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Borderline Personality Disorder Research Paper Kathleen Gound NURA 209: Nursing IV Introduction Personality, defined by Merriam-Webster, is a set of enduring behavioral and mental traits that distinguish human beings from one another. Therefore, a personality disorder “is a type of mental illness in which you have trouble perceiving and relating to situations and to people—including yourself” (American Psychiatric Association, 2000). In general, someone who suffers from a personality disorder has a long-term pattern of behaviors and emotions that are very different from the society’s view of “normal”. Personality disorders are separated into several clusters as defined by the Diagnostic and Statistical Manual of Mental Disorders. Cluster A includes disorders of the personality that are odd or egocentric. These include paranoid personality disorder, schizoid personality disorder, and schizotypal personality disorder (National Institute for Mental Health, 2009). Cluster B includes the dramatic, emotional, or erratic personality disorders. This cluster includes antisocial personality disorder, borderline personality disorder, histrionic personality disorder, and narcissistic personality disorder (NIMH, 2009). The final cluster, Cluster C, includes avoidant personality disorder, dependent personality disorder, and obsessive-compulsive personality disorder (NIMH, 2009). These personality disorders are categorized as anxious and fearful disorders. The term borderline personality disorder (BPD) was termed by Adolph Stern in the 1930s to describe a group of people on a “borderline” between neurosis and psychosis (SITE). Today, BPD is described by the Diagnostic and Statistical Manual of Mental Disorders as “a pervasive patt... ... middle of paper ... ... the underlying problem is being ignored and it will never resolve. In the future, awareness of borderline personality disorder and other mental illnesses is critical.We need to be rewired to say the least. Our society needs to better informed on mental illness.These clients should not be ashamed of something they cannot choose to change. As healthcare professionals, we need to become more involved and lend a helping hand to those suffering from mental illness. Conclusion Borderline personality disorder is the most common personality disorder. By creating relationships and better understanding BPD, mental health professionals can effectively aid those who suffer from BPD. With proper support from the healthcare team, family members, and the community, borderline personality disorder can be effectively controlled and treated. TIE IN ACUTE PORTION AS WELL! REFERENCES
People with Borderline Personality Disorder tend to view the world as simple as possible. People who view the world like this, confuse the actions of others. (Hoermann et al, 2005) Recurrent thoughts about their relationships with others, lead them to experience extreme emotional reactions, great agony which they have a hard time controlling, which would result in engaging in self-destructive behaviors. Diagnosing a patient with this disorder can be challenging which is why is it is labeled as one of the difficult ones to diagnose. (Hoermann et al, 2005)
Mental Illness or Borderline Personality Disorder (BPD) is still taboo to talk about in our society. BPD is defined by the
Talbott, J. A. (2013). Borderline personality disorder. The Journal of Nervous and Mental Disease, 201, 2.)
Borderline Personality Disorder (BPD) has been a disability surrounded by stigma and confusion for a long time, and the time to bring awareness and public understanding to this disability is long overdue. The disability itself often gets misdiagnosed as an other disability since the symptoms overlap with many other disabilities (NIMH, n.d, para 16), or worse case scenario, a medical professional refuses to diagnose or treat the disability due to the belief that these people are untreatable because of a negative schema about the disability and clinical controversies on whether BPD is a legitimate diagnosis (Hoffman, 2007) . However, after nearly three decades of research, it has come to light that BPD does indeed exist, does have a good prognosis for remission with treatment (BPD Overview, n.d, para 3), and that there are many treatment options available such as three different types of psychotherapy (Dialectical Behavior Therapy, Cognitive Behavioral Therapy, and Schema-focused therapy), omega-3 fatty acid supplements, and/or medications (NIMH, n.d, para 29, 30, 31, and 39, 41). Even though the disability started as a psychoanalytic colloquialism for untreatable neurotics (Gunderson, 2009), BPD is very treatable and doesn’t deserve the stigma it currently carries throughout society.
Borderline Personality Disorder is diagnosed predominantly in females. There is approximately a 3:1 female to male gender ratio for this disorder.
Diagnosing a patient with a personality disorders where often evaluations done by a clinician. The clinician would listen to the importance of interpersonal experiences and observing the patients behavior in a consulting room (Westen, 2001). This was normally done in one session, if the patient informed the clinician of harming himself. The clinician would diagnose the patient as a borderline personality disorders.
