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Personality Disorders
Neuro/Psych Assessment 11
27
Psychology
Graduate
01/06/2012

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Term
What is the DSM-IV-TR definition of Personality Disorder?
Definition
Enduring pattern of inner experience and behavior that deviates markedly from the expectations of the individual's culture, is pervasive and inflexible, has its onset in adolescence or early adulthood, is stable over time, and leads to distress or impairment.
Term
What is the prevalence of Personality Disorders?
Definition
10-20% of General population
Starts in late adolescence, established patterns in early adulthood
Term
What characteristics to people have with Introversion?
Definition
Long attention span
Does not seek stimulation and thrills
Able to stay with one task for a long time
Term
What characteristics show in Extraversion?
Definition
Short attention span
Low baseline autonomic arousal
Seeks stimulation, variety
Cannot stay with one task very long
Term
How does a person act with High Neuroticism? Low Neuroticism?
Definition
High - Anxious, easily "rattled"
Low - Calm, does not get easily disturbed
Term
What can early trauma and abuse affect?
Definition
Adversely affect coping skills, as well as brain development
Term
What Axis are Personality Disorders rated on?
Definition
Axis II
Term
What are the 3 Clusters of Personality Disorders?
Definition
Cluster A - Weird
Cluster B - Wild
Cluster C - Worried
Term
What type of Personalities fall into Cluster A?
Definition
Paranoid personality
Schizoid personality
Schizotypal personality
Term
What is a Paranoid Personality?
Definition
Always looks for wrong-doings and hidden malicious meaning
Rigid, defensive, self righteous
Preoccupied with doubts of others motives
Suspicious of partner's fidelity
Very unforgiving of mistakes
Term
What kind of personality (and what cluster) is a person who is a solitary loner and does not want or seek close relationships?
Definition
Schizoid Personality
Cluster A
Term
What is the difference between Schiziod Personality and Social Phobia?
Definition
Schizoid - does not desire social relationships
Social Phobia - desires friends, afraid of scrutiny and embarrassment, avoids social contacts because of anxiety
Term
What is a Schizotypal Personality?
Definition
Cognitive and perceptual distortions and eccentricities
Odd appearance, Odd speech
No close friends or associates
Suspicious, magical thinking
Psychosis suspected, but not psychotic
Term
What are the characteristics of people in Cluster B?
Definition
Dramatic People
Impulsive, erratic, mood swings
Life long pattern of instability
High Extraversion
Intense, stormy relationships
Multiple marriages and divorces
Frequently display somatization
Term
If Axis I (Bipolar) exists with Axis II (Cluster B), how must this be treated?
Definition
Axis I disorder will not improve unless Axis II problems are addressed
Term
What is Antisocial Personality Disorder?
Definition
Defies Social Rules, with no guilt or remorse for ones actions
Must be 18 or older for diagnosis
Has nothing to do with being a person who is not sociable
Term
What is a Histrionic Personality?
Definition
Overlaps with Somatization Disorder
Multiple somatic complaints
Highly suggestible, naive
Sexually seductive, often unaware
Emotionally labile
Imprecise and global in verbal descriptions
Term
What is a Narcissistic Personality?
Definition
Grandiose sense of self-importance and entitlement
overlaps with antisodial
preoccupied with self
May be arrogant, devalues others
Demands special treatment
Term
What are the characteristics of a Borderline Personality?
Definition
Unstable moods, mood swings
Stormy relationships, poor choices
Often confused with "bipolar disorder"
All-or-nothing thinking
Splitting
Term
What are some features of Borderline personality?
Definition
Substance abuse or mis-use
Hx of severe physical or sexual abuse, alcoholic or mentally ill parent
Self-injurious behavior
Suicidal gestures and attempts
Chronic feeling of emptiness, relieved by pain and by seeking relationships
Term
What is Splitting?
Definition
Defensive mechanism
Everything is either Good or Bad
Term
What type of personalities fall into Cluster C, the Anxious, Fearful People?
Definition
Obsessive-Compulsive
Dependent
Avoidant
Term
What are the characteristics of Dependent Personality?
Definition
Excessive need to be cared for
Urgently seeks another relationship after losing the first one
Cannot be alone
Cannot make independent decisions
Clinging
Insecure
Term
What are Avoidant personalities closely linked to?
Definition
anxiety disorders
Term
What are the characteristics of Avoidant personalities?
Definition
Cannot Take Risks
Avoids conflict and responsibility
Procrastinates
Passive-aggressive behavior
Goes to great lengths to avoid being judged
Term
How are Personality Disorders treated?
Definition
Understand the Patients Story
Be Steady, calm, consistent
Communicate clearly
Don't Judge, Don't get angry
Find and support Strengths
Celebrate successes
Maintain good, Firm Boundaries
Term
Can Axis I disorders exist with Axis II disorders?
Definition
Yes
Axis II is "canvas" or backdrop
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