This paper will examine the results of four studies: One is a prospective follow-up study, one is a prospective naturalistic study, one is a case control study and the last one is a randomized clinical trial. They are on borderline personality disorder and substance abuse articles by Walter et al. (2009), Zanarini et al. (2010), Gratz & Tull, (2010), and by Linehan, Schmidt III, Dimeff, Craft, Kanter & Comtois, (1999) respectively. The hypotheses, methods and results will be summarized. The future research areas suggested by Walter et al. (2009), Zanarini et al (2010), Gratz & Tull, (2010), and by Linehan et al. (1999) will be discussed along with the value of their studies to the field of psychiatric rehabilitation. In conducting their study, Walter et al. (2009) examined the risk level of substance use disorders (SUDs) between people who have borderline personality disorder (BPD) and those who had other personality disorders (OPD). They also examined the risk of new onset of SUD between individuals with BPD that is remitted versus non-remitted. The researcher’s hypothesized individuals with BPD would have an increased risk of SUD when compared to those in the OPD group. Participants in the study were part of an ongoing Collaborative Longitudinal Personality Disorders Study. The OPD group combined Axis II diagnosis’s of: schizotypal personality disorder (STPD), avoidant personality disorder (AVPD), and obsessive-compulsive disorder (OCPD), Identified are approximately 371 women and 200 men for a total of 571 participants. The participants who had BPD were placed I a group separate from those who had OPD. The BPD group had approximately 15% more men and women then the OPD group. The BPD group was subdivided into tw... ... middle of paper ... ...& Tull, M. T. (2010). The relationship between emotion dysregulation and deliberate self-harm among inpatients with substance use disorders. Cognitive Therapy and Research , 34, 544-553 . doi: 10.1007/s10608-009-9268-4 (Gratz & Tull, 2010) Linehan, M. M., Schmidt III, H., Dimeff, L. A., Craft, J. C., Kanter, J., & Comtois, K. A. (1999). Dialectical behavior therapyfor patients with borderlinepersonality disorder and drug-dependence. The American Journal on Addictions, 8(4), 279–292. (Linehan, Schmidt III, Dimeff, Craft, Kanter & Comtois, 1999) Zanarini, M. C., Frankenbur, F. R., Weingeroff, J. L., Reich, D. B., Fitzmaurice, G. M., & Weiss, R. D. (2010). The course of substance use disorders in patients with borderline personality disorder and axis ii comparison subjects: A 10-year follow-up study. Addiction, 106, 342-348. doi: 10.1111/j.1360-0443.2010.03176.x
Denise Gilmartin, a 26 year old female, exhibits behaviors which meet criteria for Borderline Personality Disorder. Denise exhibits unstable intense interpersonal relationships characterized by idealization and devaluation (Criterion 2). She has a history of brief tumultuous relationships and friendships. They start of with quick intense attachments and are described by Denise as “wonderful” and “incredibly special” (idealization); however, these feelings quickly devolve into “contempt” and “loathing” (devaluation). Additionally, Denise displays an unstable sense of self (Criterion 3). Her unsteady employment history is partially explained by dramatic shifts in interests. She switched from marketing to legal work to waitressing. It is also important to note that interpersonal issues underly most of her
Fortinash, K. M., & Holoday Worret, P. A. (Eds.). (2012). Substance-related disorders and addictive behaviors. Psychiatric mental health nursing (5th ed., pp. 319-362). St. Louis, MO: Elsevier Mosby.
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)
Selby, E. A., & Joiner Jr, T. E. (2008). Ethnic variations in the structure of borderline personality
Borderline personality disorder is a hard-mental disease to diagnose, according to The National Institute of Mental health the definition of borderline personality disorder is: “… a serious mental disorder marked by a pattern of ongoing instability in moods, behavior, self-image, and functioning. These experiences often result in impulsive actions and unstable relationships” (pg 1). When we look at that definition alone this is a very vague description of the disorder that anyone that is experiencing just a rough time in life, can be diagnosed with this mental disorder. Roughly about 3 million Americans are diagnosed with borderline personality disorder a year. To find out who really has this mental disorder we should look at case studies,
In order for someone to be diagnosed with Borderline Personality Disorder, they must experience at least five of the following symptoms: 1) fear of abandonment, 2) a history of intense and unstable relationships with family, friends, and loved ones, which often go back and forth between idealization (which includes love and extreme closeness) to devaluation (which includes extreme hatred or anger), 3) a disto...
middle of paper ... ... Retrieved June 16, 2002, from http://nimh.nih.gov/publicat/numbers.cfm. National Mental Health Association. 2000 May 15.
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 ...
Diagnosis is extremely hard with borderline personality disorder because so many of the symptoms overlap into other mental illnesses. The DSM-IV has distinct criteria. The National Institute of Health lists the following as the criteria for Borderline Personality Disorder: a pervasive pattern of instability of interpersonal relationships, self image, and affects and marked impulsivity beginning by early adulthood and present in a variety of contexts as indicated by five or more of the following:
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
Jakubovski, E., Diniz, J. B., Valerio, C., Fossaluza, V., Belotto-Silva, C., Gorenstein, C., …Shavitt, R. G. (2013). Clinical predictors of long-term outcome in obsessive-compulsive disorder. Depression and Anxiety, 30, 763-772. doi 10.1002/da.22013
In conclusion, this is a common but very serious condition; many of the people who suffer from addictive personality disorder don't know it and it could very well ruin their lives. Any addiction is a serious problem but when one is susceptible to it, it automatically becomes worse. Throughout the course of this research paper, I pointed out facts that have been proven through science. Many people can lead a normal and healthy life while dealing with this condition if the proper support and help is presented. I hope to have helped raise the awareness of this illness and to help encourage people who suffer or think they may suffer from it to seek help so they could continue to live a healthy and addiction free life.
When looking at the recovery model from a psychiatric rehabilitation perspective, there are a number of characteristics of the recovery process that have been suggested, which include: it is possible for recovery to occur without professional intervention, however this then requires people who believe in and stand by the person in recovery; it does not include dependence on believing specific theories about the cause of the circumstance; it can occur even if symptoms happen to re-occur, but this does not affect the frequency and duration of these symp...
Pratt, C. W., Gill, K. J., Barret, N. M., & Roberts, M. M. (2013). Psychiatric rehabilitation(3rd ed., pp. 169-171). San Diego, CA: Academic Press.
The history of BPD can be traced back to 1938 when Adolph Stern first described the symptoms of the disorder as neither being psychotic nor psychoneurotic; hence, the term ‘borderline’ was introduced (National Collaborating Centre for Mental Health, 2009, p. 15). Then in 1960, Otto Kernberg coined the term ‘borderline personality organization’ to describe persistent patterns of behavior and functioning consisting of instability, and distressed psychological self-organization (National Collaborating Centre for Mental Health, 2009, p. 15).