Personality Disorders

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  1. Cluster A
    • Odd, Eccentric Chaotic
    • Familial Psychotics
    • Mad
    • Defense: intellectuallization, projection, magical thinking
  2. A1 Paranoid PD 0.5-3%
    Distrust and suspiciousness, interprets motives as malevolent, blame others, angry and hostile
    • 4 OF:
    • S: spouse fidelity suspected 
    • U: unforgiving (bears grudges) 
    • S: suspicious of others 
    • P: perceives attacks (and reacts quickly) 
    • E: enemy or friend? (suspects associates, friends) 
    • C: confiding in others feared 
    • T: threats perceived in benign events
  3. A2 Schizoid PD
    Neither desires nor enjoys close relationships inc being a part of family, prefers to be alone, social withdrawal
    • 4 OF:
    • D: Detached (or flattened) affect
    • I: Indifferent to criticism and praise
    • S: Sexual experiences of little interest
    • T: Tasks (activities) done solitarily
    • A: Absence of close friends
    • N: Neither desires nor enjoys close relations
    • T: Takes pleasure in few activities
  4. A3 Schizotypal PD 3-5.6%
    Eccentric behaviors, peculiar thought patterns
    5 of:

    • M: Magical thinking or odd beliefs
    • E: Experiences unusual perceptions

    • P: Paranoid ideation
    • E: Eccentric behavior or appearance
    • C: Constricted (or inappropriate) affect
    • U: Unusual (odd) thinking and speech
    • L: Lacks close friends
    • I: Ideas of reference
    • A: Anxiety in social situations
    • R: Rule out psychotic disorders and pervasive developmental disorder
  5. Cluster B "Bad"
    • Dramatic, emotional, inconsistent
    • Familial mood disorders
    • Defense: denial, acting out, regression, splitting, projective identification, idealization
  6. B1 Borderline PD 2-4%
    Unstable mood, behavior, feel alone in world, problems with self image
    10% suicide rate
    5 OF:

    • A: Abandonment
    • M: Mood instability (marked reactivity of mood)
    • S: Suicidal (or self-mutilating)
    • U: Unstable and intense relationships
    • I: Impulsivity (in two potentially self-damaging areas)
    • C: Control of anger difficult
    • I: Identity disturbance
    • D: Dissociative (or paranoid) symptoms that are transient and stress-related
    • E: Emptiness (chronic feelings of)
  7. B2 Antisocial PD M3% F1%
    Lacks remorse for actions, manipulative, deceitful, violates law, can be charming on first impression; must be present before age of 15, but must be 18 to be dx
    • 3 OF:
    • C: Conformity to law lacking
    • O: Obligations ignored
    • R: Reckless disregard for safety of self or others
    • R: Remorse lacking
    • U: Underhanded (deceitful, lies, cons others)
    • P: Planning insufficient (impulsive)
    • T: Temper (irritable and aggressive)
  8. B3 Histrionic PD 2%
    Attention-seeking, excessive emotion, dramatic, flamboyant, extroverted, no meaningful relationship, sexually inapprop
    • 5 OF:
    • P: Provocative (or sexually seductive) behavior
    • R: Relationships (considered more intimate than they are)
    • A: Attention (uncomfortable when not the center of attention)
    • I: Influenced easily
    • S: Style of speech (impressionistic, lacks detail)
    • E: Emotions (rapidly shifting and shallow)
    • M: Made up (physical appearance used to draw attention to self)
    • E: Emotions exaggerated (theatrical)
  9. B4 Narcissistic PD 2%
    superiority, needs constant admiration, lacks empathy, fragile sense of self, exploit others for gain
    • 5 of:
    • S: Special (believes he or she is special and unique)
    • P: Preoccupied with fantasies (of unlimited success, power, brilliance, beauty, orideal love)
    • E: Entitlement
    • C: Conceited (grandiose sense of self-importance)
    • I: Interpersonal exploitation
    • A: Arrogant (haughty)
    • L: Lacks empathy
  10. Cluster C "Sad"
    • Patients are anxious, fearful
    • familial assoc w anxiety disorder
    • Defense: isolation, avoidance, hypochondriasis
  11. C1 Avoidant PD 0.5-1.6%
    Timid, socially awkward, sense of inadequacy and fear of criticism
    • 4 of:
    • C: Certainty (of being liked required before willing to get involved with others)
    • R: Rejection (or criticism) preoccupies one's thoughts in social situations
    • I: Intimate relationships (restraint in intimate relationships due to fear of being samed)
    • N: New interpersonal relationships (is inhibited in)
    • G: Gets around occupational activity (involing significant interpersonal contact)
    • E: Embarrassment (potential) prevents new activity or taking personal risks
    • S: Self viewed as unappealing, inept, or inferior
  12. C2 Dependent PD 1.6-6.7%
    Need to be taken care of, excessive fear of separation, clinging, submissive
    • R: Reassurance required tor decisions
    • E: Expressing disagreement difficult (due to fear of loss of support or approval)
    • L: Life responsibilites (needs to have these assumed by others)
    • I: Initiating projects difficult (due to lack of self-confidence)
    • A: Alone (feels helpless and discomfort when alone)
    • N: Nurturance (goes to excessive lengths to obtain nurturance and support)
    • C: Companionship (another relationship) sought urgently when close relationship ends
    • E: Exaggerated fears of being left to care for self
  13. C3 Obsessive-Compulsive PD 3-10%
    Preoccupied by order, perfection, mental and interpersonal control, inflexible, closed-off, inefficient
    • 4 OF:
    • L: Loses point of activity (due to preoccupation with detail)
    • A: Ability to complete tasks (compromised by perfectionism)
    • W: Worthless objects (unable to discard)
    • F: Friendships (and leisure activities) excluded (due to a preoccupation with work)
    • I: Inflexible, scrupulous, overconscientious (on ethics, values, or morality, not accounted for by religion or culture)
    • R: Reluctant to delegate (unless others submit to exact guidelines)
    • M: Miserly (toward self and others)
    • S: Stubbornness (and rigidity)
Card Set:
Personality Disorders
2013-06-14 01:22:37

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