Posted: November 20th, 2024

Controversy Associated with Personality and Paraphilic Disorders Essay

Controversy Associated with Personality and Paraphilic Disorders Essay

Controversy of Borderline Personality Disorder

The controversy of borderline personality disorder is related to the diagnosis, classification, assessment, and treatment. This complexity arises from the multifaceted nature of the disorder itself. One of the critical issues is the stigma related to the diagnosis of the condition (Trull et al., 2018). Stigma can significantly impact the willingness of individuals to seek help. It is not clear if the diagnostic method is an evidence-based practice or it should be changed. This uncertainty fuels ongoing debates among mental health professionals. The stigma affects how practitioners tolerate the emotions and thoughts of individuals with the condition. Such biases can lead to suboptimal care and support. The diagnostic process may lead to a negative view of patients with borderline personality disorder (Trull et al., 2018). This negative perception can hinder effective therapeutic relationships. For instance, practitioners may overlook strengths or minimize the symptoms. This oversight can result in inadequate treatment plans. In some cases, the patients can be thought to be lazy and unable to participate in daily activities. This misconception can exacerbate feelings of helplessness in patients. Practitioners indicate that therapeutic nihilism is a major concern in addressing borderline personality disorder (Trull et al., 2018). This attitude can lead to a lack of motivation to pursue innovative treatment strategies. The diagnosis is controversial since some practitioners believe it should not be diagnosed. This belief stems from the challenges in distinguishing it from other disorders. Another controversy related to borderline personality disorder is how to differentiate the disease from other mental illnesses. This differentiation is crucial for accurate diagnosis and treatment.

Professional Beliefs about the Disorder

My professional belief is that borderline personality disorder is another mental health condition that can affect any person. This perspective emphasizes the universal nature of mental health challenges. Borderline personality disorder can affect individuals and their ability to participate in daily activities and ability to manage and cultivate healthy relationships (Porter et al., 2020). The disorder’s impact on relationships can be profound and far-reaching. The condition can affect the ability to manage emotions and control behavior. Emotional regulation is a key focus in therapeutic interventions. I believe practitioners should not express stigma during diagnosis, assessment, and treatment. Stigma can undermine the therapeutic process and patient outcomes. Mental health nurses should understand the negative effects of the condition and seek to restore the positive behavior. This approach can foster resilience and recovery in patients.

I believe as a professional it is vital for a medical checkup at a young age to provide opportunities for early intervention. Early intervention can significantly alter the trajectory of the disorder. Early treatment will eliminate the risk of adverse symptoms as patients age. This proactive approach can prevent the escalation of symptoms. The symptoms of borderline personality disorder affect individuals as they age leading to negative behavior and inability to manage healthy relationships (Porter et al., 2020). These challenges can compound over time without appropriate intervention. Parents should observe the growth of their children to avoid adverse health outcomes when it is too late (Porter et al., 2020). Early observation and intervention can mitigate long-term impacts. For instance, if a child has symptoms that are related to borderline personality disorder, it is crucial to take the child to a pediatrician or mental health nurse for diagnosis. Timely diagnosis can facilitate effective treatment planning. Early diagnosis is vital to facilitate the normal growth of children. This can lead to improved developmental outcomes.

Strategies for Maintaining Therapeutic Relationship

One of the strategies of maintaining a therapeutic relationship with patients is to maintain professional boundaries with patients. Boundaries are essential for creating a safe therapeutic environment. It is vital to keep the boundaries to eliminate the risk of compromising relationships with patients (Chanen et al., 2020). Compromised boundaries can lead to ethical dilemmas and reduced treatment efficacy. Despite efforts to establish rapport, maintaining professional boundaries is necessary. This balance is crucial for effective therapy. It is important to maintain privacy during the provision of medical services. Privacy is a fundamental component of patient trust. A patient should be assured of professional boundaries to protect them from third parties that can undermine their confidence to share confidential information (Chanen et al., 2020). This assurance can enhance patient engagement and openness. Another approach is to use active questions to engage a patient. Active questioning can facilitate deeper understanding and insight. Using positive questions will encourage a patient to share information about their behavior. This can lead to more effective treatment planning.

