Flashcards in Personality Disorders Deck (16):
DSM criteria of personality disorder
1. different from culture
2. pervasive, pernicious, persistent
Pattern manifest in 2 or more areas of functioning
3. interpersonal functioning
4. impulse control
adolescent or early adulthood
(if before 18 must be present for 1 year at least)
A, B, C cluster
-odd or eccentric; inability to develop meaningful social relationships
-genetic association with schizophrenia
Accusatory aloof awkward
1. depression and anxiety
2. substance abuse
Cluster A types
1. Paranoid-pervasive distrust and suspiciousness; projection is the major defense mechanism
2. Schizoid-voluntary social withdrawal, limited emotional expression, content with social isolation
-increased prevalence in relative with schizophrenia or schizotypal
3. Schizotypal-Eccentric appearance, odd beliefs or magical thinking, interpersonal awkwardness, social anxiety except first degree relatives
Dramatic, emotional, or erratic; genetic association with mood disorders and substance abuse
Bad to the Bone
2. somatoform, anorexia
3. substance abuse
4. ADHD (antisocial)
5. serotonin reduced-impulsivity
Cluster B types
1. Antisocial-disregard for and violation of rights of others, criminality, impulsivity; males>females; must be >18 years old and have a history of conduct disorder before age 15.
2. Borderline-unstable mood and interpersonal relationships, impulsiveness, self mutilation, boredom, sense of emptiness, female>males; splitting is a major defense mechanisms, increased risk suicide
3. Histrionic-excessive emotionality and excitability, attention seeking, sexually provocative, overly concern
4. Narcissistic-grandiosity, sense of entitlement; lacks empathy and requires excessive admiration; often demands the best and reacts to criticism with rage
-men more common
anxious or fearful; genetic association with anxiety disorders
(cowardly, compulsive, clingy)
1. anxiety, social phobia, panic disorder with agoraphobia
3. substance abuse
Cluster C types
1. avoidant-hypersensitive to rejection, socially inhibited, timid, feeling of inadequacy, desires relationships with others (vs. schizoid)
2. obsessive-compulsive-preoccupation with order, perfectionism, and control; ego-syntonic; behavior consistent with one's own beliefs and attitudes
3. dependent-submissive and clingy, excessive need to be taken car of, low self-confidence
What leads to higher risk of PD?
abuse and neglect
1. physical abuse-antisocial and depressive PDs
2. Sexual abuse-borderline PD**
3. Neglect-antisocial, avoidant, borderline, narcissistic, passive aggressive
Are PD more likely to have mood disorders and suicidal ideation/behavior and substance abuse ?
What personality disorders worsen over time?
evoke strong reactions from the people around them
Whats one way to treat borderline personality?
biopsychosocial model-creation of a life worth livign
What do you use to treat cluster A?
antipsychotics-cognitive and perceptual organization problems related to dysfunction of dopaminergic system
What do you use to treat cluster B?
SSRI-for impulsivity and aggressive and mood stabilization