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31 Cards in this Set
- Front
- Back
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Negativity Affectivity |
Emotional Stability |
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Detachment |
Extraversion |
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Antagonism |
Agreeableness |
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Disinhibition |
Conscientiousness |
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Psychoticism |
Lucidity |
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SELF |
Identity and Self Direction |
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Interpersonal |
Empathy and Intimacy |
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Cluster A |
Paranoid Schizotypal Schizoid |
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Cluster B |
Borderline Antisocial Histrionic Narcissistic |
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Cluster C |
Avoidant Dependent Obsessive-Complusive |
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Delusion Disorder |
-One or more delusions with a duration of 1 month or longer -Criteria A for Schizophrenia not met |
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Brief Psychotic Disorder |
Presence of 1 or more -Delusions -Hallucinations -Disorganized Speech -Grossly Disorganized or Catatonic Behavior At least 1 day but less than a month |
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Schizophreniform Disorder |
2 or more of the following -Delusions -Hallucinations -Disorganized Speech -Grossly Disorganized or Catatonic Behavior -Negative Symptoms |
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Schizophrenia (thoughts) |
2 or more of the following more than a one month period -Delusions -Hallucinations -Disorganized Speech -Grossly Disorganized or Catatonic Behavior-Negative Symptoms Continuous signs for at least 6 months |
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Schizoaffective Disorder (thoughts & mood) |
Major Mood (Depressive or Manic) episode with criteria A of Schizophrenia |
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First Rank Symptoms |
A-Audible Voices (audible thoughts B-Brodcasting: thought broadcasting C-Control: thoughts or feeling inserted by external agency D-Delusions: delusional perceptions, |
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Personality Disorder |
PD is and enduring pattern of inner experience and behavior that deviates markedly from the expectations of the individuals culture, is pervasive and inflexible, has an onsite in adolescence or early adulthood, is stable over time, and leads to distress or imparement. |
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Bollas: When the sun bursts |
Mind against the mind Bad happens outside and inside Mental life is hazardous One event send a person into psychotic state Reground the client Revisit trauma |
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Atwood, Orange, Stolorow |
Intersubjectivity Theory (all relationships occur wth multiple people Cartesian Mind: Mind--------Stable External Reality Post Cartesian Mind: Unique Mind-----Unique external reality |
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Nancy McWilliams 8 Categories "SHAMPDON" |
Antisocial Personality Narcissistic Personality Schizoid Personality Paranoid Personality Depressive & Manic Personality Masochistic/Self-Defeating (Dependent) Obsessive-Compulsive Personality Hysterical Personality |
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Antisocial Personality
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Core: consciously manipulating others; preoccupied with power for its own sake. aggressive (predatory) or dependent (con-artist) Affect: rage & envy, brief anxietyHigher pleasurable threshold & more aggression Defenses: omnipotent control, acting out Self/Other: failure to attach, fear weaknessTherapy: self-control, minor empathy, honesty |
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Narcissistic Personality
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Core: arrogant & overt sense of entitlement or shy & thin-skinned & hypervigilantAffect: shame, guilt, envy, fear of decompensation Defenses: devalues & idealizes, perfectionismSelf/Other: sense of not being good enough, longing for mirroring, valued not for what they really were but because of function they fulfilled Therapy: patience & acceptance of imperfections, patience, be self-object |
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Schizoid Personality
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Core: sensitive to interpersonal stimulation – fear of closeness but also longing for closenessAffect: feel deeply, but appear not to Defenses: defensive withdrawal & intimacy fantasies Self/Other: self stands at safe distance from rest of humanity, disregard for social expectations; social world is dangerous and engulfing, deep ambivalence about attachment Therapy: Empathy with schizoid’s need for emotional space, yet normalize their inner world as understandable |
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Paranoid Personality
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Core: organized around theme of power, either persecutory power of others or megalomaniac powers of self; attacking/being attacked by humiliating others Affect: Combination of Fear and Shame, anger & resentment Defenses: danger is projected outSelf/Other: overpowered/humiliated through criticism, hatred, aggression & dependency dangerousTherapy: nonbelittling forms of wit, don’t confront the content of paranoid idea, avoid content pursue feeling |
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Depressive & Manic Personality
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Core: Depression is opposite of mourning, while hypomania counters depression, self-critical Affect: sadness & guiltDefenses: turning against the self, introjection; denial & acting out in mania Self/Other: early or repeat loss/separation from love object, worry that they are inherently destructive Therapy: acceptance and compassionate effort to understand & work towards control-mastery, explore separations |
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Masochistic/Self-Defeat (Dependent) Personality
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Core: masochist is a depressive who still has hope, through pain something important is achieved Affect: unconscious guilt & anger, resentmentDefenses: provoking an expected punishment, provide reassurance about one’s powerSelf/Other: people will pay attention and take care of me if I suffer, dependent & fear abandonment, victim Therapy: needs exemplar of healthy self-assertion, no expression of sympathy (You poor thing!) |
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Obsessive-Compulsive Personality
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Core: organized around thinking and doing, control Affect: affect is muted or rationalized, anger is acceptable if based on righteous indignation, shame Defenses: Obsessives- isolation of affectCompulsives – undoing (unconscious meaning of atonement and magical protection) Self/Other: others prematurely demanding, saturated with irrational guilt & shame & morality Therapy: refuse to advise them, hurry them, or criticize them for the effects of their isolation |
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Hysterical Personality
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Core: Preoccupied with issues of gender, sexuality and power, dramatic Affect: anxiety; lability of affect; may look superficial, artificial, and exaggerated Defenses: repression, sexualized, dramatic acting out Self/Other: powerless gender, special relation with father (frightening/seductive), histrionic gays; manipulate to achieve security Therapy: need experience of having powerful desires not exploited by the object on whom they rely, space |
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Psychotic Level of Organization
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Central preoccupation: securityPrimary anxiety: fear of annihilationReality testing: poor, difficulty distinguishing internal from external, hallucinations/delusions, disorganizationImmature Defenses: magical thinking, denial, withdrawal, omnipotent power, primitive idealizing & devaluing, extreme dissociation, pre-verbal & pre-rational defensesObject relating: monadic, symbiotic (where is my mother?), deficit in basic trustSelf: overwhelmed, dread
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Borderline Level of Organization
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Central preoccupation: autonomy & separation-individuationPrimary anxiety: separationImmature/mature Defenses: good/bad splitting, projective ID, idealizing/devaluing, dissociationReality Testing: internal vs external usually good, self vs other unclearObject Relating: dyadic, lacking differentiationSense of Self: embattled,
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Neurotic Level of Organization
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Freud: applied to all but organic, schizophrenic, psychopathic and manic-depressiveCentral preoccupation: identity (continuity of self , complex descriptions of self/other, good/bad integrated)Primary anxiety: conflicts in ID, love, work & playMature defenses: repression, intellectualization, sublimationReality testing: intact, little sense of distortion, distress often ego-alien, good observing ego, know they have issuesObject relating: triadic, basic trust in place (security & agency)Sense of self: responsible
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