Borderline Personality Disorder
Wor-Wic Community College
Shane Ferguson, M.A.
July 19, 2014
Borderline personality disorder is a serious medical condition that profoundly affects the lives of those who have it and those around them. In an effort to maintain serenity, families often struggle to avoid situations that can set off another explosive episode. They walk on egg shells, a failed effort because it is not possible to predict what will encourage an outburst. Living with a person who suffers from borderline personality disorder is like walking through a minefield, you never know when an explosion will occur. (Brody., 2009) It was previously thought that three times as many women as men are diagnosed with borderline personality disorder, about 2% of the population. Research now shows that the actual occurrences are about even between men and women. (Levy., 2005) An article found in PsychCentral. (2014) says people with borderline personality disorder usually have a poor self-image, they feel empty inside and find it extremely difficult to be alone. People with this disorder are impulsive, severely volatile and seem to have unstable relationships when and if they have them at all. Out of all the personality disorders, borderline personality disorder is the most common, most difficult to understand and a lot of times has the most damaging impacts because of suicidal behavior. Some people with this disorder may engage in cutting or burning themselves to mask empty feelings or to punish themselves. When people with borderline personality disorder become agitated they may become mildly psychotic. Opposed to losing all sense of reality they are more apt to have a distortion of beliefs or how they perceive themselves. Their feelings can be exaggerated, while a family member or friend may be upset with them, they may believe the person is expressing feelings of hate or disgust. (PsychCentral., 2014) Because borderline personality sufferers have an extreme fear of abandonment and are terrified of rejection, it is difficult for them to have a normal intimate relationship. Comorbidity is more common than not, so the fear of abandonment or rejection of their partner may induce self-destructive behavior like eating disorders and alcohol or drug abuse to combat anxiety. Sexual promiscuity and infidelity is common with borderline personality sufferers. (Levy., 2007) Researchers Ogata et al. (1990) report that most mental health professionals believe that there is no one cause for any psychiatric disorder and agree that they develop as a result of genetic, environmental, psychological and social factors. A large portion of people report having symptoms in early childhood and initially that’s where research focused, for example child abuse or neglect were thought to be major culprits. This does not mean that all children who are sexually molested, physically abused or experience some other childhood trauma will develop borderline personality disorder, although these and genetic factors do play a part in predisposition. (Ogata et al., 1990) Feeling vulnerable and feeling empty or alone are common experiences of being human. A diagnosis of borderline personality can only be made if several symptoms occur and they must be severe and long lasting. Also, for a personality to be considered a disorder it must impair the way a person functions and cause them significant distress. (DSM-5., 2013) There are no laboratory tests to determine borderline personality disorder, a diagnosis must be made by a qualified mental health professional conducting interviews about history and observing the persons behavior. Because of comorbidity of mood disorders, such as drug and or alcohol abuse, the mental health professional should consider these as well. Although there is no way to prevent borderline personality disorder, once diagnosed and treatment applied, relief from...
References: American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders
Biskin, R. S., M.D., & Paris, J., M.D. (2012). Management of borderline personality disorder. Canadian Medical Association Journal, 184(17), 1897-902. Retrieved from http://search.proquest.com/docview/1314695485?accountid=15136
Grohol, J. (2008). Mentalization Based Therapy (MBT). Psych Central. Retrieved on July 19, 2014, from http://psychcentral.com/lib/mentalization-based-therapy-mbt/0001353
Levy, K. N. (2005). The implications of attachment theory and research for understanding borderline personality disorder. Development and Psychopathology, 17(4), 959-86. Retrieved from http://search.proquest.com/docview/201695127?accountid=15136
Psych Central. (2014). Borderline Personality Disorder Symptoms.Psych Central. Retrieved on July 19, 2014, from http://psychcentral.com/disorders/borderline-personality-disorder-symptoms/
Psych Central. (2007). Transference-Focused Psychotherapy. Psych Central. Retrieved on July 19, 2014, from http://psychcentral.com/lib/transference-focused-psychotherapy/0001100
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