Behav. Sci. Personality disorder

Question 1

personality disorder definition

Answer 1

enduring pattern of inner experience and behavior

• cognitive, emotional, interpersonal, and behavioral components that lead to distress or impairment,
• pervasive and inflexible,
• onset in adolescence or early adulthood and
• stable over time

Question 2

what are the 4 main character types of personality disorder (wilhelm reich)

Answer 2

narcissistic, compulsive, masochistic, hysterical

Question 3

what are the DSM-V personality disorders?

Answer 3

1. cluster A: paranoid, schizoid, schizotypal
2. cluster B: antisocial, histrionic, narcissistic, borderline
3. cluster C: avoidant, dependent, obsessive-compulsive (anxious)

Question 4

cluster A

Answer 4

psychotic-like, but not psychotic

1. paranoid
2. schizoid
3. schizotypal
   - do not occur exclusively during the course of schizophrenia or other psychotic disorder

Question 5

paranoid personality disorder

Answer 5

pervasive distrust and suspiciousness of others such that their motives are interpreted as malevolent, beginning by early adulthood

Question 6

schizoid PD

Answer 6

-pervasive pattern of detachment from social relationships and a restricted range of expression of emotions

Question 7

schizotypal PD

Answer 7

pervasive pattern of interpersonal deficits marked by cognitive or perceptual distortions and eccentricities of behavior

Question 8

cluster B

Answer 8

dreaded disorders, behavioral

1. antisocial
2. histrionic
3. narcissistic
4. borderline

Question 9

antisocial PD

Answer 9

pervasive pattern of disregard for and violation of the rights of others occurring since age 15
-evidence of a conduct disorder with onset before age 15

Question 10

histrionic PD

Answer 10

pervasive pattern of excessive emotionality and attention seeking, beginning by early adulthood such as sexually seductive or provocative behavior, self-dramatization, theatricality, exaggerated emotional expression, easily influenced by others, considers relationships to be more intimate than they actually are

Question 11

narcissistic personality disorder

Answer 11

pervasive pattern of grandiosity (in fantasy and behavior) beginning by early adulthood

• need for admiration
• lack of empathy
• sense of entitlement

Question 12

borderline personality disorder

Answer 12

pervasive pattern of instability of interpersonal relationships, self-image and affects and marked impulsivity beginning by early adulthood (need 5/9)

1. frantic efforts to avoid real or imagined abandonment
2. unstable and intense interpersonal relationships
3. persistently unstable self-image or sens of self
4. impulsivity
5. recurrent suicidal behavior
6. mood lability
7. chronic feelings of emptiness
8. frequent or intense anger outbursts
9. transient paranoid ideation or severe dissociative symptoms

Question 13

cluster c

Answer 13

anxious, but not anxiety disordered

1. avoidant
2. obsessive compulsive
3. dependent

Question 14

avoidant PD

Answer 14

pervasive pattern of social inhibition beginning by early adulthood

• inhibited by social situations because of feelings of inadequacy
• hypersensitive to criticism or rejection

Question 15

obsessive compulsive PD

Answer 15

by early adulthood

• preoccupied with details, rules, lists, schedules
• perfectionism interferes with task completion
• excessively devoted to work and productivity
• scrupuloud about morality, ethics, and values
• unable to discard worn-out objects
• micro-manages
• miserly spending style
• rigid and stubborn

Question 16

dependent PD

Answer 16

pervasive and excessive need to be taken care of beginning by early adulthood, indecisive, submissive, clingy, difficulty expressing disagreement, lack of self-confidence, feeling of helplessness, goes to excessive lengths to obtain nurturance and support from others

Question 17

which PDs are more prevalent in women?

Answer 17

paranoid, avoidant, dependent

Question 18

which PD is more prevalent in men?

Answer 18

antisocial

Question 19

hat are risk factors for PDs?

Answer 19

not married, impoverished, poorly educated

Question 20

which cluster is the most prevalent?

Answer 20

cluster A

Question 21

treatment for cluster A (paranoid, schizoid, schizotypal)

Answer 21

antipsychotic medication and psychotherapy may provide modest benefit

Question 22

treatment for cluster B (antisocial, narcissistic, histrionic, borderline)

Answer 22

psychoparmacology: modest efficacy, especially mood stabilizers, antipsychotics

Question 23

what may exacerbate cluster B?

Answer 23

benzodiazepines

Question 24

what is used to treat only borderline PD?

Answer 24

RCTs

Question 25

borderline prognosis

Answer 25

70% remission in 6 years, 88% in 10 years

Question 26

cluster C treatments (avoidant, dependent, obsessive-compulsive)

Answer 26

psychopharmacology for avoidant and psychotherapy = RCT indicated efficacy for CBT and psychodynamic