PHC-MHN-PERSONALITY-SYNOPSIS

📘 Personality: Definition & Concepts

✅ Definition:

Personality is the unique set of emotional, cognitive, and behavioral patterns that define how an individual thinks, feels, and acts in various situations. It includes a person’s temperament, character, and learned behaviors.

🎯 Key Characteristics of Personality:

  • Unique: No two individuals have identical personalities.
  • Stable: Relatively consistent over time.
  • Dynamic: Can develop and mature through life experiences.
  • Influenced by: Genetics, environment, culture, family, education, and life experiences.

📚 Theories of Personality:

✅ 1. Type Theories (Oldest Classification):

TheoryTypesCharacteristics
HippocratesSanguineCheerful, lively
CholericAmbitious, leader-like
MelancholicSad, thoughtful
PhlegmaticCalm, reliable

| Sheldon’s Theory (Somatotypes) | |
| Endomorph | Sociable, relaxed (round body)
| Mesomorph | Energetic, assertive (muscular body)
| Ectomorph | Shy, reserved (thin body)

✅ 2. Trait Theories (Modern Classification):

TheoryKey Focus
Gordon AllportIdentified over 4,000 personality traits.
Raymond CattellDeveloped 16 Personality Factors (16 PF Test).
Hans EysenckClassified personality into 3 dimensions:
  • Extroversion vs. Introversion
  • Neuroticism vs. Stability
  • Psychoticism vs. Normality |

| Big Five Personality Traits (OCEAN Model) |

TraitDescription
O – OpennessCreativity, curiosity, open to experience
C – ConscientiousnessOrganized, responsible, disciplined
E – ExtraversionSociable, outgoing, energetic
A – AgreeablenessCooperative, compassionate, trusting
N – NeuroticismEmotional instability, anxiety, moodiness

🎯 Classification of Personality Types Based on Behavior Patterns:

Personality TypeCharacteristics
Type ACompetitive, time-urgent, aggressive, prone to stress and heart disease.
Type BRelaxed, non-competitive, easy-going, handles stress better.
Type CPassive, avoids conflict, suppresses emotions, prone to cancer.
Type DDistressed, pessimistic, socially withdrawn, higher risk of heart diseases.

✅ Personality Disorders (As per ICD-10 & DSM-5):

ClusterTypesFeatures
Cluster AParanoid, Schizoid, SchizotypalOdd, eccentric behavior
Cluster BAntisocial, Borderline, Histrionic, NarcissisticDramatic, emotional, erratic behavior
Cluster CAvoidant, Dependent, Obsessive-Compulsive Personality DisorderAnxious, fearful behavior

📌 Golden One-Liners for Quick Revision:

  • 🧠 “The Big Five personality traits are Openness, Conscientiousness, Extraversion, Agreeableness, and Neuroticism (OCEAN).”
  • 🧠 “Type A personalities are more prone to stress-related heart diseases.”
  • 🧠 “Personality is relatively stable but influenced by environment and experiences.”
  • 🧠 “Cluster B personality disorders include dramatic and emotional behaviors.”
  • 🧠 “Eysenck’s personality model focuses on Extroversion, Neuroticism, and Psychoticism.”

📘 Relationship Between Personality and Psychiatric Disorders


✅ 1. Personality as a Predisposing Factor:

  • Certain personality traits make individuals more vulnerable to mental illnesses.
  • Example:
    • High Neuroticism → Increased risk of Anxiety and Depression.
    • Low Agreeableness and Conscientiousness → Associated with Antisocial Behaviors.
    • High Introversion → Predisposed to Social Anxiety Disorder.

✅ 2. Personality Changes as a Result of Psychiatric Disorders:

  • Long-standing psychiatric conditions can alter personality traits.
  • Example:
    • Chronic Schizophrenia → Emotional blunting, social withdrawal.
    • Major Depression → Increased pessimism, low self-esteem.
    • Dementia → Personality becomes rigid, irritable, or socially inappropriate.

✅ 3. Personality Disorders as Psychiatric Diagnoses:

Personality Disorders are classified as mental disorders in both ICD-10 and DSM-5. They manifest as enduring patterns of inner experience and behavior that deviate markedly from cultural expectations.


