personality disorders Flashcards

(51 cards)

1
Q

who was the pioneer in the study of psychopathology?

A

Théodule- Armand RIBOT

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2
Q

what key features is there for personality disorder?

A
  1. Behavior and inner experience not expected (socioculturally).
  2. Inflexible.
  3. Onset in adolescence and stable.
  4. Leads to distress or impairment.
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3
Q

name some differences with other psychological disorders

A
  1. They are more ego-syntonic (behavior, feelings and thoughts more acceptable or desirable).
  2. So, less awareness of the disorder.
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4
Q

what is the prevalence for personality disorders?

A

9-15%. HIGH!

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5
Q

describe the Multiaxial system

A

Axis I: Disorders
Axis II: Personality Disorders; Intelectual Disability
Axis III: Medical illness
Axis IV: Psychosocial and environmental problems
Axis V: Global Evaluation

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6
Q

does DSM-5 use the Multiaxial system?

A

no, but many professionals still use it.

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7
Q

what kind of scales can you use for evaluation?

A
  1. Scales for Personality traits (nonpathological).
  2. Scales for a complete screening for personality disordes.
  3. Scales for a particular personality disorder.
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8
Q

what is the five major personality factors?

A
  1. Neuroticism or emotional instability.
  2. Extraversion.
  3. Agreeableness (cooperative, warm, honest, considerate, kind, etc.).
  4. Openness to experience.
  5. Conscientiousness (diligent, careful, responsable, etc.).
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9
Q

name a scale for a complete screening for personality disorders

A

MCMI- Millon Clinical Multiaxial Inventory

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10
Q

name 2 scales for particular disorders

A
  • SPQ- Schizotypal Personality Questionnaire
  • PCL- psychopathy checklist
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11
Q

what kinds of intervention is there for personality disorders?

A
  1. Individual psychotherapy
  2. Group therapy
  3. Family therapy
  4. Pharmacotherapy
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12
Q

describe the Dialectical Behavior Therapy

A
  • it’s a combination of acceptance, cognitive
    restructuring, and mindfulness.
  • the goals is:
    1. To learn that human relationships are not only a love-and-hate issue.
    2. To manage anger and stress.
    3. To control impulses.
    4. To increase self-steem.
    5. To set personal goals.
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13
Q

which are the Main types of personality disorders?

A
  • Cluster A: Appear “odd or eccentric”.
    – Paranoid personality disorder
    – Schizoid p. d.
    – Schizotypal p. d.
  • Cluster B: Appear “dramatic, emotional, or erratic”.
    – Borderline p. d.
    – Antisocial p. d.
    – Histrionic p. d.
    – Narcissistic p. d.
  • Cluster C: Appear “anxious or fearful”.
    – Avoidant p. d.
    – Dependant p. d.
    – Obsessive p. d
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14
Q

describe paranoid personality disorder

A

a pattern of distrust and suspiciousness such that other’s motives are malevolent

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15
Q

what is the prevalence for paranoid personality disorder?

A

2.3-4.4%

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16
Q

what comorbidity is there for paranoid personality disorder

A

other personality disorders

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17
Q

describe schizoid personality disorder

A

a pattern of detachment from social relationships and a restricted range of emotional expression

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18
Q

what is the prevalence for schizoid pd

A

3.1-4.9%

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19
Q

what comorbidity is there for schizoid pd

A

other personality disorders

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20
Q

describe schizotypal pd

A

a pattern of:
- eccentricities of behavior
- cognitive or perceptual distorsions
- acute discomfort in close relationships

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21
Q

what is the prevalence for schizotypal pd

A
  • 3.9%
  • norway 0.6 and USA 4.6
  • more prevalent if parents suffer from schizophrenia
22
Q

what comorbidity is there for schizotypal pd

A
  • other personality disorders (eg paranoid personality disorders)
  • generalized social phobia
  • mood disorders
23
Q

what evaluation is there for schizotypal personality disorder

A

SPQ- schizotypal personality questionnaire

24
Q

describe borderline personality disorder

A

a pattern of:
- instability in interpersonal relationships
- instability in self-image and affects
- unstable emotions: marked impulsivity

25
describe Instability in interpersonal relationships (borderline)
* Marked sensitivity to rejection or criticism * Fear of abandonment * Idealization and devaluation of others * Manipulative behavior
26
describe Instability in self-image and affects (borderline)
* Feeling of emptiness * Difficulty knowing what they value, believe or prefer
27
describe Unstable emotions: marked impulsivity (borderline)
* Running away * Leaving jobs * Self-injury (50-80%)
28
what is the prevalence for borderline
- 1-2% - risk of suicide: 5-10%
29
what comorbidity is there for borderline
* Mood disorders * Substance abuse * Impulse-control disorders * Eating disorders * Post-traumatic stress disorder
30
describe antisocial personality disorder
a pattern of: - disregard for, and violation of, the rights of others - lack of empathy
31
what changes in the brain is there for antisocial pd
Amygdala and hippocampus are smaller in the clinical group
32
what evaluation is there for antisocial pd
PCL- psychopathy checklist
33
describe histrionic pd
a pattern of excessive emotionality and attention seeking
34
what is the comorbidity for histrionic pd
- other personality disorders (eg borderline, narcissistic and dependant) - substance abuse
35
what is the prevalence for histrionic pd
1.8%
36
describe narcissistic pd
a pattern of grandiosity, need for admiration, lack of empathy
37
what prevalence is there for narcissistic pd
up to 6.2%
38
what comorbidity is there for narcissistic pd
- Other personality disorders (especially histrionic, borderline, antisocial, and paranoid personality disorders). - Mood disorders - Anorexia nervosa, bulimia nervosa - Substance abuse (especially cocaine)
39
what did sigmund freud say about narcisism
There is a primary narcisism as a phase of sexual development, and a secondary narcisism characterized by megalomania.
40
describe avoidant pd
A pervasive pattern of: * Social inhibition and avoidance of social interaction * Feelings of inadequacy and inferiority * Hypersensitivity to negative evaluation
41
what is the prevalence for avoidant pd
2.4%
42
what comorbidity is there for avoidant pd
* Social phobia * Agoraphobia * Other personality disorders * Substance abuse
43
describe dependent pd
A pervasive pattern of: *Submissive and clinging behavior related to an excessive need to be taken care of
44
what is the prevalence for dependent pd
0.5%
45
what is the comorbidity for dependent pd
* Other personality disorders * Substance abuse
46
what risks is there for dependent pd
* Parenting: – overprotectiveness – authoritarianism * Adverse or traumatic experiences
47
describe obsessive-compulsive pd
A pervasive pattern of preoccupation with: * Orderliness * Perfectionism * Mental and interpersonal control
48
what prevalence is there for obsessive-compulsive pd
up to 7.9%
49
what comorbidity is there for obsessive-compulsive pd
* OCD * Feeding and eating disorders * Asperger’s Syndrome * Other personality disorders
50
what risks is there for obsessive-compulsive pd
* Parenting: – High expectations – Too many rules * Adverse or traumatic experiences
51