Personality Disorders Flashcards

Question

treatment options for schizotypal personality disorder

Answer 1

– Main focus is on developing social skills – Treatment also addresses co-morbid depression – Medical treatment similar to schizophrenia – Treatment prognosis is generally poor (typically patient doesn't like it b/c others can't understand it)

Answer 2

-diagnosed in terms of behaviors (need 5) • Failure to conform to social norms with respect to lawful behaviors as indicated by repeatedly performing acts that are grounds for arrest • Deceitfulness, as indicated by repeated lying, use of aliases, or conning others for personal profit or pleasure • Impulsivity or failure to plan ahead • Irritability and aggressiveness, as indicated by repeated physical fights or assaults • Reckless disregard for safety of self or others • Consistent irresponsibility, as indicated by repeated failure to sustain consistent work behavior or honor financial obligations • Lack of remorse, as indicated by being indifferent to or rationalizing having hurt, mistreated, or stolen from another

Answer 3

psychopaths (more behavior, genetic) | sociopaths (more environmental, LEARNED behaviors like crime pays off, more impulsive)

Answer 4

psychopaths (behaviors) sociopaths (personality) psychopaths are typically not in jail-very intelligent, know it's wrong but don't care, have parasitic lifestyles

Answer 5

the couch surfer aka lives on host then moves on when asked to contribute

Answer 6

antisocial is the only disorder that you have to have evidence earlier in life --> conduct disorder like torturing animals, pyromania, burglary, etc inconsistent parenting

Answer 7

``` • Gene-environment interaction – Genetic predisposition – **Environmental triggers • Arousal hypotheses – Underarousal, takes a lot for people to feel something – Fearlessness ```

Answer 8

if you're a psychopath you probably have antisocial PD | -psychopathy and sociopathy are not diagnosis but a trait related to antisocial

Answer 9

``` Glibness and Superficial Charm – Grandiose self worth – Proness to boredom - need for stimulation – Pathological Lying – Conning manipulative – Lack of Remorse – Parasitic lifestyle • Good predictive validity ```

Answer 10

``` • Excessive emotionality and attention seeking • Needing to be center of attention – Dress, style, etc. • Seductive/ inappropriate behavior • Impressionistic Cognitive style – Grandiose language to describe ordinary events • Approval & praise = life blood theater people of the world, stereotypically female way of manipulating (over diagnosed & bias) ```

Answer 11

A pervasive pattern of excessive emotionality and attention seeking, beginning in early adulthood and indicated y 5 or more: – Uncomfortable in situations where not the center of attention – Interaction with others is often characterized by inappropriate sexual behavior – Rapidly shifting and shallow expression of emotions – Consistently uses physical appearance to draw attention to self – Style of speech that is impressionistic and lacking in detail – Shows self-dramatization, theatricality, and exaggerated emotion – Is suggestible and easily influenced by others or circumstances – Considers relationships to be more intimate than they actually are

Answer 12

* Genes + early childhood events | * Dx more often in women than in men

Answer 13

– Problematic interpersonal relationships • Attention seeking – Little empirical support

Answer 14

``` • Hallmark Features – Emotional dysregulation • Inappropriate anger • Dysphoria/Depression – Unstable interpersonal relationships • Frantic efforts to avoid abandonment • Idealization vs. devaluation – Impulsive behaviors (spending, sex, binge eating, reckless driving, substance use) • Self harm (6% suicide rate) • Substance use (67%) ```

Answer 15

A pervasive pattern of instability of interpersonal relationships, self-image, and affects, and marked impulsivity beginning by early adulthood and present in a variety of contexts, as indicated by five (or more) of the following: 1. Frantic efforts to avoid real or imagined abandonment. 2. A pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation 3. Identity disturbance: markedly and persistently unstable self-image or sense of self 4. Impulsivity in at least two areas that are potentially self-damaging (e.g., spending, sex, substance abuse, reckless driving, binge eating). Note: Do not include suicidal or self-mutilating behavior covered in Criterion 5. 5. Recurrent suicidal behavior, gestures, or threats, or self-mutilating behavior 6. Affective instability due to a marked reactivity of mood (e.g., intense episodic dysphoria, irritability, or anxiety usually lasting a few hours and only rarely more than a few days) 7. Chronic feelings of emptiness 8. Inappropriate, intense anger or difficulty controlling anger (e.g., frequent displays of temper, constant anger, recurrent physical fights) 9. Transient, stress-related paranoid ideation or severe dissociative symptoms

Answer 16

tattoos and piercings

Answer 17

``` – Depression – 20% • Suicide – 6% – Bipolar – 40% – Substance abuse – 67% – Eating disorders • 25% of bulimics have BPD ```

Answer 18

``` – Highly likely to seek treatment – Antidepressant medications – Dialectical behavior therapy • Reduce “interfering” behaviors – Self-harm – Treatment – Quality of life – Outcomes ```

Answer 19

A pervasive pattern of grandiosity, need for admiration, and lack of empathy, beginning in early adulthood and indicated by 5 or more of the following: – Grandiose sense of self-importance – Preoccupied with fantasies of success, power, beauty, or ideal love – Believes themselves to be“special” and should only affiliate with high-status people or things – Requires excessive admiration – Has sense of entitlement – Is interpersonally exploitive (takes advantage of others) – Lacks empathy – Is often envious of others and believes others are envious of him – Shows arrogant, haughty behaviors or attitudes CEOs of the world

Answer 20

only a disorder when maladaptive and impairment can look like psychopathy but are not breaking laws/impulsivity takes time, mental burden, less dignity

Answer 21

• No intrusive obsessions or compulsions but preoccupation with order and control. • Is preoccupied with details, rules, lists, order, organization, or schedules to the extent that the major point of the activity is lost • Loss of flexibility, openness, & efficiency • Perfectionism interferes with task completion • Doing things “right” impairs productivity • Prioritizing feels debilitating

Answer 22

• Excessively devoted to work and productivity • Inflexible about matters of morality, ethics, or values • Reluctant to delegate tasks or to work with others • Miserly spending style • Shows significant rigidity and stubbornness • Attentive to relative status in dominance-submission relationships • excessive deference to an authority they respect • excessive resistance to authority that they do not respect. problem with interpersonal relationships if they see you junior to them you don't matter

Answer 23

– Limited research – Weak genetic contributions • Predisposed to like structure?

Answer 24

– Similar to OCD (exposure to failure) – Address fears related to the need for orderliness – Limited data on treatment outcome

Personality Disorders Flashcards

(48 cards)