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Psych > Chapter 6 Pt 1 > Flashcards

Chapter 6 Pt 1 Flashcards

1
Q

what is a personality

A

one’s set of stable, predictable, emotional, and behavioral traits

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2
Q

what are personality disorders

A

enduring patterns of inner epxierinace and behavior that deviate markedly from expectations of an individuals culture

are pervasive, MALADAPTIVE, and cause significant impairment in social or occupational functioning

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3
Q

patients with personality disorders lack

A

insight about their problems

symptoms are EGO-SYNTONIC (not perceived as a problem) and viewed as immutable

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4
Q

patients with personality disorders are vulnerable to what at times of stress

A

developing symptoms of other mental disorders

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5
Q

what is the criteria for a personality disorder

A

enduring pattern of behavior/inner experience that deviates from the persons culture and is manifested in two or ore of the following ways:

  • cognition
  • affect
  • interpersonal functioning
  • impulse control

the pattern:

  • is PERVASIVE and INFLEXIBLE in ta broad range of situations
  • is SABLE and has an onset no later than adolescence or early adulthood
  • leads to significant distress in functioning
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6
Q

what is the Mnemonic for personality disorder criteria

A 
CAPRI
Cognition
Affect
Personal Relations
Impulse Control
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7
Q

what are the Cluster A personality disorder

A

Schizoid
Schizotypal
Paranoid

patients seem eccentric, peculiar, or withdrawn
familial association with PSYCHOTIC disorders

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8
Q

what are the Cluster B personality disorder

A

Antisocial
Borderline
Histrionic
Narcissistic

patients seem emotional, dramatic, or inconsistent
familial association with MOOD Disorders

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9
Q

what are the Cluster C personality disorder

A

Avoidant
Dependent
Obsessive-compulsive

patients seem anxious or fearful
familial association with ANXIETY disorders

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10
Q

what is OTHER SPECIFIED/UNSPECIFIED PERSONALITY DISORDER

A

includes characteristics of a personality disorder that do not meet the full criteria for any of the other personality disorders

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11
Q

how are personality disorders treated

A

psychotherapy is most helpful

pharmacotherapy limited usefulness except can treat comorbid mental conditions

difficult to treat (few patients aware they need treatment)

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12
Q

what is seen in patients with paranoid personality disorder (cluster A)

A

pervasive distrust and suspiciousness of others and often interpret motives as malevolent
tend to blame their own problems on others and seem angry and hostile
often characterized as pathologically jealous, which leads them to think their spouses or partners are cheating on them

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13
Q

what is the criteria for paranoid personality disorder

A

general distrust of others, beginning by early adulthood and present in a variety of context

at least 4 of the following:

  • suspicion (witout evidence) that others are exploring or deceiving him or her
  • preoccupation with doubts of loyalty or trustworthiness of friends or acquaintances
  • reluctance to confide in others
  • interpretation of benign remarks as threatening or demeaning
  • persistence of grudges
  • perception of attacks on his or her character that is not apparent to others; quick counter attack
  • suspicious regarding fidelity of spouse or partner
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14
Q

paranoid personality disorder has a higher incidence in those with family members who have

A

schizophrenics

more commonly diagnosed in men than women

misdiagnosed in minority groups, immigrants, and deaf individuals

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15
Q

what is on the differential diagnosis of pt with paranoid personality disorder

A

schizophrenia (but unlike schizophrenia PPD patients do NOT HAVE ANY FIXED DELUSIONS and are NOT FRANKLY PSYCHOTIC)

social disenfranchisement and social isolation

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16
Q

what is treatment for paranoid personality disorder (PPD)

A

PSYCHOTHERAPY is treatment of choice

GROUP psychotherapy should BE AVOIDED due to mistrust

17
Q

patients with SCHIZOID personality disorder have

A

lifelong pattern of SOCIAL WITHDRAWAL
often perceived as ECCENTRIC and RECLUSIVE
quiet and unsociable and have a CONSTRICTED AFFECT
NO DESIRE FOR CLOSE RELATIONSHIPS and PREFER to be ALONE

18
Q

what s main difference b/w schizoid and avoidant personality disorders

A

schizoid WANT to be alone

avoidant don’t want to be alone

19
Q

what is criteria for schizoid personality disorder

A

pattern of voluntary social withdrawal and restricted range of emotional expression, beginning by early adulthood and present in a variety of contexts

four or more:

  • neither enjoying nor desiring close relationships (including family)
  • generally closing solitary activities
  • little (if any) interest in sexual activity with another person
  • taking please in few activities (if any)
  • few close friends of confidants (if an)
  • indifference to praise or criticism
  • emotional coldness, detachment, or flattened affect
20
Q

how is schizoid personality disorder treated

A

may benefit from day programs or drop-in centers

antidepressants if comorbid MDD

21
Q

patients with schizotypal personality disorder have

A

pervasive pattern of eccentric behavior and peculiar thought patterns

often perceived as strange and odd

22
Q

what is criteria for schizotypal personality disorder

A

pattern of social deficits marked by eccentric behavior, cognitive or perceptual distortions, and discomfort with case relationships, beginning by early adulthood and present in a variety of contexts

5 or more:

  • ideas of references (excluding delusion of reference)
  • odd beliefs or magical thinking
  • unusual perceptual experiences
  • suspiciousness
  • inappropriate o restricted affect
  • odd or eccentric appearance or behavior
  • few close friends or confidants
  • odd thinking or speech
  • excessive social anxiety

magical thinking:

  • clairvoyance or telepathy
  • bizarre fantasies or preoccupations
  • belief in superstitions

odd behaviors:

  • cult
  • strange religious practices
23
Q

what is a premorbid personality type for patient with schizophrenia

A

schizotypal

24
Q

what is treatment for schizotypal personality disorder

A

PSYCHOTHERAPY is treatment of choice to help develop social skills

25
Q

clusterB patients (bordeline, antisocial, histrionic, and narcissistic) are often

A

emotion, impulsive and dramatic

Psych (35 decks)

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