N212 Personality Disorders Lecture

Front 1

What types of traits/habits characterize a personality disorder?

Back 1

Inflexible
Harmful

Front 2

Impact of a personality disorder:

Back 2

Beyond the person afflicted

Front 3

Personality disorders affect ____% of the adult population:

Back 3

15%

Front 4

Etiology of personality disorders:

Back 4

Developmental
Cognitive/behavioral
Biological/neurochemical

Front 5

What cognitive/behavioral factors contribute to personality disorders?

Back 5

Development of maladaptive/manipulative coping skills
Emotional/physical abuse or neglect

Front 6

What biological/neurochemical factors lead to personality disorder?

Back 6

Trauma
Atypical brain chemistries
Malformation in pre-frontal cortex

Front 7

Common assessment findings with personality disorder:

Back 7

Rigidity
Tendency to promote harmful cycles
Chronically in crisis
Minimal insight
Self-sabotage
Poor tx compliance
Transference/counter-transference

Front 8

Balance of trait/habit in personality disorder:

Back 8

60% trait
40% habit

Front 9

Personality disorder cluster A:

Back 9

Odd/eccentric:
Schizoid, schizotypical, paranoid

Front 10

Personality disorder cluster B:

Back 10

Dramatic/highly emotional:
Antisocial, borderline, histrionic, narcissistic

Front 11

Personality disorder cluster C:

Back 11

Anxious/fearful:
Avoidant, dependent, and obsessive-compulsive personalities

Front 12

Willingness of paranoid personalities to seek tx:

Back 12

Rarely seek tx voluntarily

Front 13

Descriptives of paranoid personalities:

Back 13

Tense, guarded, suspicious, self-righteous, rigid, petty, vengeful, somatic, litigous
Prone to grudges, potentially aggressive

Front 14

Descriptives of schizoid personalities:

Back 14

Blusted affect, socially isolated, awkward, robotic

Front 15

Schizoid personalities and relationships:

Back 15

Little to no desire to have any
Sometimes drawn to emotionally intense people

Front 16

Schizoid personality and lifestyle:

Back 16

Content with orderly, quiet life

Front 17

Schizotypal personality descriptors:

Back 17

Peculiar, highly eccentric, bizarre in thought/appearance

Front 18

Pharm tx of schizotypal personalities:

Back 18

Not alleviated by antipsychotics

Front 19

Antisocial personality descriptors:

Back 19

Manipulative, dishonest, exploitative, disloyal
Hypersensitive to mood/environment

Front 20

What do antisocial personalities lack?

Back 20

Guilt, empathy, sympathy

Front 21

What do antisocial personalities experience intensely?

Back 21

Mood/environment
Frustration
Anxiety
Insecurity

Front 22

Freudian analysis of the antisocial personality:

Back 22

Lacking developed superego

Front 23

Descriptors of borderline personality:

Back 23

Intense, childish, unstable, chaotic, demanding, jealous, fragile
High risk for abuse of self or SOs

Front 24

How do borderline personalities think?

Back 24

"Black-or-white" thinking
Leads to splitting in life/tx settings

Front 25

What do borderline personalities fear?

Back 25

Abandonment

Front 26

What are borderline personalities at high risk for?

Back 26

Para-suicidal gestures, attempted suicide, and suicide

Front 27

Descriptors of histrionic personality:

Back 27

Manipulative, seductive, flirtatious, shallow, labile, vain, focused on physical beauty
Quick-witted, talented, "high maintenance"

Front 28

What do histrionic personalities need?

Back 28

To be the center of attention
Constant reassurance
Immediate gratification

Front 29

Descriptors of closeted narcissistic personality:

Back 29

Superficially nice, aim to please for personal gain, passive aggressive, self-absorbed, low self-esteem, risk for depression

Front 30

Descriptors of classic narcissistic personality:

Back 30

Superior, demanding, hostile, defensive, rigid, dishonest

Front 31

What are narcissistic personalities at high risk for?

Back 31

Addiction
White collar crime
Sociopathic behaviors

Front 32

What are narcissistic personalities sensitive to?

Back 32

Shame, embarassment

Front 33

What are narcissistic personalities preoccupied with?

Back 33

Perfection, envy, power, wealth, prestige, and attention

Front 34

Descriptors of avoidant personality:

Back 34

Painfully shy, "thin-skinned," lonely, sad

Front 35

What do avoidant personalities fear?

Back 35

Judgement, criticism

Front 36

Avoidant personality and lifestyle:

Back 36

Create fantasy lives
Computer games, social networking, chat rooms

Front 37

Descriptors of dependent personality:

Back 37

Passive, low self-esteem, insecure, self-doubting, fear of abandonment

Front 38

Dependent personality and lifestyle:

Back 38

Content to take "passenger seat" in life
Unable to make independent decisions/ventures

Front 39

Obsessive-compulsive personality descriptors:

Back 39

Rigid, still, aloof, controlling, unemotional, lacking empathy, unforgiving, unyielding

Front 40

What do obsessive-compulsive personalities experience strongly?

Back 40

Generalized anxiety

Front 41

What do obsessive-compulsive personalities become preoccupied with?

Back 41

Details, to the point of missing the big picture

Front 42

Obsessive-compulsive personality and lifestyle:

Back 42

Orderly, efficient, often beautiful living and working spaces

Front 43

How do passive-aggressive personalities express their irritation?

Back 43

Sulking, complaining excessively, brooding

Front 44

What are passive-aggressive personalities fearful of?

Back 44

Anger, conflict

Front 45

How do passive-aggressive personalities view requests made of them?

Back 45

Attempts to manipulate or control them

Front 46

How should limits be set with personality disordered patients?

Back 46

In a clear respectful manner
WRITTEN CONTRACT = essential

Front 47

What should the nurse be aware of personally with personality disordered pts?

Back 47

Counter-transference

Front 48

What should the nurse help the personality borderlined pts identify?

Back 48

Consequences of actions and behaviors

Front 49

What should the nurse NOT listen to from personality disordered pts?

Back 49

Stock, repetitive complaints

Front 50

How should the nurse not present herself to a personality disordered pt?

Back 50

As an emotionless blank screen

Front 51

What should the nurse do with a personality disordered pt instead of blaming or punishing?

Back 51

Require responsibility
Offer choices
Clarify consequences

Front 52

Define transference:

Back 52

Feelings or behaviors from past experience are displaced onto another person (the nurse or caregiver)

Front 53

Define counter-transference:

Back 53

Nurse transfers feelings related to people or past experiences onto client

Front 54

Define splitting:

Back 54

A cycle of idealizing and devaluing a person or situation

Front 55

Define projection:

Back 55

Denial of specific aspects of self accompanied by projecting/assigning that aspect to the outside environment