Rely on close relationships for sense of self o

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Rely on close relationships for sense of selfoDistrust of others and fear of abandonmentoLabile emotions and deficits in emotional controloPerpetual state of crisisoImpulsive and self-destructive behavioroBiosocial Theory– internal and external forcesothe disorder results from a combination of internal forces (difficulty identifying and controlling one’s emotions, social skill deficits, abnormal neurotransmitter reactions) and external forces (an environment in which a child’s emotions are punished, ignored,trivialized, or disregarded). oParents may misinterpret child’s intense emotions as exaggerations or manipulation rather than as serious expressions of unsettled internal states. oIf children have difficulty identifying and controlling emotions and parents teach them to ignore their feelings, they may never learn how to recognize and control their emotional arousal, how to tolerate emotional distress, or when to trust their emotional responsesoSociocultural: borderline personality disorder are caused by rapidly changing culturesoCulture loses its stabilityleaves many of its members with problems of identity, a sense of emptiness, high anxiety, and fears of abandonment. Family units may come apart, leaving people with little sense of belonging.oPsychodynamic: early lack of acceptance by parents may lead to a loss of self-esteem, increased dependence, and an inability to cope with separationoBiological: overly reactive amygdala, the brain structure tied to fear, and an underactive prefrontal cortex, linked to planning, self-control, and decision makingoTreatments: Some therapists do not want to help BPD because the client may violate the boundaries.
oDialectical Behavior Therapy-cognitive behavioral model, borrows from humanistic and contemporary approachMarsha Linehan- same cognitive/behavioral techniques for other disorders: homework assignments, psychoeducation, the teaching of social and other skills, modeling, reinforcements for appropriate behaviors, DBT also borrows from the humanistic and contemporary psychodynamic approaches: the client–therapist relationship is at center of treatment interactionoRelational Psychoanalytic Therapy:therapists more supportive and egalitarian posture, therapists work to provide an empathic setting within which borderline clients can explore their unconscious conflicts and pay particular attention to their central relationship disturbance, poor sense of self, and pervasive loneliness and emptinessHistrionic Personality Disorder (Hysterical Personality Disorder)oSelf-dramatization: the exaggerated display of emotionoEmotionally charged – seek to be the center of attention, vain, self centeredoDraw attention to themselves by exaggerating physical illness or fatiguesoAchieve goals through sexual seductionoExaggerate friendshipsoUsed to be more common in women then men, not anymoreo1.8% of adults have thisoAlways “on stage”oLack a sense of who they really areo

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