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A personality disorder

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A personality disorder is characterized by an enduring pattern of inner experience and outward behavior that consistently deviates from the expectations of the individual's culture (Linehan, Oldham, & Silk, 1995). Ten personality disorders are currently recognized, and this paper will discuss just one such disorder - borderline personality disorder. It will present a review of the literature on borderline personality disorder, a treatment plan for a patient with the disorder, and discuss the therapeutic alliance between a patient with borderline personality disorder and his/her therapist.

An estimate of the prevalence of personality disorders in a community population is from two percent to 14 percent (Linehan Oldham, & Silk, 1995; Hubbard, Saathoff, Bernardo, & Barnett, 1995; Coreeli, 1998). Although the disorder occurs in both men and women, it is more frequently observed in women with approximately 75 percent of cases occurring in females. The etiology of borderline personality disorder is unknown, although recent theory suggests a contributory role in some patients for sexual, physical, psychological, or other serious trauma or abuse during childhood.

Corelli (1998) suggests a possible genetic or hormonal cause as an association between this disorder and severe cases of premenstrual tension has been postulated. He adds that since the disorder is more common in women, and many women suffer incestuous relationships during childhood, this chronic or periodic vic

. . .
disorder patients. Interpersonal dysregulation takes the form of chaotic personal relationships, according to the above authors. Often patients are divorced and have a history of difficulties in their friendships and romantic relationships. This difficulty with relationships also occurs frequently between the patient and the therapist and other staff involved in treating the patient. These patients have a poorly defined identity, with little stability in their goals, self-image, and sense of self. Their cognitive dysregulation may take the form of transient, stress-related delusional behavior or severe dissociative symptoms (Linehan, Oldham, & Silk, 1995). Linehan, Oldham and Silk (1995) believe that approximately 75 percent of borderline personality disorder patients exhibit self-mutilating or self-destructive behavior. Skin cutting is common, and may be a means by which these patients control anxiety, decrease the burden of overwhelming sadness or emotional pain, or respond to extreme detachment. Repeated suicide attempts may also occur in these patients. According to Hubbard, Saathoff, Bernardo and Barnett (1995), the major characteristics of borderline personality disorder include severe mood instability, fear of
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Approximate Word count = 2649
Approximate Pages = 11 (250 words per page)

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