Personality Disorders

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Cluster A

covers paranoid, schizoid, and schizotypal personality disorders. perceived as odd and eccentric

Cluster B

covers antisocial, borderline, histrionic, and narcissistic. perceived as dramatic, emotional, erratic.

Cluster C

covers avoidant, dependent, obsessive-compulsive. perceived as anxious or fearful.

Personality Disorders (definition)

involve pervasive and enduring ways of thinking and behaving that cause significant functional impairment or distress to oneself.

What axis does personality disorders fall under?

Axis II

Sample Question:
this week's first client shows a pervasive pattern of grandiosity, need for admiration, and lack of empathy. You diagnose ______ personality disorder, one of the dramatic, emotional or erratic cluster of disorders.
a. narcissistic
b. schizoid
c. avoidant
d. histrionic

A. narcissistic

The DSM uses a categorical approach to persoanlity disorders. this is a problem because:
a. the severity of the disorders is not given much consideration
b. these disorders ma simply be extreme degrees of normal patterns.
c. it may lead clinicians to view these disorders as real entities.
d. all of the above

D. all of the above

A pervasive pattern of social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluations, part of the anxious or fearful disorder cluster.
a. narcissistic
b. schizoid
c. avoidant
d. dependent

C. avoidant

George lives every day on a strict schedule. He must have everything perfect and organized, and is excessively devoted to his work. However, he has difficulty completing projects.
a. paranoid
b. obsessive-compulsive
c. dependent
d. borderline

B. Obsessive-compulsive

Dependent personality disorder and avoidant personality disorder have the following in common:
a. feelings of inadequacy
b. sensitivity to criticism
c. need for reassurance from others
d. all of the above
e. none of the above

E. none of the above

Which is true of avoidant personality disorder?
a. behavioral interventions for anxiety and social skills problems have had some success.
b. as with most personality disorders, research on treatment effectiveness is lacking.
c. treatments are similar to those used for social phobia.
d. both a and c

D. both a and c

The DSM-IV system of diagnosis is ____, whereas, many theorists propose that personality disorders occur on a continuum, rather than an all-or-none dichotomous fashion. These theorists propose changing to a ____ system of diagnosis.
a. dimension based; category based
b. category based; dimension based
c. behavior based; trait based
d. trait based; behavior based

B. category based; dimension based

While personality disorders are fairly common in the general population, several of the individual personality disorder are relatively rare. Which three disorders are found in fewer than 1% of the general population?
a. schizoid, narcissistic, and avoidant
b. schizoid, schizotypal, and avoidant
c. schizoid, narcissistic, and histrionic
d. narcissistic, avoidant, and schizotypal

A. schizoid, narcissistic and avoidant

Which of the following statements is NOT true about borderline personality disorder?
a. it is one of the more common personality disorders.
b. people with the disorder tend to improve during their 30s and 40s.
c. women are affected by the disorder more than men.
d. people with the disorder usually have a high self-image.

D. people with the disorder usually have a high self-image.

Your client displays a schizotypal personality disorder. Because you are a well-trained responsible professional, you know to assess for a likely comorbid disorder, namely
a. histrionic personality disorder
b. major depressive disorder
c. eating disorder
d. sexual disorders

B. major depressive disorder

A person identified as avoidant personality disorder has just lost a close friend to a rival and is now seeking other friendships as replacements. You know the person
a. actually is desperate for nurturance.
b. will assume the worst about other people.
c. will conclude the original relationship person really wasn't good enough anyway.
d. has been misdiagnosed.

D. has been misdiagnosed

Many people have fantasies of unlimited power, brilliance or beauty, but a man who also believes himself grandly unique, entitled to special privileges, is arrogant, and expects to be admired and recognized as superior while envying others who are successful, might find himself with a psychological diagnosis. Which personality disorder would apply?
a. the one named for the Greek word for "uterus"
b. borderline personality disorder
c. the one named for the mythological Greek character Narcissus
d. schizotypal personality disorder

C. the one named for the mythological Greek character Narcissus....narcissistic

Which of the following behaviors are associated with antisocial personality disorder EXCEPT
a. lying
b. fire-setting
c. destruction of property
d. abusing animals
e. none of the above

E. none of the above

A likely comorbid disorder of schizotypal personality disorder is paranoid personality disorder.
True/ False

true

One accepted approach to the treatment of schizotypal personality disorder is the use of tranquilizers.
True/False

false

It is more difficult to identify and study psychopaths with high intelligence than those with low intelligence.
True/False

True

Antisocial personality disorder and childhood conduct disorder are both associated with illegal drug involvement and other criminal activities.
True/False

true

Individuals with paranoid personality disorder often do not remain in treatment long enough to get much help with their disorder.
True/False

true

Pervasive dependency is the predominant criterion for the schizotypal personality disorder diagnosis.
True/False

false

A person who is diagnosed with borderline personality disorder is more likely to be male than female.
True/False

false

Adults with avoidant personality disorder were likely avoiding relationships even in childhood and adolescence.
True/False

True

Homelessness appears to be prevalent among individuals with schizoid personality disorder.
True/False

true

brief description of antisocial disorder

display noncompliance with social norms; irresponsible, impulsive, and deceitful behaviors

brief description of histrionic personality disorder

overly dramatic as if acting

brief description of dependent personality disorder

extreme reliance on others and unreasonable fear of abandonment

brief description of avoidant personality disorder

hypersensitive to others' opinions, and low self-esteem

brief description of paranoid personality disorder

excessively mistrustful and suspicious disorder of other people

brief description of schizoid personality disorder

detached from personal relationships and limited emotions in personal situations

brief description of narcissistic personality disorder

unreasonable sense of self-importance and lack of empathy for others.

brief description of borderline personality disorder

instability of interpersonal relationships and marked impulsive

brief description of schizotypal personality disorder

socially isolated and having "odd" beliefs

brief description of obsessive-compulsive personality disorder

fixation on doing things the right way

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