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Abnormal Psych Exam 3--Personality Disorders
N/A
39
Psychology
Undergraduate 1
04/04/2012

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Term
axis 1
axis 2
axis 3
axis 4
axis 5
Definition
-clincal syndromes
-personality disorders
-general medical conditions
-psychosocial and enviormental problems
-global assesment of function (GAF)
Term
personality disorder
Definition
-pervasive way of viewing things and is impairing
-may not think they have a problem because its how they've always been
Term
cluster B`
Definition
-characterized as patholigcally difficult to work with, emotional, dramatic
-Described as the dramatic, emotional, erratic cluster of PDs
-Consists of the Borderline, Antisocial, Histrionic, and Narcissistic PDs
Term
borderline personality disorder
Definition
-considered a condition on border between neurosis and psychosis
-essential feature: pattern of unstable relationships, self image and affect; marked impulsivity
-identity disturbance
-merge self and other, the persons sense of self is based on their connection to other people
-alternatiting idolizing and pushing away
Term
primitive defense mechanisms BPD
Definition
-splitting
-primitive idealization
-omnipotence and devaluation
-denial
-projection
-projective identification
Term
splitting
Definition
associated with BPD-thinking of things in black and white
Term
primitive idealization
Definition
unrealistic overestimation of a “good” person’s omnibenovolence
Term
omnipotence and devaluation
Definition
: takes place not only in other person within relationship with person with BPD, but also within the person with BPD themselves
Term
projective identification
Definition
projecting an emotion and it is projected back. will evoke their own emotions from other people
Term
diagnositc criteria of BPD
Definition
-identity disturbance
-chronic feelings of emptiness
-patterns of unstable and intense relationships characterized by splitting
-inappropriate , intense difficult to control anger
-affective instability and mood reactivity
-frantic efforts to avoid abandonment
-suicidality/parasuicidality : cutting ones wrist with no intent to die
-impulsivity in 2 areas of life
-stress induced paranoid ideation or severe dissociation
-hint of psychosis
Term
Marsha Linehan
Definition
-preminent CBT scholar on BPD therapy: talks about parasuicidal behavior
Term
related to BPD
Definition
-heredety
-history of abuse
Term
antisocial personality disorder
Definition
-consistent irresponsibility
-reckless disregard for safety
-irritability/aggressiveness
-impulsivity
-failure to conform to social norms: usually means getting caught for some sort of crime—often street crimes
-deceitfulness
Term
Narcissistic Personality Disorder
Definition
-Higher borderline (severity) and has broader range
-Ones in first half not so severe
-Kernberg thinks it is a result of narcissistic urges
-characterized by grandious beliefs
Term
narcosistic diagnosistic criteria--self
Definition
-Grandiose sense of self-importance
-Fantasies of ultimate power/success
-Believes he is special or unique
-Sense of entitlement
--wants to be recognized by community that they are fixated on
--if think they are beautiful, want to be associated with beautiful people
Term
narcissistic diagnositc criteria--others
Definition
-Arrogance toward others—unstable and needs fuel—require feedback
-Requires admiration
-Envy
-Interpersonally exploitative: takes advantage of others in interpersonal relationships
-Lack of empathy
Term
Narcisistic disorder theories of etiology: kohut
Definition
internalization of fragile identity—occurs when parents are overly neglectful, thus causing a child to internalize a fractured self-concept and react against it
Term
narcissistic disorder theories of etiology: social learning
Definition
other people would make you this way—Dudley Dursley—internalization of grandiose identity
Term
aaron pinkus
Definition
Grandiose is a shell of someone fragile—can have vulnerability vs. grandiose—
-Grandiose: project grandiosity on yourself and inferiority on others
-Vulnerable: project grandiosity on other people and attach yourself to them
Term
histrionic personality
Definition
-most extraverted of all personality disorders
-more women than men
-Discomfort not being the center of attention
-Inappropriate sexual/provocative behavior
-Shallow expressions of emotion
-Physical appearance
-Vague and impressionistic language
-Theatricality
-Easily influenced by others
-Considers relationships to be more intimate than they actually are
-expressions overdramaticed
-not in DSM 5
Term
cluster C
Definition
anxious and fearful cluster of personality disorders
-dependent, avoident, OCPD
Term
dependent personality disorder
Definition
-Reoccupied with fear of being left alone
-Feels helpless when alone
-Needs others to assume responsibility
-Difficulty making everyday decisions
-Difficulty initiating projects on own
-Urgently seeks relationship as source of care/support
-Excessive lengths to obtain nurturance
-Difficulty expressing disagreement
Term
avoidant personality disorder
Definition
-Avoids other people because think they are defective/damaged
-Don’t want someone to get to know them because they might think they are bad
-View self as inferior to others
-Restraint in intimate relationships
-Avoids professional interpersonal contact
-Reluctant to engage in new activities
-Avoids new interpersonal situations
-Unwilling to get involved with people unless certain of being linked
-Shows restraint within intimate relationships
Term
avoidant etiology
Definition
-herdety
-emotional abuse, neglect, humiliation
-when interact with each other, get APD
Term
avoidant vs. social phobia
Definition
-person with social phobia will fear of performance anxiety
APD- longer development, core issue is belief that oneself is defective--not going to perform poorly but just bad
Term
obsessive compulsive personality disorder
Definition
-Least debilitating of PD’s talked about
-Concerns with perfection of things—closet lined up correctly
-Major in the minors: preoccupied with details, rules, organization, order, etc.
