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