🎯 Classification of Personality Disorders:

ClusterDisorder TypesCommon Features
Cluster AParanoid, Schizoid, SchizotypalOdd, eccentric behavior
Cluster BAntisocial, Borderline, Histrionic, NarcissisticDramatic, emotional, erratic
Cluster CAvoidant, Dependent, Obsessive-Compulsive PersonalityAnxious, fearful behavior

✅ Common Psychiatric Disorders Associated with Personality Types:

Personality TypeAssociated Psychiatric Disorders
Type A (Competitive, Aggressive)Stress, Hypertension, Heart Diseases, Anxiety Disorders
Type B (Relaxed, Easy-going)Low susceptibility to psychiatric disorders
Type C (Passive, Emotion Suppression)Cancer Risk, Depression
Type D (Distressed, Negative)Depression, Heart Disease, Anxiety Disorders

✅ Common Co-occurrences:

Personality DisorderCommonly Associated Psychiatric Disorders
Borderline Personality DisorderDepression, Substance Abuse, Self-harm
Antisocial Personality DisorderSubstance Use Disorder, Criminal Behavior
Avoidant Personality DisorderSocial Anxiety Disorder
Obsessive-Compulsive Personality Disorder (OCPD)OCD, Anxiety Disorders
Paranoid Personality DisorderSchizophrenia, Delusional Disorders

📌 Golden One-Liners for Quick Revision:

  • 🧠 “Personality traits influence vulnerability to psychiatric disorders.”
  • 🧠 “Cluster B Personality Disorders are associated with dramatic and erratic behavior.”
  • 🧠 “Borderline Personality Disorder frequently coexists with depression and self-harm tendencies.”
  • 🧠 “Type A personality is prone to stress-related physical and psychological disorders.”
  • 🧠 “Personality disorders are chronic and pervasive patterns of behavior causing distress or impairment.”
  • 1. Which personality disorder is most commonly associated with self-harming behavior and emotional instability?
  • A) Narcissistic Personality Disorder
    B) Antisocial Personality Disorder
    C) Borderline Personality Disorder
    D) Paranoid Personality Disorder
  • Correct Answer: C) Borderline Personality Disorder
    Rationale: Borderline Personality Disorder is characterized by unstable relationships, intense emotions, poor self-image, impulsivity, and self-harming behaviors.

·       


  • 2. A patient frequently lies, shows no remorse after harming others, and engages in criminal activities. Which personality disorder does this indicate?
  • A) Schizoid Personality Disorder
    B) Antisocial Personality Disorder
    C) Obsessive-Compulsive Personality Disorder
    D) Avoidant Personality Disorder
  • Correct Answer: B) Antisocial Personality Disorder
    Rationale: Antisocial Personality Disorder involves a pervasive pattern of disregard for the rights of others, deceitfulness, and lack of remorse.

·       


  • 3. Which personality type is most prone to developing stress-related heart disease and hypertension?
  • A) Type A Personality
    B) Type B Personality
    C) Type C Personality
    D) Type D Personality
  • Correct Answer: A) Type A Personality
    Rationale: Type A individuals are competitive, impatient, and easily stressed, making them more prone to cardiovascular diseases.

·       


  • 4. Avoidance of social situations due to fear of criticism is a feature of which personality disorder?
  • A) Schizotypal Personality Disorder
    B) Avoidant Personality Disorder
    C) Paranoid Personality Disorder
    D) Histrionic Personality Disorder
  • Correct Answer: B) Avoidant Personality Disorder
    Rationale: Individuals with Avoidant Personality Disorder avoid social interactions due to feelings of inadequacy and fear of rejection or criticism.

·       


  • 5. Which of the following is a characteristic feature of Obsessive-Compulsive Personality Disorder (OCPD)?
  • A) Intrusive unwanted thoughts and rituals
    B) Excessive emotionality and attention-seeking
    C) Preoccupation with orderliness and perfectionism
    D) Lack of interest in social relationships
  • Correct Answer: C) Preoccupation with orderliness and perfectionism
    Rationale: OCPD is characterized by excessive perfectionism, rigidity, and a preoccupation with control, often at the expense of flexibility and efficiency.
  • 1. Which personality disorder is associated with unstable interpersonal relationships and frequent self-harming behavior?
  • A) Antisocial Personality Disorder
    B) Borderline Personality Disorder
    C) Schizoid Personality Disorder
    D) Narcissistic Personality Disorder
  • Correct Answer: B) Borderline Personality Disorder
    Rationale: This disorder is characterized by emotional instability, fear of abandonment, impulsivity, and self-injurious behavior.

·       


  • 2. Which personality disorder is most commonly seen in habitual criminals and individuals showing disregard for social rules?
  • A) Avoidant Personality Disorder
    B) Histrionic Personality Disorder
    C) Antisocial Personality Disorder
    D) Obsessive-Compulsive Personality Disorder
  • Correct Answer: C) Antisocial Personality Disorder
    Rationale: These individuals show persistent patterns of disregard for the rights of others and lack remorse for their actions.

