Lecture 10 (theme 7) Flashcards
(20 cards)
Wat is een persoonlijkheidsstoornis: gedrag, afwijking, verbonden aan.., soort stoornis, onset
- Maldaptieve patronen in meerdere contexten
- Afwijking van wat cultureel geaccepteerd is.
- het is verbonden aan je persoonlijkheid/karakter
- Het is een ontwikkelingsstoornis die zich uit in puberteit en jong volwassenschap .
Persoonlijkheidsstoornis prevalentie en comorbiditeit
- Prevalentie: 9-13% (0,5-0,2 per stoornis)
- hoge comorbiditeit met andere persoonlijkheidsstoornissen en syndromische stoornissen (zoals depressie)
Welke 4 domeinen van PS problematiek, en de drie P’s: pervasive, pathalogical en persistent.
Domeinen: cognitie, affect, interpersoneel functioneren, impuls regulatie.
- Minimaal 2 voor diagnose
De drie P’s zijn:
- pervasive (across situations), - pathological (suffering and dysfunction)
- persistent (stabile from early adulthood).
What is the benefit of the Alternative model of personality disorders: AMPD?
- More contextual information and better potential for treatment planning.
Cluster A: Paranoid personality disorder: issues, focus, interpretation, type of thinking
- trust issues with others (belief they’ll try to harm them)
- Focused on here and now
- Take innocent remarks/situations as threatening
- Black-white thinking in relationship
CLuster A: Schizoid Personality disorder: appearance, social behaviour, interest
- appear to be cold/uninterested
- isolate themselves
- little interest in pleasure and sex
CLuster A: Schizotypal personality disorder: thinking, emotions, social behavior.
- think odd things and have weird beliefs
- Have flat emotions
- social isolation
CLuster B: Antisocial Personality Disorder: behavior, empathy, focus
- Aggressive/destructive behavior
- no empathy for others
- Focused on themselves and what they want.
Cluster B: Histrionic personality Disorder: focus, emotions, speaking style, emotion depth, overestimation
- Focused on getting the most attention.
- Overly emotional
- Dramatic Speech
- shallow emotions that shift quickly
- They overestimate how intimate their relationships are
Cluster B: Narcissistic personality disorder: belief, fantasies, expectations
- Belief of being Special/Superior
- Fantasies of success
- expect favours from others
Cluster B: Borderline Personality disorder: fear, feelings, mood
- Fear of being alone or abandoned
- Feelings of emptiness and weakness
- often very angry and mood swings
Cluster C: Avoidant personality disorder: sensitivity, belief, consequence
- Sensitive to criticism/rejection
- Belief they are not good enough.
- consequence is that they avoid interactions
CLuster C: Dependent Personality Disorder: reliability, confidence, endurance
- rely on other people a lot
- no confidence in their own abilities
- They endure poort treatment instead of doing something about it.
Cluster C: Obsessive, Compulsive Personality Disorder: focus, need, project completion
- focus on orderliness and details
- need to be in control of everything
- cannot complete tasks because perfection is not possible
Personality Disorder Heritability, 3 NT systems and 2 brain dysfunctions
- 50% heritability
- Dopamine, Serotonin and MAO neurotransmitters
- Lack of frontal cortical (impulses control) and Mid-Brain dysfunction.
4 Environmental factors in PD
- Trauma and abuse
- Neglect
- Bad Parenting
- Unsafe Attachment style
Life course of PD: chronicity and treat ability
- chronicity: it softens/lessens as you grow up, but is still very stable
- they are treatable and you can recover. Psychotherapy is most effective.
What are Dialectical Behavior Therapy, CBT and Schema Therapy. For what personality disorder/cluster
- DBT helps with recognising emotions and emotion regulation (for borderline)
- CBT for cluster C and B disorder
- Schema therapy is CBT for cluster C and B
What are these psychodynamic therapies for PD: Transference-focused therapy, mentalizing-based treatment and Affect phobia therapy
- Transference-focused therapy: is about the relationship between therapist and patient. (BPD)
- Mentalization-based treatment: becoming more aware of what you do and how it affects others (BPD)
- Affect phobia therapy: stop and think about what you feel. (Avoidant PD)
What is Guideline-Informed treatment for personality disorders(GIT-PD)?
- It is a framework for treatment of PD
- It uses common and effective elements from effective treatment, but combines it with practical knowledge from professionals and loved ones to make it more personalised.
