!
Defense Mechanisms:!
someone else.!
‣ Projective identification builds upon projection and occurs within a relationship!
!
Symptoms seen personality disorders !
• Suspiciousness !
• Mistrust !
• Unforgiving !
• Aggressive outburst!
• Secretive!
• See others motives as threatening or intend to do harm!
• Pervasive !
• Suspect that others are exploiting and deceiving them!
• Reluctance to confide in others for fear the information might be use against them!
• Unable to forgive insults!
• Recurrent suspicious without justification about the infidelity of a spouse or partner!
• With unjustifiable doubts about the trustworthiness of others !
• odd speech!
• strange!
• peculiar appearance and speech!
• Odd!
• Eccentric !
• Odd thinking and belief!
• Magical thinking and rituals!
• Ideas of reference!
• Unusual perceptual experience !
• Inappropriate affect!
• Lack of friends!
• Suspicious of others and eventually to develop paranoid thinking
• In ability to develop and maintain relationship with other people!
• Lack the desire or the willingness to become involved in close relationships!
• Loner !
• Emotionally cold and distant!
• Absorbed in own thoughts and feelings!
• Take pleasure in few things!
, • They appear indifferent praise or criticism !
• Choose solitary activities!
• Lack of friends!
• Have little desire for close relationships or sexual experience with another!
Nurse Management for Cluster A PDs:
!
• Cluster B includes: dramatic, emotional, or erratic ex:
‣ Antisocial personality disorders: blame other for problem, no remorse for their
actions or hurting others
• Diagnosis can only made in people 18yrs or older but it is seen in children with
conduct disorder.
• More common in males
• Psychopath or sociopath !
• No remorse or guilt!
• Belligerent!
• Violates the right of others !
• Ignore rules (illegal action) or lack respect for the law!
• Charming—manipulative !
• Lying, deception and conning of others for profit or pleasure!
• Irresponsible !
• Reckless disregard for the safety of others!
• Physical aggressiveness!
• Failure to honor work or financial commitment (drunk driving)!
• Impulsive and fail to plan ahead!
• High number of criminal arrests!
‣ Borderline personality disorders:
• Unstable in mood!
• Unstable self image!
• Marked impulsivity!
• Self mutilate= suicidal behavior !
• Rapid shifts from being adoring and idealizing to devaluing and cruel punishment!
• Identity disturbance (unstable sense of self)!
• Seek relationship to avoid chronic feeling of emptiness !
• Frantic effort to avoid real or imagined abandonment !
• Inappropriate intense anger or difficulty controlling anger!
• impulsive behaviors!
• Dissociation!
‣ historic personality disorder:
Defense Mechanisms:!
someone else.!
‣ Projective identification builds upon projection and occurs within a relationship!
!
Symptoms seen personality disorders !
• Suspiciousness !
• Mistrust !
• Unforgiving !
• Aggressive outburst!
• Secretive!
• See others motives as threatening or intend to do harm!
• Pervasive !
• Suspect that others are exploiting and deceiving them!
• Reluctance to confide in others for fear the information might be use against them!
• Unable to forgive insults!
• Recurrent suspicious without justification about the infidelity of a spouse or partner!
• With unjustifiable doubts about the trustworthiness of others !
• odd speech!
• strange!
• peculiar appearance and speech!
• Odd!
• Eccentric !
• Odd thinking and belief!
• Magical thinking and rituals!
• Ideas of reference!
• Unusual perceptual experience !
• Inappropriate affect!
• Lack of friends!
• Suspicious of others and eventually to develop paranoid thinking
• In ability to develop and maintain relationship with other people!
• Lack the desire or the willingness to become involved in close relationships!
• Loner !
• Emotionally cold and distant!
• Absorbed in own thoughts and feelings!
• Take pleasure in few things!
, • They appear indifferent praise or criticism !
• Choose solitary activities!
• Lack of friends!
• Have little desire for close relationships or sexual experience with another!
Nurse Management for Cluster A PDs:
!
• Cluster B includes: dramatic, emotional, or erratic ex:
‣ Antisocial personality disorders: blame other for problem, no remorse for their
actions or hurting others
• Diagnosis can only made in people 18yrs or older but it is seen in children with
conduct disorder.
• More common in males
• Psychopath or sociopath !
• No remorse or guilt!
• Belligerent!
• Violates the right of others !
• Ignore rules (illegal action) or lack respect for the law!
• Charming—manipulative !
• Lying, deception and conning of others for profit or pleasure!
• Irresponsible !
• Reckless disregard for the safety of others!
• Physical aggressiveness!
• Failure to honor work or financial commitment (drunk driving)!
• Impulsive and fail to plan ahead!
• High number of criminal arrests!
‣ Borderline personality disorders:
• Unstable in mood!
• Unstable self image!
• Marked impulsivity!
• Self mutilate= suicidal behavior !
• Rapid shifts from being adoring and idealizing to devaluing and cruel punishment!
• Identity disturbance (unstable sense of self)!
• Seek relationship to avoid chronic feeling of emptiness !
• Frantic effort to avoid real or imagined abandonment !
• Inappropriate intense anger or difficulty controlling anger!
• impulsive behaviors!
• Dissociation!
‣ historic personality disorder:
