NUR 410 Personality Disorders NOTES
Antisocial Personality Disorder
Dramatic, Emotional, Erratic
Cluster B Correct Answers o Pervasive pattern of disregard for
&violation of the rights of others occurring since age 15
o As indicated by 3 or more of the following:
Failure to conform to social norms to lawful behavior as
indicated by repeatedly performing acts that are GROUNDS
FOR ARREST DECEITFULNESS as indicated by repeatedly
lying, using, aliases or conning others for personal profit or
pleasure
IMPULSIVITY or failure to plan ahead
Irritability & aggressiveness as indicated by repeated PYSICAL
FIGHTS OR ASSULTS
Reckless disregard for safety of others/self
Consistent irresponsibility as indicated by repeated failure to
sustain consistent work behavior or honor financial obligations
LACK OF REMORSE as indicated by being indifferent to or
rationalizing, having hurt, mistreated, or stolen from another
o The individual is at least 18
o There is evidence of conduct disorder w/ onset before the age
of 15
Avoidant PD additional info Correct Answers • Extreme
sensitivity to rejection
• May have been timid in temperament in infancy & childhood
Avoidant Personality Disorder
Anxious or Fearful
,Cluster C Correct Answers o A pervasive pattern of social
inhibition, feelings of inadequacy, & hypersensitivity to
negative evaluation
o Beginning by early adulthood & present in a variety of
contexts indicated by 4 or more of the following:
Avoids occupational activities that involve significant
interpersonal contact, bc of FEARS OR CRITICISM,
DISAPPROVAL OR REJECTION.
Is unwilling to get involved with people unless certain of being
liked
Shows restraint w/in intimate relationships bc of fear of being
shamed or ridiculed
Is PREOCCUPIED W/BEING CRITICIZED or rejected in
social situations
Views self as SOCIALLY INEPT, personally unappealing or
inferior to others
Is unusually RELUCTANT TO TAKE PERSONAL RISKS or
to engage in any new activities bc they may prove embarrassing
Borderline PD info Correct Answers MOST well-known
disorder
MOST MANIPULATIVE & DISRUPTIVE
LABILE
• Severe impairments in functioning & high mortality rate &
extensive utilization of the health care system
• Co-occurring mood, anxiety or substance disorders complicate
the Rx & prognosis
DEFENSE MECHANISM:
SPLITTING
, Borderline Personality Disorder
Dramatic, Emotional, Erratic
Cluster B Correct Answers o A pervasive patter of instability
of interpersonal relationships, self-image, & affects & marked
impulsivity beginning in early adulthood
o Presents in a variety of contexts as indicated by 5 or more of
the following
Frantic efforts to avoid real or IMAGINED ABANDONMENT
Don't include suicide or self-mutilating behavior
A pattern of unstable & intense interpersonal relationships
characterized by alternating between extremes of
IDEALIZATION & DEVALUATION Identity disturbances:
markedly & persistently unstable self-image or sense of self -"I
don't understand myself very well."
Impulsivity in at least 2 areas that are potentially self-damaging
Spending, sex, substance abuse, reckless driving, binge eating
Don't include suicide or self-mutilating
RECURRENT SUICIDAL BEHAVIOR, GESTURES, OR
THREATS-MUTILATING OF SELF
Affective instability due to a marked reactivity of mood
Intense episodic dysphoria, irritability, anxiety
Usually lasting a few hours, rarely more than a few days
Chronic feelings of emptiness
Inappropriate INTENSE ANGER or difficulty controlling anger
Frequent displays of temper, constant anger, recurrent physical
fights
Transient stress-related paranoid ideation or sever dissociative
symptoms
Cherie is brought to the ER after slashing her wrist with a razor.
She has previously been in the ER for overdose and a hx of
Antisocial Personality Disorder
Dramatic, Emotional, Erratic
Cluster B Correct Answers o Pervasive pattern of disregard for
&violation of the rights of others occurring since age 15
o As indicated by 3 or more of the following:
Failure to conform to social norms to lawful behavior as
indicated by repeatedly performing acts that are GROUNDS
FOR ARREST DECEITFULNESS as indicated by repeatedly
lying, using, aliases or conning others for personal profit or
pleasure
IMPULSIVITY or failure to plan ahead
Irritability & aggressiveness as indicated by repeated PYSICAL
FIGHTS OR ASSULTS
Reckless disregard for safety of others/self
Consistent irresponsibility as indicated by repeated failure to
sustain consistent work behavior or honor financial obligations
LACK OF REMORSE as indicated by being indifferent to or
rationalizing, having hurt, mistreated, or stolen from another
o The individual is at least 18
o There is evidence of conduct disorder w/ onset before the age
of 15
Avoidant PD additional info Correct Answers • Extreme
sensitivity to rejection
• May have been timid in temperament in infancy & childhood
Avoidant Personality Disorder
Anxious or Fearful
,Cluster C Correct Answers o A pervasive pattern of social
inhibition, feelings of inadequacy, & hypersensitivity to
negative evaluation
o Beginning by early adulthood & present in a variety of
contexts indicated by 4 or more of the following:
Avoids occupational activities that involve significant
interpersonal contact, bc of FEARS OR CRITICISM,
DISAPPROVAL OR REJECTION.
Is unwilling to get involved with people unless certain of being
liked
Shows restraint w/in intimate relationships bc of fear of being
shamed or ridiculed
Is PREOCCUPIED W/BEING CRITICIZED or rejected in
social situations
Views self as SOCIALLY INEPT, personally unappealing or
inferior to others
Is unusually RELUCTANT TO TAKE PERSONAL RISKS or
to engage in any new activities bc they may prove embarrassing
Borderline PD info Correct Answers MOST well-known
disorder
MOST MANIPULATIVE & DISRUPTIVE
LABILE
• Severe impairments in functioning & high mortality rate &
extensive utilization of the health care system
• Co-occurring mood, anxiety or substance disorders complicate
the Rx & prognosis
DEFENSE MECHANISM:
SPLITTING
, Borderline Personality Disorder
Dramatic, Emotional, Erratic
Cluster B Correct Answers o A pervasive patter of instability
of interpersonal relationships, self-image, & affects & marked
impulsivity beginning in early adulthood
o Presents in a variety of contexts as indicated by 5 or more of
the following
Frantic efforts to avoid real or IMAGINED ABANDONMENT
Don't include suicide or self-mutilating behavior
A pattern of unstable & intense interpersonal relationships
characterized by alternating between extremes of
IDEALIZATION & DEVALUATION Identity disturbances:
markedly & persistently unstable self-image or sense of self -"I
don't understand myself very well."
Impulsivity in at least 2 areas that are potentially self-damaging
Spending, sex, substance abuse, reckless driving, binge eating
Don't include suicide or self-mutilating
RECURRENT SUICIDAL BEHAVIOR, GESTURES, OR
THREATS-MUTILATING OF SELF
Affective instability due to a marked reactivity of mood
Intense episodic dysphoria, irritability, anxiety
Usually lasting a few hours, rarely more than a few days
Chronic feelings of emptiness
Inappropriate INTENSE ANGER or difficulty controlling anger
Frequent displays of temper, constant anger, recurrent physical
fights
Transient stress-related paranoid ideation or sever dissociative
symptoms
Cherie is brought to the ER after slashing her wrist with a razor.
She has previously been in the ER for overdose and a hx of
