Personality Disorders Dr. Schmidt

Question 1

ID
EGO
SUPEREGO

Answer 1

ID = i want (bad)
SUPEREGO = I should (good)
EGO = problem solves to decide and compromise

Question 2

defense mechanism when unable to reason through reality

Answer 2

rearrange external experiences to eliminate the need to cope with reality

Question 3

Projection is what

Answer 3

primitive behavior
= delusions about reality, self projecting ideas to other people
= person cheated on wife and then accuses wife of cheating

Question 4

Denial is what

Answer 4

Primitive behavior
= refuse to accept reality due to anxiety so you state it does not exist
= common in initial shock during grief (healthy only then)

Question 5

Splitting is what

Answer 5

Primitive behavior COMMON IN BORDERLINE PERSONALITY
= seeing people as all good or all bad
= there is no inbetween

Question 6

Basic Defenses are what and other name

Answer 6

Displacement (neurotic behavior)
= shifting sexual or aggressive impulses to non threatening targets
= parents yells at child when mad at spouse, doctor yells at nurse when mad at patient

Question 7

Regression is what

Answer 7

Neurotic Behavior
= temporary reversion of behavior to more childlike immature in certain situations
= adult starts baby talking in stressed situations

Question 8

Somatization / Hypochondriasis is what

Answer 8

Neurotic Behavior
= transform negative feelings towards others to negative feelings about self (pain, illness, anxiety)
= student is embarrassed by resident and then next day has upset stomach when going to rotations (opposite of projection)

Question 9

Introjection / Identification

Answer 9

Neurotic Behavior
= person imitates behaviors and emotions of others
= abused child becomes abusive parent , student takes on characteristics of their mentor

Question 10

Isolation of effect is what

Answer 10

Neurotic Behavior
= separate feelings from ideas/events
= calm when talking about something sad, shocking, stressful
= person remembers events only avoids emotions
= common in alzheimers and conversion disorder

Question 11

Intellectualization is what

Answer 11

Neurotic Behavior
= emotions replaced by thought, separate emotions from ideas focusing on intellectual things
= doctor focus on results then patients emotions, focusing on bone sticking and the physiology out then the pain and emotion of the event

Question 12

Blocking is what

Answer 12

Neurotic Behavior

= temporarily stops thinking (stops for a moment)

Question 13

Acting out is what

Answer 13

Neurotic Behavior
= cover up true feelings by showing a different usually anger
= drinks alcohol to cope with parents divorce, physician fights or bullies because cant handle internal emotions

Question 14

Reaction Formation is what

Answer 14

Neurotic Behavior
= convert unconscious wishes and impulses that are threatening —-> opposite
= true belief causes anxiety to you believe the opposite
= co-workers fight only secretly attracted to eachother, student doesnt like kids becomes pediatrician

Question 15

Undoing is what

Answer 15

Neurotic Behavior
= do something to fix a previous unacceptable behavior
= bulimia, partner violence, OCD
= buy flowers to partner after fight, superstitions

Question 16

Rationalization is what

Answer 16

Neurotic Behavior
= convince yourself that the wrong thing you did is right (excuses)
= justify behavior or you or someone
= if my room wasnt so noisy i would have passed the exam

Question 17

Passive aggressive is what

Answer 17

Neurotic Behavior
= aggression indirectly or passive (not physical or verbal)
= return a borrowed cup late because youre mad at them for letting their dog eat your plant

Question 18

Dissociation is what

Answer 18

Neurotic Behavior
= drastic change in character or behavior to avoid distress TEMPORARY
= traumatic event boxed away so unable or hard to recall, assaulted person recalls what happened as if looking at someone else getting assaulted

Question 19

Humor defense mechanism is what

Answer 19

Mature behavior
= overly expressing ideas or feelings about feelings that are terrible to talk about
= laughing when getting fired
= Making jokes out of being so sleep deprived (Sarcasm)

Question 20

Suppression is what

Answer 20

Mature behavior
= intensionally (so no repression)
= decide to delay paying attention to an emotional need, can readily accept and access that emotion later
= after pt dies the doctor delays the emotion to treat others and deal with it later at home
= have fun at bar and forget stress even though you have an exam

Question 21

Altruism defense mechanism is what

Answer 21

Mature behavior
= serve others to bring pleasure and satisfaction (above own needs to avoid discomfort)
= doctor does not go to childs play because hospital needs him

Question 22

Sublimation is what

Answer 22

Mature behavior
= transform unpleasant emotions to positive action or emotion
= youre mad at someone and instead of yelling you go exercise, chop wood, paint, sing, clean hard

Question 23

to diagnose a personality disorder you have to meet what criteria

Answer 23

1. onset early adulthood/adolescence
2. leads to distress /impairment
3. infelxible, pervasive, deviating form culture, enduring pattern of inner and outer behaviors = Functional Impairment

Question 24

DSM-5 defines personality disorders how

Answer 24

pattern enduring that deviates from culture of inner experience and behavior in 2 OR MORE :

• cognition (perceiving self and others),
• Affectivity (appropriateness and intensity)
• Interpersonal function
• impulse control

Question 25

DSM 5 personality disorder you have to exclude what

Answer 25

trace back to early adulthood of distress and impairment = cant be explained by another mental disorder = no substance or alcohol use

Question 26

Cluster A Paranoid Personality Disorder SX

Answer 26

suspicious esp infidelity, keeps grudges, easily offended, angry, suspects they have been victimized, preoccupied with loyalty and trustworthiness (thinks everyone is out to get them)

Question 27

Cluster A Paranoid Personality Disorder management

Answer 27

be confident and clear when talking to them (they can pick up on small things and get paranoid) - listen to complaints and accusations - be honest - clearly explain what you are doing and results - acknowledge mistakes