Cluster B Personality Disorders

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Questions and Answers

Which of the following best describes the estimated prevalence of Histrionic Personality Disorder in the general population?

a. 2% to 5%

c. Less than 1%

d. Over 5%

b. 1% to 2% (correct)

What is a key feature of Histrionic Personality Disorder in terms of emotional expression?

a. Emotionally reserved and stoic

c. Highly empathetic and deep emotional connections

b. Excessive, shallow, and rapidly shifting emotionality (correct)

d. Complete emotional detachment

What kind of behavior is commonly associated with individuals with Histrionic Personality Disorder when it comes to seeking attention?

b. They have no desire to be the center of attention

d. They are indifferent to attention from others

c. They engage in attention-seeking behavior (correct)

a. They prefer to remain in the background

Which of the following best describes the style of speech often observed in individuals with Histrionic Personality Disorder?

c. Impressionistic and theatrical, lacking in detail Signup and view all the answers

What is the primary focus of individuals with Histrionic Personality Disorder when it comes to drawing attention?

c. Being the center of attention Signup and view all the answers

How might individuals with Histrionic Personality Disorder typically present themselves to others?

c. Flirtatious, provocative, and dramatic Signup and view all the answers

Which of the following best describes the estimated prevalence of Narcissistic Personality Disorder in the general population?

b. Less than 1% to 6.2% Signup and view all the answers

What is a key feature of Narcissistic Personality Disorder related to self-perception?

c. An inflated sense of self-importance Signup and view all the answers

What is the primary motivation for individuals with Narcissistic Personality Disorder to engage in their grandiose behavior?

b. A desire to be admired by others Signup and view all the answers

Which of the following best describes how individuals with Narcissistic Personality Disorder typically view their entitlement to special treatment?

d. They believe they are owed special treatment and consideration Signup and view all the answers

What is a common characteristic of individuals with Narcissistic Personality Disorder when it comes to their empathy for others?

b. A tendency to exploit others with little empathy for others Signup and view all the answers

What is a key feature of Narcissistic Personality Disorder concerning their response to criticism?

c. They have a fragile self-esteem and are often sensitive to criticism Signup and view all the answers

Which emotion is commonly experienced by individuals with Narcissistic Personality Disorder in relation to others?

Envy towards others and believe that others are envious of them. Signup and view all the answers

Which answers describes the pervasive pattern of grandiosity observed in individuals with Narcissistic Personality Disorder?

Inflated sense of self-importance Signup and view all the answers

When was the term 'moral insanity' coined to describe presentations that align with Antisocial Personality Disorder?

19th century Signup and view all the answers

Which of the following best describes the estimated prevalence of Antisocial Personality Disorder in the general population?

0.2% to 3% Signup and view all the answers

What is a key feature of Antisocial Personality Disorder related to the individual's attitude toward the rights and welfare of others?

Lack of concern for the rights and welfare of others Signup and view all the answers

What is a common characteristic of individuals with Antisocial Personality Disorder concerning others' rights and welfare?

Willingness to violate others' rights and welfare Signup and view all the answers

Which behavior is often observed in individuals with Antisocial Personality Disorder concerning their obligations?

b. Irresponsibility and failure to honor obligations Signup and view all the answers

What emotional traits are commonly associated with individuals with Antisocial Personality Disorder, leading to impulsive and aggressive behavior?

c. Impulsivity, irritability and aggressive behaviour Signup and view all the answers

How do individuals with Antisocial Personality Disorder typically regard the safety of themselves and others?

b. They have a reckless disregard for safety for self and others Signup and view all the answers

Which of the following best describes the behavior of individuals with Antisocial Personality Disorder in relation to those they have harmed?

b. Lack of remorse or empathy for those they have harmed Signup and view all the answers

What behavior is often observed in individuals with Antisocial Personality Disorder concerning their deceit?

a. A pattern of deceitfulness Signup and view all the answers

What is a key aspect of the pattern of deceitfulness in individuals with Antisocial Personality Disorder?

c. A tendency to lie, use aliases, and con others for profit or fun Signup and view all the answers

Which of the following is a common characteristic of individuals with Antisocial Personality Disorder in relation to their compliance with social norms and rules?

b. Failure to comply with social norms and rules Signup and view all the answers

What is a crucial criterion for the diagnosis of Antisocial Personality Disorder?

b. Onset of Conduct Disorder before age 15 Signup and view all the answers

What is one key difference between Antisocial Personality Disorder (ASPD) and psychopathy?

a. They overlap, psychopathy focuses more on personality traits and less on observable behaviour Signup and view all the answers

Who are the two main researchers associated with the construct of psychopathy?

Robert Hare and Hervey Cleckley Signup and view all the answers

Why was the concept of psychopathy introduced as a separate construct from ASPD?

