Borderline personality disorder is a disordered behavior pattern that develops by early adulthood, and is characterized by multiple types of psychological instability and impulsiveness, often involves intense and frequent mood changes, fear of abandonment, and a risk of suicide according to Merriam-Webster.com. In Oldham’s article “Personality Disorders” he states that in many important ways, we are what we do. It is easier to determine the “what” of our personality rather than the “why”. We all have unique personalities and no two people are the same, for instance like our fingerprints. Individuals’ temperament is a key component of a person’s developing personality, along with the shaping and molding influences of family, caretakers, and environmental experiences.
Personality disorders are diagnosed by a classical system of descriptive psychopathology within a framework adopted by the American Psychiatric Association (APA) and published in its Diagnostic and Statistical Manual of Mental Disorders (DSM) (). The DSM has had many revisions with the latest revision being published in 2000. The Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV-TR) is used to diagnose psychiatric illness. The DSM-IV TR has a multiaxial approach that includes five dimensions. Axis I: Clinical Syndromes, Axis II: Personality and Mental Retardation, Axis III: Medical Conditions, Axis IV: Psychosocial and Environmental Problems, and Axis V: Global Assessment of Functioning (PsychiatryOnline.org). Oldham places personality disorders on Axis II and this is also a general consensus in the United States. Oldham stated that any comprehensive clinical evaluation of a patient should include Axis II personality disorder pathology. However, he mentions that before a systematic exploration of a possible personality disorder categorical diagnoses is performed, a general assessment must be made in order to determine if the patient present generic elements of...
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