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37 Cards in this Set
- Front
- Back
Q: A person with a personality disorder is more likely to recognize the problem and seek help if their maladaptive patterns of behavior are ego-syntonic or ego dystonic?
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A: Ego-dystonic
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Q: People with personality disorders have maladaptive patterns that are ________ and __________ across most personal and social situations
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A: inflexible and pervasive
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Q: On which axis are personality disorders listed?
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A: Axis II
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Q: What are the characteristic behaviors of cluster A personality disorders and what disorders are in this cluster?
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A: Odd, unusual, eccentric, asocial
Paranoid, Schizoid and Schizotypal Personality Disorders |
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Q: What are the characteristic behaviors of cluster B personality disorders and what disorders are in this cluster?
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A: Dramatic, affective instability
Antisocial, Borderline, Histrionic, Narcissistic Personality Disorders |
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Q: What are the characteristic behaviors of cluster C personality disorders and what disorders are in this cluster?
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A: Anxious
Dependent, Avoidant, Obsessive-Compulsive Personality Disorders |
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Q: In terms of object relations theory, how is the self mentally represented?
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A: The self is in relation to others
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Q: According to Object Relations Theory, what two tasks must the child accomplish during development?
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A: Separation: Develop intrapsychic self-representation distinct and separate from mother
Individuation: Form distinct identity with characteristics unique to the individual |
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Q: What are the four stages to the process of separation-individuation? What happens if their is failure in a stage of separation-individuation?
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A: Differentiation, Practicing, Rapproachment, Object Constancy
If failure: Development of Personality Disorder |
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Q: Dysfunctional family patterns block separation-individuation processes. What happens when a person attempts to individuation in a dysfunctional family?
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A: Family rejection occurs
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Q: What are two structural abnormalities in the brain that accounts for personality disorders?
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A: Reduced grapy matter volume in prefrontal cortex and limbic dysregulation
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Q: What is happening with serotonin, norepinephrine and dopamine with personality disorders?
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A: Serotonin: Decreased
Norepinephrine: Elevated Dopamine: Dysregulated receptors |
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Q: In terms of the neurobiological impact of trauma, what is assumed to alter basic brain patterns of response?
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A: Early childhood traumas
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Q: True or False: Personality Disorders can be diagnosed in one interview.
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A: False, often several interviews are needed for a clear diagnostic picture
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Q: What are some characteristics of Paranoid Personality Disorder?
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A: Neither desires nor enjoys close relationships
Chooses solitary activities Shows little or no interest in sex with another person Derives no pleasure in social activities |
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Q: What are some characteristics of Schizoid Personality Disorder?
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A: Lacks close friends or social supports
Is indifferent of opinion of others Appears cold and detached Exhibits affective flattening |
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Q: What are some characteristics of Schizotypal Personality Disorder?
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A: Ideas of reference
Odd beliefs, Magical Thinking, Unusual Perceptual Experiences, Paranoid Ideation, Inappropriate or constricted affect, Overly Odd, Eccentric or Peculiar Behavior, Few or No Close Friends, Excessive Social Anxiety |
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Q: Which cluster may require hospitalization during period of active symptom expression and when client is under significant levels of stress?
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A: Cluster B
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Q: What are some characteristics of Antisocial Personality Disorder?
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A: Failure to conform to social norms
Repeated acts that are grounds for arrest Deceitfulness, lying, and use of aliases for profit or pleasure Impulsivity and failure future planning Reckless disregard for the welfare of others Consistent irresponsibility Lack of remorse, indifference to the feelings of others |
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Q: What are some characteristics of Borderline Personality Disorder?
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A: Frantic efforts to avoid real or imagined abandonment
Pattern of unstable, intense interpersonal relationships Identity disturbances Impulsivity, often with self-damaging behavior Recurrent suicidal behavior Chronic feelings of emptiness Inappropriate, intensified affective anger responses Transient psychotic symptoms of paranoia and dissassociation |
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Q: What are some characteristics of Histrionic Personality Disorder?
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A: Uncomfortable in situation in which they are not the center of attention
Interactions that are seductive, sexualized, provocative, rapid shifting behavior and shallow emotional responses Use of physical appearance to draw attention to self Speech excessively impressionistic and lacking in detail Suggestible and easily influenced Relationships considered more intimate than they are |
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Q: What are some characteristics of Narcissistic Personality Disorder?
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A: Grandiose sense of self-importance
Preoccupation with fantasies of power, success, brilliance, and beauty Belief of self-importance and being special and unique Excess admiration required Sense of entitlement Lacking empathy and impersonally exploitative Envy of others and belief that others envy him or her Arrogant and haughty behaviors |
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Q: What is the most frequently diagnosed personality disorder? What do these individuals usually have diagnosed already?
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A: Dependent Personality Disorder; Histories of Chronic Physical Illnesses
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Q: What are some characteristics of Avoidant Personality Disorder?
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A: Avoidance of activities involving significant interpersonal contact
Fear of criticism, disapproval, or rejection Unwillingness to be involved with people unless sure of being liked Restraint in intimate relationships for fear of being shamed Preoccupation of being criticized or rejected in social settings View of self as socially inept, inferior or unappealing Reluctance to take personal risks or new activities |
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Q: What are some characteristics of Dependent Personality Disorder?
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A: Needs excessive advise for making everyday decisions
Needing others to assume responsibility for their life Difficulty expressing disagreement Difficulty initiating projects Goes to excessive lengths to obtain nurturing and support from others Urgent seeking of new relationship when one ends Preoccupation with fears of being left alone |
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Q: What are some characteristics of Obsessive-Compulsive Personality Disorder?
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A: Preoccupation with rules, details, order, and organization
Perfectionism that interferes with task completion Excessive devotion to work and productivity Inflexible on issues of morality Inability to discard worn-out or worthless objects Reluctance to delegate tasks or work with others Adoption of a miserly spending style toward self and others Rigidity and stubborness |
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Q: What is affective instability often mistaken for in borderline personality disorder?
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A: Bipolar affective disorder
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Q: What medications can be used for impulsivity in personality disorders?
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A: SSRIs, Anticonvulsant mood stabilizers
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Q: What meds can be used for affective instability in personality disorders?
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A: SSRIs, Anticonvulsant mood stabilizers
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Q: What meds can be used for anxiety in personality disorders?
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A: SSRI's, Non-Benzo Anxiolytics (e.g. Buspar), Benzo's with caution
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Q: What is the most common form of treatment for personality disorders?
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A: Psychotherapy
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Q: What does the therapist focus on with persons who have a personality disorder?
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A: Limit setting, protection from self-harm, improved coping, and enhanced interpersonal functioning
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Q: When do features of personality disorder usually become apparent?
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A: During adolescence to early adulthood
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Q: Should a diagnosis of a personality disorder be given to someone less than age 16?
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A: No
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Q: Antisocial Personality Disorder usually proceeds Conduct Disorder. At what age can Antisocial PD be given?
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A: At age 18 +
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Q: In personality disorders, how is behavior generally manifested (i.e. categories)?
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A: 2 or more of the following:
Cognition (ways of perceiving and interpreting self and others, and events) Affectivity (range, lability, and appropriateness of emotional responses) Interpersonal functioning Impulse Control |
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Q: What are some reasons why treatment is difficult for those with personality disorders?
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A: Individual does not perceive problems (ego-syntonic)
Non-acceptance of contribution to problem Perceives characteristics as positive aspects of self Behaviors usually alienate others Lack of support system |