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Cluster C: Dependent PD Flashcards

(8 cards)

1
Q

Cluster C

A

anxious or fearful - worried

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2
Q

Main characteristics

A
  • Submissive and clingy behavior
    • Excessive need to be taken care of
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3
Q

Criteria

A

5 or more of the following
* Has difficulty making everyday decisions without an excessive amount of advice and reassurance from others
* Needs others to assume responsibility for most major areas of his or her life
* Has difficulty expressing disagreement with others because of fear of loss of support or approval
* Has difficulty initiating projects or doing things on his or her own because of a lack of self-confidence and judgment or abilities rather than a lack of motivation or energy
* Goes to excessive lengths to obtain nurturance and support from others to the point of volunteering to do things that are unpleasant
* Feels uncomfortable or helpless when alone because of exaggerated fears of being unable to take care for himself or herself
* Urgently seeks another relationship as a source of care and support when a close relationship ends
* Is unrealistically preoccupied with fears of being left to take care of himself or herself

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4
Q

Associated features

A
  • Characterized by pessimism and self-doubt
  • occupational functioning impaired
  • social relations limited to those whom they are depedent on
  • Take criticism and disapproval as proof of their worthlessness and lose faith in themselves
  • Avoids positions of responsibility and become anxious when faced with decisions
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5
Q

Prevalence and gender

A
  • Prevalence range from 0.49-0.60%
  • Females more likely to be diagnosed
    • In clinical settings, depedent PD has been diagnosed more frequently in females. Although, some studies report similar prevalence rates in males and females
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6
Q

Diagnostic features

A
  • The essential feature of dependent PD is a pervasive and excessive need to be taken care of that leads to submissive and clinging behavior and fears of separation
  • To be considered as evidence of this criterion, the fears must be excessive and unrealistic
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7
Q

Cultural related diagnostic issues

A
  • An emphasis on passivity, politeness, and deferential treatment is characteristic of some societies and may be misinterpreted as traits of dependent PD
  • Societies may differentially foster and discourage dependent behavior in males and females
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8
Q

Differential diagnosis

A
  • Other mental disorders and mental conditions
    • Must rule out that the symptoms are not caused by: another mental disorder, a medical condition, substance use
  • Borderline PD vs. Depedent PD
    • Both fear abandoment
    • borderline: reacts with anger, emptiness, and unstable relationships
    • depedent: reacts by becoming more submissive and finding a new attachment figure
  • Histrionic vs. dependent
    • Both want reassurance and approval
    • Histrionic: loud, dramatic, attention-seeking
    • Depedent: quiet, passive, self-sacrificing
  • Avoidant vs. depedent PD
    • Avoidant: avoids relationships out of fear
    • Depedent: Clings to relationships, fears being alone
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