrionic Personality Disorder
What is the clinical picture of Histrionic Personality Disorder?
Self dramatizing, attention seeking, overly gregarious, seductive
What is the genetic factor associated with Histrionic Personality Disorder?
More common in among first degree biological relatives
What is Narcissistic Personality Disorder?
Pattern of grandiosity, need for admiration, and lack of empathy
What are the symptoms of Narcissistic Personality Disorder?
Individuals have an exaggerated sense of self worth, lack empathy, hypersensitive to the evaluation of others
What is the prevalence rate of Narcissistic Personality Disorder?
What are the 3 clinical pictures of Narcissistic Personality Disorder?
1. Believe they are entitled to special rights and privileges because they view themselves as superior
2. Mood usually optimistic, relaxed, cheerful
3. Exploitation of others for self gratification impairs relationships
** these pts are very egocentric all the time.
What is Avoidant Personality Disorder?
Pattern of social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation
What are 2 symptoms of Avoidant Personality Disorder?
1. Extremely sensitive to rejection
2. Socially isolates
What is the prevalence rate of Avoidant Personality Disorder?
What are the 3 clinical pictures of Avoidant Personality Disorder?
1. Awkward and uncomfortable in social settings
2. Speech slow and constrained, frequent hesitations
3. Often lonely
What is Dependent Personality Disorder?
Pattern of submissive and clinging behavior related to an excessive need to be taken care of
What are the symptoms of Dependent Personality Disorder?
Allows others to make decisions, feels helpless when alone, tolerates mistreatment, demeans self to gain acceptance
tend to depend on people who are abusive.
what is the prevalence rate of Dependent Personality Disorder?
What are the clinical pictures of Dependent Personality Disorder?
Notable lack of self confidence, passive and aquiescent to others
What is Obsessive-Compulsive Personality Disorder?
Pattern of preoccupation with orderliness, perfectionism, and control
What are the symptoms of Obsessive-Compulsive Personality Disorder?
Overly disciplined, perfectionistic, and preoccupied with rules
What is the prevalence rate of Obsessive-Compulsive Personality Disorder?
Which gender is more commonly diagnosed with Obsessive-Compulsive Personality Disorder?
What are the clinical pictures of Obsessive-Compulsive Personality Disorder?
Lack of spontaneity, inflexible, meticulous, rank conscious
Which personality disorder is also known as the "criminal behavior"?
antisocial personality disorder
How is obsessive compulsive personality disorder different from OCD?
obsessive compulsive personality disorder is different from OCD; these people are comfortable being OCD while the other one is the pt knows they are OCD and they hated it.
What is Borderline Personality Disorder (BPD)?
Pattern of instability in interpersonal relationships, self image, and affects, and marked impulsivity
What are the characteristics of pts with Borderline Personality Disorder (BPD)?
Characterized by pattern of intense and chaotic relationships, affective instability and fluctuation attitudes towards other people
What are the clinical pictures of Borderline Personality Disorder (BPD)?
Always in crisis
Inability to be alone
What are the patterns of interactions in BPD? (5)
1. Clinging and distancing
4. Self-destructive behaviors
What is the biological predisposing factor in BPD?
Biochemical possible serotonergic defect
What are the genetic predisposing factors in BPD? (2)
1. 5 times more common in among first degree biologic relatives of those with the disorder
2. Increased familial risk for depression, bipolar, substance use disorders and antisocial personality disorders
What are the psychosocial predisposing factors in BPD? (2)
1. Childhood trauma
2. 40-71% report sexual abuse
What are some nursing diagnoses for Personality Disorders?
Risk for self mutilation
Risk for self directed violence
Risk for suicide
Impaired social interaction
Disturbed personality identity
Chronic low self esteem
What are some of the treatments for Personality Disorders? (7)
1. Primary goal of tx is to reduce the inflexibility of personality features that interfere with functioning and relationships
2. Interpersonal psychotherapy
3. Psychoanalytical psychotherapy: histrionic personality disorder
4. Group therapy
6. Dialectical Behavioral Therapy
what are the Psychopharmacology for personality disorders?
-Antipsychotics for psychotic decompensation
____ shown some efficacy in decreasing impulsivity in BPD
Combination of ___ and _____ for dysphoria, mood instability and impulsivity
SSRI and antipsychotic
___ and ___ have been used with violent behavior in antisocial personality disorder
Lithium and Inderal