Personality Disorders Flashcards Preview

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Flashcards in Personality Disorders Deck (27):

What is Personality

A person’s characteristic style of behaving, thinking, and feeling.


Personality Disorder (DSM definition):

Enduring pattern of inner experience & behavior that:
• deviates from the person’s culture
• is inflexible and pervasive across situations
• is stableand of long duration
• causes significant distress/impairment in functioning.


Personality Disorder & DSM-5
Cluster A:

•Paranoid Personality Disorder
•Schizoid Personality Disorder
•Schizotypal Personality Disorder


Personality Disorder & DSM-5
Cluster B:

•Antisocial Personality Disorder
•Borderline Personality Disorder
•Histrionic Personality Disorder
•Narcissistic Personality Disorder


Personality Disorder & DSM-5
Cluster C:

•Avoidant Personality Disorder
•Dependent Personality Disorder
•Obsessive-Compulsive Personality Disorder


Cluster A: Odd/Eccentric
Paranoid PD-Criteria

Criterion A: Pervasive distrust and suspiciousness of others (≥4)
Criterion B: Does not occur exclusively during the course of a psychotic disorder, mood disorder w/ psychotic features, not attributed to medical condition


Cluster A: Odd/Eccentric
Schizoid PD-Criteria

Criterion A: Detachment from social relationships and a restricted range of expression of emotions in interpersonal settings (≥4)
Criterion B: Does not occur exclusively during the course of a psychotic disorder, mood disorder w/ psychotic features, autism spectrum, not attributed to medical condition


Cluster A: Odd/Eccentric
Schizotypal PD-Criteria

Criterion A: Social and interpersonal deficits marked by acute discomfort with & reduced capacity for close relationships & cognitive or perceptual distortions/eccentricities (≥5)
Criterion B: Does not occur exclusively during the course of a psychotic disorder, mood disorder w/ psychotic features, autism spectrum.


Cluster B: Dramatic/Erratic/Emotional
Antisocial PD-Criteria

Criterion A: Disregard for and violation of rights of others since 15yrs old (≥3)
Criterion B: Person is ≥ 18 years old


Cluster B: Dramatic/Erratic/Emotional
Borderline PD-Criteria

Criterion A: Instability of interpersonal relationships, self-image, and affect, and marked impulsivity (≥5)


Cluster B: Dramatic/Erratic/Emotional
Histrionic PD-Criteria

Criterion A: Excessive emotionality and attention seeking (≥5)


Cluster B: Dramatic/Erratic/Emotional
Narcissistic PD-Criteria

Criterion A: Grandiosity, need for admiration, lack of empathy (≥5)


Cluster C: Anxious/Fearful
Avoidant PD-Criteria

Criterion A: Social inhibition, feelings of inadequacy, hypersensitivity to negative evaluation


Cluster C: Anxious/Fearful
Dependent PD-Criteria

Criterion A: Excessive need to be taken care of that leads to submissive, clingy behavior and separation fears (≥5)


Cluster C: Anxious/Fearful
Obsessive-Compulsive PD-Criteria

Criterion A: Preoccupation with orderliness, perfectionism, mental and interpersonal control at expense of flexibility, openness and efficiency (≥4)


Treatment of Personality Disorders

Meds target group of symptoms
- Cognitive-perceptual; antipsychotics
- Affect; SSRI's
- Impulsive aggression; SSRI's, antipsychotics, mood stabilizers


Treatment of Personality Disorders

• Psychodynamic Therapy
- Focus on conflicts/themes
- Explore & increase insight

• Cognitive-Behavioral Therapy
- Reduce symptoms
- Address problematic cognitions
- Social skills training
- Relaxation

• Dialectical behavior Therapy (from of CBT)
- Geared toward BPD
- Acceptance & change
- Individual therapy
- Group skills training


Defining Characteristics
Paranoid PD

Distrust and suspicion of others (even fam/friends), often misinterprets neutral/positive statements as having hidden motives


Defining Characteristics
Schizoid PD

Detachment from social relationships, does not want social interaction, low empathy and restricted emotionalexpression, typically a loner


Defining Characteristics
Schizotypal PD

Most closely related to schizophrenia,odd or magical thinking, behaviors/mannerism do not follow social conventions


Defining Characteristics
Antisocial PD

Moral disregard, lack of remorse for harming others, reckless endangerment of others, conduct disorder before age of 15


Defining Characteristics
Borderline PD

Emotional instability, most characterized by impulsive behaviors, frequent self-destructive behaviors, strong fears of abandonment


Defining Characteristics
Histrionic PD

Exaggerated emotional expression that often appears fake, frequent attention-seeking behaviors, over concern with attractiveness


Defining Characteristics
Narcissistic PD

Great sense of self-importance, superficially charming, excessive need for admiration, feels as if better than everyone else


Defining Characteristics
Avoidant PD

Considered a more severe version of social phobia, do not enjoy social isolation but too fearful of interactions, extreme fear of embarrassment


Defining Characteristics
Dependent PD

Excessive need to be taken care of, clingy, very passive or submissive,often neglects own needs to appease others, fears being unable to take care of self


Defining Characteristics
Obsessive-Compulsive PD

Preoccupation with order, perfectionism, a need to control others and self, overly rigid thoughts, significant impairment due to these concerns