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Week 7: Controversy Associated with Personality and Paraphilic Disorders
Fatiatu Jobi
NRNP 6675: PMHNP Care across the Lifespan II
Walden University
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Controversy Associated with Personality Disorders
Personality disorders are a subset of mental health conditions characterized by
dysfunctional thought, behavior, and functioning patterns. Individuals suffering from personality
disorders have trouble relating to others and their environment, which can significantly impair
their ability to engage in social events, relations, job, or education. In hospital settings,
personality issues seem to become increasingly common and a complicated issue. These terms
continue to encompass uncertain regions that aren't fully understood. Antisocial personality
disorder, OCD, avoidant personality disorder, paranoid personality disorder, borderline
personality disorder, and others are among the many personality disorders (Volkert, et al., 2018).
Given that there are several disputed interpretations of borderline personality disorder (BPD),
this study will further explain it. The categorization of borderline personality disorder is
challenging since those who have it may also be subject for other diagnoses. Therefore, a
systematic and thorough evaluation of the patient in comparison to others who display typical
personality characteristics is necessary to make a diagnosis of this illness (Chanen, et al., 2020).
Furthermore, it is unclear whether particular personality trait need to be evaluated in people with
borderline personality disorder. Among the potential issues include notable discrepancies seen
with the scales and tools used to categorize this disease. To create a successful care plan for
patients, clinicians must fully and clearly understand that disease.
Professional Beliefs
According to professional opinions on the disorders, it might be challenging to establish
that an individual has borderline personality disorder since they are not given an accurate
diagnosis and have their symptoms properly managed. An intricate mental health problem known
as borderline personality disorder impacts how a person thinks about herself and other people. It
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is distinguished by erratic, strong emotions as well as self-doubt. People with BPD have said that
the disorder causes them to act impulsively and feel emotionally unstable (Paris, 2018). Due to
their extreme sensitivity to rejection and loneliness, people with borderline personality disorder
experience powerful emotions of fear, rage, and self-harm as well as suicidal thoughts. The
majority of these symptoms are correlated with several other mental health conditions, thus
patients must undergo a thorough evaluation. It is simple to establish a treatment plan to stabilize
the patient's condition after the problem has been appropriately assessed. Moreover, BPD stigma
and misinformation harm a person's health. In order to obtain approval for the most suitable
course of therapy, caregivers should continuously understand the condition via extensive clinical
studies and collaboration (Videler et al., 2019).
Strategies to maintain a Therapeutic Relationship
At the beginning of the psychotherapy, therapists should get as much crucial data from
their clients as they can in order to establish the therapeutic connection and accurately pinpoint
the problem. It will be beneficial to understand the disease's clinical symptoms in order to avoid
making an inaccurate diagnosis. Furthermore, in order to create and maintain a
psychotherapeutic interaction with the client, open-ended inquiries must be asked (Krueger, &
Hobbs, 2020). Do not pass judgment on the person's state of health while actively listening to
their problems. When educating the patient about their disease, use the diagnostic criteria.
Furthermore, since the patient's threats might result in poorer consequences, healthcare staff must
take them into consideration. People with personality problems should seek social support
because it promotes self-determination, which is critical for future medical results (Eubanks,
2022).
Ethical and Legal Considerations
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Clients with borderline personality disorder commonly have thoughts of suicide, and
providers of mental healthcare grapple with whether or not to admit them to a needed
hospitalization. In such circumstances, there is also a legal liability when medical professionals
cooperate to protect patients from impending injury or risk. Furthermore, these patients'
incapacity to provide informed consent raises an intriguing ethical quandary. As a result, in order
to avoid complications, health professional should consult with the client’s relatives to get
permission from the participants. Furthermore, discussing the medical conditions of people
obtaining care for suicidal ideation is improper. In order to give encouragement and social
support for the patient's needs, it is critical to incorporate the patients and family members in the
care plan. (Edens, et al., 2018).
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References
Chanen, A. M., Nicol, K., Betts, J. K., & Thompson, K. N. (2020). Diagnosis and treatment of
borderline personality disorder in young people. Current psychiatry reports, 22(5), 1-8.
Edens, J. F., Petrila, J., & Kelley, S. E. (2018). Legal and ethical issues in the assessment and
treatment of psychopathy.
Eubanks, C. F. (2022). Rupture repair. Cognitive and Behavioral Practice.
Krueger, R. F., & Hobbs, K. A. (2020). An overview of the DSM-5 alternative model of
personality disorders. Psychopathology, 53(3), 126-132.
Paris, J. (2018). Clinical features of borderline personality disorder. Handbook of personality
disorders: Theory, research, and treatment, 2, 419.
Videler, A. C., Hutsebaut, J., Schulkens, J. E., Sobczak, S., & Van Alphen, S. P. (2019). A life
span perspective on borderline personality disorder. Current psychiatry reports, 21(7), 1-
8.
Volkert, J., Gablonski, T. C., & Rabung, S. (2018). Prevalence of personality disorders in the
general adult population in Western countries: systematic review and meta-analysis. The British
Journal of Psychiatry, 213(6), 709-715.
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