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Case study of a person with borderline personality disorder pdf
Case studies of Borderline personality disorder
Case study of a person with borderline personality disorder pdf
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Am I to blame for being diagnosed with a Borderline Personality Disorder and PTSD? I am a survivor of child sexual abuse that started in 3rd grade and was perpetuated by others until I was eleven. At twelve-years-old, I became a survivor of rape by my psychopathic brother - a secret, I am now sharing. I am a survivor of my mother's constant verbal and physical abuse in my growing years. And, I survived at thirteen the six months' abandonment in Israel by my mother; she was busy running wild among her people in the promised land. Six months after our return to the United States, the juvenile court system determined by parents unfit and severed their parental rights. Now, at fourteen and a Ward of the Court, for the next two years, I was placed …show more content…
in a boarding school for emotionally troubled children. After returning home at sixteen, for approximately one year, I had my first-time on and off boyfriend who committed suicide, his last words to me the night before his death were, "See Ya". Nevertheless, I went on to develop a successful career in Financial Accounting.
Yes, I had a mental illness controlled by medications. I had periodic hospitalizations for attempts at suicide throughout my life. And yet, I married at twenty-eight, had my first child at thirty, to then learn my husband was using drugs behind my back. I remained in the marriage to have my daughter at age thirty-five, to learn my husband was addicted to cocaine and was affecting the family, but I remained. When my husband became physically abusive after sixteen years of marriage I filed for …show more content…
divorce. However, our lives were entangled by the children, they were our priority. Over the following twelve years, I advanced in my career to become a Manager. The children grew to lead their own lives. God giveth and God taketh away, I had heard it said and came to learn the words first hand. Tragedy struck, four years ago, when I was diagnosed with advanced glaucoma and was forced into early retirement, at 52 years of age, but that was just the beginning of losses that were to come.
The biggest loss along with my excellent credit score was my ability to remain in my hometown where my children still live. After I had moved to a less expensive city, one by one my brothers, my grown children, extended family, and my once friendly former husband turned their back to me. My calls eventually went to voicemail and messages were left unreciprocated. Not since the day of my diagnosis has anyone asked about my vision, drove the nine hours to visit or even call just to see how I am doing. Am I at fault being too sensitive, for needing to feel loved, to blame for asking to receive more than one text a month (if that)? Over these years, I have had to be the one to initiate contact. Tomorrow, I will be a no-show at my Psychiatrist Appointment because he said I had two weeks to collect myself or he would hospitalize me again, well, I have not collected myself because I can't remember how to be the before me that is lost in an abyss of
grief. Today, when I asked the last one who I thought was partially available, my daughter, "Are you avoiding me?" She replied in a text, "You are selfish and act like a child. I don't have time for your drama." She is referring, I believe, to my hospitalization for severe depression two months ago, of which she has yet to mention, choosing to pretend it never happened or worse she does not care. I take her response to imply - I am too needed for her busy schedule. A perfect way to further break a mother's fractured heart if anyone wants to know. There was never a time I had considered that one day I would be without family or friends. That I would come to live with a disease that is the cause of my financial demise and loss of visual acuity. Now, to added to the still open wound of the abandonment by my family is the added injury of rejection by my daughter. I ponder whether I have outlived my purpose? When everyone I love has no need for my presence in their lives, what remains is a self that feels worthless, unloved, and useless living in a city that is as ugly as I believe my life has become.
Reverse Waiver. (1998, December). Retrieved September 20, 2011, from Trying Juveniles as Adults in Criminal Courts: http://www.ojjdp.gov/pubs/tryingjuvasadult/transfer4.html
Hairston, C., & Lockett, P. (1987). Parents in Prison: New Directions for Social Services. Social Work , 162-164.
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,
Travis, J., McBride, E. C., Solomon, A. L. (2005, June). Families left behind: the hidden cost of incarceration and reentry. Urban Institute Justice Policy Center. Retrieved November 19, 2013, http://www.urban.org and http://www.aecf.org
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.
Many people have heard or read about the situations of child celebrities such as Jenna Malone, Drew Barrymore, Christina Ricci, Michelle Williams and Macauley Culkin or child athletes like Dominique Moceanu, but few have heard of a more compelling situation as that of Aaron Kipnis. This young man was brutally beaten by his stepfather at the age of eleven. Instead of punishing his stepfather, the state of California made the eleven year old a ward of the state. Being a ward, in the states juvenile system, was a horrific experience. For the next five years, Kipnis began a cycle of running away, getting caught, and living in temporary housing. It was not until he was sixteen that a parole officer recommended he pursue legal emancipation. His freedom was finally granted at seventeen (Rupp 1&2).
The Juvenile Justice system, since its conception over a century ago, has been one at conflict with itself. Originally conceived as a fatherly entity intervening into the lives of the troubled urban youths, it has since been transformed into a rigid and adversarial arena restrained by the demands of personal liberty and due process. The nature of a juvenile's experience within the juvenile justice system has come almost full circle from being treated as an adult, then as an unaccountable child, now almost as an adult once more.
