lecture 8

Question 1

Five factor model

Answer 1

opennes, conscientiousness, extraversion, agreeableness and neuroticism

Question 2

Personality

Answer 2

enduring patterns of thinking, feeling and reacting that define a person

Question 3

Personality disorders

Answer 3

a clinical construct used to understand, describe and communicate about the complex phenomena that result when the personality system is not functioning optimally: “an enduring pattern of inner experience and behaviour that deviates markedly from the expectations of the individual’s culture”

Question 4

PB: 3 types of failures

Answer 4

1. Failure to establish integrated representations of self and others;
2. Interpersonal dysfunction with failure to develop capacity for intimacy, to function adaptively as an attachment figure, and/or establish the capacity for affiliative relationships;
3. Failure to function adaptively in the social group as indicated by the failure to develop the capacity for prosocial behavior and/or cooperative relationships.

Question 5

General PB criteria

Answer 5

1) pattern of deviation (2 ou +):
-Cognition (ways of perceiving and interpreting self, others, events)
-Emotional
- Interpersonal functioning (capacity for intimacy, stability of relationships,
responses ( autonomy)
range, intensity, lability, appropriateness)
- Impulse control (over- or under-control)

2) Must be inflexible, pervasive across a broad range of situations
3) Must be a source of clinically significant distress or functional impairment
5) Must be stable and of long duration, onset in adolescence or early adulthood

Question 6

Why is important to know if pt has PD ?

Answer 6

1) guide tx
2) mx + therapy = better
3) Avoid confusion (who pt react)
4) Anticipate reaction
5) protect yourself

Question 7

Paranoid PD

Answer 7

Pervasive distrust and suspiciousness of others such that their motives are interpreted as malevolent (batman)

Question 8

Schizoid PD

Answer 8

Pervasive pattern of detachment from social relationships and restricted expression of emotion (Carlos)

Question 9

Schizotypal PD

Answer 9

Pervasive pattern of interpersonal deficits marked by acute discomfort with and reduced capacity for close relationships as well as cognitive or perceptual distortions and eccentricities of behavior (Jocker)

Question 10

Antisocial PD

Answer 10

Pervasive pattern of disregard for and violation of the rights of others occurring since the age of 15 years ( Wolf of wall street)

Question 11

Borderline PD

Answer 11

Pervasive pattern of instability of interpersonal relationships, self image and affect and marked impulsivity (Gatsby)

Question 12

Histrionic PD

Answer 12

Pervasive pattern of excessive emotionality and attention seeking (Madonna)

Question 13

Narcissistic PD

Answer 13

A pervasive pattern of grandiosity (in fantasy or behavior), need for admiration, and lack of empathy (Queen’s Gambit)

Question 14

Avoidant PD

Answer 14

Pervasive pattern of social inhibition, feelings of inadequacy and hypersensitivity to negative evaluation ( Charlie Brown)

Question 15

Dependent PD

Answer 15

Pervasive and excessive need to be taken care of that leads to submissive and clinging behaviors and fears of separation (Bella)

Question 16

Obsessive-compulsive PD

Answer 16

Pervasive pattern of preoccupation with orderliness, perfectionism and mental and interpersonal control at the expense of flexibility, openness, and efficiency (Hermione)

Question 17

Other Specified personality disorders (OSPD)

Answer 17

This term is used when the clinician elects to link the reason that the presentation does not meet the criteria for any specific PD. This is done by recording OSPD followed by the specific reason (e.g. “mixed personality features”).

Question 18

Unspecified personality disorder (UPD)

Answer 18

The UPD is used when clinicians elect not to indicate the reason that the criteria are not met for a PD, and potentially when there is inadequate data to make a specific diagnosis.

Question 19

Suicide Risk Assessment

Answer 19

1)Ideation
2) Intent
3) Plan
4) Attempt

Question 20

Role of OT in suicide prevention

Answer 20

• identify meaningful occupation
  -enable participation
  -identify and adress risk factors
  -connect
  -911
  -develop cognitive strategies
• help structure lives