Professional Documents
Culture Documents
Personality Disorders Chart
Personality Disorders Chart
5% Defenses Treatment:
Weird quick to take offense, Etiology: shame- (unconscious): supportive
Accusatory, aloof, Usually socially inducing experiences/ M/C defense is psychotherapy/
awkward isolated, Avoid modeling of mistrust, projection think occasionally meds:
cold, withdrawn, intimacy, read perceived/actual paranoia, think low dose anti-
irrational unintended meanings experiences of projection psychotics these are
into benign actions, mistreatment Projection attributes used off-label when
cold, calculating, to another person the have no axis I dx (pts
guarded, Harbor thoughts/feelings of w/axis II conditions
resentment for a long ones own that are will usually have an
time, Rarely seek unacceptable its axis I condition also)
treatment not my fault, its
yours. Everyone is Approach in medical
doing this to me. setting
prejudice - Trust is primary
Splitting unable to concern
see everyone as - Explain all tests,
humans w/ bad and treatment
good qualities - Attitude of
youre either with me seriousness, respect
or against me bad
half or good half
Schizoidseclusive, Prevalence: 0.5 1% CASES: fine with life, Usually dont seek tx: TQ
egocentonic, very family seeks tx, no CASE
satisfied with lonely (vs AVOIDANT which meds, in cluster A,
existence, Very wants relationships) doesn t req quick Treatment: supportive
indifferent to society intervention, not psychotherapy (meds
and others, restricted schitzophrenia arent indicated)
emotional range and precursor
affect, Life-long Approach in medical
loners, Very cold, setting
eluded, detached, Respect emotional
Little interest in sex, distance
No close Offer reassurance
friends/confidants,
non-competitive jobs
(book keeper,
librarian, something
w/o people
interaction)
Schizotypal--odd, Present in higher Defenses: denial, Treatment:
eccentric thoughts, rates in families with distortion, projection, supportive, reality-
Telepathy, Constricted schizophrenia schizoid fantasy (note based therapy
inappropriate affect; their immaturity) - Low dose anti-
Ideal of reference Prevalence: 3% psychotic medication
see people talking, Thought to be a CASES: reads minds, 2nd generation
think they are talking partial expression of odd behavior, no
about them (thought schizophrenia (usually suicide, no Approach in medical
content); lack auditory/vis hallucinations (would setting
Magical thinking-- hallucinations) or be schitzophrenia) - Statements
precursor of should not be overly
Differs from schizoid/ schizophrenia Family history, not emotional
paranoid : cognitive criteria to force - Make allowances
distortions/oddness Some progress to admit, Prognosis not for peculiarities
schizophrenia but good, meds can help, - Allow dignity,
dont have is a precursor to privacy, support
hallucinations schitzophrenia
Defense Mechs
Acting Out Avoiding painful feelings Mother dies, so girl starts Immature
by behaving in an having sex,
attention-getting socially
inappropriate manner
Sublimation Unselfishly assisting
others to avoid negative
feelings
Altruism
Dissociation Separation of function of Woman forgets dressing woman sexually abused
mental illnesses; up and spending money as a child has two
mentally separating part distinct personalities in
of consciousness from adulthood
reality; forgetting
"events have occurred
Projection Attributing ones own A man who has sexual Paranoid delusions Normal in childhood: the
personally unacceptable feelings for his brothers and hallucinations. imaginary playmate
feelings to others wife begins to believe
that his own wife is
Ideal of reference cheating on him.
Splitting Believing people or Pt sees night and day Borderline Personality
events are either all bad staff as good and bad; Disorder, paranoid also
or all good because of doctor is goo until very
intolerance of ambiguity bad b/c late
Intellectualization-- Using the minds higher A physician with a
immature functions to avoid diagnosis of pancreatic
experiencing cancer excessively
uncomfortable emotions discusses the statistics
of the illness with his
colleagues and family.
Somatization Turning an unacceptable
feeling or impulse into a
physical symptom
Pain Disorder
Hypochondriasis Stressors cause S/s, then DSM4-- >6mos; older GOOD prognosis- acute Management: tx
wont believe no organic pts., frequently onset, absence of psychiatric condition,
cause, wants second associated with some life personality d/o, schedule regular appts,
opinion, stressor increased S/E status, no only base evidence on
secondary gain; Good to clinical findings, group
EQUAL male and female maintain good physician therapy, SSRI
ratio; contact; workup based
on CLINICAL findings, not
subjective complaints;
use group tx or SSRIs
Body Dysmorphic Unconscious mechanism High prevalence of major
Disorder with unconscious depression with this d/o
motivation (7-9% of pts who get
plastic sx have BD d/o)
May benefit from SSRI
Pemizide old Rx that is
used. SSRI may help.
May do well with group
and cognitive threapy
Malingering or Factitious Adding blood to urine on Not sure if she is getting If shes had
disorder UA, nurse, secondary gain not sure bereavement, then
about malingering. factitious, not
malingering
Munchhausen by proxy, conscious mechanism Good prognosis after
child abuse with an unconscious confrontation
motivation