Flashcards in Personality Disorders Cluster B Deck (8):
A. A pervasive pattern of disregard for and violation of the rights of others, occurring since
age 15 years, as indicated by three (or more) of the following:
1. Failure to conform to social norms with respect to lawful behaviors, as indicated by repeatedly performing acts that are grounds for arrest.
2. Deceitfulness, as indicated by repeated lying, use of aliases, or conning others for
personal profit or pleasure.
3. Impulsivity or failure to plan ahead.
4. Irritability and aggressiveness, as indicated by repeated physical fights or assaults.
5. Reckless disregard for safety of self or others.
6. Consistent irresponsibility, as indicated by repeated failure to sustain consistent
work behavior or honor financial obligations.
7. Lack of remorse, as indicated by being indifferent to or rationalizing having hurt,
mistreated, or stolen from another.
B. The individual is at least age 18 years.
C. There is evidence of conduct disorder with onset before age 15 years.
D. The occurrence of antisocial behavior is not exclusively during the course of schizophrenia
or bipolar disorder.
Associated features of Anti-social
- callous, cynical, arrogant self appraisal, charming, many sexual partners,
-anxiety, depression, substance use
Diff. Diagnosis Antisocial PD
SUD - not diagnose APD unless APD signs were also present in childhood into adulthood - diagnose both is bothe began in childhood
Sz/ Bipolar - if Antisocial behave occurs only with sz or Bipolar then not APD
NARCISSISTIC - both lack empathy NPD does not have impulsivity, aggression, and deceit, or childhood conduct disorder; APD does not need praise
HISTRIONIC - both impulsive, superficial, HPD = more exaggerated emotions; also HPD and borderline are manipulative to gain nurturance, APD = to gain power/profit
Histrionic PD Criteria
A pervasive pattern of excessive emotionality and attention seeking, beginning by early adulthood
and present in a variety of contexts, as indicated by five (or more) of the following:
1. Is uncomfortable in situations in which he or she is not the center of attention.
2. Interaction with others is often characterized by inappropriate sexually seductive or
3. Displays rapidly shifting and shallow expression of emotions.
4. Consistently uses physical appearance to draw attention to self.
5. Has a style of speech that is excessively impressionistic and lacking in detail.
6. Shows self-dramatization, theatricality, and exaggerated expression of emotion.
7. Is suggestible (i.e., easily influenced by others or circumstances).
8. Considers relationships to be more intimate than they actually are.
Associated features of Histrionic PD
-act as princess or victim, emotional manipulation, seductive, impaired relations with same sex friends,
co-occur with/ MDD, borderline, narcissistic, antisocial, and dependant
Diff Diagnosis Histrionic
BPD - attention seeking, shifting emotions, manipulative in both, but BPD = self destruction, anger, emptiness
APD - both impulsive, superficial… Hist = exagg emotions - no conduct dis
NARCISSISTIC - crave attention, but Hist is okay viewed as fragile
DEPENDANT - dep on others for praise, butHist = flamboyant and exaggerated
Narcissistic PD Criteria
A pervasive pattern of grandiosity (in fantasy or behavior), need for admiration, and lack
of empathy, beginning by early adulthood and present in a variety of contexts, as indicated
by five (or more) of the following:
1. Has a grandiose sense of self-importance (e.g., exaggerates achievements and talents,
expects to be recognized as superior without commensurate achievements).
2. Is preoccupied with fantasies of unlimited success, power, brilliance, beauty, or ideal
3. Believes that he or she is “special” and unique and can only be understood by, or
should associate with, other special or high-status people (or institutions).
4. Requires excessive admiration.
5. Has a sense of entitlement (i.e., unreasonable expectations of especially favorable
treatment or automatic compliance with his or her expectations).
6. Is interpersonally exploitative (i.e., takes advantage of others to achieve his or her own
7. Lacks empathy: is unwilling to recognize or identify with the feelings and needs of others.
8. Is often envious of others or believes that others are envious of him or her.
9. Shows arrogant, haughty behaviors or attitudes.