Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
34 Cards in this Set
- Front
- Back
|
Cluster A personality disorders (3)
|
Paranoid
Schizoid Schizotypal |
|
|
Cluster B personality disorders (4)
|
Antisocial
Borderline Histrionic Narcissistic |
|
|
Cluster C personality disorders (3)
|
Avoidant
Dependent Obsessive Compulsive |
|
|
Paranoid Personality Disorder
|
Distrust and suspiciousness
NO hallucinations or delusions No "odd or magical" thinking Defenses - externalization, projection |
|
|
Externalization
|
General tendency to place blame outside of oneself
|
|
|
Displacement
|
Specifically displacing emotions onto some particular other person
|
|
|
Schizoid personality disorder
|
Detachment from social relationships
Restricted range of emotions Few friends, but NOT bothered by this Often live at home w/ parents into adulthood Defenses - Autistic fantasy |
|
|
Schizotypal personality disorder
|
Discomfort in close relationships
Cognitive/perceptual distortions "Magical thinking" (not severe enough to be called hallucinations) Resembles negative symptoms of Schizophrenia Often has markers of Schizophrenia (ie smooth pursuit eye movement abnormalities) |
|
|
Antisocial personality disorder
|
Core feature is lack of conscience or empathy for others
Often preceded by childhood Conduct Disorder Genetic relationship to somatoform disorders in women May "burn out" in some after age 40 |
|
|
EEG changes in Antisocial personality disorder
|
Diminished response to novel stimuli
May indicate that pt. requires higher amount of stimulation than normal people |
|
|
Treatment of Avoidant personality disorder requires what?
|
Motivation by the patient
NOTE: avoid being conned |
|
|
Borderline personality disorder
|
Instability in relationships, self-image, affects
Marked impulsivity Frantic efforst to avoid abandonment Relationships alternated between extremes of idealization and devaluation Often demonstrates splitting |
|
|
Pharmacotherapy for paranoid thinking in Borderline pd
|
Low-dose anti-psychotics
|
|
|
Pharmacotherapy for impulse control in Borderline pd
|
SSRIs, Carbamazepine, Li
NOTE: AVOID Alprazolam, TCAs |
|
|
Pharmacotherapy for affective instability in Borderline pd
|
SSRIs
MAO-Is (helpful, but dangerous) |
|
|
Pharmacotherapy for melancholic depression in Borderline pd
|
SSRIs
|
|
|
Pharmacotherapy for Identity disturbance in Borderline pd
|
NO GOOD MEDICATION
|
|
|
Histrionic personality disorder
|
Excessive emotionality and attention seeking
Inappropriately sexual and seductive More common in women than in men |
|
|
Treatment of Histrionic pd
|
Psychotherapy
-- Be aware of splitting, sexualization -- Anti-depressants, anxiolytics, depending on comorbidity |
|
|
Narcissistic pd
|
50 - 75% are male
May present for treatment of depression or "mood swings" |
|
|
Avoidant pd
|
Wish for social contact, but fear humiliation
Overlaps w/ social phobia |
|
|
Treatment for narcissistic pd
|
Psychotherapy
Medications for comorbid depression or anxiety |
|
|
Treatment for avoidant pd
|
Supportive psychotherapy
Challenge expectations of failure SSRIs, BDZs, Beta-blockers |
|
|
Dependent pd
|
Need to be cared for
Difficulty being alone Submissive behaviors Higher risk of depression and anxiety One of most common pds |
|
|
Treatment for dependent pd
|
Supportive psychotherapy
Assertiveness training NOTE: avoid dependence on therapy |
|
|
Treatment for OCPD
|
Psychotherapy
|
|
|
OPCD
|
Perfectionism that interferes w/ task completion
Major pts. of activities are lost Unable to discard worthless objects Miserly spending style Twice as prevalent in men as in women Comorbidity includes Avoidant and Paranoid pds |
|
|
Defense mechanisms in OPCD
|
Externalization, Isolation, Rationalization
Displacement, Reaction formation |
|
|
Immature defense mechanisms (7)
|
Denial
Autistic fantasy Passive-aggressive behavior Acting out Splitting Projection Projective identification |
|
|
Mature defense mechanisms (5)
|
Anticipation
Humor Sublimation Suppression Affiliation |
|
|
Intellectualization
|
Separating onself from uncomfortable emotions
Taking a pseudo-objective stance |
|
|
Dissociation
|
Separating emotional significance from situation
|
|
|
Reaction formation
|
Avoids one position by taking a polar opposite
|
|
|
Splitting
|
Viewing objects, situations, etc. as all bad or all good
|
