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24 Cards in this Set

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true or false: you would not use a 3rd party to determine of the PD is causing distress.
True. e.g. with disorders like Antisocial PD, the person has a lack of empathy and guilt as part of the disorder.
true or false: there is a good general prognosis for PDs
False. high comorbidity and pervasiveness lower recovery rates
What are the BIG 5 personality traits?
Openness: to new experiences
Conscientousness: eye to detail
Extraversion: outgoing
Agreeableness: kind, trusting, warmth
Neuroticism: nervousness, anxiousness
true or false: It is easy to pinpoint the onset of a PD
false. They are so chronic it is hard to say when they started as compared to Axis I disorders.
What is Antisocial Personality Disorder
complete lack of empathy and guilt
focused on self fulfillment with a disregard for others' rights
exploitave and explosive
been this way since before age 15
true or false: APD and psychopathy are the same thing.
False. Psychopathy is APD to the extreme, often seen in cold blooded criminals
What are the prevalence rates of APD?
more in men
higher in prisons
comorbid often with substance disorders
What is a neurobiological theory of Antisocial Personality Disorder?
underarousal (less or no fear to fearful stimuli) and fearlessness (brain does not become afraid easily)
also low behavioural inhibition: cannot control self very easily, therefore prone to outbursts
Why is it difficult to treat APD?
the people do not realize it is distressing. Most often a forced a client. best to work on perspective taking.
True or false: the best treatment for APD is early intervention.
True. Children with ADHD and with aggressive tendencies are at a much higher risk of developing APD, therefore do not give into their aggressive behaviour as a parent.
What is Borderline Personality Disorder?
pendulum swing from high to low
emotional: moody
behavioural: self harm, suicide, impulsive
cognition: removed from reality, blanked out
interpersonal: paranoid fear of abandonment, looks like they are manipulative
sense of self: no personal identity, see self with the group
True or false: More women are diagnosed with Borderline Personality disorder.
True. Could this be a gender bias?
What is a developmental cause of BPD?
emotional temperament of child can cause reactive parents and an unstable family
this can in turn continue the child's emotional instability
a cycle!
What is some medication for BPD?
SSRI because depression is common with BPD
mood stabilizers
What is Dialectical Therapy?
1 year program of a skills training group
learning how to cope and deal with stress
therapists on call 24 hours if need help dealing with something BUT can't call if they just self harmed within 24 hours b/c this will reinforce self harm
the focus is: a happy medium, no more pendulum swings
What is Histrionic PD?
desire to be the centre of attention
dramatic and exaggerated speech and emotion, but shallow in details
think they are closer in relationship than they are
provocative in behaviour and dress
What are some causes of Histrionic PD?
some say female version of APD
not much research into causes or treatment
people often come in for depression
How could you treat Histrionic PD?
get to the root of why they are acting certain ways
point out negative consequences
What is Narcissistic PD?
sense of grandiose and the need for approval and constant attention
lack empathy
sense of entitlement
arrogant and exploitave
People with NPD score high on _________self esteem and low on __________ self esteem.
Explicit; implicit
True or false: NPD is common with borderline PD and depression.
True.
What are some causes of NPD?
developmental: parents mirroring - never give them reason for self worth, felt they need to prove themselves
also could not have been taught empathy and perspective taking

sociological: "me" generation
How can you treat NPD?
focus on perspective taking and empathy
keep in mind their fragile self worth
deal with depression
true or false: CBT has evidence that it helps with antisocial personality disorder
False, while they can treat empathy and self control, CBT has no proven results.