To increase the validity of the diagnosis Signup and view all the answers

What outcome is psychopathy, as measured by the PCL-R, known to predict among an imprisoned population?

Higher levels of recidivism especially for violent and/or sexual offenses Signup and view all the answers

Which of the following is a reason for the decreased validity of the DSM diagnosis of Antisocial Personality Disorder compared to the original description?

b. The DSM diagnosis focuses too much on criminality. Signup and view all the answers

What is the primary outcome associated with psychopathy, as measured by the PCL-R, in terms of participation in treatment programs?

b. Lower levels of participation and fewer improvements Signup and view all the answers

Which gender is more commonly affected by Antisocial Personality Disorder (ASPD)?

b. Males Signup and view all the answers

According to family, twin, and adoption studies, what do they suggest about the development of Antisocial Personality Disorder and criminality?

These studies point to a genetic role in the development of ASPD and criminality. Signup and view all the answers

What is the primary assumption of the Underarousal Hypothesis in relation to psychopaths?

Psychopaths have reduced levels of cortical arousal. Signup and view all the answers

Based on reduced cortical arousal, why do psychopaths engage in risky behaviors?

They seek environmental stimulation do increase arousal levels. Signup and view all the answers

Which of the following is supported by empirical evidence for the Underarousal Hypothesis?

Some studies have found higher physiological arousal in individuals who later became criminals. Signup and view all the answers

According to the Fearlessness Hypothesis, what characterizes the fear thresholds of psychopaths?

They have higher fear thresholds, requiring more to scare them. Signup and view all the answers

How does the Fearlessness Hypothesis relate to the development of Antisocial Personality Disorder?

Lack of context-appropriate fear is linked to the development of ASPD. Signup and view all the answers

Which of the following is true about the role of parenting styles in the development of Antisocial Personality Disorder (ASPD)?

b. Parenting styles, especially inconsistent discipline, can contribute to the development of ASPD. Signup and view all the answers

Which type of conditioning paradigms are mentioned as contributing to the development of ASPD?

b. Operant conditioning Signup and view all the answers

What did Cadoret et al. find in their study of adopted children regarding the risk of conduct disorder?

c. The risk of conduct disorder increased if biological parents had a history of ASPD, and there was chronic stress in the adoptive home. Signup and view all the answers

Individuals with Antisocial Personality Disorder (ASPD) are unlikely to seek treatment primarily because

They do not perceive themselves as having a problem Signup and view all the answers

What behavior might individuals with ASPD display during treatment, making it challenging to work with them?

Manipulative and dishonest behavior Signup and view all the answers

What tends to happen to criminal behavior among individuals with ASPD as they age, according to the provided information?

Criminal behavior tends to decline spontaneously with age for unknown reasons Signup and view all the answers

Which type of interventions offer some hope in the treatment of Antisocial Personality Disorder?

c. Early behavioral interventions Signup and view all the answers

What is the estimated prevalence of Borderline Personality Disorder in the general population?

b. 1.6% to 5.9% Signup and view all the answers

Which of the following is a key feature of Borderline Personality Disorder related to relationships?

b. Unstable and intense relationships with alternating idealization and devaluation Signup and view all the answers

Which of the following is a characteristic of individuals with Borderline Personality Disorder?

Alternating severe despair, irritability, or anxiety Signup and view all the answers

What is one of the frantic attempts made by individuals with Borderline Personality Disorder?

Frantic attempts to avoid real or imagined abandonment Signup and view all the answers

What is one characteristic of self-image and identity in individuals with Borderline Personality Disorder?

Unstable self-image and a poor sense of identity Signup and view all the answers

Which of the following is a common impulsive behavior exhibited by individuals with Borderline Personality Disorder?

Behaviors that are self-damaging or risky, such as overspending and risky sexual behavior Signup and view all the answers

What is considered a hallmark of Borderline Personality Disorder?

Recurrent suicidal behaviors and self-mutilation Signup and view all the answers

What is one of the difficulties individuals with Borderline Personality Disorder face in managing their emotions?

Difficulty managing anger is a key feature of the disorder Signup and view all the answers

Which chronic emotional experiences are commonly associated with Borderline Personality Disorder?

Chronic feelings of emptiness and boredom Signup and view all the answers

What is the approximate gender distribution of Borderline Personality Disorder?

More common among women (75% of cases) Signup and view all the answers

What is suggested regarding the heritability of temperament in individuals with Borderline Personality Disorder (BPD)?

