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Flashcards in Personality Disorders Deck (35)
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1

What is personality?

An enduring pattern of perceiving, relating to, and thinking about the environment and oneself - it makes an individual who they are

2

Define personality disorder

A set of personality traits that are pervasive, ingrained, maladaptive, and create significant functional impairment or subjective distress

3

Why is personality disorder not an illness?

It is not a change from the individual's normal level of functioning

4

Define mental illness

An impairment of an individual's normal cognitive, emotional, or behavioural functioning

5

State the 'big five' personality traits

Openness, conscientiousness, extraversion, agreeableness, neuroticism

6

Describe cluster A personality disorders, as defined by ICD-10

Characterised by oddness, eccenticity, preference of isolation and a limited number of close relationships. There is a tendency to introspection and fantasy and a suspiciousness of others

7

Name the 2 cluster A personality disorders, as defined by ICD-10

Paranoid and schizoid

8

Describe cluster B personality disorders, as defined by ICD-10

Characterised by flamboyance, dramatism, emotional instability, and aggressiveness towards self (sometimes others). There is a tendency to selfishness and irresponsibility

9

Name the 3 cluster B personality disorders, as defined by ICD-10

Emotionally unstable/ borderline, histrionic, dissocial/ antisocial

10

Describe cluster C personality disorders, as defined by ICD-10

Characterised by anxiety, prone, rigidity, and fear of new situations. There is a tendency to perfectionism and help-seeking

11

Name the 3 cluster C personality disorder, as defined by ICD-10

Anakistic/ obsessive-compulsive, anxious-avoidant, dependent

12

How did ICD-11 change the classification of personality disorder?

It removed all the categories and made it a single diagnosis, which could be mild, moderate, or severe

13

State the community prevalence of personality disorder

4% - with below 1% of cases severe

14

State the prevalence of personality disorder in the prison population

70-80%, with 50% of cases severe

15

Using the ICD-10 criteria, what was the difference in prevalence between cluster A and cluster B personality disorders?

Cluster B prevalence was higher in inner cities, whereas cluster A prevalence was higher in rural areas

16

Why might rates of personality disorder be more common in unstable countries? (Huang et al, 2009)

Difficulty in giving a child a consistent upbringing and childhood exposure to violence

17

What is the effect of personality disorder on life expectancy?

It reduces it by 18 years

18

What percentage of those who die by suicide have personality disorder?

40%

19

Name the four symptom domains of borderline personality disorder

Affective, cognitive, behavioural, interpersonal

20

State the 3 affective traits of borderline personality disorder

Inappropriate intense anger or difficulty controlling anger, chronic feelings of emptiness, affective instability

21

State the 2 cognitive traits of borderline personality disorder

Transient paranoid ideation or severe dissociative symptoms, identity disturbance

22

State the 2 behavioural traits of borderline personality disorder

Recurrent suicidal behaviour, threats, or self-mutilation; impulsively harmful acts other than suicidal behaviour

23

State the 2 interpersonal traits of borderline personality disorder

Frantic effort to avoid abandonment, unstable and intense interpersonal relationships

24

How did DSM-IV define antisocial personality disorder?

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

25

State some of the criteria for antisocial personality disorder in DSM-IV

Failure to conform to social norms of lawful behaviours, deception, impulsivity or failure to plan ahead, irritability and aggressiveness, reckless disregard for safety, consistent irresponsibility, lack of remorse

26

Why is it difficult to assess personality disorder?

Individuals tend to fluctuate and often show symptoms only for brief periods, some symptoms cause agitation or a lack of cooperation, there may be confounders e.g. comorbid mood disorders

27

Name a validated semi-structured interview for personality disorder

SCID, IPDE

28

What is the main predictor of criminal behaviour? (Bohman, 1996)

Alcohol abuse

29

Based on the Swedish adoption study, what is the risk of a child whose biological parents have a criminal record having a criminal record if their adoptive parents do not?

12%

30

Based on the Swedish adoption study, what is the risk of a child whose biological parents do not have a criminal record having a criminal record if their adoptive parents do?

7%