In addition to improving chances of successful reentry, maintaining contact with family during incarceration has been shown to significantly reduce chances of recidivism. The separation caused by incarceration as well as the barriers to sustaining meaningful contact while incarcerated have been shown to impede reentry and create profound challenges to family stability. Parental incarceration increases the risk of children living in poverty or experiencing household instability, independent of any other factors present in a young person’s life. The impacts of incarceration on economic stability, health, education, and well-being also disproportionately affect young people who live in communities devastated by decades of unjust criminal justice policies that have had strong intergenerational impacts. Parental incarceration often displaces children, leaving other family or community members as the primary support system for these children, or pushing children into foster care or unstable
Borderline Personality Disorder (BPD) is a mental illness characterized by patterns of ongoing instability in moods, behavior, self-image, and functioning. An individual suffering from this disorder may act impulsively and experience unstable relationships (The National Institute of Mental Health, 2016). The term Borderline Personality Disorder stems from the idea that the characteristics of this disorder fall between anxiety and psychosis (Cacioppo & Freberg, 2016). According to the National Alliance on Mental Illness (2017), “1.6% of the adult U.S. population have BPD but it may be as high as 5.9%. Nearly 75% of people diagnosed with BPD are women, but recent research suggests that men may be almost as frequently
In this article, Adalist-Estrin discusses the effects that parental incarceration on the adolescent population. Of the many different effects and contributing factors parental imprisonment can have on children, she targets a very prominent three that result in a lack of support and understanding of the presenting issue. The author further discusses and lists the various ways many of these adolescents may experience parental incarceration, including the feelings associated with this trauma. The article sheds light on the challenges faced with providing support as well as why it is crucial to create supportive environments for these children. Importantly, Adalist-Estrin goes on to explain the importance of the roles educators, counselors, and community advocates play as supporters. Suggestions and strategies are offered for responding to and working with this population of children, including that of a support group.
There has been no change in the diagnostic criteria from the DSM-IV to the DSM-5 with regards to diagnostic criteria for borderline personality disorder. Borderline personality disorder is defined by the American Psychiatric Association in the DSM-5 (2013) as “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” (Borderline Personality Disorder). There are nine criteria listed in the DSM-5 (2013) that are utilized as indicators that the individual meets the diagnostic definition of BPD. The individual must meet a minimum of five of the criteria
Using narratives to gain an insight into human experience is becoming an increasingly popular method of exploration. Assuming that people are in essence narrative beings that experience every emotion and state through narrative, the value of exploring these gives us a unique understanding. Narrative is thought to act as instrument to explore how an individual constructs their own identity (Czarniawska, 1997) and explain how each individual makes sense of the world around them (Gabriel, 1998). It may also give us an understanding into individual thought processes in relation to individual decision making practices (O’Connor, 1997). It is evident from studies such as Heider and Simmel (1944), that there appears to be an instinctive nature in people to introduce plots structures and narratives into all situations, with an intention to construct meaning to all aspects of life in its entirety. The value of narrative is that it is a tool that allows us to understand what it means to be human and gives us an insight into a person’s lived experience whilst still acknowledging their cultural and social contexts. Narrative is thought to be significance as it is ‘a fruitful organizing principle to help understand the complex conduct of human beings (p.49)’ (Sarbin, 1990) The construction of a person’s narrative is thought to be dependent on each person’s individual awareness of themselves and the circumstances that surround them. However, a debate to whether a person is able to formulate a valid narrative in the face of a mental illness such as schizophrenia has emerged. Sufferer’s symptoms are often thought to interfere with their abilities to perceive within a level deemed acceptable to their society’s norms and therefore the validity ...
Depression is quiet. I had learned that at the beginning of high school when all of the sudden, my self-depreciating thoughts had gone silent. The feeling of elation I had experienced that moment was mighty. I felt that it was too good to be true, that there was no way that I had freed myself of the depression I experienced since my childhood. And I was right. I learned that silence was deafening, it was louder than any of the hateful words I told myself.
The unusual memoir, A Fractured Mind: My Life with Multiple Personality Disorder, is a powerful and inspiring story of Robert B. Oxnam’s struggle with a rare and terrifying illness. According to the 5th edition of The Diagnostic and Statistical Manuel, multiple personality disorder, also known as dissociative identity disorder is when two or more distinct personality states, or “alters” are present. Each of these “alters” can cause disabling or distressing disruptions of normal functioning and include unique memories and behavior patterns. This illness is the result of developing coping mechanisms for overwhelming experiences and traumatic events occurring early in the lifespan such as child abuse.
I am sentimental, out-going, indecisive, understanding, curious, naive, lazy, and young. I want to be ... , well a lot of things, and growing is discovering what they are. I feel people cannot see the potential within, although there is no one to blame but myself. I look to others for approval instead of to myself. I aim to please; it leads to approval. I don’t like to discuss my faults; I pity myself.