I will strive to establish the therapeutic relationship by assuring a patient about their confidentiality. Confidentiality is a cornerstone of the therapeutic alliance. I would lay the ground rules such as assuring the patient that their information will not be shared by any third party without their consent (Temes et al., 2019). Clear communication of these rules can build trust. Another approach is to show empathy and communicate clearly. Empathy can bridge gaps in understanding and foster connection. Empathy will involve sharing and understanding the feelings of a patient without sympathizing with the patient. This distinction is important for maintaining professional objectivity. The communication should be clear to enhance adherence to the treatment plan (Temes et al., 2019). Clear communication can prevent misunderstandings and enhance compliance. I will allow the patient to share feelings, emotions, and beliefs and explore their views. This exploration can lead to greater self-awareness and healing. Expressing feelings and emotions is healthy for a patient. It can also provide valuable insights for treatment.

Ethical and Legal Considerations

Patients with borderline personality disorder have a tendency of acting before thinking. This impulsivity can lead to significant risks. The impulsive behavior will prompt a patient to engage in risky behavior. Such behaviors can have serious consequences for health and safety. A practitioner should take precautions to avoid harm to a patient. Precautionary measures are essential for ethical practice. Maleficence and beneficence involve the assurance that the treatment will be professional and without any harm (Haugom et al., 2019). These principles guide ethical decision-making in healthcare. In case the behavior of a patient is risky to an extent of costing their life, it is legal to report without consulting. This legal obligation prioritizes patient safety. For instance, if a patient wants to commit suicide, I would seek assistance from parents, guardians, or police to avert the risk of death. This intervention can prevent tragic outcomes. The second ethical and legal issue is fairness and justice (Haugom et al., 2019). Fairness and justice ensure equitable treatment for all patients. It will be important to take care of the patient without discrimination. Non-discrimination is a fundamental ethical principle. For instance, practitioners should not discriminate against patients with borderline personality behavior. This ensures that all patients receive the care they need.

Involuntary hospitalization is another legal and ethical issue in practice. This practice raises significant ethical concerns. Patients with borderline personality disorder can express impulsive behavior that can be risky at home or the clinic. Such behaviors necessitate careful ethical consideration. It is essential to consult a parent or guardian to seek consent before hospitalizing a patient against their wish (Haugom et al., 2019). Consent is a critical component of ethical practice. I will strive to use other methods of making a patient cool down such as medication unlike involuntary hospitalization (Haugom et al., 2019). Alternative methods can reduce the need for more invasive interventions. Another issue is the high rate of suicide among patients undergoing treatment. This highlights the need for vigilant ethical oversight. The ethical issue should be addressed to prevent medical practices that put a patient at risk of suicide. Addressing these issues is crucial for patient safety. Addressing ethical and legal issues is essential in maintaining a professional relationship with patients. This ensures that care is both effective and ethically sound.

References

Chanen, A. M., Nicol, K., Betts, J. K., & Thompson, K. N. (2020). Diagnosis and treatment of borderline personality disorder in young people. Current psychiatry reports, 22(5), 1-8.

Culos, C., Di Grazia, M., & Meneguzzo, P. (2024). Pharmacological Interventions in Paraphilic Disorders: Systematic Review and Insights. Journal of Clinical Medicine, 13(6), 1524.

Haugom, E. W., Ruud, T., & Hynnekleiv, T. (2019). Ethical challenges of seclusion in psychiatric inpatient wards: a qualitative study of the experiences of Norwegian mental health professionals. BMC Health Services Research, 19(1), 1-12.

Porter, C., Palmier‐Claus, J., Branitsky, A., Mansell, W., Warwick, H., & Varese, F. (2020). Childhood adversity and borderline personality disorder: a meta‐analysis. Acta Psychiatrica Scandinavica, 141(1), 6-20.

Temes, C. M., Frankenburg, F. R., Fitzmaurice, G. M., & Zanarini, M. C. (2019). Deaths by suicide and other causes among patients with borderline personality disorder and personality-disordered comparison subjects over 24 years of prospective follow-up. The Journal of clinical psychiatry, 80(1), 0-0.

Trull, T. J., Freeman, L. K., Vebares, T. J., Choate, A. M., Helle, A. C., & Wycoff, A. M. (2018). Borderline personality disorder and substance use disorders: an updated review. Borderline personality disorder and emotion dysregulation, 5(1), 1-12.