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43 Cards in this Set
- Front
- Back
A relatively stable and enduring set of characteristic behavioral and emotional traits that characterize a person’s adaptation to life.
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Personality
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Conscious, Preconcious, Unconcious
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Freud's Structure of Personality
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Ideas, thoughts, and feelings of which we are aware
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Conscious
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Material that can easily be recalled
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Preconscious
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Well below the surface of awareness
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Unconscioius
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Self, reality principle
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Ego
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Ego ideal, moral guardian
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superego
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Pressure principle, unconscious urge and desires
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Id
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Response to Crisis:
The problem does not exist |
Primitive
Associated Clinical State: Psychotic state |
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Response to crisis: The problem exists but it is neither my fault nor my responsibility to address
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Immature response; assocaited with personality disorders.
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Response to crisis: The problem exists and is my responsibility but I am not fully able to integrate cognitive and affective components in a way that works toward a satisfying solution
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Neurotic response. Associated with Mild depression, GAD, PTSD, adjustment disorders and much of “normal” adult population.
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Response to crisis: The problem exists and is my responsibility and I am able to work toward a solution that brings resolution and perhaps helpful contact with others
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Mature response; no impairment of associated clinical state.
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Introverted, Extroverted, emotionally stable, and emotionally unstable.
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DimensionalmModels of Personality
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Melancholic, choleric, plegmatic, saguine
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Categorical Model of Personality
all or nothing. |
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Neuroticism ….Emotional Stability
Extraversion …….Introversion Openness ….…….Closedness Agreeableness ….Antagonism Conscientiousness-.Undependability |
The Five Factor Model of Personality
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-Inflexible & maladaptive responses to stress
-Global, affecting work and relationships -Non - psychotic, except under severe stress -Ego - syntonic -Distressing to others -Multiple complications |
Personality Disorder
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An ENDURING pattern of inner experience and behavior that deviates markedly from the expectations of the individual’s culture. The pattern is manifested in 2 or more of the following areas:
Cognition, Affect, Interpersonal fx, and impulse control |
DSM-IV-TR General Criteria for a Personality Disorder
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Schizoid
Paranoid Schizotypal |
Cluster A (Odd/eccentric)
DSM-IV-TR Classification |
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Histrionic
Antisocial Borderline Narcissistic |
Cluster B (Dramatic/Erractic)
DSM-IV-TR Classification |
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Avoidant
Dependent Obsessive-Compulsive Personality disorder |
Cluster C Anxious/Fearful
DSM-IV-TR Classification |
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What personality disorder is equally prevalent between males and females?
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Avoidant
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Dependent, borderline, and histrionic PD's are seen mostly in which sex?
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Females
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What should you think if there is an ABRUPT change in personality?
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organic problem!
(changes in brain, stroke, mi) |
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How should personality disorders be treated in a group setting?
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-Group therapy – treatment of choice!
-Individual psychotherapy -Pharmacologic therapy when indicated |
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Distrust and suspiciousness about the motives of others
"SUSPECT" |
Paranoid Personality Disorder (CLUSTER A)
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Intervention of paranoid Personality disorder?
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-Give straightforward explanations
-Warn patients of possible side effects of treatments -Get explicit consent to speak to family members or others |
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Detachment from social relationships and a restricted range of emotional expression
(DISTANT) |
Schizoid Personality Disorder (cluster A)
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Acute discomfort in close relationships, cognitive or perceptual distortions, and behavioral eccentricities
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Schizotypal Personality Disorder
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How should you treat Schizotypal PD?
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-Guidelines for Schizoid PD apply
-Odd beliefs, magical thinking, or paranoid ideation may be mistaken for psychosis – when in doubt, consult a mental health specialist |
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Disregard for and violation of the rights of others
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Antisocial Personality Disorder (Cluster B)
"CORRUPT" |
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-Often involved with medical care because of drug use and trauma
-May lie about their history -May try to manipulate prescriptions -May make persistent inappropriate demand |
Antisocial Personality Disorder In the Medical Setting.
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Instability in emotions and interpersonal relationships, inadequate self image, fear of abandonment, and marked impulsivity
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Borderline Personality Disorder (Cluster B)
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-Relationship with providers unstable and intense
-“Splitting” may occur between members of the treatment team -Treatment complicated by self-destructive behavior -May have chronic suicidal behavior |
Borderline Personality Disorder
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Excessive emotionality and attention seeking, often dramatic
"PRAISE ME" |
Histrionic Personality Disorder
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-May have exaggerated concerns or worries and are prone to be hypochondriacal
-Provides vague nonfactual histories -May display seductiveness -Experiences illness as a threat to attractiveness |
Histrionic Personality Disorder in the medical setting.
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Grandiosity, a need for admiration, a lack of empathy for the problems and needs of others
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Narcissistic Personality Disorder
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-Experiences a damaged sense of superiority in accepting the sick role
-May make disparaging remarks about providers as a defense -Often demands referral to a “specialist” -May get into power struggles |
Narcissistic Personality Disorder in the Medical Setting
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Social inhibition, feelings of inadequacy, and hypersensitivity to criticism or negativism
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Avoidant Personality Disorder (Cluster C) Anxious Fearful
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-May develop symptoms justifying regular visits to alleviate their loneliness
-May be easily embarrassed and anxious in the medical setting -May be predisposed to chronic anxiety and social phobia |
Avoidant Personality Disorder in the Medical Setting
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Submissive and clinging behavior and fears of separation
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Dependent Personality Disorder
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-Needs excessive reassurance
-Needs others to assume responsibility -Has difficulty expressing disagreement due to fear of loss of support or approval -May make frequent unnecessary visits or phone calls |
Dependent Personality Disorder
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Preoccupation with orderliness, perfectionism, and control
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Obsessive Compulsive Personality Disorder
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-May be non-compliant as a way of keeping control
-May be indecisive or inflexible regarding treatment |
Obsessive Compulsive Personality Disorder In the medical setting
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