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21 Cards in this Set

  • Front
  • Back

Clinical Features of Personality Disorders- Cluster A

Paranoid, Schizoid, Schizotypal

Clinical Features of Personality Disorders- Cluster B

Histrionic, narcissistic, antisocial, borderline

Clinical Features of Personality Disorders- Cluster C

avoidant, dependent, obsessive-compulsive

Paranoid

high angry-hostility and low trust, straightforwardness, and modesty

antisocial

high angry-hostility and excitement seeking and low straightforwardness, altruism, compliance, tender-mindedness, dutifulness, self-discipline, and deliberation

Cluster A: Paranoid Personality Disorder

pervasive pattern of trust; suspicious of others; believes others motives to be malevolent

Cluster A: Schizoid Personality Disorder

pervasive pattern of detachment from social relationships; restricted emotions in interpersonal settings

Cluster A: Schizotypal Personality Disorder

pervasive pattern of social and interpersonal deficits marked by acute discomfort with, and reduced capacity for, close relationships as well as by cognitive or perceptual distortions and eccentricities of behavior

Cluster A: Schizotypal Personality Disorder

(Biological perspective)- "SPD" is a sub-threshold of schizophrenia

SPD Biological Perspective; Sub threshold version of schizophrenia

One subtype of schizotypes is more likely topossess the genotype that makes them vulnerable to schizophrenia*

SPD Biological Perspective; Sub threshold version of schizophrenia

Low doses of anti-psychotic medications havebeen shown to alleviate unusual thoughts and perceptions


Anti-depressants for associated depression andanxiety may help

SPD Biological Perspective; Sub threshold version of schizophrenia

Ventricles are larger than normal

SPD Biological Perspective; Sub threshold version of schizophrenia

Deficits in ability to sustain attention andtrack a moving target visually (also seen in patients with schizophrenia)

Cluster B: Histrionic Personality Disorder

Pervasive pattern of excessive emotionality and attention seeking

Neuro-cognition

Neurocognition deficits found in people withschizophrenia


Attentional and working memory deficitso Eye-tracking dysfunctions

Psychosocial & Cultural Factors of Schizophrenia

Factors include:


-do "bad families" cause schizophrenia?


-families and relapse: "expressed emotion"


-Urban living (low SES)


-Immigration (why?)


-Cannabis abuse

Schizophrenia Treatments and Outcomes

-Prognosis before 1950s was bleak


-Introduction of antipsychotic drugs in 1950s

Schizophrenia Treatments and Outcomes

-15-25 year outcomes (38% “function well”; 14% ifmore stringent criteria used [e.g., remission of symptoms, good socialfunctioning])


-long-term institutionalization necessary for 12%

Schizophrenia Pharmacological Approaches--Neuroleptics

-1st generation antipsychotic medications


- Introduced in 1950s, revolutionized treatment


- Work by blocking D2 receptors


- Improve positive but not negative symptoms


-Side effects include drowsiness, weight gain,dry mouth, and extrapyramidal side effects (e.g., muscle spasms, shaking) thatresemble Parkinson’s

Schizophrenia Pharmacological Approaches-- Second gen. antipsychotics

- Antagonists of serotonin, nonrepinephrine,and/or dopamine


-Side effects include drowsiness and significantweight gain, which can lead to other health problems (e.g., diabetes) andnoncompliance (however, fewer extrapyramidal symptoms)


-Most recently, Abilify and Latuda have beenintroduced

Psychosocial Approaches to Schizophrenia

-Family therapy


- Case management


- Social-skills training


-Cognitive remediation


-Cognitive-behavioral therapy