Relier Pairs Personality DisordersVersion en ligne Psych Unit 4 par Kristie Borgheiinck 1 Paranoid Personality Disorder 2 Narcissistic Personality Disorder 3 Antisocial Personality Disorder 4 Personality Disorder defense mechanisms 5 Borderline or BPD 6 Personality Disorder 7 Histrionic Personality Disorder 8 Schizotypal Personality Disorder 9 Schizoid Personality Disorder Improves with age usual duration 19 years; more common in males; have job problems, traffic offenses, or martial discord; 50% have criminal record Repression, suppression, regression, undoing, splitting Exaggerated, inflexible, & persuasive behavior patterns destructive to the individual. Pathological disturbances in perception, comm., & thinking Fear others and their motives emotional detachment, disinterest in close relationships, & indifference to praise or criticism; uncooperative Lacks ability to form close relationships, thoughts and language odd Quick relationships that lack genuine intimacy. Easily influenced & have difficulty making decisions when challenged & can b easily dependent on other Unstable interpersonal relationships & self-image, as well as splitting behaviors, impulsivity, suicidal behavior, substance abuse, self-mutilation Grandiosity based on reality, but distorted, embellished, or convoluted; Vulnerability when faced with disappointments & threat to positive self-image 1 Personality disorder 2 Narcissistic Personality Disorder 3 Histrionic Personality Disorder 4 Avoidant Personality Disorder 5 Obsessive-Compulsive Personality Disorder (OCPD) 6 Borderline or BPD 7 Antisocial Personality Disorder 8 Schizotypal Personality Disorder 9 Schizoid Personality disorder Lack of empathy, repeated unlawful actions, sense of entitlement, manipulative, impulsive, seductive, non-adherence to trad. morals & values, charming Increased interpersonal antagonism and low agreeableness; Consistent reinforcement from others need to boost self-esteem Emotional attention-seeking behavior, need to be center of attention; often seductive & flirt; somatic complaints, avoid responsibility, dependency Shows detachment from people & events, shows little emotion, have few friends, do not want interpersonal relationships including families or sexual Odd beliefs lead 2 interpersonal difficulties, eccentric appearance, & magical thinking of perceptual distortions-aren't clear delusions/hallucination impairments in self-identity or self-direction and interpersonal functioning Perfectionism w/ focus on orderliness & control 2 the extent that they might not be able to accomplish a given task; difficulty w/ work/relationships Social inhibition & avoid situations w/ interpersonal contact despite wanting close relationship d/t extreme fear rejection; anxious in social setting Use self-harm to reflect their own badness; an intense fear of abandonment & use self-defeating behaviors to test if those around them will leave 1 Adolescence Conduct Disorder 2 Borderline or BPD 3 Dependent Personality Disorder 4 Obsessive-Compulsive Personality Disorder (OCPD) 5 Antisocial Personality Disorder 6 Schizotypal Personality Disorder 7 Avoidant Personality Disorder 8 Narcissistic Personality Disorder 9 Histrionic Personality Disorder Preoccupied w/ cleanliness, control, perfection, & order thru att. 2 trivia, rules, detail, & procedure. Loyal 2 work, avoid pleasure, seem inflexible Odd personality/belief, lack close relationship, strange thought proces, odd speech, paranoia, distorted belief, paranoid ideation, ideas of reference Need to b taken care of, fear separation, clingy, submissive; extreme dependency in close relationship urgent search 2 find replacement when it ends Arrogance, grandiose views of self-importance, need for constant admiration, & lack of empathy for others; often sensitive to self criticism Persistent disregard y the well-being of others thru charm, manipulation, or violence; exploitation, deceit, failure to accept personal responsibility Dramatic dress, striking makeup, theatrical entrance, & seductive boasting; attuned 2 the moods of others, can't deal w/ their feelings Antisocial, bullying, cruelty 2 animals, stealing, truancy, running away, destruction of property; Families show excess control & coercion before 15 Have feelings of inadequacy, shyness, invisible, & avoid situations of criticism or rejection Chronic emptiness, poor control/inappropriate anger, hx quitting projects, & transient stress paranoia; dichotomous: all good or bad qualities 1 Personality Disorders 2 Schizotypal Personality Disorder 3 Schizoid Personality Disorder 4 Borderline or BPD Cognitive or perceptual distortions & eccentricities of behavior & dress, early adulthood presented in variety of contexts; 3% of pop. more common men Thought 2 arise n those who don't master separation-individualization; heredity, genetic, environment, childhood, & neurologic contribute 2 complexity Cognition, affect, interpersonal functioning, or impulse control -- Early adolescence Early adulthood, present in a variety of contexts, could be a variant of high functioning autism 1 Narcissistic Personality Disorder Nurse Patient relationship 2 Schizoid Personality disorder Nurse patient