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45 Cards in this Set

  • Front
  • Back
Individual qualities, including habitual behavior patterns that make a person unique?
Behavioral patterns,Do not interfere with one's life, even if annoying or frustrating to others, can benefit a career or increase functioning?
Personality traits
Behavioral patterns that are rigid, inflexible, traced back to adolescence or early adulthood, perception impairs social or occupational functioning?
Personality d/o
Traits common to people with all types of Personality d/o?
-lack of insigh
-attempts to change envir rather than self
-fails to accept consequences of their own behavior.
-inability to form warm intimate ties
DSM IV-TR criteria for a PD AXIS II d.o:
distress or impairment in 2 or more of the following:
interpersonal functioning
impulse control
inability to unify good and bad objects into a whole. develops unreal "as-if" personality?
Problematic behaviors that a features of PD:
Manipulation:uses others for personal gain
Impulsiveness:acts w.o thinking
Long standing: chronic,pervasive and maladaptation
feeling of being engulfed by others or being overpowered by others often leading to poor personal bounderies?
Perception of being left alone: may push others away, then feels alienation and isolation, leads to sabotage of relationships?
What neurotransmitter seems to be involved in PD?

Brain anatomy differences
Failure to integrate childhood identity. Parents can be nurturing and punishing: child uses DM:splittin,projection, idealization,omnipotence,
Identity diffusion: erikson
Theori? Need to feel that they are part of something great: depends on child needs if they are fulfilled in the formative years?
Humanistic theory
Which cluster Of PD should you consider culture,ethnicity,milieu,spiritual belief system?
Cluster A: Odd and eccentric
Describe the features of Cluster A: odd and eccentric
1.distrust detachment
3.long standing impairment in social and occupational functioning
Name the types of PD under cluster A: odd and eccentric?
suspicious, mistrust of plot and deception. Hostile , sarcastic. Hold grudges, Hypervigilent, distortion or reality, projection, restricted affect, loners?
Paranoid PD
inability to form personal relationships
no concern for others
appears cold, aloof, indifferent to others,
prefers to work in isolation
Extremely introverted.
Schizoid PD
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
Major features of Cluster B: dramatic and emotional:
2.focus on intellectual/emotional goals
3.lacks ability to delay gratification which can lead to anger: Inability to maintain close interpersonal relationships
Name the types of PD in the cluster B:
Borderlin Pd
Histrionic PD
1.intense/unstable rltnshp
3.identity disturbance
4.chronic depression
5.inappropriate intense anger
6.splitting integrated sense/self
9.impulsive behav:subst abuse,gambling,promiscuity,reckless, eating d/o
Borderline PD
Etiological implication BPD:
-parental deprivation
-excessive discipline
-abandoning role models
-family life chaotic
-more common in females:bipolar/substance ab
Describe features of histrionic PD:5
3.lacks emotional commitment
4.acting role
6.dysphoric mood:needs not met
Describe features of Antisocial PD:
1.charming,bright, empathy
2.socially irresponsible
4.disregard for right of others
6.conflicts with law
7.sexual offenses
8.substance abuse common
Etiologic implicaiton of Antisocial PD?
-lower socioeconomic class
-PET shows lack of activity in prefrontal cortex.
What the 3 laws of sociopathy Stuart Yudofsky
1."i take becuz nobody gives"
2."I wont give what i never got"
3."if it doesnt hurt me, it doesnt hurt"
Describe features of Narcissistic PD:
1.low self-esteem(needs attn of others)
2.Grandiosity(self importance
4.exploits others and mistrust
Etilogiocal implication of narcissistic PD:
-fam environment
-parents who live their lives vicariously through theri child
Major features of cluster C: Fearful and anxious?
1.Social/occupational impairments(restric affect)
2.non assertiveness
3.cant feel expression
4.lack decision making
Types of PD assoc with Cluster C:
characteristics of Avoidant PD: withdrawal
2.sense of inadequacy
3.fear of rejection/shame
4.does not enjoy being alone
5.distant from others
6.shy, serious, humorless,
characteristics of OCPD:
1.fear/anxiety of losing control
3.devoted to work
4.difficult decision making
6.comp/rit dec.anxiety
7.may use ritual of undoing
Etiological implication of OcPD?
-over control parenting style
-high standard
-learns to avoid punishment
-anal fixation
characteristics of dependent PD:
1.pervasive,unreal,need to be cared for.
2.fear of seperation self confidense
4.clings to others
Etilogical implication of dependent PD:
-overprotective parents
-discourage independ.behavior
-child does not learn by exp
Nursing diagnosis related to all PD:
ineffective coping:A
impaired social interation:A
chronic low self esteem:B
risk for violence:B
social isolation:C
What are the outcomes for each cluster listed:
A: Improve social interaction

B:Increase self esteem,control aggression/impulsivity

C:increase coping,with stressors build appro.inter.rltnshp
What is the focus with borderliners?
-reality of expectation
-interactional behaviors in the here and now
Intervention with manipulation:
-set limits(prevents escalation and counteracts resistance.
-establish boundaries
intervention with splitting:
-team approach
-consistent response
intervention with impulsiveness?
-face consequences
-learn to think before you act
intervention with impaired social interaction?
-therapeutic rltnshp
-confront perception of others
-1:1 interaction
-be assertive
intervention with self destructive behaviors?
-never dismiss/negate sucicide gesture as "just" attn.seeking behavior
-assess thoroughly
-no self harm contract
intervention with aggressive behavior?
-set limits
-be assertive
-help client understnd/apprec.rights of others
intervention with chronic low self-esteem?
-confront neg.feelings of self
-use cog-beh-therapy(thought stopping)
-encourage to id strengths
-set boundaries