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Disorders of adult personality and behaviour Flashcards

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1
Q

Age below which a personality disorder should not be diagnosed in ICD 10 - definitive cut off removed for ICD 11

A

16 or 17

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2
Q

Classification system which groups personality disorders into three clusters

A

DSM

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3
Q

Cluster A personality disorders

A

Paranoid
Schizoid
Schizotypal (grouped within schizophrenia section in ICD)

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4
Q

Cluster B personality disorders

A

Antisocial (dissocial in ICD 10)
Borderline (emotionally unstable in ICD 10)
Histrionic
Narcissistic (not in ICD 10)

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5
Q

Cluster C personality disorders

A

Avoidant (anxious avoidant in ICD 10)
Dependent
Obsessive-compulsive (anankastic in ICD 10)

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6
Q

Features of paranoid personality disorder

A 
Suspicion of other people
Longstanding grudges
Emotional detachment
Belief that other people are untrustworthy, deceiving etc.
Increased sensitivity to criticism
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7
Q

Features of schizoid personality disorder

A 
Difficulty expressing emotions
Prefer to be alone
Aloof
Difficulty maintaining social relationships
Unaware of social trends
Unresponsive to praise or criticism
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8
Q

Features of schizotypal personality disorder

A 
Odd or eccentric
Magical thinking
Obsessions
Transient psychotic features
May believe in ESP, fortune telling etc.
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9
Q

Features of antisocial personality disorder

A

Lack of regard for other people
Lack of remorse for actions that hurt others
Disregard for social norms or the law
Make relationships easily but not longlasting

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10
Q

Features of borderline personality disorder

A

Poor self-image
Unstable personal relationships
Impulsive behaviours including around personal safety
Thoughts or actions of self harm and suicide
Mood instability
Fears of abandonment
Episodes of micro-psychosis

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11
Q

Features of histrionic personality disorder

A 
Extreme and over-dramatic behaviour
Demanding of relationships
Attention seeking
Sexually inappropriate
Shallow emotions
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12
Q

Features of narcissistic personality disorder

A

Self centred with an exaggerated sense of own self importance
Intolerant of other people
Grandiose plans and ideas
Cravings for attention

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13
Q

Features of avoidant personality disorder

A 
Discomfort in social settings
Fears being judged negatively
Socially withdrawn
Low self-esteem
Crave attention but fear of rejection overwhelming
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14
Q

Features of dependent personality disorder

A

Passive
Allow others to assume responsibility for their life
Lack self confidence
Unable to function without another person
Own needs are of secondary importance

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15
Q

Features of obsessive-compulsive personality disorder

A

Perfectionist
Unable to express warm and tender emotions
Unable to see things from others’ point of view
Rigid attention to detail
Unable to delegate tasks
Parsimony - unwillingness to spend money

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16
Q

ICD 10 equivalent to schizotypal personality disorder

A

None - classed within schizophrenia group

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17
Q

ICD 10 equivalent to antisocial personality disorder

A

Dissocial personality disorder

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18
Q

ICD 10 equivalent to borderline personality disorder

A

Emotionally unstable personality disorder

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19
Q

ICD 10 equivalent to narcissistic personality disorder

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A

None - mentioned in other personality disorders category

20
Q

ICD 10 equivalent to avoidant personality disorder

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A

Anxious avoidant personality disorder

21
Q

ICD 10 equivalent to obsessive-compulsive personality disorder

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A

Anankastic personality disorder

22
Q

Impulse control disorders specified in ICD 11

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A 
Pyromania
Kleptomania
Compulsive sexual behaviour disorder
Intermittent explosive disorder
Substance-induced impulse control disorders
Gambling disorder
Gaming disorder
23
Q

Gender identity disorders recognised in ICD 10

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A

Transsexualism
Dual role transvestism
Gender identity disorders of childhood

24
Q

Gender identity disorders recognised in ICD 11

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A

Gender incongruence

25
The feeling of incongruence between someone's gender identity and their phenotypic appearance
Gender dysphoria
26
Time frame required for a diagnosis of transsexualism in ICD 10
2 years
27
Paraphilia where enemas are used to achieve sexual arousal
Klismaphilia
28
Paraphilia where dead bodies or other death related objects are used to achieve sexual arousal
Necrophilia
29
Paraphilia where the genitals are exposed to achieve sexual arousal
Exhibitionism
30
Paraphilia where inanimate objects are used to achieve sexual arousal
Fetishism
31
Paraphilia involving a pattern of sexual arousal +/- behaviours involving pre-pubertal children
Paedophilia
32
Paraphilia involving a pattern of sexual arousal +/- behaviours involving the infliction of physical or psychological pain on a non-consenting person
Sadism
33
Paraphilia involving the real (not simulated) act of being humiliated or physically hurt to achieve arousal
Masochism
34
Symptom found by the Collaborative Longitudinal Personality Disorders Study to improve over 2 years with or without treatment in patients with borderline personality disorder
Self-harm
35
Predominant features of borderline type of EUPD described in ICD 10
Chronic feeling of emptiness Disturbed self-image Tendency to become involved in unstable and intense relationships Series of suicidal or self harm acts
36
Predominant features of impulsive type of EUPD described in ICD 10
Outbursts of violence or threatening behaviour Emotional instability Lack of impulse control
37
Two subtypes of EUPD described in ICD 10
Impulsive | Borderline
38
Type of personality disorder in DSM V which cannot be diagnosed before the age of 18
Antisocial
39
Personality disorders which tend to become less evident with age
Borderline | Antisocial
40
Prevalence of personality disorder in the UK
4.4%
41
Most common personality disorder
Anankastic
42
Most common personality disorder cluster within DSM categorisation
Cluster C
43
Name given where there are multiple different disorders of sexual preference - most common combination is fetishism, transvestism and sadomasochism
Polymorphously perverse sexual preference
44
Most common type of mental illness among prisoners
Personality disorder
45
Long term rate of completed suicide in patients with borderline personality disorder
10%
46
Prevalence of antisocial personality disorder among the general population in the UK
0.6-3%
47
Male to female ratio affected by antisocial personality disorder
6:1

Assessment (22 decks)

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