Psych 438 - Wimer - Exam 1 Practice Questions and Correct Answers
3 views 0 purchase
Course
PSYCH 438
Institution
PSYCH 438
Ego-syntonic The person is aware of pathology (OCD, Depression)
Ego-dystonic The person has a distorted perception of reality and lacks self awareness (personality disorders)
What is a personality disorder? Disorders featuring inflexible, long-standing and maladaptive personality traits that caus...
Psych 438 - Wimer - Exam 1 Practice
Questions and Correct Answers
Ego-syntonic ✅The person is aware of pathology (OCD, Depression)
Ego-dystonic ✅The person has a distorted perception of reality and lacks self
awareness (personality disorders)
What is a personality disorder? ✅Disorders featuring inflexible, long-standing and
maladaptive personality traits that causes significant impairments or distress
What do personality disorders cause difficulty with? ✅- rigidity I'm dealing with life's
problems
- defective perceptions of self and others
- extreme variations of normal personality traits (one extreme end of a continuum)
- thoughts
- emotions
- relationships
- impulse control
How difficult is it to treat personality disorders? ✅- Very difficult to treat (if people seek
counseling at all)
- Patients often leave therapy prematurely
What is the lifetime prevalence of personality disorders? ✅- 9-13%
- Account for 5-15% of hospital and outpatient clinic admissions
When do signs of a personality disorder typically begin? ✅- signs begin during
adolescence (as identity is forming)
- sometimes can be traced to childhood trauma
Why do people with personality disorders act the way they do? ✅Because it is the only
way they know how to survive
What is the typical approach to treatment? ✅- different than treating other mental
disorders
- need to account for manipulation
- clients live in a dream world
How to do you account for manipulation? ✅1) call attention to the clients behavior
2) label the underlying power and control tactic
,3) explain why the behavior is: self defeating or socially harmful and indicative of the
identified power and control tactic
4) ask the client if he or she agrees
What do you do if a client disputes your confrontation about manipulation? ✅Drop the
matter and move on
Why are diagnosing PDs difficult? ✅We all exhibit some of the criteria at certain times
in our life
- suspiciousness, compulsiveness, sensitivity to rejection, etc.
- PDs are extreme manifestations of normal personality traits
- everyone "has a PD" to a certain extent - its a continuum
Overlap of the different personality disorders
Insurance companies don't typically like to reimburse PDs (when used as primary Dx)
Formerly on "Axis II"; many PDs also removed from the DSM
What criteria should you consider when diagnosing a PD? ✅Is the person's personality
pattern...
- a cause of the persons current and long term functioning
- consistent and long term
- impairing social or occupational functioning and causing distress
What is General Personality Disorder? ✅A. An in during pattern of inner experience
and behavior that deviates markedly from the expectations of the individuals culture.
This pattern is manifested in 2+ of the following areas:
1) cognition ( ie ways of perceiving and interpreting self, other people and events)
2) affectivity (ie range, intensity, lability & appropriateness of emotional response)
3) interpersonal functioning
4) impulse control
B. Pattern is inflexible & pervasive across a broad range of personal and social
situations
C. Distress/impairment and/or reduced functioning
D. The pattern is stable and of long duration, and it's onset can be traced back to at
least adolescence or early adulthood
What are PDs characterized by? ✅Odd or eccentric behaviors ("Cluter A")
- paranoid, schizotypal, schizoid
Dramatic, emotional or irrational behaviors ("Cluster B")
-antisocial, borderline, histrionic, narcissistic
Anxious or fearful behaviors ("Cluster C")
- avoidant, dependent, OCPD
Is General PD in the DSM-5? ✅Yes, but it isn't an official Dx
- gateway to a more specific Dx
, What is Paranoid PD? ✅Unwarranted suspiciousness, hypersensitivity and an extreme
irrational reluctance to trust others
- aloofness and lack of emotion ("restricted affect")
- rigidity
- preoccupied with unfounded suspicious beliefs that are resistant to change
What is usually observed in clients with Paranoid PS? ✅- predominately males
- engaging in projection (attributing their own suspiciousness to others)
- may have has trust betrayed at an early age
- spying behavior
- may be premorbid before onset of schizophrenia
What is Schizoid PD? ✅Social isolation, emotional coldness, indifference to others
- almost an inability to convey emotion
- sometimes confused with Asperger's Disorder
What is typically observed in patients with Schizoid PD? ✅- robotic
- peculiar and aloof
- predominantly males
- prefer a hermit-like existence
What is a possible origin for Schizoid PD? ✅A cold and emotionally impoverished
childhood lacking in empathy
What is schizotypal PD? ✅Similar to Schizoid PD, but with some psychosis thrown in
- believe they possess magical thinking abilities or special powers
- off spearheaded patterns ("informed word salad")
- problems in thinking and perceiving (tend to think they're fine and everyone else is
screwed up)
What is often observed in patients with Schizotypal PD? ✅- predominately males
- cognitive distortions set this apart from schizoid PD
- less severe version of schizophrenia
Schizoid vs. Schizotypal PD ✅Schizoid:
- neither desires nor enjoys close relationships
- almost always chooses solitary activities
- little to no interest in sex
- takes pleasure in few, if any, activities
- lacks close friends or confidants
- indifferent to praise or criticism
- emotional coldness or flattened affect
Schizotypal:
- discomfort with close relationships combined with cognitive/perceptual distortions
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller twishfrancis. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.49. You're not tied to anything after your purchase.
