Copyright © 2002 by W. B. Saunders Company. All rights reserved. Chapter 16 Personality Disorders Menu F
Chapter 16 Personality Disorders
Feb 08, 2016
Chapter 16 Personality Disorders. F. Menu. Mental health continuum for personality disorders. (Fig. 16-1). 16-2. B. F. Menu. Personality Disorders. Cluster B Dramatic, Emotional, Erratic Borderline Antisocial Histrionic Narcissistic. Cluster C Anxious, Fearful Dependent - PowerPoint PPT Presentation
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Copyright © 2002 by W. B. Saunders Company. All rights reserved.
Chapter 16
Personality Disorders
Menu F
Slide
Copyright © 2002 by W. B. Saunders Company. All rights reserved.
Mental health continuum for personality disorders
16-2 (Fig. 16-1)
Menu FB
Copyright © 2002 by W. B. Saunders Company. All rights reserved.
Personality Disorders
Cluster CAnxious, Fearful
Dependent Avoidant Obsessive Compulsive
Cluster B Dramatic, Emotional,
Erratic Borderline Antisocial Histrionic Narcissistic
Cluster AOdd or
Eccentric Schizotypal Paranoid Schizoid
Menu FB
Copyright © 2002 by W. B. Saunders Company. All rights reserved.
Limits: clear, consistent, enforceableTeam: aware of limits, need for consistency
Communicate expectations to client Be realistic re: which behaviors to limit Clear consequences of exceeding limits Follow through with consequences in non-punitive
manner Assist client to limit own behavior Assess insight and motivation to change Avoid power struggles
Limit Setting
Menu FB
Copyright © 2002 by W. B. Saunders Company. All rights reserved.
Identify antecedent needs and feelings Discuss current/previous impulsive acts Explore impact on self and others Recognize cues to impulsive behavior Refer or teach needed coping skills Discuss alternatives to impulsive behavior Role play new skills Provide feedback Support new skills Identify strengths and effective communication
Impulsive Behavior: Interventions
Menu FB
Copyright © 2002 by W. B. Saunders Company. All rights reserved.
Be aware of client isolation, suspiciousness Avoid being “too nice,” overly friendly Use neutral, kind approach Clear, straightforward explanations Simple, clear language Give warning about changes, reasons for delay,
medication side effects
Cluster A Clients: Interventions
Menu FB
Copyright © 2002 by W. B. Saunders Company. All rights reserved.
Set clear, realistic goals Be aware of manipulative behaviors Clear, consistent boundaries/limits For behavioral problems, review therapeutic goals
and treatment boundaries Avoid rejecting, rescuing Assess for suicidal, self-mutilating behavior
Borderline Personality Disorder: Interventions
Menu FB
Copyright © 2002 by W. B. Saunders Company. All rights reserved.
Set clear, realistic limits on specific behavior All limits adhered to by all staff Document objective physical signs of manipulation
or aggression Provide clear boundaries, consequences Guard against letting client make you feel guilty Guard against being manipulated
Antisocial Personality Disorder: Interventions
Menu FB
Copyright © 2002 by W. B. Saunders Company. All rights reserved.
Stay neutral, avoid power struggles Don’t be defensive when disparaged Convey unassuming self-confidence
Narcissistic Personality Disorder: Interventions
Menu FB
Copyright © 2002 by W. B. Saunders Company. All rights reserved.
Understand seductive behavior as a response to stress
Keep relationship professional Encourage/model use of concrete descriptive
language Teach and model assertiveness
Histrionic Personality Disorder: Interventions
MenuB
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