Personality disorders are long-standing and pervasive patterns of behavior that impede the individual's functioning and lead to significant distress in performing everyday activities with others (American Psychiatric Association, 1994). As these are chronic conditions that are present from an early age the patient does not perceive that the problems in their lives are a result of their behavior. Often people with these disorders are referred for psychological assessment or treatment at the bequest of persons close to them such as family members or employers. Personality disorders are not easy to diagnose for several other reasons. First, the assessment process does not allow a clinician ample time to spend with a patient to get a sense of the chronic pathology related to characterological dysfunction and other diagnoses such as mood or anxiety disorders are made. Second, individuals with personality disorders are often very good at hiding their pathology in the short-term, thus biasing informant information. Third, some personality questionnaires tend to over-pathologize symptoms and interpretation of these instruments must be carefully and systematically undertaken. Fifth, the diagnostic criteria for personality disorders as set down by the DSM-IV-TR have considerable overlap and this can lead to confusion on the part of the clinician as to exactly what diagnosis to consider. Finally, personality disorders are serious diagnoses that can create serious distress or harm if the diagnosis is disclosed to the family, friends, physicians, or employers of the patient. Therefore great care and empathetic consideration are crucial when considering diagnosing a personality disorder (Kaplan and Sadock, 2007). Borderline personality disorder is represented clinically by symptoms that consist of a persistent pattern of instability in emotional regulation, impulse control, personal relationships, and self-image (Lieb, Zanarini, Schmahl, Linehan, & Bohus, 2004). These patients often feel barren emotionally, may have a very poor self-concept, and experience difficulty regulating their emotions and behaviors. When borderline patients initially arrive for assessment or treatment the preliminary referral question may be related to depression, problems with anger management, or other relationship issues. Clinicians often have to recognize the need for a more comprehensive assessment of the patient's presenting issues. The preferred method of assessing personality disorders is a semi-structured interview (Lopez, 1989; Rogers, 2003)....
However, clinicians also may find semi-structured interviews too lengthy to complete and Widiger (2003) suggests that it is more efficient to administer a self-report inventory prior to the interview in order to give the clinician a guideline as to what types of presenting symptoms the patient is exhibiting. The clinician can then to use that information to guide the interview process. Moreover, Widiger also notes that the major self-report inventories have validity scales which can alert the clinician to response sets, biases, and other distortions that can affect the validity of the assessment. Another benefit to administering a self-report inventory prior to the interview is that it can potentially reveal complaints/symptoms that might be overlooked as a result of false expectations (e.g., failing to notice potential borderline traits in male patients).
Medical Conditions -- There are a number of factors that can increase the likelyhood of type-2 diabetes: hypertension, eleveted cholesterol, and a condition called Symdrome X, or metabolic syndrome (combination of obesity, high cholesterol, sedentary lifestyle, stress, and poor diet). Cushing's syndrome, cortisol excess and testosterone deficiency are also associated with the disease. Often, it is a number of co-dependent conditions that seem to give rise to diabetes (Jack &
Determinants and Interventions for Type 2 Diabetes Type 2 Diabetes - Australia Type 2 Diabetes in Australia: Determinants and Interventions Type 2 diabetes by far the most common form of diabetes and is defined by glucose intolerance and elevated blood glucose levels (hyperglycaemia). Other physiological disorders frequently accompany diabetes, including dysregulation of lipid metabolism (dyslipidaemia), kidney function, and cardiovascular disease, which contribute significantly to the morbidity and mortality suffered by diabetes patients (Barr,
Practicum Critique Nursing Checklist Assessment Tool -- by Ivy Amoranto Did They Include? Pros and Cons: No -- not explicitly. Feasibility of the project: No -- not explicitly Viability of Implementation in Another Environment: No Grading Pros and cons: No explicit pros and cons present Feasibility of the project: No explicit feasibility items mentioned Viability of implementation in another environment: Not explicity covered but the totality of the data reflects an assessment tool and a covering thereof that is
Disorders in Older People Alzheimer's and Eating Disorders and how they affect Older Adults Alzheimer's and Eating Disorders and how they affect Older Adults Disorders in Older People Alzheimer's-Type Dementia Eating Disorders Disorders in Older People In considering the general health of the population, the larger elderly population does not necessarily imply that most of them live or are ill from severe disabilities. Age related disorders would occur to different people early or late in their lives.
Relationships provide the key experience that connects children's personal and social worlds. It is within the dynamic interplay between these two worlds that minds form and personalities grow, behavior evolves and social competence begins." (1999) Howe relates that it is being acknowledged increasingly that "...psychologically, the individual cannot be understood independently of his or her social and cultural context. The infant dos not enter the world as a priori
(Broderick & Blewitt). Aside from the major issue, at least for the parents, of Jason's reserved social demeanor; there have been several other indicators of acting our behavior that he has presented. On several occasions Jason has complained of stomachaches and headaches prior to having to go to day care or even to any other playtimes where he knows his parents will not be attending. Also, if he has felt
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