logging in or signing up Borderline personality disorder onelove Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 2781 Category: Education License: All Rights Reserved Like it (0) Dislike it (0) Added: August 01, 2008 This Presentation is Public Favorites: 3 Presentation Description No description available. Comments Posting comment... By: glon (4 month(s) ago) http://www.authorstream.com/Presentation/glon-1199727-border.. Saving..... Post Reply Close Saving..... Edit Comment Close By: morad3abed (9 month(s) ago) good Saving..... Post Reply Close Saving..... Edit Comment Close Premium member Presentation Transcript Borderline PD : Borderline PD No Audio Definition : Definition Instability interpersonal relationships self-image affects Impulsivity BDL as style : BDL as style Mercurial always romantically attached intense, emotionally active and reactive uninhibited spontaneous high energy open-minded BDL : BDL widely studied and most common disorders Why? 1) suffering to self and others 2) overlap with other Axis I and Axis II disorders 3) psychoanalytic origins 256 varieties of the disorder History : History Hoch and Polatin (1949) – “pseudoneurotic schizophrenia” Kernberg (1967) - borderline personality organization Gunderson and Singer (1975) - identified criteria clearly distinguishing BDL from other conditions DSM-III - BDL first appeared as category Linehan (1980s and 1990s) - developed DBT (dialectical behavior therapy) for the treatment of this condition Essential Features : Essential Features Identity Disturbance Relationships are Unstable Abandonment is frantically avoided Impulsive Suicidal gestures are made Emptiness is a description of inner self Dissociative Symptoms Affective Instability Paranoid Ideation Anger is poorly controlled Idealization of others, followed by devaluation Negativistic - undermine their efforts and those of others Epidemiology : Epidemiology 2-3% of general populations 10% of outpatients 30-60% among clinical populations 5x more likely in 1st degree relatives Women to men (3:1) The Great Imitator : The Great Imitator BDL Substance Use Mood Psychosis Anxiety Eating Sexual Dissociation Impulse Associated Themes : Associated Themes tend to undermine their successes promiscuity fears of abandonment failure to achieve long-term goals frequent suicidal gestures (burns, etc.) Self-destruction : Self-destruction purpose regulate affect regulate environment cutting is negatively reinforcing poor boundaries easily influenced by others Media Examples : Media Examples Fatal Attraction Glenn Close’s character Single White Female Jennifer Jason Leigh’s character Interview Considerations : Interview Considerations 1) appear normal: you will be surprised to hear of the history 2) remarkably regressed: impulsive and demanding often verbal intense affect and state of turmoil Associated Features : Associated Features difficult to keep these patients on track a number of crisis to therapy intense anger directed at therapist and others micropsychotic episodes can occur very challenging suicidal behavior, phone calls, self-mutilating behavior you worry they will kill themselves 8-10% complete suicides many more attempt Interview Considerations : Interview Considerations need to establish a good working relationship trust/honesty be clear and avoid misunderstandings set clear limits in therapy transference issues patients get involved with their therapists countertransference issues theapists react overprotection and rejection seek regular consultation... Splitting : Splitting abruptly switch alliances idealize then devalue best therapist (builds your ego) to worst therapist a) intrapsychically within oneself (I am bad, I am good) b) interpersonally relative to others (she is good, you are bad) c) transpersonally occurs when the patient’s intrapsychic organization gets played out by others Etiology : Etiology lots of opinions... biological might have a genetic basis temperamental factors? dysregulation of serotonin? limbic system abnormalities? Theory : Theory Highly Emotional Vulnerability Poor Emotional Regulation Emotional Dysfunction (biological) Invalidation (environment) Emotional Instability Theory : Theory Emotional Instability Interpersonal Behavioral Self Cognitive No Audio Assessment : Assessment No Audio Slide 22: Avoidant PD Slide 23: See commentary below slide to understand letters and numbers MMPI : MMPI MMPI: 3, 4, and 7 MCMI-III : MCMI-III BDL, DEP, HIS You do not have the permission to view this presentation. In order to view it, please contact the author of the presentation.
