Flashcards in 94B Personality Disorders Deck (15):
person thinks everyone else is screwed up, not them; trait of personality disorder
change others, not self. Part of PD.
3 parts of personality and description
1) temperament - innate
2) character - relating to others; can somewhat control
3) Psyche - self-awareness
general criteria for personality disorder
Inflexible, maladaptive, and rigidly pervasive pattern of behavior causing subjective distress and/or impaired functioning; person is usually not aware of problem. Usually presents by early
3 clusters of personality disorder
A - Odd or eccentric; inability to develop
meaningful social relationships. No psychosis;
genetic association with schizophrenia. "Weird” (Accusatory, Aloof, Awkward). RX- low dose anti-psychotics if needed
B - Dramatic, emotional, or erratic; genetic
association with mood disorders and substance
abuse. “Wild” (Bad to the Bone).
C - Anxious or fearful; genetic association with
anxiety disorders. “Worried” (Cowardly, Compulsive, Clingy). Rx - SSRIs if needed
A - "accusatory"
Pervasive distrust and suspiciousness; projection
is the major defense mechanism.
A - "aloof;" Schizoid = distant.
Voluntary social withdrawal, limited emotional
expression, content with social isolation (vs.
Excessive emotionality and excitability,
attention seeking, sexually provocative, overly
concerned with appearance. Manipulative in medical settings.
Grandiosity, sense of entitlement; lacks empathy
and requires excessive admiration; often
demands the “best” and reacts to criticism
B - Antisocial = sociopath.
Disregard for and violation of rights of others,
criminality; males > females; conduct disorder
if < 18 years.
Highly genetic with decreased response to stimuli
-Frantic efforts to avoid abandonment;
-Unstable mood and interpersonal relationships,
impulsiveness, self-mutilation, boredom, sense
of emptiness; females > males; splitting is a
major defense mechanism.
-10% kill themselves
-In medical settings: angry, frustrating, non-adherent; suicide attempts, drug abuse; ask about history of victimization
-Tend to provoke strong reactions in health care personnel, from loathing/avoidance to rescue fantasies
-Symptoms improve over time, but never become higher functioning
C - "Compulsive"
Preoccupation with order, perfectionism, and
control; ego-syntonic: behavior consistent with
one’s own beliefs and attitudes (vs. OCD).
C - "Cowardly"
Hypersensitive to rejection, socially inhibited,
timid, feelings of inadequacy, desires
relationships with others (vs. schizoid).
C - "clingy"
Submissive and clinging, excessive need to be
taken care of, low self-confidence.