Essay On Borderline Personality Disorder

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In the past, BPD was believed to be a set of symptoms between problems associated with mood and schizophrenia. These symptoms were believed to be comprised of distortions of reality and mood problems. A closer look at this disorder has resulted in the realization that even though the symptoms of this disorder reveal emotional complexity, this disorder is more closer to other personality disorders, on the basis of the manner in which it develops and occurs in families, than to schizophrenia (Hoffman, Fruzzetti, Buteau &ump; Neiditch, 2005). The use of the term borderline has however, resulted in a heated controversy between the health care fraternity and patients. Patients argue that this term appears to be somehow discriminatory and that it should be removed and the disorder renamed. Patients point out that an alternative name, such as emotionally unstable personality disorder, should be adopted instead of borderline personality disorder. Clinicians, on the other hand, argue that there is nothing wrong with the use of the term borderline. Opponents of this term argue that the terms used to describe persons suffering from this disorder, such as demanding, treatment resistant, and difficult among others, are discriminatory. These terms may create a negative feeling of health professionals towards patients, an aspect that may lead to adoption of negative responses that may trigger self-destructive behavior (Giesen-Bloo et al, 2006). The fact however, is that the term borderline has been misunderstood and misused so much that any attempt to redefine it is pointless leaving scrapping the term as the only option. There is also a controversy with regards to whether borderline personality disorder is a disorder on its own or whether it ... ... middle of paper ... ...n fear and arousal (Schmahl, Berne, Krause, Kleindienst, Valerius, Vermetten &ump; Bohus, 2009). The work of dampening this arousal is carried out by the pre-frontal region of the brain. Brain imaging has revealed that personal differences in the capacity to activate areas of the prefrontal cerebral cortex, which is believed to activate inhibitory responses, predict the capacity to repress negative feelings (Williams Sidis, Gordon &ump; Meares, 2006). Acetylcholine and norepinephrine in addition to serotonin are the main neurotransmitters in the circuit involved in the regulation of emotions. Imbalance of these neurotransmitters in conjunction with increased GABA activity is believed to have the capacity to result in intense mood swings similar to those of borderline personality disorder (Schmahl, Berne, Krause, Kleindienst, Valerius, Vermetten &ump; Bohus, 2009).
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