Nursing Concept of Personality Disorders

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Nursing Concept of Personality Disorders

General Concept of Personality Disorders
  1. Personality disorder primarily involves problems with interpersonal relationships.
  2. Personality disorders are generally chronic, pervasive (affecting all areas of the client's life), and maladaptive (eg, personality disorders cause significant difficulty in life, work and family life).
  3. Personality disorder involves a pattern of excessive or oddly normal personality.
  4. Personality disorders can occur together with other severe psychiatric problems.
  5. Personality disorders may be difficult to be treated or diagnosed.


Common Symptoms of Personality Disorders
  1. Suspicious or do not believe.
  2. Rigid thinking.
  3. Distortion of reality.
  4. Projection.
  5. Afec limited or excessive.
  6. Isolation.
  7. Unstable interpersonal ties.
  8. Limited or excesses of moral development.
  9. Self-care deficit.
  10. Somatic symptoms.
  11. Thinking delusions.
  12. Bad identity or excesses sense of self importance.
  13. Potentially damaging to self or others.


Type of Pervasive Personality Disorder


Group A


1. Paranoid Personality Disorder: do not believe the total on others begins in young adulthood, indicated by at least four of the following conditions:
  • Suspiciously, without cause, that people exploit or cheat.
  • Busy with vague doubts about the loyalty or honesty of a friend or colleague.
  • Finding hidden harassment or threatening meaning of a comment or trivial events.
  • Always hurt or complain.
  • Attacks (not visible to others) on the character or reputation of a person, followed by a fast reaction of anger or counterattack.
  • Suspicious relapse.

2. Schizoid Personality Disorder: Patterns of separation settling of social relations and also the limited range of emotional expression in interpersonal relationships begins in young adulthood, indicated by at least four of the following symptoms:
  • Lack of desire or inability to enjoy intimate relationships, including with his own family.
  • The choices are almost always exclusive to a solitary activity.
  • Few, if any, attention to sexual experience with another person.
  • Experience the pleasure of little, if any, activity.
  • Lack of good friends.
  • Indifferent to praise or criticism.
  • Cold emotion and flat affect.

3. Schizotypal Personality Disorder: Patterns of social and interpersonal deficits persist (acute discomfort, and reduced capacity for close relationships, cognitive or perceptual distortions and behavioral egocentricity) begins in young adulthood, indicated by at least five of the following symptoms:
  • Ideas of reference (excluding delusions of reference).
  • Odd beliefs or magical thinking that influences behavior.
  • Unusual perceptual experience (Illusions body).
  • Thinking and talking weird (not clear, circumstantial, metaphorical, excessive elaboration, stereotyped / repetitive)
  • Suspicious or paranoid thinking).
  • Afek Improper or restricted.
  • Behavior or strange or eccentric appearance.
  • Lack of good friends.
  • Of excessive social anxiety that does not diminish with familiarity and usually including paranoid thoughts.



Group B


1. Antisocial Personality Disorder
  • Evidence of conduct disorder before the age of 15 on the client at least 18 years old.
  • The pattern is not settled appreciate and violate the rights of others since age 15, as indicated by three of the following conditions:
    • Failed to comply with social norms or law-abiding behavior.
    • Irritability or aggressiveness.
    • Is not responsible for the employment history and financial obligations.
    • Impulsive and fail to plan ahead.
    • Traitor.
    • Not respect the safety of self and others.
    • Lack of feeling regret.

