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Borderline personality disorder review of the literature
Borderline personality disorder review of the literature
Case study of borderline personality disorder
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Suffering is an inevitable part of life that every individual is bound to experience on many different levels and for numerous causes. Many times individuals are able to move past their pain and discomfort, but what if ones pain and discomfort is not something they can control? Individuals who suffer from a mental illness called Borderline Personality Disorder often suffer physically, mentally and emotionally. According to the American Psychiatric Association Borderline personality disorder (BPD) is a severe form of psychopathology characterized by instability of affect, impulsivity, self-harm, chaotic interpersonal relationships, and identity disturbance (Tomko, Rachel). Borderline Personality Disorder is a very interesting mental illness. …show more content…
This classification infers that the disorder is the result of permanent personality traits and requires continuous treatment. The personality disorder did not appear until the manual’s third edition in 1980. Over the years, the term borderline has come to refer to a collection of symptoms that create an unstable personality arrangement which a person can have (Ogden, Janine). The term borderline personality disorder was coined in 1938 by Adolph Stern (Hebblethwaite, Caroline) and is used to refer to individuals that displayed behaviors that fall on the “borderline” or margins between neurosis and psychosis; meaning one can experience symptoms of neurosis, such as feelings of anxiety, obsessional thoughts, compulsive acts, and physical complaints without tangible evidence of disease, in various degrees and patterns which dominate the personality. An individual will also experience psychosis symptoms such as delusions or hallucinations that indicate flawed contact with reality. According to my research, Axis I disorders such as anxiety or depression, coincide with BPD. It is estimated that more than 90 percent of those with BPD also meet the criteria for depression. Other Axis II personality disorders are also associated with this disorder, such as antisocial personality disorder (APSD), histrionic personality disorder (HPD), …show more content…
Many researchers have concluded that BPD can be hereditary, and the influences of biology and environmental practices can contribute to the development and intensity of symptoms of this disorder (Hebblethwaite, Caroline). Meaning, an individual can be born with distinctive personality or temperamental traits due to the way their brain is “wired,” and these traits or characteristics are further molded by the persons environment and cultural experiences and possibly by family and friends. According to the National Alliance on Mental Illness (NAMI) there are “no specific gene has been shown to directly cause BPD” but a number of different genes and some hormones have been identified to strengthen the development of BPD, “a number of hormones (including oxytocin) and signaling molecules within the brain (e.g., neurotransmitters including serotonin) have been shown to potentially play a role in BPD”. They also state that MRI testing has concluded that brain functionality is often different in people with BPD, therefore suggesting that there is a neurological aspect playing a role. Researchers have found differences in certain areas of the brain that might explain impulsive behavior, emotional instability and the way people perceive events. As well, twin and family history studies have shown a genetic influence, with higher rates of BPD and/or other related mental health disorders among close family members.
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)
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 in “Girl Interrupted” The movie, “Girl Interrupted,”is about a teenage girl named Susanna Kaysen who has been diagnosed with Borderline Personality Disorder. People with Borderline Personality Disorder “are often emotionally unstable, impulsive, unpredictable, irritable, and anxious. They are also prone to boredom. Their behavior is similar to that of individuals with schizotypal personality disorder, but they are not as consistently withdrawn and bizarre” (Santrock, 2003).
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
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...
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.
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)
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...
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)
Borderline Personality Disorder is diagnosed predominantly in females. There is approximately a 3:1 female to male gender ratio for this disorder.
The most successful treatments for Borderline Personality Disorder range from Dialectical Behavioral Therapy (DBT), Cognitive Behavioral Therapy, Psychoeducation and medications consisting of antipsychotics such as Zyprexa or selective serotonin reuptake inhibitors (SSRI’s) including Fluoxetine (Prozac) or Paroxetine (Paxil) to reduce the occurrences of mood swings, depression, boredom, agitation, and emptiness. Cognitive Behavioral Therapy can benefit Evie Zamora because it can help her identify and change her core beliefs and behaviors to her negative self-image or insecurities. Evie Zamora falls into two types of borderline, the petulant and impulsive. However, the most effective and useful therapy for Evie is DBT because it focuses on
BPD is a complex disorder in a sense that the symptoms such as depression, anxiety and substance abuse may cause a misdiagnosis thus overlooking BPD completely (Biskin & Paris, 2013). This personality disorder has also been known to occur simultaneously with anxiety disorders, eating disorders and bipolar mood disorders (Butcher, Mineka & Hooley, 2014). In addition, the prevalence of BPD decreases in older individuals (American Psychiatric Association, 2013).
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.
Personality Disorders: Paranoid - Projection, Histrionic - Dissociation Borderline - Splitting, Acting out, Projective Identification
In some cases the causes of mental illness primarily found inside the individual. Some of them have been associated with an abnormal balance of neurotransmitters in the brain. If they are out of balance the communication between nerve cell in the brain disrupted (Royal Australian and New Zealand College of psychiatrist, 2005). Hence, leading to symptoms of mental illness like depression, schizophrenia. On the other hand, genetics also plays a significant role to acquire mental disorder, which is passed...