-Perfectionism that interferes with task completion
-Morally over conscientiousness/inflexible
-Excessively devoted to work
-Reluctance to delegate
-Miserly spending style
-Unable to discard worthless objects
-Rigidity and stubbornness
Term
cluster A
Definition
-odd, eccentric cluster
-more introverted than cluster C and more psychotic than cluster B
-schizoid, paranoid, schizotypal
Term
schizoid personality disorder
Definition
-don't see need or relevance for other people in life--TEST
-Does not enjoy close relationships
-Lacks close friends of confidants
-Appears indifferent to praise/criticism
-Takes pleasure in few activities
-Almost always chooses solitary activities
-Emotionally cold and/or detached
-Little interest in sex
-possibly taken away in DSM 5
Term
paranoid personaly disorder
Definition
-afraid of other people
-Suspects that others are exploiting, harming, or deceiving him
-Finds hidden demeaning/threatening meanings
-Perceives attacks on character
-Persistently bears grudges
-Reluctant to confide in others
-Preoccupied with doubts of friends loyalty
-Recurrent suspicions of spouse’s infidelity
Term
schizotypal personality disorder
Definition
-Unusual perceptual experiences
-Ideas of reference
-Odd beliefs or magical thinking
-odd thinking or speaking
-Odd, eccentric, or peculiar behavior
-Inappropriate or constricted affect
-Excessive social anxiety due to paranoia
-Lack of close friends
-most apparent of psychological disorders
Term
clusters A, B, and C
Definition
won't be in DSM 5
Term
what are some defense mechanisms associated with borderline personality disorder?
Definition
-Splitting
-Primitive idealization
-Omnipotence and devaluation
-Denial
-Projection
-Projective identification
-which of these defenses most closely associated with BPD--splitting
Term
what two PD's do some researchers think are female versions of ASPD
Definition
-borderline
-histrionic
Term
what clusters do following belong to?
-Dependent
-Narcissistic
-Histrionic
Definition
-Cluster C
-Cluster B
-Cluster B
Term
what cluster PDs associated with moderate-high introversion and highest levels of functioning
Definition
-cluster C
Term
what cluster of PDs associated with high introversion and the lowest levels of functioning?
Definition
-cluster A
Term
Mel always suspects that someone is trying to take advantage of him. He often takes what others say as being demeaning or threatening (even when what these people are saying is neutral) and is always on guard for others to betray his trust. For example, he suspects his wife is cheating on him with the neighbor and selling his skybox tickets for to feed her drug habit. Given what you know, what diagnosis best fits this description of Mel?
Definition
Paranoid Personaly Disorder
Term
which of following is least prevalent of psychological disorders?
-anxiety
-mood disorders
-personality
-somatoform
Definition
-somatoform disorder
Term
Chloe is moody and has difficulty controlling her emotions. She gets angry with her boyfriend for seemingly minor things, but when he is about to walk out on her, she threatens to kill herself. When no one else is around to console her during her moods (about twice a week), she engages in eating binges in which she eats everything she can find, so much so that she is nauseated afterwards. She feels disgusted with herself after these binges and will often do cocaine and fast for two days to get rid of the calories. To cope with the shame of this behavior, Chloe makes small cuts on her legs with the razor she uses to cut the cocaine. This helps her focus on the physical pain and distract her from her emotional pain.
Definition
Axis I:
Bulimia nervosa
Axis II:
Borderline PD
Axis III:
N/A
Axis IV:
Relationship instability
Axis V:
45-55
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