personality d/o

Question 1

Thomas and Chess describe the traits that stylistically shape our behaviors, “ how “

Answer 1

temperamanet

why- mkotivation

what- content

Question 2

what are the 4 dimension of temperament and corresponding basic emotions and neuromodulator

Answer 2

Harm avoidance/ fear - Gaba and serotonin
Novelty seeking/ anger - dopamine
Reward dependece/ attachment - NE and serotonin
Persistence/ ambition - Glumatamte and serotonun

Temperaments

• heritable
• observable in early childhood
• relatovely stable over time
• moderately predictive of adolsecent and adult behavior
• consistent in different cultures, ethinic groups, political systems

Question 3

match the cprresponding peroslanity d/o with defense mechanism

paranoid
borderline
OCD
Histrionic

Answer 3

paranoid- projection
borderline - splitting , dissociation, hypochondriasis
OCPD - isolation
Histrionic - dissociation

hypochondriases- borderline, passive-aggressive, dependent

Question 4

T or F
introverted patients have saccadic eye movts
low testerone for impulsive
high MAO levels schizotypal
slow wave EEG in antisocial/ borderline
high 5HIAA suicidal, impulsive and aggressive

Answer 4

introverted patients have saccadic eye movts - true , low self esteem and schizotypal

low testerone for impulsive - False, high

high MAO levels schizotypal - - low MAO plt

slow wave EEG in antisocial/ borderline - TRUE

high 5HIAA suicidal, impulsive and aggressive- False, low,metabolite of serotinin

Question 5

T or F

BPD can have psychotic like symptoms ?

Answer 5

True

hallucinations, ideas of reference, body image distortions, dissociative states when distressed

Question 6

possible gender biases in dx personality
males
females

Answer 6

males- antisocial/ schizoid

female - dependent, histrionic, borderline

Question 7

according to… borderline px have ego weakness: lack of impulse control and anxiety intolerance

Answer 7

Otto kernberg

Question 8

personality d/o that is frequently diagnosed in females with fragile X

Answer 8

Schizotypal

Question 9

Briquet syndrome

Answer 9

a.k.a. somatization d/o

somatization d/o associated with histrionic PD

Question 10

Cluster B are assoc with
Antisocial
Borderline

Answer 10

Antisocial - alcohol use
Borderline - depression
Histrionic- somatization

Question 11

OCPD changes in sleeps studies and dexa test

Answer 11

shorthened REM latency period

abn dexamethasone suppression test

Question 12

coine the term character armor

Answer 12

Wilhelm Reich

Charcter armor- defensive styles to protect from internal impulses and interpesonal anxiety

Question 13

antipsychotic that can be useful in paranoid pxs?

Answer 13

Papi

Paranoid= pimozide

Question 14

Diffe between conduct and antisocial PD

Answer 14

Conduct d/o- 3 or more out of 15 , present for 12mos, atleats 1 symp should be present for the last 6mos.
Agression to animals/ people
destruction of property
Deceitcfulness/ theft - ( same with Antisocial with decietfulness)
Serious violation of rules - staying overnight even with inhibition- before 13y/o, atkeast 2 occasions , truant from school before 13

specifier- childhood onset- before 10, adols >10
with limited prosocial emotions - 12 mos :
lack of remorse/ guilt
lack of empathy/ callous
unconcerned about performance
limited affect

Antisocial PD- made when px s age is 18y/o. But hx will tell you, that symptoms starts at 15y/o. 3 out of 7