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(Psychiatry) PHCY320 Test sobre PSY3 Personality disorders, creado por Mer Scott el 12/10/2019.

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PSY3 Personality disorders

Pregunta 1 de 6

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Personality Disorders
• Persistent maladaptive or culturally infrequent, , poor interpersonal
• Inflexible and pervasive across
• Significant
• Often traced back to

• Categorically conceptualised - Psychiatric classification
• Are dimensional - ranges from
• Normal vs. Abnormal traits - there are variants of normal traits seen and sometimes abnormal traits that only exist in individuals.

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    thoughts, feelings, and behavior
    relationships
    situations
    distress or impairment
    adolescence
    normality to severe
    extreme
    disordered

Explicación

Pregunta 2 de 6

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Personality disorders fall into three general clusters:
• Cluster A – odd or eccentric

• Cluster B – dramatic, emotional, or erratic
Antisocial,
• Cluster C – anxious or fearful
obsessive-compulsive

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    Paranoid, schizoid, schizotypal
    borderline, histrionic, narcissistic
    Avoidant, dependent,

Explicación

Pregunta 3 de 6

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Cluster A: Odd or Eccentric PDs.
• People with these disorders display behaviors to, but not as as, schizophrenia
• Little known about

1. Paranoid PD - 2% prevalence
Deep suspicion or of others. Hypersensitivity, vigilance, and caution. Pathological .

2. Schizoid PD - <1% prevalence, more common in men
Persistent . Limited expression. and reclusive.

3. Schizotypal PD - 0.6% to 4% prevalence
(odd beliefs, thoughts, speech, unusual perceptual experiences), ideation, excessive .

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    similar
    extensive
    treatment
    mistrust
    jealousy
    Control, anger/hostility.
    avoidance
    emotional
    Withdrawn
    Psychoticism
    paranoid
    social anxiety/withdrawal

Explicación

Pregunta 4 de 6

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Cluster B: "Dramatic” PDs. Dramatic, emotional, or erratic behavior. Almost impossible to have satisfying .

1. Antisocial PD - 1-3% prevalence, More common in men
Disregard for norms, behavior, impulsive, irresponsible, prone to /aggression, deceitful and manipulative, lack of . Evidence of Conduct Disorder before age 15.

+ Psychopathy symptoms (addition to APD): Interpersonal deficits, superficial , grandiosity, social potency, anxiety, shallow , lack of , guilt, and remorse, inability of form deep relationships, fearlessness

2. Borderline Personality Disorder - 3-4% prevalence, common in
Instability of self-image and relationships - disturbance, intense interpersonal , idolization vs. devaluation (black/white thinking). Affective instability - Dysphoria and chronic feelings of , extreme emotional response to . Impulsive, unpredictable, and destructive behavior.. etc.
Biopsychosocial Theory - could be the cause. as Tx. (D = dialectal).

3. Histrionic PD.
No research on etiology or treatment. Extremely dramatic, emotions, -seeking behaviors. Vain, self-centered, and demanding.

4. Narcissistic Personality Disorder - uncommon
Grandiose, need much admiration. of empathy. Seldom interested in feelings of others. Expect constant from those around them. Association with superiority. Exaggerate achievements, appear arrogant/haughty. Causes? Psychodynamic theory = parents. Behavioral and cognitive theorists = too much .

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    relationships
    social
    reckless
    anger
    remorse
    charm
    low
    emotions
    empathy
    clinical settings and women
    Identity
    attachments
    emptiness
    abandonment
    anger/violence, substance abuse,
    invalidating childhood environments
    CBT/DBT
    attention
    shallow
    Lack
    attention and admiration
    cold, rejecting
    positive reinforcement

Explicación

Pregunta 5 de 6

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Cluster C: “Anxious” PDs. All more common in .

1. Avoidant PD. 2% prevalence, 14% of those in treatment.
Uncomfortable and inhibited in situations. Feelings of . Sensitive to evaluation. close friends.

2. Dependent PD. Uncommon.
Central feature: difficulty with . Pervasive, excessive need to be taken of. Clingy and obedient. Rely on others for . Feel ; dislike selves.

3. Obsessive-Compulsive PD. (Different from OCD) 1-2% prevalence, 9% in treatment.
Preoccupied with order, perfection, and , lose flexibility, openness, and efficiency. Unreasonably for selves and others. Rigid and stubborn; trouble expressing .

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    women
    social
    inadequacy
    negative
    Few
    separation
    care
    decisions
    distressed, lonely, and sad
    control
    high standards
    affection

Explicación

Pregunta 6 de 6

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Limitations with DSM-5 system:
• Excessive exists
• Inadequate coverage
• Excessive within-diagnosis
• No clear boundary between normal and pathological personality
• Inadequate scientific base

Solution?
Dimensional personality traits define disorders = individuals vary in rather than in kind. Impairment in due to extreme manifestation of personality traits results in disorder diagnosis.

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    comorbidity
    heterogeneity
    degree
    functioning

Explicación