Mental Health chapter 22 personality Exam 2

What is personality?

The totality of emotional and behavioral characteristics that are particular to a specific person and that remain somewhat stable and predictable over time.

This is why some are shy and some are outgoing

Personality disorders occur when traits become….

rigid and inflexible and contribute to maladaptive patterns of behavior or impairment in functioning.

What is paranoid personality disorder?

–Characterized by a pervasive, persistent, and inappropriate mistrust of others.

–Individuals with this disorder are suspicious of others’ motives and assume that others intend to exploit, harm, or deceive them

What are predisposing factors of paranoid personality disorder? 

Possible hereditary link 

Subject to early parental harassment 

What is schizoid personality disorder?

–Characterized primarily by a profound defect in the ability to form personal relationships (Want to be ALONE)

Indifferent to praise or criticism, often uncooperative

NOT THE SAME AS SCHIZOPHRAENIA

What are predisposing factors of schizoid personality disorder?

Possible hereditary factor

Childhood has been characterized as notably lacking in nurturing and cold

What is Schizotypal personality disorder? 

–Perceptual distortions that are not clear delusions or hallucinations

–Eccentric appearance, magical thinking

–Odd beliefs leading to interpersonal difficulties

What is borderline personality disorder?

•Characterized by a pattern of intense and chaotic relationships with affective instability

•Fluctuating and extreme attitudes regarding other people (splitting behaviors)

•Highly impulsive, manipulative, often self harms, (cutters) may be suicidal

What personality disorder are most commonly cutters?

Borderline personality disorders

Why are borderline personality people “borderline”

because of the tendency of these clients to fall on the border between neuroses and psychoses

What are common behaviors of a borderline?

•Chronic depression

•Inability to be alone (hook up with other patients)

–Fear of abandonment, need to be reassured.

•Clinging and distancing behaviors

•Splitting

•Self-destructive behaviors

•Impulsivity (pulled phone off unit wall)

Borderline personality disorder predisposing factors:

–Childhood trauma and abuse

–Developmental factors: fixed in the rapprochement phase of development (16 to 24 months old). The child fails to achieve task of autonomy.

What is behavior of someone with histrionic personality disorder? 

•Excitable

• Emotional

• Attention seeking  ( take all the time up in group)

• Dramatic (DRAMA QUEEN)

• Extroverted

Have individuals that are borderline received the task of autonomy that most people do?

NO

If see histrionic on test, think of

DRAMA QUEENS

What is narcissistic personality disorder?

–Characterized by an exaggerated sense of self-worth

–Lack of empathy

–Belief in an inalienable right to receive special consideration

Very difficult to care for

What is avoidant personality disorder?

–Avoidance of all situations that require interpersonal contact, despite wanting close relationships

–Afraid but want a relationship.

What are characteristics of someone with avoidant personality disorder?

•Extreme sensitivity to rejection

•Social withdrawal-often awkward

Avoidant personality disorder wants what…

They want a relationship, they are just afraid

What is dependent personality disorder?

–Extreme dependency in a close relationship with an urgent search to find a replacement when one relationship ends

Lack of self confidence 

What is dependent personality disorder characterized by?

–Characterized by a pattern of relying on others for emotional support (Failure to Launch)

–Lack self confidence

What are predisposing factors of dependent personality disorder?

A singular attachment is made by the infant to the exclusion of all others ( just want relationship with mother. No friends) Develop low self esteem in early childhood. Mother did not encourage autonomy.

•Possible hereditary influence

•Stimulation and nurturance are experienced exclusively from one source

What is obsessive compulsive disorder?

•Characterized by inflexibility about the way in which things must be done

•Tend to be rigid and unbending

•Specially polite and formal

•Appear calm and in control on the surface

•Underneath they are (Ambivalent, conflicted, hostile)

What are predisposing factors of obsessive compulsive disorder?

•Over-control by parents

•Notable parental lack of positive reinforcement for acceptable behavior

Frequent punishment for undesirable behavior

What is antisocial personality disorder?

–A pattern of behavior that is

•Socially irresponsible

•Exploitative

•Without remorse

•Behavior reflects a disregard for the rights of others

•More often see in Jail

Assessment of someone with antisocial personality disorder?

–Not often seen in most clinical settings

–Most frequently encountered in prisons, jails, and rehabilitation services

–When clients are seen, it is commonly a way to avoid legal consequences

–Sometimes they are admitted to the health-care system by court order for psychological evaluation

Common behaviors of someone with antisocial personality disorder? 

•Exploitation and manipulation of others for personal gain

•Belligerent and argumentative

•Lacks remorse

•Unable to delay gratification

•Low frustration tolerance

Inconsistent work or academic performance

•Failure to conform to societal norms

•Impulsive and reckless

•Inability to function as a responsible parent

•Inability to form lasting monogamous relationship

•Require RESPECT when talking to patient. Stay calm, strong and enforce rules.

Predisposing factors to antisocial personality disorder? 

•Possible genetic influence

•Having a disruptive behavior disorder as a child(ADHD, conduct disorder)

•History of severe physical abuse

•Absent or inconsistent parental discipline

•Extreme poverty

•Removal for the home

•Growing up without parental figures of both sexes

•Always being rescued when in trouble

•Maternal deprivation