Questions and Answers
Why did Karen stay in her first marriage for 10 years?
Because she thought she was not good enough to leave.
Why was Karen referred for treatment by her physician?
For problems with panic attacks.
How did Karen describe her interactions with others?
As negative and dismissive.
Which term best describes Karen's self-perception?
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What emotions did Karen display during the evaluation session?
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Why did Karen describe her first marriage as 'hell'?
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What hindered Karen from engaging in new activities?
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How did Karen perceive herself compared to others?
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Which of the following characteristics is NOT typically associated with dependent personality disorder?
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What distinguishes the response to feelings of inadequacy between dependent and avoidant personality disorders?
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How do individuals with dependent personality disorder generally handle criticism?
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Which approach characterizes the behavior of individuals with dependent personality disorder towards obtaining supportive relationships?
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In what way do individuals with dependent personality disorder differ from those with avoidant personality disorder?
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Which term best describes the tendency of individuals with dependent personality disorder to adhere to others' opinions for fear of rejection?
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What is a common behavioral characteristic seen in individuals with dependent personality disorder?
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What is a primary difference between individuals with dependent and avoidant personality disorders in relationships?
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What is a desired interpersonal state in certain cultures like East Asian Confucianism?
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What can cause people to grow up fearing abandonment?
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What is emphasized in the socialization process in most cultures according to the text?
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Which factor is highlighted as important in the development of dependent personality disorder?
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What aspect is not yet understood according to the text?
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What characterizes the treatment literature for dependent personality disorder?
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How do individuals with dependent personality disorder appear to therapists?
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How does the text characterize people with dependent personality disorder?
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According to the diagnostic criteria for Dependent Personality Disorder, which of the following is NOT listed as a symptom?
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Which of the following statements best describes the progression of therapy for individuals with Dependent Personality Disorder?
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According to the diagnostic criteria, which of the following is NOT a characteristic of Dependent Personality Disorder?
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Which of the following statements best describes the relationship between submissiveness and therapy goals for individuals with Dependent Personality Disorder?
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According to the diagnostic criteria, which of the following is a symptom of Dependent Personality Disorder?
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What is the primary concern regarding the patient's relationship with the therapist in the treatment of Dependent Personality Disorder?
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According to the diagnostic criteria, which of the following is NOT listed as a symptom of Dependent Personality Disorder?
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What is the primary goal of therapy for individuals with Dependent Personality Disorder?
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What is the main characteristic of dependent personality disorder according to the passage?
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What is the primary difference between dependent personality disorder and avoidant personality disorder according to the passage?
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According to the passage, what is the main reason why people with dependent personality disorder rely on others to make decisions?
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What type of personality disorder is dependent personality disorder classified as according to the passage?
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What is the main difference between the diagnostic criteria for dependent personality disorder and avoidant personality disorder as presented in the passage?
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According to the passage, what is the primary reason why people with dependent personality disorder fear abandonment?
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Study Notes
Dependent Personality Disorder
- Characterized by a pervasive and excessive need to be taken care of, leading to submissive and clinging behavior and fears of separation.
- Begins by early adulthood and present in a variety of contexts.
- Individuals with dependent personality disorder agree with others even when their own opinion differs, to avoid rejection.
- Desire to obtain and maintain supportive relationships leads to submissiveness, timidity, and passivity.
- Feelings of inadequacy, sensitivity to criticism, and need for reassurance are common.
Case Study: Karen
- 45-year-old married woman referred for treatment for panic attacks.
- Appeared worried, sensitive, and naive during evaluation.
- Self-critical, reported others think she's dumb and inadequate, and felt not good enough.
- Stayed in an abusive first marriage for 10 years due to fear of being alone.
- Prefers others to make important decisions and avoids conflict.
Causes and Treatment
- Disruptions in early life, such as parental death or neglect, may contribute to the development of dependent personality disorder.
- Genetic influences are also important, but the underlying physiological factors are not yet understood.
- Treatment is mostly descriptive, with little research on effective treatments.
- Therapy involves gradually building confidence in decision-making to avoid dependence on the therapist.
Diagnostic Criteria (DSM 5)
- Difficulty making everyday decisions without excessive advice and reassurance.
- Needs others to assume responsibility for major areas of life.
- Difficulty expressing disagreement with others due to fear of loss of support or approval.
- Difficulty initiating projects or doing things independently.
- Goes to excessive lengths to obtain nurturance and support from others.
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