Lecture 45 - Personality D/o Flashcards Preview

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Flashcards in Lecture 45 - Personality D/o Deck (17):

general def of PD

at what age is personality and PD typically described?

Personality disorder – inflexible and maladaptive

their traits --> disorders are problematic; functional impairment (usually) or distress (less)

teens/early adulthood


ego syntonic

in line with one's own personality


General diagnostic criteria for a PD

enduring pattern personality that deviates from expectations of culture.

2 or more:
Cognition -- way the person perecieves the world
Affect --
Impulse control

Long duration
inflexible, maladaptive
clinically significant distress or impairment in social, occupational, or other important areas of functioning.



Cluster A


Paranoid Personality Disorder
Schizoid Personality Disorder
Schizotypal Personality Disorder


Cluster B


Antisocial Personality Disorder
Borderline Personality Disorder
Histrionic Personality Disorder
Narcissistic Personality Disorder


Cluster C

Quiet and worried

Avoidant Personality Disorder
Dependent Personality Disorder
Obsessive-Compulsive Personality Disorder


Paranoid Personality

pervasive distrust and suspiciousness of others

"the world isn't trustworthy, people are out to get me"
but not psychosis

people who are gloomy and pessimisitic; conspirators


Schizoid Personality

People who are split ("schizo") off from other people
"people who don't need people" and they are happy with that

Asocial -- but not due to anxiety or anything

Neither desires nor enjoys close relationships, including being part of a family

Shows emotional coldness, detachment, or flattened affectivity


Schizotypal Personality

social and interpersonal deficits marked by acute discomfort with, and reduced capacity for, close relationships as well as by cognitive or perceptual distortions and eccentricities

Odd beliefs or magical thinking that influences behavior.

Lack of close friends or confidants other than first-degree relatives

The people who hang out in weird book stores

"residual phase of schizophrenia" -- just oddly eccentric


Antisocial Personality Disorder

Antisocial = Against Society

disregard for and violation of the rights of others occurring since age 15 years
Failure to conform to social norms
Impulsivity or failure to plan ahead
Irritability and aggressiveness
Lack of remorse

Doesn't imply only criminals


Borderline Personality Disorder

"chaotic personality d/o"

instability of interpersonal relationships, self-image, and affects, and marked impulsivity beginning by early adulthood

Frantic efforts to avoid real or imagined abandonment

unstable and intense interpersonal relationships

Instablity of affect
Poor self of sense
Recurrent suidial or self mutilating behaviors

Feelings of emptiness

Intense anger

Hyperintesnity of affect and abandonment (college girlfriend, gets dump, high intensity, takes a bunch of pills)


Histrionic Personality Disorder

excessive emotionality and attention seeking,

uncomfortable in situations in which he or she is not the center of attention

inappropriate sexually seductive or provocative behavior


Narcissistic Personality Disorder

pervasive pattern of grandiosity; sense of self importance

preoccupied with fantasies of unlimited success

he or she is “special” and unique

sense of entitlement

interpersonally exploitative, i.e., takes advantage of others

Lacks empathy


Avoidant Personality Disorder

how is this different from social phobia

social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation

Avoids occupational activities that involve significant interpersonal contact

restraint within intimate relationships

preoccupied with being criticized or rejected

Views self as socially inept

Lacks the prominent anxiety component that is seen in social phobia


Dependent Personality Disorder

pervasive and excessive need to be taken care of that leads to submissive and clinging behavior and fears of separation

difficulty making everyday decisions without an excessive amount of advice and reassurance from others

Often live and depend on their parents or life partner

debilitating dependency, across the board


Obsessive-Compulsive Personality Disorder

preoccupation with orderliness, perfectionism, and mental and interpersonal control, at the expense of flexibility, openness, and efficiency

with details, rules, lists, order, organization

Shows perfectionism that interferes with task completion

excessively devoted to work and productivity

over conscientious, scrupulous and inflexible about matters of morality, ethics, or values

hording tendency


Treatment for PD

Psychodynamic --

Dialectical Behavior Therapy (BPD)

Group Therapy (schizo, schizotypal)


No good meds