Some heritability of temperament, such as impulsivity or irritability, is implied. Signup and view all the answers

Which factors contribute to the development of Borderline Personality Disorder (BPD)?

b. Psychosocial and environmental factors. Signup and view all the answers

What is the suggested link between early emotional trauma and BPD?

c. Early emotional trauma is a significant contributing factor to BPD. Signup and view all the answers

What can be concluded about individuals with a history of abuse and BPD?

b. Not all individuals with BPD have a history of abuse. Signup and view all the answers

Which of the following is NOT a common comorbid condition in individuals with BPD?

d. Schizophrenia Signup and view all the answers

What is the primary purpose of using medication in the treatment of BPD?

b. To address mood symptoms, such as depression, within BPD Signup and view all the answers

Which therapeutic approaches are used in the treatment of BPD?

a. Cognitive-behavioral therapy and Dialectical Behavioral Therapy Signup and view all the answers

Which therapeutic approach combines cognitive and behavioral therapies with mindfulness practices and emphasizes acceptance and validation of thoughts, emotions, and behavior in the treatment of BPD?

c. Dialectical Behavioral Therapy Signup and view all the answers

What initial improvements have been associated with the use of Dialectical Behavioral Therapy (DBT) in individuals with BPD?

d. Fewer suicidal thoughts and less anger Signup and view all the answers

What can be said about the clarity of diagnosing personality disorders (PD)?

b. Diagnosing PD is more challenging than it may appear. Signup and view all the answers

Which of the following is one of the significant challenges in diagnosing personality disorders?

The presence of substantial overlap and comorbidity Signup and view all the answers

Study Notes

Histrionic Personality Disorder

The estimated prevalence of Histrionic Personality Disorder in the general population is around 1.8-3.5%.
Key feature: emotional expression is shallow and exaggerated to attract attention.
People with HPD often engage in dramatic, attention-seeking behavior, and their style of speech is often impressionistic and lacking in detail.
Their primary focus is on drawing attention to themselves, and they often present themselves as charming and seductive.

Narcissistic Personality Disorder

The estimated prevalence of NPD in the general population is around 0.5-1.0%.
Key feature: a grandiose sense of self-importance and a need for admiration.
People with NPD have a primary motivation to engage in grandiose behavior to gain admiration and to feel special.
They typically view themselves as entitled to special treatment, lack empathy for others, and respond to criticism with anger or humiliation.
They often experience envy towards others and may take advantage of others to achieve their own ends.

Antisocial Personality Disorder

The estimated prevalence of ASPD in the general population is around 3.0-6.0%.
Key feature: a pervasive pattern of disregard for the rights of others and a lack of empathy.
People with ASPD often engage in impulsive and aggressive behavior, disregard safety, and lack remorse for harm caused to others.
They often have a history of deceitfulness and may engage in conning, manipulative behavior.
A crucial criterion for diagnosis is a pervasive pattern of disregard for the rights of others, and a lack of empathy.

Psychopathy and Antisocial Personality Disorder

The concept of psychopathy was introduced as a separate construct from ASPD due to differences in emotional and interpersonal functioning.
Psychopathy, as measured by the PCL-R, is known to predict recidivism among imprisoned populations.
One key difference between ASPD and psychopathy is that psychopathy involves a more severe and chronic pattern of emotional and interpersonal dysfunction.

Development of Antisocial Personality Disorder

Family, twin, and adoption studies suggest that the development of ASPD and criminality is influenced by both genetic and environmental factors.
The Underarousal Hypothesis suggests that psychopaths engage in risky behaviors to compensate for reduced cortical arousal.
The Fearlessness Hypothesis suggests that psychopaths have lower fear thresholds, which contributes to their impulsive behavior.
Parenting styles, such as lack of parental warmth and inconsistent discipline, and classical conditioning paradigms may contribute to the development of ASPD.

Treatment of Antisocial Personality Disorder

Individuals with ASPD are unlikely to seek treatment, and when they do, they may display manipulative behavior.
Treatment is challenging, but therapeutic communities and behavioral interventions offer some hope.

Borderline Personality Disorder

The estimated prevalence of BPD in the general population is around 1.6%.
Key feature: intense emotional dysregulation and unstable relationships.
People with BPD often engage in impulsive, self-destructive behavior, and have a hallmark of intense emotional reactivity.
They often experience chronic feelings of emptiness, anxiety, and depression.

Treatment of Borderline Personality Disorder

Medication is often used to manage symptoms such as depression and anxiety.
Therapeutic approaches include Dialectical Behavioral Therapy (DBT), which combines cognitive and behavioral therapies with mindfulness practices.
DBT has been associated with initial improvements in reducing suicide attempts and self-harm.

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Description

Test your knowledge on Histrionic Personality Disorder with this quiz. Discover the estimated prevalence in the general population and learn about key features, including emotional expression. Challenge yourself and find out how much you know about this personality disorder.