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YEAR 3 PSYCH > Personality Disorders > Flashcards

Personality Disorders Flashcards

1
Q

what is a personality

A

a cluster of relatively predictable patterns of thinking, feeling and behaving that is generally consistent across time, space and context

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2
Q

what is the 5 factor model of personality

A

OCEAN

  • openness
  • conscientiousness
  • extraversion
  • agreeableness
  • neuroticism
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3
Q

according to ICD-10 what is a personality disorder

A

individuals characteristics and enduring patterns of inner experiences and behaviour deviate markedly as a whole from the culturally accepted and expected range

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4
Q

in what 4 ways can personality disorder manifest (will manifest in more than 1)

A

cognition
affectivity
impulse control
interpersonal functioning

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5
Q

what is cognition

A

the way one perceives and interprets things and forms attitudes and images of self and others

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6
Q

what is affectivity

A

range, intensity and appropriateness of emotional arousal and response

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7
Q

it is only a disorder and not a trait if it is

A

pervasive
causes distress
causes impairment of functioning in most areas

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8
Q

__% of the population have a PD

A

10

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9
Q

1 in __ of psychiatric inpatients / outpatients have a PD

A

inpatients - 1/2

outpatients - 1/3

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10
Q

what is Cluster A according to ICD-10

A

MAD - odd and eccentric
- schizoid
- paranoid
(- schizotypal DSM V)

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11
Q

what is Cluster B according to ICD-10

A 
BAD - emotional and dramatic
- dissocial 
- EUPD (borderline and impulsive)
- histrionic
(narcissistic - DSM V)
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12
Q

what is Cluster C according to ICD-10

A

SAD - anxious and avoidant

  • anxious
  • dependent
  • anankastic
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13
Q

Paranoid PD is part of what cluster

A

A

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14
Q

describe paranoid PD

A

4 of:

  • tendency to bear grudges
  • self importance
  • conspiracy theories
  • suspicious / miscontrues actions of others
  • suspicious of partner without reason
  • sensitive to set backs
  • personal rights
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15
Q

Schizoid PD is part of what cluster

A

A

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16
Q

describe schizoid PD

A

4 of:

  • few if any activities give them pleasure
  • emotional coldness/detachment/flattened affectivity
  • limited ability to express warm feelings to others, or anger
  • almost always chooses solitary activity
  • preoccupation with fantasy/introspection
  • neither has nor desires any close relations (may have 1)
  • disregard for prevailing social norms
  • no desire to have sexual relations with another person
  • indifferent to praise or criticism of others
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17
Q

what is the 3rd PD that DSM V includes in cluster A but ICD-10 doesn’t

A

schizotypal

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18
Q

who is an example of a schizotypal PD

A

willy wonka

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19
Q

describe a schizotypal PD

A

5 of:

  • odd beliefs or magical thinking
  • odd speech and thinking
  • lack of close friends
  • eccentric/strange/peculiar behaviour or appearance
  • social anxiety
  • inappropriate or constricted affect
  • ideas of reference (not delusions)
  • unusual perceptual experiences
  • suspicious or paranoid ideation
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20
Q

is dissocial PD the same as psychopathy

A

no

21
Q

what is psychopathy

A

set of deficits in emotional and cognitive functioning

22
Q

60-80% of male prisoners will have ____ but only 15% _____

A

DPD

only 15% will be psychopaths

23
Q

what cluster is dissocial/antisocial PD in

A

cluster B - BAD

24
Q

describe dissocial PD

A

3 of:

  • callous unconcern for feelings of others
  • irresponsible and disregard for social norms/rules
  • difficulty maintaining enduring relationships but no difficulty establishing them
  • incapacity to feel guilt or to benefit from adverse experience in particular punishment
  • low tolerance to frustration and low threshold for violence
  • proneness to blame others
25
Q

what are the 2 types of emotionally unstable PD

A

impulsive and borderline

26
Q

describe impulsive EUPD

A

3 of:

  • act unexpectedly without consideration of the consequences
  • quarrelsome behaviour and conflicts with others especially if impulsive acts are criticised
  • outbursts of anger/violence
  • unstable mood
  • inability to maintain course of action that offers no immediate reward
27
Q

what predisposes to EUPD

A

adverse childhood experience

28
Q

describe borderline EUPD

A

plus 2 of:

  • disturbances in and uncertainty about self image, aims and internal preferences (including sexuality)
  • intense and unstable relationships leading to emotional crisis
  • excessive efforts to avoid abandonment
  • recurrent threats or acts of self harm
  • chronic feeling of emptiness
29
Q

what cluster is histrionic PD part of

A

cluster B

30
Q

describe histrionic PD

A

4 of:

  • suggestible
  • inappropriately seductive in appearance or behaviour
  • overly concerned with physical attractiveness
  • continually seeks excitement and activities in which they are the centre of attention
  • shallow/labile affectivity
  • self-dramatisation, theatricality or exaggerated expression of emotions
31
Q

what character in a movie has a histrionic PD

A

regina george

32
Q

what is the PD that DSM-V includes in cluster 2

A

Narcissistic PD

33
Q

what character has a narcissistic PD

A

walter white

hitler

34
Q

describe narcissistic PD

A

5 of:

  • grandiose logic of self importance
  • fixation with idea of infinite success
  • think they are exceptional/extraordinary
  • desire for unwarranted admiration
  • interpersonally oppressive behaviours
  • sense of entitlement
  • no form of empathy
  • resentment of others or conviction that others resent them
  • egotistical and conceited behaviours
35
Q

what cluster is anankastic PD in

A

cluster C - SAD

36
Q

what is the DSM-V name for anankastic PD

A

OCPD

37
Q

describe anankastic PD

A

5 of:

  • feelings of excessive doubt and caution
  • preoccupation with details
  • perfectionism that interferes with task completion
  • excessive conscientiousness and scruptulousness
  • undue preoccupation with productivity to exclusion of pleasure and relationships
  • excessive pedantry and adherence to social conventions
  • rigidity and stubbornness
  • unreasonable expectation for others to submit to their way of doing things / unreasonable reluctance to allow others to do things
38
Q

what character has anankastic PD

A

monica

39
Q

what cluster is anxious PD in

A

C - SAD

40
Q

describe anxious PD

A

4 of

  • persistent feelings of tension/apprehension
  • belief that they are socially inept/inferior to others
  • excessive preoccupation about being criticised/rejected in social situations
  • unwillingness to get involved with people unless certain of being liked
  • restrictions to lifestyle because of need of security
  • avoidance of social or occupational activities that involve significant interpersonal contact because of fear of criticism
41
Q

describe dependent PD

A

4 of:

  • allowing others to make most of important life decisions
  • subordination of own needs to those of others and undue compliance with their wishes
  • unwillingness to make even reasonable demands on person they depend on
  • feeling uncomfortable and helpless when alone
  • fears of being left to take care of themselves
  • limited capacity to make decisions without excessive advice
42
Q

what should the focus of treatment of personality disorders be

A

comorbid conditions

43
Q

is pharmacological management indicated in PDs

A

no

44
Q

difficulties with impulse control

A

SSRI

45
Q

affective dysregulation

A

SSRI or mirtazapine

46
Q

cognitive perceptual symptoms

A

low dose antipsychotic

47
Q

what are some non-pharmacological managements for EUPD

A
  • dialectal behavioural therapy for 6-12 months
  • mentalisation based therapy
  • STEPPS
48
Q

what is a psychological intervention for DPD

A

group based CBT

YEAR 3 PSYCH (14 decks)

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