Personality Disorders

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ncappadonia
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115517
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Personality Disorders
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2011-11-08 20:19:28
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Personality Disorders
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Personality Disorders
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  1. Paranoid Personality Disorder
    • - suspicious, mistrust, interpret actions of others as a personal threat
    • - hypersensitive to other people motives and often act in defense of a fragile self-concept, unable to laugh at themselves-very serious
    • - always think someone is out to get them
    • - can have irrational thinking- this is what will hospitilize them- become violent because of a perceived threat
    • - diagnosed more often in men than
    • women
    • - they will have a blunted affect

    - characterized by distrust and suspiousness towards others based on unfounded beliefs that others want to harm, exploit, or deceive the person (ATI)

    *Cluster A- Odd or Eccentric traits
  2. Schizoid Personality Disorder
    • - want emotional distance, do not want relationships with others
    • - rarely have close friends and apprear uncomfortable interacting with others
    • - do not care what others think
    • - will have success in work if it does not involve social interaction
    • - daydreamers- more gratifying than interacting for real
    • - nurse-patient relationship will focus on building trust and initiating acceptance of group therapy

    - characterized by emotional detatchment, disinterest in close relationships, and indifference to praise or criticism; often uncooperative (ATI)

    *Cluster A- Odd or Eccentric traits
  3. Schizotypal Personality Disorder
    • - similar to schizophrenia but psychotic symptoms are less severe and occur infrequently
    • - problems in thinking, perceiving, and communicating
    • - behavior odd, hard time fitting in, don't do well with rejection or anger
    • - paranoid ideation and odd beliefs very prevalent
    • - fantasies about imaginary relationships are substituted for real relationships

    - Characterized by odd beliefs leading to interpersonal difficulties, an eccentric appearance, and magical thinking or perceptual distortions that are not clear delusions or hallucinations (ATI)

    *Cluster A- Odd or Eccentric traits
  4. Cluster A Nurse-Patient Relationship
    *paranoid personality disorder, schizoid personality disorder, & schizotypal personality disorder

    • - trust issues
    • - professional demeanor
    • - honesty
    • - clear, concise explanations and requests
    • - don't do well with groups that involve confrontation or emotional involvement
  5. Antisocial Personality Disorder
    • - prior conduct disorder
    • - total disregaurd for the law
    • - promiscuous, feel no guilt about hurting others
    • - most of time in prison system instead of mental health system
    • - LIE, CHEAT, STEAL
    • - can be charming, social, and intellectual
    • - cause: genetics and enviroment, parents, bonding and weak response to autonomic nervous system, low heart rate, insensitive to the connotations of language, inability to learn from reward and punishment

    • Nurse-Patient Relationship:
    • - setting firm limits: they will try to manipulate the situation
    • - need to be consistent with enforcing rules and behaviors
    • - need to show accountability and identify how their behavior is affecting others

    - characterized by disregaurd for others with exploitation, repeated unlawful actions, deceit, and failure to accept personal responsibilty (ATI)

    - groups with other antisocial personality disorder patients are effective for them

    *Cluster B- Dramatic, Emotional, or Erratic traits
  6. Borderline Personality Disorder
    • - emotional dysregulation
    • - anger, impulsivity, intense psychological pain, impairment of interpersonal or occupational functioning
    • - abandonment issues, self injurious behavior
    • - has problems with identity- cannot appreciate mixed bag of qualities that others become
    • - great problem with being alone, seeks short terms intimate relationships
    • - displace anger on others
    • - mimic bipolar qualitites,
    • - mood swings, euphoria, rage
    • self mutilate, and suicidal ideation
    • - can appear as though they suffer from PTSD
    • - 75% of BPD are women who have had sexual abuse as a child

    - characterized by instability of affect, identity, and relationships; fear of abandonment, splitting behaviors, manipulation, and impulsiveness; often tries self mutilation and may be suicidal (ATI)

    • Causes:
    • - temperament, childhood experiences, neurologic and bichemical dysfunction
    • - ineffective serotonin system and increased levels of norepinephrine, increased levels of anxiety and mood instability

    • Treatment:
    • - psychopharmacology: SSRI's
    • - group therapy, problem solving, stress management, anger management

    • Nurse-Patient Relationship:
    • - use empathy while maintaining clear boundardies
    • - must have limit setting

    *Cluster B- Dramatic, Emotional, or Erratic traits
  7. Narcissistic Personality Disorder
    • - grandiose displays of their own self importance
    • - reality based but embellished
    • - needs to be admired, arrogant, self absorbed and self centered
    • - indifferent to criticism of others- sense of entitlement
    • - cannot emphasize with others, will use others to meet own needs; makes excuses and uses rationales why it is not their fault

    • Nurse-Patient Relationship:
    • - limit setting
    • - realistic short term goals
    • - group therapy

    - characterized by arrogance, grandiose views of self-importance, the need for consistent admiration, and a lack of empathy for others that strains most relationships; often sensative to criticism

    *Cluster B- Dramatic, Emotional, or Erratic traits
  8. Histrionic Personality
    • - draws attention to themselves, dramatizes events
    • - extroverted- silly, colorful, temper tantrums
    • - uses somatic complaints to avoid responsibility and support dependency
    • - views relationships with others as special and possessing greater intamacy than is real

    • Nurse-Patient Relationship:
    • - attention given for other centered behaviors
    • - facilitate independence
    • - problem solving
    • - clarify true feelings and help clarify appropriate ways to express them

    - characterized by emotional attention-seeking behavior in which the person needs to be the center of attention; often seductive and flirtatious (ATI)

    *Cluster B- Dramatic, Emotional, or Erratic traits
  9. Dependent Personality Disorder
    • - excessive need to be taken care of that leads to submissive and clinging behaviors
    • - fear of separation
    • - need ot have direction and constant reassurance
    • - feel inferior, avoid responsibility and express helplessness, maintain the need to rely on others

    - characterized by extreme dependency in a close relationship with an urgent search to find a replacement when one relationship ends; the most frequently-seen personality disorder inthe clinical setting

    • Nurse-Patient Relationship:
    • - decision making
    • - increase responsibility
    • - become more assertive

    *Cluster C- Anxious or Fearful traits; Insecurity and Inadequacy
  10. Avoidant Personality Disorder
    • - timid
    • - socially withdrawn, feel inadequate
    • - fearful and shy-desire relationships but need to feel certain about being liked before making social contacts


    **nurse needs to give positive feedback for any atttempt at interactoins with others to promote self-esteem

    - characterized by social inhibition and avoidance of all situations that require interpersonal contact, despite wanting close relationships, due to extreme fear of rejection; often very anxious in social situations

    • *Cluster C- Anxious or Fearful traits; Insecurity and Inadequacy
  11. Obsessive-Compulsive Personality Disorder
    • - perfectionist
    • - inflexible
    • - afraid of making mistakes

    - characterized by perfectionism with a focus on orderliness and control to the extent that the individual may not be able to accomplish a given task

    *Cluster C- Anxious or Fearful traits; Insecurity and Inadequacy

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