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Flashcards in Personality 3 Deck (10):
1

What is the postulated theory for etiology of Borderline Personality Disorder?

Biological vulnerability + Invalidating environment..

Parent's don't validate child's emotional responses and/or has erratic vs over/under rxns to child, so child learns to 1) not trust their feelings/emotions, and 2) uses behavior to communicate.

2

What is the main evidence based benefit of DBT for BPD?

reduces suicide risk.

3

What are the two evidence based therapies that are helpful in BPD?

1. Transference focused psychotherapy

2. Dialectical behavioral therapy.

4

What are the four parts of DBT?

1. Weekly individual therapy
2. Weekly group therapy
3. Phone contact
4. Therapist support group (for the therapists)

5

What are the four main element of weekly group therapy in DBT?

1. Mindfullness
-Observing without reacting
-Learning to name reactions/emotions
-Learning to participate without self-consciousness.
2. Interpersonal effectiveness (includes assertiveness training)
3. Emotion regulation skills (mostly CBT)
4. Distress tolerance

6

Histrionic PD is highly comorbid with what Axis 1 illness?

Somatic Symptom Disorder.

7

What interesting brain changes do you see in individuals with Narcissistic PD when they are interacting with others?

Activation of motor and pre-motor regions of the brain.

8

Which PD are women more likely to have?

Which PD are men more likely to have?

Women:
- BPD
- Histrionic
- Avoidant
- Dependent

Men:
- ASPD
- OCPD
- Schizoid

Narcissistic M= F

9

What axis 1 illnesses increase your lifetime prevalence of OCPD?

Anxiety disorders (panic, social phobia, GAD)

BPAD

10

What mechanism of disease is implicated in:

1. Avoidant Personality Disorder?

2, BPD?

1. Hyper-reactivity of Amygdala during reappraisal tasks.

2. Reduced lateral pre-frontal -amygdala communication.