Relier Pairs Personality DisordersVersion en ligne Psych Unit 4 par Kristie Borgheiinck 1 Narcissistic Personality Disorder 2 Histrionic Personality Disorder 3 Personality Disorder 4 Schizotypal Personality Disorder 5 Personality Disorder defense mechanisms 6 Schizoid Personality Disorder 7 Paranoid Personality Disorder 8 Borderline or BPD 9 Antisocial Personality Disorder 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 Grandiosity based on reality, but distorted, embellished, or convoluted; Vulnerability when faced with disappointments & threat to positive self-image 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 Unstable interpersonal relationships & self-image, as well as splitting behaviors, impulsivity, suicidal behavior, substance abuse, self-mutilation Quick relationships that lack genuine intimacy. Easily influenced & have difficulty making decisions when challenged & can b easily dependent on other emotional detachment, disinterest in close relationships, & indifference to praise or criticism; uncooperative 1 Narcissistic Personality Disorder 2 Obsessive-Compulsive Personality Disorder (OCPD) 3 Avoidant Personality Disorder 4 Schizoid Personality disorder 5 Antisocial Personality Disorder 6 Schizotypal Personality Disorder 7 Histrionic Personality Disorder 8 Borderline or BPD 9 Personality disorder 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 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 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 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 Increased interpersonal antagonism and low agreeableness; Consistent reinforcement from others need to boost self-esteem Lack of empathy, repeated unlawful actions, sense of entitlement, manipulative, impulsive, seductive, non-adherence to trad. morals & values, charming 1 Avoidant Personality Disorder 2 Obsessive-Compulsive Personality Disorder (OCPD) 3 Schizotypal Personality Disorder 4 Dependent Personality Disorder 5 Antisocial Personality Disorder 6 Borderline or BPD 7 Adolescence Conduct Disorder 8 Narcissistic Personality Disorder 9 Histrionic Personality Disorder Dramatic dress, striking makeup, theatrical entrance, & seductive boasting; attuned 2 the moods of others, can't deal w/ their feelings Have feelings of inadequacy, shyness, invisible, & avoid situations of criticism or rejection Antisocial, bullying, cruelty 2 animals, stealing, truancy, running away, destruction of property; Families show excess control & coercion before 15 Odd personality/belief, lack close relationship, strange thought proces, odd speech, paranoia, distorted belief, paranoid ideation, ideas of reference Chronic emptiness, poor control/inappropriate anger, hx quitting projects, & transient stress paranoia; dichotomous: all good or bad qualities Preoccupied w/ cleanliness, control, perfection, & order thru att. 2 trivia, rules, detail, & procedure. Loyal 2 work, avoid pleasure, seem inflexible Need to b taken care of, fear separation, clingy, submissive; extreme dependency in close relationship urgent search 2 find replacement when it ends Persistent disregard y the well-being of others thru charm, manipulation, or violence; exploitation, deceit, failure to accept personal responsibility Arrogance, grandiose views of self-importance, need for constant admiration, & lack of empathy for others; often sensitive to self criticism 1 Personality Disorders 2 Schizotypal Personality Disorder 3 Schizoid Personality Disorder 4 Borderline or BPD Early adulthood, present in a variety of contexts, could be a variant of high functioning autism 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 1 Dependent Personality Disorder Nurse patient relationship 2 Obsessive-Compulsive Personality Disorder (OCPD) Nurse-patient relationship 3 Antisocial Personality Disorder Nurse-patient Relationship 4 Borderline or BPD Nurse-patient relationship 5 Schizoid Personality disorder Nurse patient relationship 6 Schizotypal Personality Disorder Nurse-patient relationship 7 Avoidant Personality Disorder Nurse-patient relationship 8 Narcissistic Personality Disorder Nurse Patient relationship Build trust, followed by identification, & appropriate verbal expression of feeling. Slowly involve milieu and groups Benefits from socializing experiments that are carefully orchestrated; Use realistic feedback & help patient communicate more effectively Patient views the nurse as a means to an end; Nurse must be consistent, set limits, team work, maintain boundaries, & consider personal safety 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 1 Schizoid Personality disorder hospitalization 2 Schizotypal Personality Disorder Hospitalization 3 Borderline or BPD Hospitalization 4 Paranoid Personality HospitalizationDisorder Offer support, kindness, and gentle suggestions to help patient become involved with others 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 1 Etiology Borderline or BPD 2 Etiology Narcissistic Personality Disorder 3 Etiology Schizotypal Personality Disorder 4 Etiology Obsessive-Compulsive Personality Disorder (OCPD) 5 Etiology Antisocial Personality Disorder 6 Etiology Paranoid Personality Disorder 7 Etiology Dependent Personality Disorder 8 Etiology Avoidant 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 Family expected child to be perfect & follow rules w/ frequent punishment. Lil. warmth/praise. Parent-child problems w/ autonomy, control, & authority Unknown, most common of the odd & eccentric group 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 Psychosocial theory: culture based; Parent:child shouldn't exhibit some autonomous behavior, child:disapproval & loss of attachment conseq. 4 indepent 1 DSM-5 Histrionic Personality Disorder 2 DSM-5 Antisocial Personality Disorder 3 DSM-5 Borderline or BPD 4 DSM-5 Schizotypal Personality Disorder 5 DSM-5 Obsessive-Compulsive Personality Disorder (OCPD) 6 DSM-5 Narcissistic Personality Disorder 7 DSM-5 criteria Personality Disorder 8 DSM-5 Avoidant Personality Disorder 9 DSM-5 Schizoid personality disorder 10 DSM-5 Dependent Personality Disorder 11 DSM-5 Paranoid Personality Disorder A pervasive pattern of excessive emotionally & attention seeking, early adulthood & present in variety of contexts 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 need 2 b taken care of that leads to submissive & clinging behavior & fear of separation; 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 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 pattern of grandiosity, need for admiration, & lack of empathy, beginning early adulthood & present in variety of contexts Preoccupation w/ order, cleanliness, perfectionism, & mental interpersonal control, @ expense of flexibility, openness & efficiency, early adult Pervasive pattern of instability of interpersonal relationships, self-image, & affects & marked impulsivity, early adulthood & in variety of context pervasive pattern of social & interpersonal deficits marked by acute discomfort w/ & reduced capacity for close relationships
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