Many personality disorders may experience spiritual distress, in particular, clients who have borderline personalities. Lack of spirituality causes clients with borderline personalities to have instability with their emotions and their actions. This makes them at risk for spiritual distress as evidence by challenged beliefs and no value system. As nurses, we must help clients who have borderline personality disorders understand how important spirituality is and how it has an effect on their lives. Nurses must display an understanding and accepting attitude, and encourage the client to verbalize any feelings including those of anger or loneliness. Expected outcomes that nurses would like to see in clients with borderline personality disorder facing spiritual distress would be that these clients would express hope and value in their belief system, and express a sense of well-being. (Gulanick & Myers, 2007). Before we can help clients who have borderline personalities, we as nurses must understand our own value and belief system and never impose these values on our clients. By understanding our own values and beliefs, we are more equipped to help clients with borderline personalities who encounter spiritually distress. There are many different types of spirituality such as believing in oneself, transcendent forces, or other people. Many authors define spirituality differently, according to Merriam-Webster Online dictionary(2013) spirituality is defined as the quality or state of being concerned with religion or the quality or state of being spiritual. As nurses, we know that spirituality and religion are not the same and one can be spiritual without being religious. When we encounter clients who have borderline personaliti... ... middle of paper ... ... spirituality when they are at risk for developing spiritual distress, I may potentially save my clients life, decrease their emotional instability and help them develop their own abilities to cope. Works Cited Bennett, K., Shephered, J., & Janca, A. (2013). Personality disorders and spirituality. Psychiatry, 26(1), 5. Cook, C. (2012). Pathway, to accommodate patients' spiritual needs. Nursing Management, 19(2), 5. Dictionary and Thesaurus - Merriam-Webster Online. (2013, January 3). Retrieved October 22, 2013, from http://www.merriam-webster.com/ Gulanick, M., & Myers, J. L. (2007). Nursing care plans: Nursing diagnosis and intervention. St. Louis, MO: Mosby. Mohr, W. K. (2013). Psychiatric-mental health nursing: Evidence-based concepts, skills, and practices (8th ed.). Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.
Merriam Webster. Merriam-Webster's Collegiate Dictionary of English. Ed. Frederick Mish. 11 th.
This paper looks at a person that exhibits the symptoms of Borderline Personality Disorder (BPD). In the paper, examples are given of symptoms that the person exhibits. These symptoms are then evaluated using the DSM-V criteria for BPD. The six-different psychological theoretical models are discussed, and it is shown how these models have been used to explain the symptoms of BPD. Assessment of
Borderline Personality Disorder (BPD) affects about 4% of the general population, and at least 20% of the clinical psychiatric population. (Kernberg and Michels, 2009) In the clinical psychiatric population, about 75% of those with the disorder are women. BPD is also significantly heritable, with 42-68% of the variance associated with genetic factors, similar to that of hypertension. BPD can also develop due to environmental factors such as childhood neglect and/or trauma, insecure attachment, and exposure to marital, family, and psychiatric issues. (Gunderson, 2011)
Ackley, B. & Ladwig, G. (2010) Nursing diagnosis handbook:an evidence based guide to planning care. Maryland Heights, MO: Mosbey.
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...
Could you picture yourself being brought face to face with an individual who has a personality similar to a mind field? In other words where or when he/she will explode is never known. This type of personality disorder is called Borderline Personality Disorder. Borderline Personality Disorder is one of the most scariest and hidden disorders that have baffled our society as well as many health professionals for many years. The DSM IV defines borderline personality disorder as a “pervasive pattern of instability of self image, interpersonal relationships, and mood”. (Bliss, 1986) After reading the DSM IV’s definition, the true meaning of BPD still wasn’t clear. Excluding fancy words, the reality of BPD is simple-a person has a low opinion of self and a low opinion of all surrounding factors that self is forced to be involved with. Whether it’s relationships with lovers, friends, or family the perception of these facets is a negative one in the eyes of BPD patient. Although having such horrible thoughts and feelings towards loved one’s seems bad enough, the seriousness of this problem is that BPD patients don’t speak of their feelings, they keep them bottled up inside. As you know, you can stretch a rubber band pretty far, but sooner or later it’s bound to break. It’s this breaking that really brings out unbelievable rage towards self and loved one’s.
