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Flashcards in Personality disorders Deck (21):
1

Temperament

basic biological disposition toward certain behaviours
Genetically coded influences of nature
e.g. irritable

2

Character

crystallized influence of environment/nurture
characteristics acquired during our upbringing

3

Personality dimensions

Openness to experience
Conscientiousness
Extraversion
Agreeableness
Neuroticism

4

Openness to experience

intellectual, creative, insightful

shallow, unimaginative, unreflective

5

Conscientiousness

organized, efficient, dependable, perfectionist, persistent

careless, erratic, forgetful

6

Extraversion

sociable, expressive, spontaneous, energetic, verbose

withdrawn, silent, shy, inhibited

7

Agreeableness

cooperative, amiable, empathic, respectful

antagonistic, harsh, impolite

8

Neuroticism

insecure, self-critical, anxious, touchy, excitable, jealous

unemotional, autonomous

9

Personality disorder

DSMV
enduring pattern of inner experience and behaviour that deviates markedly from expectations of person's culture
manifested in at least 2 areas: cognition, affectivity, interpersonal functioning, impulse control
Pervasive, inflexible across time and situation
causes subjective distress OR functional impairment
onset in late adolescence or young adulthood
Not due to substance use/another medical condition

10

Paranoid - pattern

disgust, suspicious, guarded, self-righteous
may interpret motives as malevolent

11

Schizoid - pattern

detached, aloof, restricted emotions
indifferent, remote, doesn't connect

12

Schizotypal pattern

relation discomfort, eccentric, cognitive/perceptual distortions
odd, may blur reality and fantasy, difficult to report symptoms

13

Borderline pattern

instability in relationships, mood, self-image
unpredictable, impulsive, suicide risk

14

Histrionic pattern

excessive emotionality, attention-seeking
"everything hurts all over"

15

antisocial pattern

disregard for others, violate others' rights
superficially charming, hostile when confronted

16

Narcissistic ptatern

grandiose, need admiration, lack empathy
"I am special, my problem is unique"

17

Avoidant pattern

social inhibition, feel inadequate, hypersensitive
hesitant, embarrassed, self-conscious

18

Dependent pattern

submissive, clingy, excessive need for care
seek constant reassurance/feedback

19

Obsessive-compulsive pattern

preoccupied: orderliness, control, perfectionism

20

Personality disorder treatments

Psychological: dialectical behaviour therapy, interpersonal, longer-term support required
Group therapy: in vivo interpersonal experiences
Some can be managed with medication:
- schizotypal via low dose of antipsychotics
SSRIs/mood stabilizers for borderline

21

Considerations in diagnosis of personality disorders

Very cautious; need extensive psychological/psychiatric assessment
very sticky/stigmatizing diagnosis
manage higher risk foro ther mental disorders
stress generation