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45 Cards in this Set
- Front
- Back
Individual qualities, including habitual behavior patterns that make a person unique?
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Personality
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Behavioral patterns,Do not interfere with one's life, even if annoying or frustrating to others, can benefit a career or increase functioning?
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Personality traits
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Behavioral patterns that are rigid, inflexible, traced back to adolescence or early adulthood, perception impairs social or occupational functioning?
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Personality d/o
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Traits common to people with all types of Personality d/o?
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-lack of insigh
-attempts to change envir rather than self -fails to accept consequences of their own behavior. -inability to form warm intimate ties |
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DSM IV-TR criteria for a PD AXIS II d.o:
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distress or impairment in 2 or more of the following:
cognitive affectivity interpersonal functioning impulse control |
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inability to unify good and bad objects into a whole. develops unreal "as-if" personality?
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Separation-individuation
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Problematic behaviors that a features of PD:
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Manipulation:uses others for personal gain
Narcissism:self-centered Impulsiveness:acts w.o thinking Long standing: chronic,pervasive and maladaptation |
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feeling of being engulfed by others or being overpowered by others often leading to poor personal bounderies?
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Enmeshment
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Perception of being left alone: may push others away, then feels alienation and isolation, leads to sabotage of relationships?
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Abandonment
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What neurotransmitter seems to be involved in PD?
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Serotonin
Brain anatomy differences |
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Failure to integrate childhood identity. Parents can be nurturing and punishing: child uses DM:splittin,projection, idealization,omnipotence,
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Identity diffusion: erikson
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Theori? Need to feel that they are part of something great: depends on child needs if they are fulfilled in the formative years?
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Humanistic theory
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Which cluster Of PD should you consider culture,ethnicity,milieu,spiritual belief system?
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Cluster A: Odd and eccentric
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Describe the features of Cluster A: odd and eccentric
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1.distrust
2.social detachment 3.long standing impairment in social and occupational functioning |
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Name the types of PD under cluster A: odd and eccentric?
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1. PARANOID
2. SCHIZOID 3. SCHIZOTYPAL |
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suspicious, mistrust of others.report plot and deception. Hostile , sarcastic. Hold grudges, Hypervigilent, distortion or reality, projection, restricted affect, loners?
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Paranoid PD
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inability to form personal relationships
no concern for others appears cold, aloof, indifferent to others, prefers to work in isolation Extremely introverted. |
Schizoid PD
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aloof, isolated
behave in bland,apathetic manner possess magical thinking ideas of reference,illusions,depersonalization, superstitious, clairvoyance(see things not in sight), telepathy or a sixth sense? |
Schizotypical PD
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Major features of Cluster B: dramatic and emotional:
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1.impulsive
2.focus on intellectual/emotional goals 3.lacks ability to delay gratification which can lead to anger: Inability to maintain close interpersonal relationships |
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Name the types of PD in the cluster B:
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Borderlin Pd
Histrionic PD Narcissistic antisocial |
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1.intense/unstable rltnshp
2.self-destructive(suicide) 3.identity disturbance 4.chronic depression 5.inappropriate intense anger 6.splitting 7.no integrated sense/self 8.Manipulative(loneliness) 9.impulsive behav:subst abuse,gambling,promiscuity,reckless, eating d/o |
Borderline PD
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Etiological implication BPD:
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-parental deprivation
-excessive discipline -abandoning role models -family life chaotic -more common in females:bipolar/substance ab |
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Describe features of histrionic PD:5
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1.dramatic,egocentric
2.atten.seeking 3.lacks emotional commitment 4.acting role 5.provacative/seductive 6.dysphoric mood:needs not met 7.somatic |
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Describe features of Antisocial PD:
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1.charming,bright, empathy
2.socially irresponsible 3.exploitative/guiltless 4.disregard for right of others 5.aggressive/impulsive 6.conflicts with law 7.sexual offenses 8.substance abuse common |
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Etiologic implicaiton of Antisocial PD?
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-lower socioeconomic class
-inherited -PET shows lack of activity in prefrontal cortex. |
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What the 3 laws of sociopathy Stuart Yudofsky
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1."i take becuz nobody gives"
2."I wont give what i never got" 3."if it doesnt hurt me, it doesnt hurt" |
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Describe features of Narcissistic PD:
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1.low self-esteem(needs attn of others)
2.Grandiosity(self importance 3.exhibitionist(boastful) 4.exploits others and mistrust |
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Etilogiocal implication of narcissistic PD:
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-fam environment
-parents who live their lives vicariously through theri child |
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Major features of cluster C: Fearful and anxious?
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1.Social/occupational impairments(restric affect)
2.non assertiveness 3.cant feel expression 4.lack decision making |
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Types of PD assoc with Cluster C:
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1.Avoidant
2.OCPD 3.dependent |
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characteristics of Avoidant PD:
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1.social withdrawal
2.sense of inadequacy 3.fear of rejection/shame 4.does not enjoy being alone 5.distant from others 6.shy, serious, humorless, |
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characteristics of OCPD:
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1.fear/anxiety of losing control
2.Perfectionist 3.devoted to work 4.difficult decision making 5.procrastinator/stubborn 6.comp/rit dec.anxiety 7.may use ritual of undoing |
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Etiological implication of OcPD?
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-over control parenting style
-high standard -learns to avoid punishment -anal fixation |
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characteristics of dependent PD:
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1.pervasive,unreal,need to be cared for.
2.fear of seperation 3.no self confidense 4.clings to others 5.helpless/stupid |
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Etilogical implication of dependent PD:
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-overprotective parents
-discourage independ.behavior -child does not learn by exp - |
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Nursing diagnosis related to all PD:
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ineffective coping:A
impaired social interation:A chronic low self esteem:B risk for violence:B social isolation:C |
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What are the outcomes for each cluster listed:
A: B: C: |
A: Improve social interaction
B:Increase self esteem,control aggression/impulsivity C:increase coping,with stressors build appro.inter.rltnshp |
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What is the focus with borderliners?
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-reality of expectation
-interactional behaviors in the here and now |
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Intervention with manipulation:
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-set limits(prevents escalation and counteracts resistance.
-establish boundaries |
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intervention with splitting:
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-team approach
-consistent response -confront/disclose |
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intervention with impulsiveness?
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-safety
-face consequences -learn to think before you act |
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intervention with impaired social interaction?
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-therapeutic rltnshp
-confront perception of others -1:1 interaction -be assertive |
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intervention with self destructive behaviors?
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-never dismiss/negate sucicide gesture as "just" attn.seeking behavior
-assess thoroughly -no self harm contract -safety |
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intervention with aggressive behavior?
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-safety
-anger:emotion -aggression:behavior -set limits -be assertive -help client understnd/apprec.rights of others |
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intervention with chronic low self-esteem?
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-confront neg.feelings of self
-use cog-beh-therapy(thought stopping) -encourage to id strengths -set boundaries |