relationship 3 Dependent Personality Disorder Nurse patient relationship 4 Antisocial Personality Disorder Nurse-patient Relationship 5 Obsessive-Compulsive Personality Disorder (OCPD) Nurse-patient relationship 6 Schizotypal Personality Disorder Nurse-patient relationship 7 Avoidant Personality Disorder Nurse-patient relationship 8 Borderline or BPD Nurse-patient relationship Patient views the nurse as a means to an end; Nurse must be consistent, set limits, team work, maintain boundaries, & consider personal safety Benefits from socializing experiments that are carefully orchestrated; Use realistic feedback & help patient communicate more effectively Limit-setting & consistency to reduce manipulation & entitlement; Group therapy to see how behavior affects others b careful they don't dominate group Provide clear & concise directions & allow pt. 2 adapt & arrange envir.; Educate others y order important to pt. & teach pt. its ok 2 make mistakes Respect, openness, & assertiveness, avoid power struggles, consistency, limit setting, supportive confrontation, & seek time when pt. isn't acting out Set limits on what nurse will do & specify expectations; slowly work on decision making to increase responsibility 4 self; assist w/ managing anxiety Teach: importance of leisure activity & explore interests & its ok 2 make mistakes 2 decrease belief they need 2 b perfect; look @ others view of them Build trust, followed by identification, & appropriate verbal expression of feeling. Slowly involve milieu and groups 1 Schizotypal Personality Disorder Hospitalization 2 Borderline or BPD Hospitalization 3 Schizoid Personality disorder hospitalization 4 Paranoid Personality HospitalizationDisorder When they are in crisis or exhibit self-injurious or suicidal behaviors Not usually hospitalized unless they have another mental disorder Offer support, kindness, and gentle suggestions to help patient become involved with others Behavior out of control in response to a threat perceived as overwhelming or immediate. May be court ordered 1 Etiology Antisocial Personality Disorder 2 Etiology Dependent Personality Disorder 3 Etiology Obsessive-Compulsive Personality Disorder (OCPD) 4 Etiology Avoidant Personality Disorder 5 Etiology Narcissistic Personality Disorder 6 Etiology Paranoid Personality Disorder 7 Etiology Borderline or BPD 8 Etiology Schizotypal Personality Disorder Cold, overprotective parenting styles Genetics & environment, adverse childhood experience, decrease: basal cortisol lvl, cortisol reactivity, serotonin, & oxytocin; Increase: testosterone Increased shyness & avoidant behavior during adolescence; Social phobia Psychosocial theory: culture based; Parent:child shouldn't exhibit some autonomous behavior, child:disapproval & loss of attachment conseq. 4 indepent Unknown, most common of the odd & eccentric group Family expected child to be perfect & follow rules w/ frequent punishment. Lil. warmth/praise. Parent-child problems w/ autonomy, control, & authority Growing up in a chaotic & violent family, infidelity, legal problems, imprisonment, & hx of sexual abuse; early trauma & stress alter brain function controlling, abusive, sadistic, or cruel parent. Child learns not to trust or ask for help 1 DSM-5 criteria Personality Disorder 2 DSM-5 Schizotypal Personality Disorder 3 DSM-5 Antisocial Personality Disorder 4 DSM-5 Paranoid Personality Disorder 5 DSM-5 Dependent Personality Disorder 6 DSM-5 Narcissistic Personality Disorder 7 DSM-5 Histrionic Personality Disorder 8 DSM-5 Schizoid personality disorder 9 DSM-5 Avoidant Personality Disorder 10 DSM-5 Obsessive-Compulsive Personality Disorder (OCPD) 11 DSM-5 Borderline or BPD Preoccupation w/ order, cleanliness, perfectionism, & mental interpersonal control, @ expense of flexibility, openness & efficiency, early adult A pervasive pattern of excessive emotionally & attention seeking, early adulthood & present in variety of contexts Pervasive need 2 b taken care of that leads to submissive & clinging behavior & fear of separation; early adulthood & present in variety of contexts Pervasive pattern of detachment from social relationships and a restricted range of expression of emotions, in interpersonal setting A pervasive pattern of social inhibition, feelings of inadequacy, & hypersensitivity to negative evaluation, early adulthood Pervasive distrust & suspicious of others based on unfounded beliefs others want to harm, exploit, or deceive; Early adulthood, variety of contexts Disturbances in 2 of the following areas: cognition, affect, interpersonal functioning, & impulse control pervasive pattern of social & interpersonal deficits marked by acute discomfort w/ & reduced capacity for close relationships Pervasive pattern of instability of interpersonal relationships, self-image, & affects & marked impulsivity, early adulthood & in variety of context Pervasive pattern of grandiosity, need for admiration, & lack of empathy, beginning early adulthood & present in variety of contexts A Pervasive pattern of disregard for & violation of rights of others, occurring since age 15 but can't be diagnosed until 18
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