BPD - Borderline Personality Disorder and the Attachment...

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Borderline Personality Disorder and the Attachment Theory Frances, a woman in her 20s, had been admitted into the hospital several times, many followed by suicidal threats and overdoses. She was also a chronic self-cutter, a severe alcoholic, and exhibited promiscuous behavior. She had violent bouts of rage, in which often escalated into physical attacks toward hospital staff. She only had a ninth-grade education and never had a steady job. Twenty-seven years later, when Frances was 49, many of the symptoms noticeable in her 20s still persisted. She also complained of chronic depression, panic attacks, and suicidal thoughts (Paris, 2003). This woman was diagnosed with borderline personality disorder (BPD), which is “a pervasive pattern of instability of interpersonal relationships, self-image and affects and marked impulsivity (DSM-IV-TR, 2000; 710).” BPD is one of several different types of personality disorders. Personality disorders are an “enduring pattern of inner experience and behavior that deviates markedly from the expectations of the individual's culture (DSM-IV-TR, 2000; 689).” Personality disorders affect four primary areas: cognition, or “ways of perceiving and interpreting the self, other people and events;” affectivity, or “the range, intensity, lability and appropriateness of emotional response;” interpersonal functioning; and impulse control (DSM-IV-TR, 2000; 689). They are further subsumed into three “clusters:” Cluster A, which odd or eccentric behaviors are exhibited; Cluster B, in which noted behaviors are dramatic, emotional or erratic; and Cluster C, in which behaviors are anxious or fearful. Paranoid, schizoid, and schizotypal personality disorders are contained in cluster A, while cluster B includes antisocial, borderline, histrionic, and narcissistic personality disorders. Grouped in cluster C are avoidant, dependent, and obsessive- compulsive disorders (DSM-IV-TR, 2000). BPD is one of the most common (of all personality disorders, it ranges from 30-60% in the clinician population) and severe of the personality disorders (Sperry, 2003; DSM-IV-TR, 2000). IT is 1
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also among the most researched and written about of the personality disorders (Sperry, 2003). BPD, historically, was labeled as a form of schizophrenia that “bordered” on psychosis (London, 2004; & Sperry, 2003). However, much controversy still remains with the term “borderline.” “Borderline” has come to represent an “a negative and judgmental label for a serious mental illness that is difficult to treat (London, 2004; 30).” Therefore, some mental health professionals suggest that the diagnostic label of BPD ought to be changed to one that is less stigmatizing (London, 2004). BPD: Symptomatology and Associated Features
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This note was uploaded on 06/30/2011 for the course CJ 660 taught by Professor Miller during the Spring '05 term at Sam Houston State University.

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BPD - Borderline Personality Disorder and the Attachment...

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