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Case study for borderline personality disorder
Dsm 5 borderline personality disorder study
Case study for borderline personality disorder
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Self-Harm 1
Self-Harm: The Reality
Jennifer Winston
Psychology
Professor Kerlin
Self-Harm 2
Abstract
Self-Harm includes many different behaviors in which an individual hurts themselves intentionally. There is no specific demographic of people that tend to self-injure more than others. There are many different reasons that a person chooses to self-injure. These reasons include poor self-image issues, unable to cope and express emotions, control issues, and even suicide. Self-Harm is a common problem among people who have Borderline Personality Disorder. Borderline Personality Disorder is a mental illness in which an individual struggles dealing with powerful emotions, self-destructive behavior, inaccurate self-image, and unhealthy
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Borderline Personality Disorder is a mental disorder in which individuals struggle with intense emotions, reckless behavior, unhealthy relationships, and unrealistic self-image issues. In diagnosing someone with Borderline Personality Disorder, one would look to identify self-damaging impulsive behaviors such as substance abuse, stealing, spending, excessive gambling, reckless driving, binging and purging, as well as “recurrent suicidal behavior, gestures, or threats, or self-mutilation.” (Sutton, 2005, p. 350) Not all people that have Borderline Personality Disorder self-mutilate, and not all people that self-mutilate have Borderline Personality Disorder. People dealing with the powerful emotions, associated with those with Borderline Personality Disorder, are flooded with intense feelings and have no coping methods to release them. In addition to that, people with Borderline Personality Disorder often times get themselves into unhealthy relationships. Unhealthy relationships can lead to an unhealthy living environment. As discussed in section two, an unhealthy living environment can lead to an individual injuring themselves in order to feel as though they have some control over things in their
First, some people harm themselves simply because they can. A friend of Callie’s, Amanda, cuts herself and said to Callie, “Listen, I don’t see how what I do is so different from people who get their tongues pierced. Or their lips. Or their ears, for Chrissakes. It’s my body” (McCormick 37). She doesn’t see the harm in hurting herself which is why teaching this book could tell teenagers that this isn’t the path to go down and that there are other alternatives. She thinks that this is normal and a way to cope with her problems on a day-to-day basis. Amanda is one of the 1,400 out of 100,000, and growing, people who admitted to self-injury (Kennedy). Secondly, some people self-injure to cope with their feelings and tensions. Callie explains to her therapist about her father’s job situation and said, “’Now he just sells to companies nearby.’ I don’t tell you [her therapist] about how it seems like all the companies nearby already have computers, that for a while he took people out hoping they’d become customers and that now he mostly just goes out. ‘He has to work a lot’” (McCormick 111). Callie explained how her fathers situation seemed to cause her a lot of stress and how she seemed worried for him. To add, “some reasons why teens self-injure include: release of tension and feeling overwhelmed” (Styer). This is a lesson that could be taught in
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)
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) 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 (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)
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.
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...
An estimated 1.6%-5.9% of the adult population in the United States has BPD, with nearly 75% of the people who are diagnosed being women. Symptoms of Borderline Personality Disorder include Frantic efforts to avoid being abandoned by friends and family, Unstable personal relationships that alternate between idealizations, Distorted and unstable self-image, Impulsive behaviors that can have dangerous outcomes, Suicidal and self-harming behavior, Periods of intense depressed mood, irritability or anxiety lasting a couple hours/days, Chronic feelings of boredom or emptiness, Inappropriate, intense or uncontrollable anger - often followed by shame and guilt, and Dissociative feelings. The three main factors that could cause this mental illness are Genetics, Environmental factors, and Brain function. This illness can only be diagnosed by a mental health professional after a series of interviews with the patient and family/friends of the patient. The patient must also have at least five of the nine symptoms of this illness in order to be diagnosed. The most common treatment for this illness is some form of psychotherapy. Some other treatment options are to prescribe medications and if needed a short-term
Borderline Personality Disorder (BPD) hinders people’s security, makes interpersonal and interpersonal relationships difficult, worsens the person suffering from the disorder’s life and those around them, effects their affect and self-image, and generally makes a person even more unstable (Davidon et al., 2007). This disorder is a personality disorder which effects the people’s emotions, personality, and daily living including relationships with other and job stability. People with BPD may experience a variation of symptoms including but not limited to: intense contradictory emotions involving sadness, anger, and anxiety, feelings of emptiness, loneliness, and isolations (Biskin & Paris, 2012). This disorder makes it hard for the person with the disorder to maintain relationships since they have tendentious believe that people are either strictly good or bad. Also, they are sensitive to other people’s actions and words and are all over the place with their emotions so those in their life never know which side to expect. (Biskin & Paris, 2012)
According to the Mayo Clinic Staff (2015) a symptom of borderline personality disorder may include, “suicidal threats or behavior or self-injury, often in response to fear of separation or rejection” (p.2). Medea portrays suicidal behavior many times within the play.
Borderline personality disorder, abbreviated to BPD, is an illness regarding mental health that spawns a great deal of emotional unsteadiness and unpredictability and has the capability to trail off into other stressing mental and behavioral difficulties. This psychological disorder known as borderline personality disorder is not entirely portrayed within the very beginning of the movie. Displayed is a young woman at the age of eighteen with a strange lifestyle where she considered all types of sex as casual. Her graduation day is shown where she has actually fallen asleep. As regards that sleepiness, depicted is
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).
Depression is a common reason people SI, the sadness created makes them take control through self harm. BPD is the most popular diagnosis for people who cut themselves as cutting is a criteria. PTSD is a reason for people to cut themselves in order to deal with trauma. Eating disorders cause individuals to SI because they think it can take the place of fasting and purging. Dissociative disorders, such as DID, cause a person to self
Let us look into basic and generalized knowledge of self injury. Self injury (self harm or S.I.) is the act of harming yourself as a way of coping with emotional pain, frustration, and anger. Some view it as a suicide attempt or a precursor to a suicide attempt, but it is not a suicide attempt at all. Rather, it is a serious cry for help. When an individual turns to self injury, they look for an emotional release which gives them momentary calmness. “While self-injury may bring a momentary sense of calm and a release of tension, it's usually followed by guilt and shame and the return of painful emotions” (Self Injury 1). Self injury can also result in serious or even fatal injuries (1).