Assignment 3 Student no. 32189621
“Discuss the problems related to assessing and classifying/diagnosing 16 to 20 year olds with patterns of impulsivity, instability in interpersonal relationships, self-image and affect”
“ A pervasive pattern of instability of interpersonal relationships, self-image and affect and marked impulsivity which tends to begin in early adulthood and is present in a variety of contexts, as indicated in the Diagnostic criteria for Borderline Personality Disorder(APA, 2000,P.710)
Previously Borderline Personality Disorder (BPD) was considered to be a psychoanalytic colloquialism for neurotic people but in recent years and ...view middle of the document...
APA 2000 pg 710 numbers 1-9)
(1) Frantic efforts to avoid real or imagined abandonment. The idea of impending separation or rejection or the loss of structure can lead to significant changes of a person’s self-image suffering from BPD their affect, mental abilities and behaviour. These people are very sensitive to environmental circumstances. They experience intense fear about being abandoned in showing inappropriate anger when faced with separation or when there are unavoidable changes in plans (eg panic or fury when someone important to them is a few minutes late.) They believe that this abandonment implies they are “bad”. These abandonment fears are related to the intolerance of being alone and they need to have other people with them. Their frantic efforts to avoid being abandoned may result in impulsive actions.
(2) A pattern of unstable and intense interpersonal relationships characterised by alternating extremes of idealisation and devaluation. They may idealize potential caregivers or lovers at the first or second meeting, demand to spend a lot of time together, and share the most intimate details early in a relationship and share the most intimate details early in a relationship. However they may switch quickly from idealizing the person to devaluing them. They can empathize and nurture a relationship only if they feel the other person will “be there” for them. These are prone to sudden and dramatic views of other people. This results in disillusionment in relationships with other people.
(3) Identity disturbance characterized by markedly and persistently unstable self- image or sense of self. Here there is a sudden change and dramatic shifts in the person’s self-image, also characterized by changes in their goals, values, aspirations. There also could be sudden changes in opinions and plans about their future, also changes in career plans, sexual orientation, values, and who their friends are. These people may make sudden changes from being a needy person to a righteous avenger of past mistreatment. Although they usually have a self-image of either being good or bad, they may have feelings they are worthless and that no one cares for them and they have feelings like they are invisible and they do not exist at all. This usually happens when they feel they are in meaningless relationships. These individuals need structure and routine in their lives as they find it hard to cope without structure and routine, they perform worse as people and in their jobs.
(4) Individuals with this disorder may display impulsivity in at least two areas of their lives that potentially self-damaging. They may gamble, spend excessive amounts of money irresponsibly, binge drink, abuse substances, engage in unsafe sex etc.
(5) Individuals with BPD could also display recurrent suicidal behaviour, gestures or threats or self-mutilating behaviour. These individuals are likely to attempt suicide and may even be successful at the attempt...