Diagnosis and Treatment
Axis II of the DSM covers personality disorders extensively, illuminating the criteria by which personality disorders can be diagnosed, and allowing clinicians to effectively distinguish between them in order to provide the most accurate diagnosis and treatment plan for the client. As a multi-model model, the DSM also allows clients like Mary to be treated for additional clinical conditions and accounts for comorbidity. Alternative models of personality disorder assessment and diagnosis can also be used alone or in conjunction with the DSM (Oldham, 2015). Using any model of assessment, the clinician is advised to take into account the client’s health history with a long range view of behavioral and other presenting symptoms. Clinicians can also take into account what prior treatments Mary has received and the assessments given by her former therapists.
In Mary’s case, personality disorder symptoms are diverse, including self-harm behaviors, suicidal ideation, substance abuse, and troubles maintaining interpersonal relationships. In fact, a superficial overview of Mary’s symptoms would indicate the possibility of paranoid, antisocial, or avoidant personality disorders. A closer look at Mary’s presentation would indicate that borderline personality disorder would also be likely given Mary’s impulsivity, her self-harming behaviors, her difficulties...
References
Dingfelder, S.F. (2004). Treatment for the ‘untreatable.’” APA Monitor 35(3):http://www.apa.org/monitor/mar04/treatment.aspx
National Institute of Mental Health (2017). Borderline personality disorder. https://www.nimh.nih.gov/health/topics/borderline-personality-disorder/index.shtml
Oldham, J.M. (2015). The alternative DSM-V model for personality disorders. World Psychiatry 14(2): 234-236. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4471981/
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Therefore, it is likely that "men who are highly comorbid for antisocial PD and alcohol and drug use disorders are more likely to die young or be incarcerated than women and thus less likely to be represented in general population surveys." (Grant et al., 2006, p. 128). However, because incarcerated or dead men do not present for treatment, these findings are still of use to the practitioner. Conclusion Both articles do
Personality Theories: Personality Disorders and Their Diagnoses Personality theorists often differ on how the term personality should be used. In fact, Gordon Allport, one of the first psychologists to focus on personality, had more than fifty different definitions for the term. According to Engler (2014), Allport's basic idea was that personality is the true nature of an individual that influences the way they behave and think. Carl Rogers, another influential psychologist,
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