Borderline personality disorder onelove Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 2781 Category: Education License: All Rights Reserved Like it (0) Dislike it (0) Added: August 01, 2008 This Presentation is Public Favorites: 3 Presentation Description No description available. Comments Posting comment... By: glon (4 month(s) ago) http://www.authorstream.com/Presentation/glon-1199727-border.. Saving..... Post Reply Close Saving..... Edit Comment Close By: morad3abed (9 month(s) ago) good Saving..... Post Reply Close Saving..... Edit Comment Close Premium member Presentation Transcript Borderline PD : Borderline PD No Audio Definition : Definition Instability interpersonal relationships self-image affects Impulsivity BDL as style : BDL as style Mercurial always romantically attached intense, emotionally active and reactive uninhibited spontaneous high energy open-minded BDL : BDL widely studied and most common disorders Why? 1) suffering to self and others 2) overlap with other Axis I and Axis II disorders 3) psychoanalytic origins 256 varieties of the disorder History : History Hoch and Polatin (1949) – “pseudoneurotic schizophrenia” Kernberg (1967) - borderline personality organization Gunderson and Singer (1975) - identified criteria clearly distinguishing BDL from other conditions DSM-III - BDL first appeared as category Linehan (1980s and 1990s) - developed DBT (dialectical behavior therapy) for the treatment of this condition Essential Features : Essential Features Identity Disturbance Relationships are Unstable Abandonment is frantically avoided Impulsive Suicidal gestures are made Emptiness is a description of inner self Dissociative Symptoms Affective Instability Paranoid Ideation Anger is poorly controlled Idealization of others, followed by devaluation Negativistic - undermine their efforts and those of others Epidemiology : Epidemiology 2-3% of general populations 10% of outpatients 30-60% among clinical populations 5x more likely in 1st degree relatives Women to men (3:1) The Great Imitator : The Great Imitator BDL Substance Use Mood Psychosis Anxiety Eating Sexual Dissociation Impulse Associated Themes : Associated Themes tend to undermine their successes promiscuity fears of abandonment failure to achieve long-term goals frequent suicidal gestures (burns, etc.) Self-destruction : Self-destruction purpose regulate affect regulate environment cutting is negatively reinforcing poor boundaries easily influenced by others Media Examples : Media Examples Fatal Attraction Glenn Close’s character Single White Female Jennifer Jason Leigh’s character Interview Considerations : Interview Considerations 1) appear normal: you will be surprised to hear of the history 2) remarkably regressed: impulsive and demanding often verbal intense affect and state of turmoil Associated Features : Associated Features difficult to keep these patients on track a number of crisis to therapy intense anger directed at therapist and others micropsychotic episodes can occur very challenging suicidal behavior, phone calls, self-mutilating behavior you worry they will kill themselves 8-10% complete suicides many more attempt Interview Considerations : Interview Considerations need to establish a good working relationship trust/honesty be clear and avoid misunderstandings set clear limits in therapy transference issues patients get involved with their therapists countertransference issues theapists react overprotection and rejection seek regular consultation... Splitting : Splitting abruptly switch alliances idealize then devalue best therapist (builds your ego) to worst therapist a) intrapsychically within oneself (I am bad, I am good) b) interpersonally relative to others (she is good, you are bad) c) transpersonally occurs when the patient’s intrapsychic organization gets played out by others Etiology : Etiology lots of opinions... biological might have a genetic basis temperamental factors? dysregulation of serotonin? limbic system abnormalities? Theory : Theory Highly Emotional Vulnerability Poor Emotional Regulation Emotional Dysfunction (biological) Invalidation (environment) Emotional Instability Theory : Theory Emotional Instability Interpersonal Behavioral Self Cognitive No Audio Assessment : Assessment No Audio Slide 22: Avoidant PD Slide 23: See commentary below slide to understand letters and numbers MMPI : MMPI MMPI: 3, 4, and 7 MCMI-III : MCMI-III BDL, DEP, HIS