·       


  • 3. Which personality type is more prone to hypertension and coronary heart diseases?
  • A) Type A
    B) Type B
    C) Type C
    D) Type D
  • Correct Answer: A) Type A
    Rationale: Type A personality is characterized by competitiveness, hostility, and time urgency, increasing the risk of heart disease.

·       


  • 4. Excessive emotionality and attention-seeking behavior are characteristic of which personality disorder?
  • A) Borderline Personality Disorder
    B) Histrionic Personality Disorder
    C) Narcissistic Personality Disorder
    D) Avoidant Personality Disorder
  • Correct Answer: B) Histrionic Personality Disorder
    Rationale: Individuals with this disorder seek attention and often display dramatic and exaggerated emotions.

·       


  • 5. Which personality disorder involves persistent suspicion and mistrust of others?
  • A) Paranoid Personality Disorder
    B) Schizoid Personality Disorder
    C) Avoidant Personality Disorder
    D) Antisocial Personality Disorder
  • Correct Answer: A) Paranoid Personality Disorder
    Rationale: These individuals believe others intend to harm or deceive them and are constantly suspicious.

·       


  • 6. Which personality disorder is most often associated with perfectionism and a preoccupation with rules and order?
  • A) Borderline Personality Disorder
    B) Schizotypal Personality Disorder
    C) Obsessive-Compulsive Personality Disorder (OCPD)
    D) Narcissistic Personality Disorder
  • Correct Answer: C) Obsessive-Compulsive Personality Disorder (OCPD)
    Rationale: OCPD is marked by rigidity, perfectionism, and control, often at the expense of flexibility.

·       


  • 7. Which personality disorder is characterized by social withdrawal and lack of interest in forming relationships?
  • A) Schizoid Personality Disorder
    B) Avoidant Personality Disorder
    C) Dependent Personality Disorder
    D) Paranoid Personality Disorder
  • Correct Answer: A) Schizoid Personality Disorder
    Rationale: Individuals with Schizoid Personality Disorder prefer isolation and show little interest in social or intimate relationships.

·       


  • 8. Patients with exaggerated sense of self-importance and a constant need for admiration likely have which personality disorder?
  • A) Borderline Personality Disorder
    B) Narcissistic Personality Disorder
    C) Histrionic Personality Disorder
    D) Dependent Personality Disorder
  • Correct Answer: B) Narcissistic Personality Disorder
    Rationale: Narcissistic individuals often have a grandiose sense of self and seek admiration.

·       


  • 9. Which personality disorder is associated with fear of rejection and avoidance of social interactions despite a desire for relationships?
  • A) Avoidant Personality Disorder
    B) Paranoid Personality Disorder
    C) Schizoid Personality Disorder
    D) Antisocial Personality Disorder
  • Correct Answer: A) Avoidant Personality Disorder
    Rationale: These individuals avoid social situations due to fear of criticism and rejection.

·       


  • 10. Which personality disorder includes odd beliefs and magical thinking?
  • A) Paranoid Personality Disorder
    B) Schizotypal Personality Disorder
    C) Schizoid Personality Disorder
    D) Histrionic Personality Disorder
  • Correct Answer: B) Schizotypal Personality Disorder
    Rationale: This disorder involves eccentric behaviors and magical or superstitious thinking.

·       


  • 11. A patient constantly seeks reassurance and is overly dependent on others for decision-making. This is suggestive of:
  • A) Borderline Personality Disorder
    B) Avoidant Personality Disorder
    C) Dependent Personality Disorder
    D) Antisocial Personality Disorder
  • Correct Answer: C) Dependent Personality Disorder
    Rationale: These individuals lack self-confidence and depend on others to make decisions for them.

·       


  • 12. Which cluster of personality disorders is associated with odd and eccentric behavior?
  • A) Cluster A
    B) Cluster B
    C) Cluster C
    D) Cluster D
  • Correct Answer: A) Cluster A
    Rationale: Cluster A includes Paranoid, Schizoid, and Schizotypal personality disorders characterized by odd and eccentric behaviors.

·       


  • 13. Which personality disorder is commonly seen in patients with frequent mood swings and intense fear of abandonment?
  • A) Histrionic Personality Disorder
    B) Narcissistic Personality Disorder
    C) Borderline Personality Disorder
    D) Antisocial Personality Disorder
  • Correct Answer: C) Borderline Personality Disorder
    Rationale: Fear of abandonment and unstable relationships are hallmarks of Borderline Personality Disorder.

·       


  • 14. Which cluster of personality disorders is termed “Dramatic, Emotional, and Erratic”?
  • A) Cluster A
    B) Cluster B
    C) Cluster C
    D) Cluster D
  • Correct Answer: B) Cluster B
    Rationale: Cluster B includes Antisocial, Borderline, Histrionic, and Narcissistic personality disorders.

