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Flashcards in Personality Disorders Deck (36):

Common Characteristics of Personality Disorders

- Inflexible and maladaptive response to stress.
- Disability in working and loving.
- Ability to evoke interpersonal conflict.
- Capacity to get “under the skin of others”.


Personality Disorders common co-occur with?

depressions and anxiety


Which theory for PD emphasizes that the child develops maladaptive responses based on modeling of reinforcement by important people in the child's life?

Learning Theory


Which theory for PD emphasizes the role of beliefs and assumptions in creating emotional behavioral responses that influence experience within the family environment?

cognitive theory


List the defense mechanisms?

repression, suppression, regression, undoing and splitting


People who had parents who were excessively critical OR who role-modeled projection of anger and resentment onto an external group develop which type of PD?

Paranoid PD


A person who may have suffered from emotional isolation because the parents where indifferent or detached develop which type of PD?

Schizoid PD


A person who experienced excessively harsh discipline,
along with encouragement of depression develop which type of PD?

Antisocial PD


A person who experienced excessive family reinforcement of attention-seeking behaviors develop which type of PD?

Histrionic PD


A person whose parents may be have been neglectful or inconsistent in rewarding the child (Excessive praise for accomplishments and harsh criticism for minor mistakes) develop which type of PD?

Narcissistic PD


A person whose parents were overprotected develop which type of PD?

Avoidant PD


A person who experienced parental overprotection or excessive clinging to the child, which interfered with normal development and separation develop which type of PD?

Dependent PD


A person who may have copied the behavior of authoritarian parents develop which type of PD?

Obsessive Disorders


Psychoanalytic theory suggests patients with obsessive disorders have issues with?

unconscious shame or guilt.


List of Cluster A disorders?

- Paranoid Personality Disorder
- Schizoid Personality Disorder
- Paranoid Personality Disorder


List of Cluster B disorders?

- Antisocial
- Borderline
- Histrionic
- Narcissistic


clinical picture of cluster A Disorders?

- Odd and eccentric
- Avoid interpersonal relationships
- seldom seek psychiatric treatment, believing firmly in their interpretation of the world
- May be indifferent to the reactions of others to their views


Clinical Picture of Cluster B Disorders?

- Dramatic or emotional.
- seek out interpersonal relationships but they can not maintain them.*
- They are manipulative in their interactions
- They often display a sense of entitlement.
- Many receive psychiatric care


Clinical presentation of Schizoid personality disorder?

- Neither desires nor enjoys close relationships, including being part of the family.
- does not hinder daily functioning to the extent of schizophrenia.


Clinical presentation of Paranoid Personality Disorder?

- A pervasive distrust others
- Suspects that others are exploiting them
- Persistently carries grudges


Clinical presentation of Antisocial Personality Disorder:

A pervasive pattern of disregard for and violation for the rights of others occurring since age 15.


Clinical presentation of Histrionic Personality Disorder?

- Attention seeking
- Uncomfortable in situations in which self is not the center of attention.
- Interaction with others is often characterized by inappropriate sexually seductive or provocative behaviors, disloyal
- Rash decisions making


Clinical Picture of Cluster C Disorders?

- Anxious or fearful
- Insecure or inadequate.
- Depending on others for reassurance
- Isolating themselves for fear of rejection
- They treated for anxiety related to fear of relationships or the loss of the relationship


.Clinical presentation of Dependent Personality Disorder

- Needs others to resume responsibility for most major areas of life
- Has difficulty initiating process or doing things on own
- Feels uncomfortable or helpless when alone
- Urgently seeks another relationships as a source of care and support


Clinical presentations of Avoidant Personality Disorder

- Avoid occupational activities
- Unwilling to get involved with people
- Shows restraints within intimate relationships
- Views self as socially inept, or inferior to others.


Clinical presentations of Obsessive Compulsive Personality Disorders?

- Preoccupied with details, rules and order
- Excessively devoted to work and productivity
- Over conscientious
- Shows rigidity and stubbornness


Nursing guidelines for Schizotypal PD?

Respects clients’ needs for social isolation.


Nursing guidelines for Paranoid PD?

Give clear explanations of procedures.


Nursing guidelines for Schizoid PD?

Perform thorough assessment to identify symptoms that the client is reluctant to discuss.


Nursing guidelines for Borderline PD?

- Assess for suicide.
- Be aware of manipulative behaviors.
- Provide clear and consistent boundaries and limit.
Use clear communications.


Nursing guidelines for Antisocial PD?

- Set clear realistic limits.
- Treatment of substance abuse through treatment programs.


Nursing guidelines for Narcissistic PD?

- Remain neutral.
- Avoid engaging in power struggling.


Nursing guidelines for Histrionic PD?

- Understand seductive behavior as a response to distress.
- Keep communication and interactions professional.


Nursing guidelines for Dependent PD?

- Identify and help address current stresses.
- Try to satisfy clients needs while setting a limit.
- Teach and role model assertiveness


Nursing guidelines for Obsessive compulsive PD?

- Intellectualization, rationalization, and reaction formation are the most common defense mechanisms. Guide against power struggles.


Nursing guidelines for Avoidant PD?

- A friendly, gentle, reassuring approach is the best way to treat clients.
- Being pushed into social situations can cause extreme and severe anxiety.