Personality Disorders w/ Focus on Antisocial Personality

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47 Terms

1

In general, what are personality disorders? (*don’t need to know*)

  • endure pattern of experience/behavior

    • deviates from culture

    • pervasive/inflexible

    • leads to distress/impairs social and occupational functioning

    • begins with adolescence

    • based on trait approach to personality

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2

Most people diagnosed with personality disorders have ___

Most people diagnosed with personality disorders have COMORBIDITY

  • more than one personality disorder

  • have another disorder

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3

What disorders are the most reliable?

  • antisocial/borderline personality disorder

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4

Define personality trait

inner experience and behavior

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5

remember the 5-factor OCEAN mode

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6

define personality disorder

representing extremes of normal personality trains, deviate from cultural expectations

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7

which personality disorder do you think is most dangerous to patient

most likley to attempt suicide → borderline personlaity disorder

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8

which personality disorder do you think is most dangerous to others in society

antisocial personality

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9

Which PD can be helped by medications

borderline personality disorder, SSRI

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10

which 2 are considered to be the most “reliable” diagnosis

test-retrest, inter-rater

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11

What is all involved in Group A

ODD/Eccentric

paranoid

schizoid

schizotypal

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12

What is ODD/ecentric

all bare some similarity to schizophrenia/paranoid/schizoid

  • appear odd/eccentric

  • resemble less disturbed form of schizophrenia

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13

What are the characteristics involved in being paranoid?

distrust and suspiciousness of others; highly jealous and secretive

  • most frequent in men

  • doubts loyalty/trustworthiness

  • less disturbed than paranoid schizophrenia

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14

What is involved in schizoid

detachment from social relationships and restricted range of expressed emotion

  • don’t desire close relationships/family

  • loner/bland

  • anthedonic - pleasure in few activities

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15

What is schizotypal

deficient social/interpersonal relationships; cognitive & perceptual distortions; eccentric behavior

  • odd belief

  • magical thinking:

    • superstitious, clairvoyant, telepathic

  • genetic link

    • attenuated schizo.

    • children of schizophrenics

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16

What are the ideas of reference in regards to Group A

the TV is talking about them

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17

What does attenuated mean in regards to Group A

reduced in force, intensity

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18

What is all involved in Group B

HIGHLY VARIABLE behavior

  • dramatic/erratic

  • historionic

  • theatrical

  • narcissistic/grandiosity

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19

What is dramatic/erratic characteristics

  • group B

  • borderline'; historic; narcissistic; antisocial

  • inconsistent, dramatic, erratic, rule-breaking behaviors

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20

What is histrionic

pervasive pattern of exessive emotionality (overly dramatic and attention seeking)

  • do so through sexual means

  • center of attention

  • self dramatization

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21

What are characteristics of theatrical

higher in emotion, drama

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22

What is involved in narcissism/grandiosity

  • in group B

  • pervasive pattern of grandiosity (in beliefs or behavior) need for admiration, and lack of empathy

    • over-inflated sense of power

    • self-importance, etc

    • need for admiration

    • self-centered

not in a sexual way**

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23

How does Group B/s ‘projected personality’ differ from their self-esteem?

projected is how they portray themselves, self-esteem is how they see themselves

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24

role of family history in development

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25

What is borderline characteristics

Pattern of instabiliyt of:

  • interpersonal relationships

    • self-image (poor self-concept)

  • affects

    • periods of dysphoria/anger

  • impulsive!

  • fear of /effort to avoid abandonment

  • suicidal gestures/threats

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26

What are some frantic efforts to avoid for borderline personality disorder

abandonment

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27

for BP disorder, what do they impulsively engage in

  • sex-

  • reckless behavior

  • binge-eating

  • suicide attempts/non-life threatening cuts

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28

When do dissociative symptoms occur

severe stress

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29

define dysphoria

dissatisfaction, discomfort with ones self

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30

Define splitting

aka “etiology”

  • see all events as all good or all bad

  • personality

    • intense emotionality + trouble controlling emotions/impulsive

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31

define emotional dysregulation

not able to react to something normally, too emotional

  • found in splitting

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32

What family history is typically associated with borderline personality

low level of care, high incidence of verbal, emotional, sexual and physical abuse

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33

what neurotransmitter was found to be low in BP splitting disorder

low serotonin —> can be helped by SSRI

  • 60% variance is genetic

  • decreased activity in PFC

  • increased activity in amygdala

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34

What is antisocial

persistent disregard for the right of others

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35

what are the DSM criteria for antisocial personality disorder

  • lack of remorse

  • deceitfulness

  • presence of conduct disorder before age 15

    • truancy/theft/running away/cruelty to animals

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36

What is the most common disorder amongst convicted felons

antioscial personality disorder

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37

know the 2 components tested on the Hare psychopathy checklist

shows emotional detachment and antisocial lifestyle

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38

What is psychopathy; how does it differ from APD?

psychopathy (basis of thoughts/feelings to distinguish from criminality)

  • poverty of emotions (no sense of shame, lack of guilt, false charm)

  • manipulation of others

  • impulsive behaviors

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39

know the 4 categories of inmates tested in the Hare startle response study and the findings

  • non-psychopaths

  • detached white collar workers

  • antisocial

  • psychopaths

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40

Heritability. Who were cleckley and hare?

hare - did a prison study using the psychopahty checklist

lykken - incidental avoidance learning

  • normal/psychos = equally good at learning

    • psychos had more punished errors

      • work better with reduced anxiety and ignore unpleasant consequences/unable to learn

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41

What were some examples given in class of serial killers with APD?

Ted bundy, patrick mackay

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42

What is all involved in Group C

anxious/fearful anxious/perfectionist

  • avoidant, dependent, obsessive-compulsive

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43

What is avoidant personality?

  • in group C

  • pervasive pattern of social inhibition, feelings of inadequacy and hypersensitive to negative evaluation

    • avoids friendships, hypersensitivity, fear of being judged

  • antisocial but dif. → social phobia

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44

How are avoidants different from schizoid?

  • are comorbid with social phobia, hypersensitivity to negative evaluation, social inhibition fearful of criticism, rejection and disapproval

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45

what is the dependent personality

  • pervasive and excessive/need to be taken care of → submissive and clingy

  • fears abandonment

  • difficulty expressing disagreement/everyday decisions

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46

what is obsessive-compulsive personality disorder

pervasive preoccupation with orderliness/perfectionism

  • mental/interpersonal control → inflexible/closed/

    • details, rules, lists, order

    • control freaks

    • excessive devotion to work and productivity

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47

What don’t people with obsessive-compulsive personality disorder have that people with OCD have?

no obsessions, and compulsions

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