DBT was originally developed to focus on individuals suffering from Borderline Personality Disorder (BPD). As described by the National Institute of Mental Health, the criteria an individual must meet to be diagnosed with BPD are some of the following: extreme emotional reactions, a pattern of intense and stormy relationships with family, distorted and unstable self-image or sense of self, impulsive and dangerous behaviours, recurring suicidal/self-harming behaviours, intense and highly changeable moods, chronic feelings of emptiness/boredom, inappropriate and intense anger, and having stress-related paranoid thoughts or severe dissociative symptoms (n.d.). To meet the needs of these complex symptoms, a four module skills training group was developed to known as “DBT skills”, 1) mindfulness, 2) interpersonal effectiveness, 3) emotion regulation, and 4) distress tolerance (Feigenbaum, 2008). The model of DBT assumes that individuals with BPD lack in the areas of interpersonal, self-regulation, and distress tolerance skills, and recognize that an individual’s personal and environment factors are influenti...
Linehan addressed the need for effective and empirically supported psychotherapeutic treatment for borderline personality disorder. She discovered important shortcomings in standard cognitive and behavioral (CBT) treatments (Chapman & Robins, 2004). DBT was developed to address difficulties faced when implementing standard CBT to ...
This book is partly a psychiatric textbook and partly a self-help book. It reviews the biology, psychology, and genetics of different personality disorders, such as narcissism, paranoia, antisocialism, and obsessive compulsive. The author, Stuart C. Yudofsky MD, graduated with an MD from Baylor College of Medicine. His practice focuses in two areas: psycho-pharmacology and neuropsychiatry. He is the D.C. of the Menninger Department of Psychiatry and Behavioral Sciences of Baylor College of Medicine and the chairman of the Psychiatry Department of The Methodist Hospital. The publisher, American Psychiatric Pub., is a global publisher of books, journals, and multimedia on psychiatry, mental health and behavioral science.
People typically think of personality disorders as a simple concept, but they are truly a complex topic with several different classifications. The most major division of the types of personality disorders is into clusters, the first being Cluster A (Burton). Cluster A is comprised of odd, bizarre, and eccentric personality disorders, such as paranoid, schizoid, and schizotypal personality disorder (Burton). Paranoid personality disorder is best described as a severe lack of trust, even in the people closest to the affected (Burton). Those with paranoid personalit...
Borderline personality disorder (BPD) is a very common personality disorder that is often confused with Bipolar disorder. Unlike Bipolar disorder which is when a person’s mood changes from depression to manic, borderline personality disorder is when a person suffers from unstable emotions, behavior and relationships with others and themselves. Individuals who suffer from severe BPD often have manic/ psychotic encounters. This disorder is very common in young adults, especially in women of every race and ethnicity. BPD was first added to the addition of DSM-III in 1980. Borderline Personality disorder can be linked to many other disorders such as depression, eating disorders, bipolar depression, schizophrenia and/or attempted or completed suicides. According to National Institute of Mental Health: about 85 percent of people with BPD also meet the diagnostic criteria for another mental illness. Medical Professionals take interest in this disorder because it is deep rooted and irregular unlike many other disorders. 1 in every 25 individual’s live with this disorder
Cluster C personality disorders include avoidant personality disorder, dependent personality disorder, and obsessive-compulsive personality disorder. The first personality disorder is avoidant personality disorder. With avoidant personality disorders you are very hurt to rejection and criticism. You feel like you are not capable of being attractive. Avoidant personality disorders like to avoid activities that involve personal contact with anyone. People with avoidant personality disorders do not like the sense of disapproval. With this disorder people have a lot of behavioral or performance restraint. People with this disorder are very timid in personal relationships and social activities. After avoidant personality disorders is dependent personality disorders. Dependent personality disorders have a lot to do with excessive dependence in others. You feel like you need to take care of others instead of yourself. Inclined and very clingy behavior towards others. You would fear that when left alone you would have to take care of yourself. People that have this disorder tend to lack self-confidence and rely on others for the help of small decisions. With dependent personality disorders you also tend to fear disapproval. People with this disorder tolerant poor and abusive treatment and they do not say or do anything about it. They feel like they have no other option.
BPD is a complex disorder in a sense that the symptoms such as depression, anxiety and substance abuse may cause a misdiagnosis thus overlooking BPD completely (Biskin & Paris, 2013). This personality disorder has also been known to occur simultaneously with anxiety disorders, eating disorders and bipolar mood disorders (Butcher, Mineka & Hooley, 2014). In addition, the prevalence of BPD decreases in older individuals (American Psychiatric Association, 2013).
Adolescence: a transition from children to adults, a time that we learn about ourselves, develop a sense of self and gain control of our emotions. However, individuals that are not able to associate with their feelings and build their self-esteem can be diagnosed with Borderline Personality Disorder. Borderline Personality Disorder is a mental illness that can be found in a number of adolescents and they are more likely to suffer from unstable identity, instability of emotions and fear of abandonment than adolescents without BPD. Also, it affects other aspect of individual 's life such as relationships with others, and decision making because of their impulsiveness and instability. However, BPD is a treatable psychological disorder, through