Theory Week 4 (II).txt
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Theory Week 4 (II).txt
What are Cluster A personality disorders?
Behaviors that are described as odd or eccentric:
What personality disorders go under Cluster A?
Paranoid personality disorder
Schizoid personality disorder
Schizotypal personality disorder
What are Cluster B personality disorders?
Behaviors that are described as dramatic, emotional, or erratic.
What persoanlity disorders go under Cluster B?
Antisocial personality disorder
Borderline persoality disorder
Histrionic personality disorder
Narcissistic personality disorder
What are Cluster C personality disorders?
Behaviors that are described as anxious or fearful
What persoanlity disorders go under Cluster C?
Avoidant personality disorder
Dependent personality disorder
Obsessive-compulsive persoanlity disorder
Definition of Paranoid personality disorder?
A pervasive distrust and suspiciousness, such that the motives of others are interperted as malevolen
When does paranoid persoanlity disorder usually present?
Condition begins in early adulthood and presents in a variety of contexts
Is paranoid personality disorder more common in men or women?
Paranoid personality disorder clinical picture?
Constantly on guard
Ready for real or imagined threat
Trusts no one
Constantly tests the honesty of others
Magnifies and distorts cues in the environment
Etilogical implications of paranoid personality disorder?
Possible hereditary link
Subject to early parental antagonism and aggression
Definition of Schizoid personality disorder?
Characterized primarily by a profound defect in the ability to form personal relatioships or to respond to others in any meaningful, emotional way
What is the gender ratio of Schizoid personality disorder?
Ratio unknown, but diagnosed more often in men
Clinical picture of Schizoid personality disorder?
Indifferent to others
Aloof and emotionally cold
Appears shy, anxious, or uneasy in presence of others
Difficulty acting light-hearted
Etiological implications of Schizoid personality disorder?
Childhood that was bleak, cold, unempathetic, notably lacking in nurturing
Definition of Schizotypal personality disorder?
Once described as "latent schizophrenics", their behavior is odd and eccentric but does not decompensate to the level of schizophrenia.
It is a graver form of the schizoid personality pattern
Clinical picture of Schizotypal personality disorder?
Ideas of reference
Bizarre speech patterns
Etiological implications of Schizotypal personality disorder?
Possible hereditary factor
Possible physiological influence such as anatomic deficits or neurochemical dysfunctions
Childhood characterized by indefference, formality, discomfort with personal affection and closeness
Definition of Antisocial personality disorder?
A pattern of socially irresponsible, exploitative, and guiltless behavior that reflects a disregard for the rights of others
Is antisocial personality disorder more prevelent in men or women?
men @ 3% of population
Clinical picture of Antisocial personality disorder?
Fails to sustain consistent employment
Exploits and manipulates others for personal gain
General disregard for the law
Definition of Borderline personality disorder?
Characterized by a pattern of intense and chaotic relationships with affective instability; Fluctuating and exterme attitudes regarding other people
Clinical picture of Borderline personality disorder?
Fluctuating and extreme attitudes regarding other people
Lacks clear sense of identity
Definition of Histrionic personality disorder?
Characterized by colorful, dramatic, and extroverted behavior in excitable, emotional people
Histrionic personality disorder more common in men or women?
Clinical picture of Histrionic persoanlity disorder?
Difficulty forming close relationships
Need for constant approval
Etiological implications for Histrionic personality disorder?
Possible link to noradrenergic and serotonergic systems
Possible hereditary factor
Learned behavior patterns
Definition of Narcissistic personality disorder?
Characterized by an exaggerated sense of self worth, lack of empathy, and belief that they have inalienable rights to receive special consideration
Narcissistic personality disorder more common in which gender?
Clinical picture of Narcissistic persoanlity disorder?
Overly self centered
Exploits others to fulfill own desires
Mood is usually optimistic
Seems relaxed, cheerful, carefree, but can turn on a dime
Etiological implications of Narcissistic personality disorder?
Childhood where their fears, failures, or dependency needs were responded to with criticism, disdain, or neglect
Parents were often narcissistic
Definintion of Avoidant personality disorder?
Characterized by extreme sensitivity to rejection and social withdrawl
Avoidant personality disorder more common in which gender?
Equal in both
Clinical picture in Avoidant personality disorder?
Awkward/uncomfortable in social situations
Desires close relationships, but avoids them for fear of rejection
Etiological implications of Avoidant personality disorder?
Possible heretitary influence
Parental rejection and criticism
Dependent personality disorder definition?
Characterized by a pervasive and excessive need to be taken care of that leads to submissive and clinging behavior and fears of separation
What gender and birth order is Dependent personality disorder most common in?
Clinical picture of Dependent personality disorder?
Notable lack of self confidence apparent in voice, posture, mannerisms
Overly generous/thoughtful while underplaying own attractiveness/achievements
Avoids positions of responsibility
Etiological implications of Dependent personality disorder?
Possible hereditary influence
Stimulation and nurturance experienced exclusively from one source
Singular attachment made by infant to exclusion of all others
Definition of Obsessive compulsive personality disorder?
Characterized by inflexibility about the way in which things must be done; Devotion to productivity at the exclusion of personal pleasure
What gender and birth order is Obsessive compulsive personality disorder most prevalent in?
Clinical picture of Obsessive compulsive personality disorder?
Especially concerned with organization & efficiency
Tends to be rigid and unbending
Polite, formal social behavior
Calm and controlled
Etiological implications of Obsessive personality disorder?
Overcontrol by parents
Lack of positive reinforcement for acceptable behavior
Frequent punishment for undesirable behavior
Definition of Passive aggressive personality disorder?
Exhibits a pervasive pattern of negativistic attitudes and passive resistance to demands for adequate performance in social and occupational situations
Clinical picture of Passive aggressive personality disorder?
Commonly switches roles between martyr, affronted, aggrieved, misunderstood, contrite, guilt ridden, sickly, over worked
Etiological implications Passive aggressive personality disorder
Etiological implications of Passive aggressiv epersonality disorder?
Contradictory parental attitudes and behavior
Where does the term "Borderline" come from?
Tendency of these clients to fall on the border between neuroses and psychoses
Nursing assessment of the Borderline personality?
Always seems to be in state of crisis
Affect is one of extreme intensity
What are Borderlines most strikingly identified by?
The intensity and instability of their affect and behavior
What are some common behaviors of Borderlines?
Inability to be alone
Clinging and distancing
Borderline biological etiology?
Possible serotonergic defect
Possible hereditary factor
Borderline psychosocial etiology?
Fixed in rapprochement phase of development (16-24 months)
Assessment of Antisocial personality disorder?
Not often seen in clinical settings
When seen, it's commonly a way to avoid legal consequences
Sometimes admitted by court order for psych eval
Common behaviors of Antisocials?
Cold, callous, intimidating
Inconsistent work or academic performance
Failure to conform to societal norms
Cruel and malicious
Unable to for satisfying relationships
Etiological implications of Antisocials?
Possible genetic influence
Sociopathic or alcoholic father
Aggressive temperment as a child
Parental deprivation during first 5 years of life
Hx ADHD/Conduct disorder as child