    2. Borderline Personality Disorder: patterns persist instability in interpersonal relationships, self-image, affective, and impulse control begins in young adulthood, indicated by:
    • Enterprises like crazy / hysterical to avoid waiver (not including suicide attempts and acts of self-harm).
    • Unstable personal relationships and stiff.
    • Settled identity disorder.
    • Impulsive behavior, reckless, at least 2 of the following areas: spending, sex, substance abuse, driving, overeating.
    • Behavior or signs or threats of suicide or self-harm relapse / recurrence.
    • Manifestation of mood reactivity, usually for short periods rarely exceed a few days.
    • Chronic feelings of emptiness and boredom.
    • Angry stiff, Improper, lack of control of anger.
    • Stress-related paranoid thoughts, temporary or disosiataif severe symptoms.
    3. Histrionic Personality Disorder: patterns of emotional and behavioral excesses settled attention-seeking, beginning in young adulthood is indicated by at least 5 of the following symptoms:
    • Feel uncomfortable when not the center of attention.
    • Behavior or sexual seducing unnatural appearance.
    • Emotional instability.
    • Very concerned (excessive) to the physical appearance, using it to draw attention to themselves.
    • Talk excessively impressionistic style and lack of detail.
    • Self-dramatization, exaggerated expression of emotions and theatrical.
    • Forcing.
    • The mistaken belief that the relationship with other people is more intimate than a reality.

    4. Narcissistic Personality Disorder: patterns of settling pretense, need for admiration and lack of empathy, beginning in young adulthood is indicated by five of the following symptoms:
    • Strong sense of self importance.
    • Preoccupied with thoughts of success, beauty, intelligence, power and infinite love.
    • Convinced that he superrior (great) and just want to connect with people or institutions that great.
    • Need admired and considered excessive.
    • Strong feelings that are entitled to preferential treatment / special.
    • Exploit others.
    • Lack of empathy.
    • Envious of others or believes others envy him.



    Group C

    1. Shy Personality Disorder: patterns of social barriers persist, and hypersensitive to criticism, beginning in adulthood, indicated by at least four of the following symptoms:
    • Avoid work activities including significant interpersonal contact.
    • Not willing to risk engaging in intercourse without certainty of success to be liked.
    • Limiting intimate relationship.
    • Busy with the fear of being rejected or criticized in social situations.
    • Shame in a new relationship.
    • Sure that could not socially, personally or lower unattractive to others.
    • Not willing to risk personal or engage in new activities.

    2. Dependency Personality Disorder: The need for excessive settling and treated / untreated, leads to submissive and dependent behavior and fear of separation. Starting in young adults is indicated by at least 5 of the following symptoms:
    • Inability to make decisions every day without excessive advice from others.
    • Need someone else to take over responsibility in life.
    • Reluctant to disagree with others because of fear of rejection.
    • Difficult to start a project and do everything yourself.
    • Highly sought to gain emotional support from others (voluntary does not unpleasant).
    • Feel uncomfortable or no expectations when alone.
    • Trying to find a new dependency relationship when a close relationship ends.
    • Busy with fear sendirri left to care for themselves.

    3. Obsessive-Compulsive Personality Disorder: Patterns settled busy with regularity, perfection and mental and interpersonal control will cost flexibility, openness and efficiency, beginning in young adulthood is indicated by at least four of the following symptoms:
    • Busy on the details, rules, lists, scheduling organization, causing inability to focus on the main point of an activity.
    • Perfectionists who disrupt the completion of a task.
    • Excessive loyal towards work and productivity by eliminating the activity fun and friendship.
    • Very careful, meticulous and unusual klentur about morality, ethics and values​​.
    • The inability to throw useless things.
    • Reluctant to delegate tasks except the task will be done in accordance with the doing.
    • Stingy with money.
    • Rigid and stubborn.

    4. Agresig-Passive Personality Disorder
    • Registered as a non-specific personality disorder who have behavior more than 1 personality disorder but no full criteria for a single personality disorder.
    • Common symptoms of passive aggressive behavior affect social interaction and work.
    • Procrastination / Likes to procrastinate.
    • Failed to perform a task or a bad job when do not want doing.
    • Will hurt suggestions on how to improve performance.
    • Failure to do part of the job fair yag.
    • Excessive deride and criticize superiors.
    • Improper claims that her demands and irritable and arguing when asked to perform a task.

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