Personality Disorders- 13A Flashcards
Description of personality disorders
-when personality is maladaptive, rigid and causes distress to patient and to others
Areas of disturbance in personality disorders
- Cognitiion
- Affectivity
- Interpersonal functioning
- Impulse control
Name the Cluster A personality disorders
Paranoid (litigious)
Schizoid (detachment from relationships)
Schizotypal (eccentric beliefs, genetically related to schizophrenia)
Name the Cluster B personality disorders
- Borderline
- Antisocial
- Narcissitic
- Histrionic
Name the Cluster C personality disorders
- Dependent (submissive, clinging)
- Avoidant (social inhibition, sensitivity to rejection)
- Obsessive Compulsive (overly orderly, rigid)
Prevalence of personality disorders in general population
10-20%
Biological correlates for personality disorders
- lower levels of 5-HIAA in impulsive/aggressive and those that attempt suicide
- antisocial and borderline slow wave activity on EEG and decrease P300 event related potential
- decreased skin conductance in antisocial PD
Which of the personality disorders requires another psychiatric disorder to make diagnosis
- Antisocial personality disorder
- requires previous history of conduct disorder
Signficant co-morbidity for antisocial personality disorder
-substance use disorder
Co-morbidities for Borderline Personality Disorder
- Major Depression
- PTSD
- Substance Use
Primary defense mechanisms for paranoid PD
- Projection
- Projective identification
- denial
- rationalization
Primary defense mechanisms for Schizoid PD
- Projection
- Schizoid fantasy
- Intellectualization
Primary defense mechanisms for Schizotypal PD
- Projection
- Denial
- Distortion
Primary defense mechanisms for Antisocial PD
- Acting out
- Somatization
- Projection
- Dissociation
- Isolation of affect (don’t feel fear)
Primary defense mechanisms for Borderline PD
- Splitting
- Projective identification
- Denial
- Distortion
- Dissociation