·       


  • 15. Which personality disorder is associated with manipulative behavior and a lack of remorse?
  • A) Schizoid Personality Disorder
    B) Antisocial Personality Disorder
    C) Borderline Personality Disorder
    D) Avoidant Personality Disorder
  • Correct Answer: B) Antisocial Personality Disorder
    Rationale: Individuals with Antisocial Personality Disorder frequently engage in deceitful and manipulative behavior without remorse.

·       


  • 16. Which of the following is a characteristic of Type D Personality?
  • A) Competitive and Hostile
    B) Socially Withdrawn and Pessimistic
    C) Relaxed and Easy-going
    D) Emotionally Expressive
  • Correct Answer: B) Socially Withdrawn and Pessimistic
    Rationale: Type D Personality is characterized by negative emotions and social inhibition, increasing the risk of heart disease.

·       


  • 17. Which personality disorder is associated with extreme dependency and fear of separation?
  • A) Avoidant Personality Disorder
    B) Dependent Personality Disorder
    C) Borderline Personality Disorder
    D) Schizotypal Personality Disorder
  • Correct Answer: B) Dependent Personality Disorder
    Rationale: Individuals with Dependent Personality Disorder have an intense fear of being left alone and require constant support from others.

·       


  • 18. Which of the following personality disorders shows excessive devotion to work at the expense of leisure and relationships?
  • A) Antisocial Personality Disorder
    B) Obsessive-Compulsive Personality Disorder (OCPD)
    C) Histrionic Personality Disorder
    D) Borderline Personality Disorder
  • Correct Answer: B) Obsessive-Compulsive Personality Disorder (OCPD)
    Rationale: Individuals with OCPD are preoccupied with perfectionism and work at the cost of personal relationships.

·       


  • 19. Which personality disorder is least likely to seek help due to distrust of others?
  • A) Paranoid Personality Disorder
    B) Borderline Personality Disorder
    C) Histrionic Personality Disorder
    D) Dependent Personality Disorder
  • Correct Answer: A) Paranoid Personality Disorder
    Rationale: Due to chronic suspicion and mistrust, these individuals are less likely to seek professional help.

·       


  • 20. Which of the following personality disorders frequently coexists with substance abuse?
  • A) Antisocial Personality Disorder
    B) Avoidant Personality Disorder
    C) Schizoid Personality Disorder
    D) Dependent Personality Disorder
  • Correct Answer: A) Antisocial Personality Disorder
    Rationale: Substance abuse is common among individuals with Antisocial Personality Disorder due to impulsivity and disregard for consequences.

·       


  • 21. Which personality type is known for being relaxed and stress-resistant?
  • A) Type A
    B) Type B
    C) Type C
    D) Type D
  • Correct Answer: B) Type B
    Rationale: Type B individuals are easy-going, patient, and handle stress well.

·       


  • 22. A patient presents with fixed and rigid beliefs about morality, is overly focused on rules, and finds it hard to adapt. This indicates:
  • A) Narcissistic Personality Disorder
    B) Obsessive-Compulsive Personality Disorder
    C) Borderline Personality Disorder
    D) Histrionic Personality Disorder
  • Correct Answer: B) Obsessive-Compulsive Personality Disorder
    Rationale: OCPD is characterized by rigidity, perfectionism, and control.

·       


  • 23. Which cluster of personality disorders includes anxious and fearful behavior patterns?
  • A) Cluster A
    B) Cluster B
    C) Cluster C
    D) Cluster D
  • Correct Answer: C) Cluster C
    Rationale: Cluster C includes Avoidant, Dependent, and Obsessive-Compulsive Personality Disorders.

·       


  • 24. Which personality disorder involves eccentric behavior and magical thinking without full psychosis?
  • A) Schizotypal Personality Disorder
    B) Schizoid Personality Disorder
    C) Paranoid Personality Disorder
    D) Histrionic Personality Disorder
  • Correct Answer: A) Schizotypal Personality Disorder
    Rationale: Schizotypal Personality Disorder involves odd beliefs and behavior but does not meet the criteria for psychosis.

·       


  • 25. Which therapeutic approach is most effective for treating personality disorders?
  • A) Cognitive Behavioral Therapy (CBT)
    B) Electroconvulsive Therapy (ECT)
    C) Hypnosis
    D) Insulin Shock Therapy
  • Correct Answer: A) Cognitive Behavioral Therapy (CBT)
    Rationale: CBT helps modify dysfunctional thinking and behavior patterns and is the first-line psychological treatment for many personality disorders.
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