“The disorder that doctors fear most,” or borderline personality disorder as it is known throughout the medical community, is only one of several personality disorders plaguing society today (qtd. in Aldhous). Unfortunately most people suffering from personality disorders do not attempt to seek psychiatric help and go undiagnosed and the bulk of those who do contact medical professionals are already in the midst of a problem or only search for help following a reckless act (Aldhous). Personality disorders are one of the most prevalent diagnoses of the psychiatric community, with thirty-six to sixty-seven percent of patients in psychiatric hospitals or facilities diagnosed with some sort of personality disorder (Yeandle 21). Even in an age full of so many technological advances in the psychiatric field, an understanding of personality disorders is not common among non-medical personnel, and it is important for people to take a closer look at the types of personality disorders and their respective symptoms, the diagnostic process and its need for reform, and the existing therapies and treatments available for those living with the heavy burden of a personality disorder.
Borderline Personality disorder is a commonly misdiagnosed mental illness. The symptoms of borderline personality disorder are so closely related to other mental illnesses, that it is most often under diagnosed or misdiagnosed altogether. This illness can be completely debilitating to effected person. They do not understand that it is their mental illness that is making them feel the way that they do. They feel hopeless, like their lives will never improve from this point. Which is a major factor into why borderline personality disorder has one of the highest rates of suicidal ideation and suicide attempts.
Varcarolis, E.M., & Halter, M.J. (2010). Foundations Of Psychiatric Mental Health Nursing: A Clinical Approach. 6th Ed.; Saunders Elsevier; 3251 Riverport Lane; St. Louis, Missouri 63043, US; Printed in Canada.
The career of nursing has countless aspects that are imperative for the effectiveness and overall satisfaction of care for the average person. These aspects include physical care, mental health care, and spiritual care. The aspect of spiritual care includes the nurse assessing her clients’ spiritual health and creating a plan for complete treatment. Spirituality may be a specific object or person the client connects with, so nurses must be aware of each client’s spiritual preference. The United States has a vast diversity of people where every client the nurse encounters will value something completely different. More religious people might value a cross or a bible in their room. Some might want their family to frequently visit. Others might prefer a certain type of music playing at a certain time of the day. With violent protests, mass shootings, and threat of war looming over the Unites States’ head every day, spiritual care is going to be on a major upsurge in the health career fields.
Scazzero, Peter. Emotionally Healthy Spirituality: Unleash a Revolution in Your Life in Christ. Nashville, Tenn.: Thomas Nelson, 2011.
Potter, P., Perry, A., Stockert, P., Hall, A. (2013). Fundamentals of Nursing, (8th Ed.). St. Louis, MO: Elsevier Mosby.
As someone who grew up in a home that was not spiritual or religious, my views on what spirituality and religion are come from what I have seen, read, understand and personally believe. Now you can look up the definitions of spirituality and religion in Merriam-Webster which says, “the quality or state of being concerned with religion or religious matters: the quality or state of being spiritual” which is a pretty simple statement for spirituality and for religion it states “an organized system of beliefs, ceremonies, and rules used to worship a god or a group of gods”. Spirituality to me is something you feel within you as a person and is not something that is an organized group. I personally believing that we are all one group of human beings and we all can look at spirituality different and that is perfectly ok. When I think of religion, it’s
Varcarolis, E. M., & Halter, M. J. (2010). Foundations of Psychiatric Mental Health Nursing. St. Louis: Saunders Elsevier.
This paper will include a self-assessment of my own spirituality and how I view spirituality. Peer-reviewed scholarly articles will be included in the essay pertaining to spirituality and my belief. In the following paragraphs will also include the integration of spirituality within social work practice. I believe spirituality does various things for me in my life: it heals me, helps in a time of need, and guides me towards positive aspects of life, which many people believe the spirit does the same for them.