PERSONALITY DISORDERS CONTROVERSY
Controversies Associated with Personality Disorder
From the onset, it would be prudent to note that as per the Diagnostic and Statistical Manual on Mental Disorders, Fifth Edition (DSM-5), personality disorders could be defined as an enduring pattern of inner experience and behavior that deviates markedly from the expectations of the individuals culture (National Institute of Mental Health NIMH, 2017). There are various personality disorders recognized under the DSM-5 Manual. These are inclusive of, but they are not limited to; schizoid personality disorder, paranoid personality disorder, obsessive-compulsive personality disorder, narcissistic personality disorder, borderline personality disorder, avoidant personality disorder, antisocial personality disorder, etc. It would be prudent to note that a significant number of persons are at some point diagnosed with a personality disorder. Over time, various diagnostic mechanisms have been suggested and treatment approaches formulated. However, there are various controversial elements that have in the past emerged in relation to not only the diagnosis, but also the treatment of personality disorders. This text explores the said issues. In so doing, it will largely focus on narcissistic personality disorder.
Narcissistic personality disorder happens to be a condition whereby a person has what could be described as an unrealistic and largely inflated perception of self-relevance. To begin with, there are those who argue that the diagnostic definitions of this particular disorder does not capture the true nature and essence of the disease. For instance, according to Ronningstam (2016), the diagnostic meaning assigned to narcissistic personality disorder does not focus on the internal as well as underlying struggles of the patient as it should. Instead, the author is of the opinion that the said definition is largely inclined towards what could be deemed attitudes and behaviors meant to secure clinicians attention. As a consequence, Ronningstam (2016) further observes that diagnosis for narcissistic personality disorder has taken a less informative and judgmental perspective. There are also those who are of the opinion that the diagnosis and treatment of the disorder fails to take into account…could derail the therapeutic engagement.
One ethical/legal consideration that I would bring to my practice is confidentiality. Confidentiality happens to be crucial so as to ensure that the client develops meaningful level of trust necessary for a therapeutic engagement of this nature. Confidentiality is also crucial in this case owing to the need to protect the client from ridicule and/or adverse outcomes at the workplace if his condition is disclosed. However, confidentiality does have its limits. For instance, if a person with narcissist tendencies is concerned that their glory is being stolen by someone else, and they indicate an intention to harm the said person, then disclosure to the relevant third parties could be made. There is also the issue of autonomy. This is more so the case given that the client could in this case refuse some of the treatment strategies suggested. The client would be within their right to deny any intervention proposed. I would resolve such an issue by actively engaging the client so as…
Narcissistic Personality Disorder This is one of the very rare kinds of personality disorders that can be traced within the contemporary society. Indeed Philip W. Long (2011) pegs the prevalence to 1% of the total population. He further notes that the disorder is more prevalent in males than in females. People falling under this category generally have a weird feeling that the world generally revolves around them and their needs. These categories
Narcissistic Personality Disorder Grade Course Individuals boasting about their looks, magnifying their social status and yearning the need of perfection might be considered as some examples of narcissism at a glance. However, in order to diagnose someone with narcissistic personality disorder, the individual must meet certain symptoms which are prevalent for a substantial amount of time. In this regard, a personality disorder as stated by the DSM IV TR (2000) is a prolonged
Response 1 My colleague’s discussion centered on narcissistic personality disorder (NPD). From the onset, it would be prudent to point out that as my colleague observes, NPD manifests itself in terms of lack of empathy as well as consideration for other persons. Further, persons with NPD often possess a strong desire for acknowledgement, admiration, and affirmation. This effectively means that such persons could appear rather demanding, selfish, and even manipulative. Towards
Diagnostic Analysis of Human Behavior in the Social Environment Stephen Brown is an African-American aged 55 years of age, divorced with the custody of 2 children every weekend. Stephen was a Director of supportive housing program however, he was incarcerated because of an embezzlement. After serving a jail term and released, Stephen faces challenges in securing another employment despite that he has a CASAC license. However, he is a very capable
People with high self-esteem do not behave in an antisocial manner. They are not overly dramatic and they also do not feel like the world revolves around them. The low self-esteem manifests itself in the various characteristics displayed by people with these personality disorders and surprisingly, manner of the characteristics are the same. We all have our own interpretation of what is considered normal behavior. For the most part, most