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Personality d/o
Question | Answer |
---|---|
3 problem areas for PD | Cognition or thought processes skewed, intensity, lability, and appropriateness of the emotional response is different (more/less extreme), Problems w/ interpersonal functioning, impulse control. |
Occur in _____% of the population | 10-20 |
About __% of psychiatric patients have a PD comorbid to other disorders | 50% |
PD is a __________ factor to other disorders | predisposing |
Personality Disorders *(Cluster A) | Eccentric and odd behavior Paranoid PD Pervasive distrust/suspiciousness of othersSchizoid PD Detachment from social relationships &restricted range of emotional expressionSchizotypal PD Social deficits, magical thinking, eccentricities. |
Personality Disorders (Cluster B) | Narcissistic PD Grandiosity, need for admiration, lack of empathyHistrionic PD Excessive emotionality & attention seeking |
Personality disorders (Cluster C) | Anxious or fearful behaviorDependent PD submissive & clinging behavior, fear of separation Obsessive-compulsive PD Preoccupied w/orderliness, perfectionism w/ridged control. Fearful Avoidant PD Pervasive pattern of social inhibition, feels inadequate |
Paranoid PD | 4 or more : 1. suspects w/o evidence 2. Preoccupied w/unjustified doubts about loyalty 3. reluctant to confide 4. Reads hidden demeaning meanings 5.grudges 6. Perceives attacks on character, quick to react angrily 7. suspicions regarding fidelity |
Schizoid PD | does not desire/enjoy close relationships/activities, Little interest in sexual relationship. No close friends other than 1st degree relatives, indifferent to criticism of others; emotional coldness, detached or flattened affect |
Schizotypal PD | incapacity relationships, distortions, eccentric- need 5:Ideas reference, Odd beliefs, magical thinking, (superstitiousness, clairvoyance, bizarre fantasies); perceptual (bodily illusions); odd thinking/speech; behavior/ appearance is peculiar, paranoid |
Histrionic PD | attention seeking beginning, need to be center of attention, inappropriate sexually, shallow emotions, speech lacking in detail, theatrical, relationships more intimate than they actually are |
Dependent PD | submissive & clinging behavior, and fear of separation, difficulty making decisions, no self-confidence in ability to start or complete projects independently; will urgently seek another relationship when one ends. |
Dependent PD | May look for ways to fuse themselves with the identity of the other person –sometimes leads to the experience of folie a deux ( madness between two) a shared delusional belief between 2 persons |
OCD PD | - perfectionism w/focus on orderliness, preoccupied w/rules/rituals, have genuine care for others but no idea how their rigid behaviors affect others, fear imminent catastrophe |
Avoidant PD | extreme sensitivity to rejection & avoidance of interpersonal situations- timid temperament in infancy, poor self confidence,prone to misinterpreting feedback |
Antisocial PD- cluster B | Usually begins by age 15-Failure to conform to social norms with respect to lawful behaviors, arrests, Deceitfulness- repeatedly lying, aliases, conning others, Impulsivity, Irritability or aggressiveness-Reckless, Lack of remorse |
Borderline PD- cluster B | 5 of the following:avoid real or imagined abandonment, intense/unstable relationships, idealization and devaluation, unstable self-image. Impulsivity in 2-spending, sex, substance abuse, binge eating, reckless driving, Recurrent SI, mutilating, emptiness |
Causes most problems in cluster B | antisocial and borderline |
Personality d/o tx | dialectical behavioral therapy |
Obsessive-compulsive PD- | Preoccupied with orderliness, perfectionism with ridged control. Fearful. |
Avoidant PD | Pervasive pattern of social inhibition, feels inadequate, |
Genetic theories r/t personality d/o | temperament, individual perception, & environment. |
Neurobiological theory & personality d/o | that certain neurotransmitters can influence the development of personality |
Learning theory and personality d/o | maladaptive responses based on modeling/reinforcement of observed behaviors/ |
Cognitive theory and personality d/o | emphasizes the role of beliefs and responses in creating emotional and behavioral responses |
Psychoanalytic theory and personality d/o | focus is on primitive use of defense mechanisms by individuals with personality disorders. |
Environmental factors and personality d/o | Other factors from outside the family that influence personality development. |
Diathesis-stress model- stresses and personality d/o | genetic and biological vulnerabilities that includes individual temperaments and how they respond to stress (immediate influences on personality development) |
Assessment of PD | Semi-structured interview preferred- Minnesota Multiphasic Personality Inventory (MMPI) to evaluate personality |