L7

Personality disorders

Name of Student

Name of Institution

Date

The controversy related to the chosen disorder

The personality disorder selected for the discussion is borderline personality disorder. The controversy regarding borderline personality disorder stems from the stigma linked with the clinical diagnostic process and the related therapeutic nihilism, which is predicated on the practitioners' side, on patients with a high incidence of this illness. There is a lot of debate over whether this personality disorder should even be labeled in the first place (Lewis, 2009). According to their supporters, there is a significant cultural relevance, and it is essential for individuals to seek treatment for borderline personality disorder, since it is a relatively curable illness that, if given the necessary therapeutic care, may lead to complete recovery.

Explain your professional beliefs about this disorder, supporting your rationale with at least three scholarly references from the literature.

In my professional opinion, the disease is no different from any other kind of mental illness. This might happen to anybody at any time. Additionally, it might have an influence on the day-to-day functioning of persons with this personality disorder, including the inability to control emotions and altering behavioral patterns, as well as the ultimate breakup of established patterns in relationships (Campbell, 2020). Early detection of this disease is critical, since impulsiveness may have a greater influence on a person's well-being as they become older. In order to help these people have a normal life, early diagnosis is essential (Lewis, 2009).

Explain strategies for maintaining the therapeutic relationship with a patient that may present with this disorder.

The following is a list of the strategic therapeutic relationship procedures that I would use in order to preserve this connection with a patient who presented with this condition. To begin, I would be sure to keep my professional limits. This involves maintaining confidentiality between the patient and the doctor. Whenever treatment is being delivered by a third party, I would make certain that the patient maintains their right to privacy. In addition, I would have active and engaging sessions that would force me to listen more to the patient. These sessions would make use of methods that have been validated by science and technology, such as maintaining eye contact, actively participating in the session, listening to the patient, and talking to the patient on a friendlier level. I will explain why it is necessary for us to have a connection that is good and unconditional, to demonstrate empathy for one another, and to disclose the issues openly as we work towards addressing them (Bolsinger, 2020).

Finally, explain ethical and legal considerations related to this disorder that you need to bring to your practice and why they are important.

The awareness that there is high impulsive conduct is the legal factor that I may have to bring into my profession of delivering therapeutic treatments to those who suffer from borderline personality disorder. I may have to do this because of the potential for legal repercussions. The fact that these individuals suffer from BPD, which causes them to have difficulty thinking before acting, makes it difficult for them to make decisions. As a consequence of this, it is possible that there is risky conduct during the sessions, and thus, anything might occur. As a result, the overwhelming feelings and harsh responses should be restrained before anything occurs, which could take a small bit of time (Sisti, 2012). The high suicide rate presents a separate problem for the legal system; patients who are receiving such therapy are required to be recorded as doing so, and they must be provided with adequate care. There is a moral issue with the compulsory hospitalization of these people, which often occurs against their will and without their agreement. This involuntary hospitalization is a moral problem that has to be investigated, as soon as possible (Sisti, 2012).

References

Bolsinger, J., Jaeger, M., Hoff, P., & Theodoridou, A. (2020). Challenges and opportunities in building and maintaining a good therapeutic relationship in acute psychiatric settings: A narrative review. Frontiers in psychiatry, 10, 965. https://www.frontiersin.org/articles/10.3389/fpsyt.2019.00965/full

Campbell, K., Clarke, K. A., Massey, D., & Lakeman, R. (2020). Borderline Personality Disorder: To diagnose or not to diagnose? That is the question. International journal of mental health nursing, 29(5), 972-981. https://onlinelibrary.wiley.com/doi/abs/10.1111/inm.12737

Lewis, K. L., & Grenyer, B. F. (2009). Borderline personality or complex posttraumatic stress disorder? An update on the controversy. Harvard review of psychiatry, 17(5), 322-328. https://www.tandfonline.com/doi/abs/10.3109/10673220903271848

Sisti, D. A., & Caplan, A. L. (2012). Accommodation without exculpation? The ethical and legal paradoxes of borderline personality disorder. The Journal of Psychiatry & Law, 40(1), 75-92. https://journals.sagepub.com/doi/abs/10.1177/009318531204000106