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Chap.12 Personality Disorders
Borderline through end of chap
22
Psychology
Undergraduate 2
11/06/2008

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Term
Borderline Personality Disorder
Definition
rapidly shifting and unstable mood, self-concept, and interpersonal relationships; impulsive behavior; transient dissociative states; self-effacement (75% attempt, 10% complete suicide); more common in females and colored people of lower socioeconomic status(may be confused with mood disorders)
Term
Biological Theories of Borderline PD
Definition
not strongly genetic (although family members may have higher rates of mood disorders); fMRI studies show higher activation of the amygdyla and PET scans show decreased metabolism in prefrontal cortex(similar to mood disorders); low serotonin= impulsive behaviors
Term
splitting
Definition
in borderline p.d.= patients tend to see themselves and other people as either all good or all bad and vacillate bw these views
Term
dialectical behavior therapy
Definition
cognitive-behavioral therapy for borderline patients; focuses on helping clients gain a more realistic and positive sense of self, learn adaptive skills for solving problems and regulating emotions, and correct their dichotomous thinking
Term
Histrionic P.D.
Definition
rapidly shifting moods, unstable relationships, and intense need for attention and approval; dramatic, seductive behavior; much more prevalent in women; may be associated with Axis I mood and somatoform disorders
Term
Differences in Histrionic and Borderline
Definition
borderline patients are self-effacing in an attempt to win favor from others, while histrionic seek to be the center of attention; Histrionic want the attention of others while borderline clings desperately to others in self-doubt and need;
Term
Narcissistic P.D.
Definition
grandiose thoughts and feelings of one's own worth; obliviousness to others' needs; exploitative, arrogant demeanor; more prevalent in men
Term
Narcissistic and Histrionic- similarities and differences
Definition
Similarities: individuals act in a dramatic and grandiose manner, seek admiration from others, and are shallow in their emotions and relationships.
Differences: histrionic look to people for approval while narcissistic patients only care about self-evaluation and see dependency on others as weak.
Term
Cluster C: anxious-fearful personality disorders
Definition
chronic sense of anxiety or fearfulness, their behaviors intend to ward of fearful situations, people are extremely concerned about being criticized or abandoned by others thus resulting in dysfunctional relationships; includes avoidant p.d., dependent p.d., and obsessive-compulsive p.d.
Term
Avoidant personality disorder
Definition
pervasive anxiety, a sense of inadequacy, and a fear of being criticized, which lead to the avoidance of social interactions and nervousness; may crave relationships but feel they don't deserve them; loner (similar to Axis I- social phobia)
Term
Avoidant P.D. vs. social phobia
Definition
avoidant patients have a general sense of inadequacy and a pervasive fear of being criticized (leading to avoidance); social phobia tends to fear specific social situations in which they are expected to perform (public speaking) and tend not to have general sense of inadequacy; social phobia want to connect with others while avoidant p.d. do not
Term
avoidant p.d. versus schizoid p.d.
Definition
schizoids tend to withdraw from social situations also, but, unlike patients with avoidant, they do not view themselves as inadequate or incompetent
Term
Dependent Personality Disorder
Definition
Pervasive selflessness, a need to be cared for, and a fear of rejection, leading to total dependence on and submission to others, cannot make decisions for themselves and do not initiate new activities; more women then men (similar to Axis I- separation anxiety disorder, dysthemic disorder)
Term
Avoidant versus Dependent P.D.
Definition
both are anxious ab interpersonal interactions but anxiety in dependent stems from a deep need to be cared for by others (not concern they will be criticized as in avoidant); avoidant p.d. avoid relationships all together while dependent patients can only function within a relationship
Term
Obsessive-Compulsive Personality Disorder versus Obsessive-Compulsive Disorder (OCD)
Definition
obsessive-compulsive personality disorder represents a more generalized way of interacting with the the world than does OCD- which often involves only specific and constrained obsessional thoughts and compulsive behaviors
Term
Obsessive-Compulsive Personality Disorder
Definition
pervasive rigidity in one's activities and interpersonal relationships, including emotional constriction, extreme perfectionism, and anxiety about even minor disruptions in one's routine; more common in men
Term
Five-Factor Model
Definition
any individual's personality is organized along five broad dimensions, or factors, of personality, personality is a combination of these five factors;
O-openness to experience
C-conscientiousness
E-extraversion
A-agreeableness
N-neuroticism
Term
Neuroticism
Definition
individuals high on this scale are chronically anxious, hostile, depressed, self-conscious, and impulsive; have poor coping skills
Term
Openness to experience
Definition
high in this factor actively seek and appreciate experiences for their own sake and are curious, imaginative, fand willing to entertain new and unconventional ideas; low on this factor are conventional in their beliefs and attitutes, conservative in their tastes, dogmatic, rigid in their believes, set in their ways, and emotionally unresponsive
Term
Conscientiousness
Definition
high in this factor are organized, reliable, hardworking, self-directed, punctual, scrupulous, ambitious, and persevering; individuals low on this factor are aimless, unreliable, lazy, careless, lax, negligent, and hedonistic
Term
extraversion
Definition
ppl high in the factor are sociable, active, talkative, interpersonally oriented, optimistic, fun-loving, and affectionate; ppl low on scale (introverts) are reserved, sober, aloof, independent, and quiet.
Term
Agreeableness
Definition
ppl high in this factor are softhearted, good-natured, trusting, helpful, forgiving, and altruistic; ppl low on this scale are cynical, rude, suspicious, uncooperative, and irritable, and can be manipulative, vengeful, and ruthless
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