| Question |
Answer |
| Why do health professionals miss underlying psychiatric disorders? |
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They are tending to other aspects of patient care
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| __________ personality disorder is characterized by a person having problems regulating their moods, developing a sense of self, maintaining interpersonal relationships, reality based cognitive processes and avoiding impulsive or destructive behavior. |
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Borderline Personality Disorder
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| What are the long term problems for a patient with borderline personality disorder? |
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Feelings of intense anger, profound abandonment concerns
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| ________, characterized by erratic emotional responses to situations and intense sensitivity to criticism or perceived slights, is a core characteristic of borderline personality disorder. |
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Affective instability
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| ________ occurs when a person lacks aspects of personal identity or when it is poorly developed. In patients with borderline personality disorder, it is often disturbed. |
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Identity diffusion
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| What are the four factors of identity that are commonly disturbed in patients with borderline personality disorder? |
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Role absorption (narrowly defined self in a single role), painful incoherence (internal disharmony), inconsistency and lack of commitment.
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| What does identity diffusion look like in a patient with borderline personality disorder? |
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They appear to have no sense of their own identity or direction, they are distressed by it, experience chronic feelings of emptiness and boredom.
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| ____________ thinking is a characteristic of people with borderline personality disorder. It is characterized by extreme interpretations of events that would normally be viewed as including both positive and negative aspects. |
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Dichotomous
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| __________ is a common cognitive dysfunction seen in patients with borderline personality disorder. It is characterized by thinking, feeling or behaving outside a person's awareness. |
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Dissociation
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| In patients with borderline personality disorder, there is a strong correlation between dissociation and ________. |
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Self injurious behaviors
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| People with borderline personality disorder demonstrate several dysfunctional behaviors. What behavior is seen when they are engaged in problem solving? |
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Soliciting help from others in a helpless, hopeless manner and rarely taking the suggestions.
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| When are self-injurious behaviors like parasuicide, compulsive, episodic or periodic harm more likely to occur in a patient with borderline personality disorder? |
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When the individual is depressed, has a highly unstable interpersonal relationship and is paranoid, hypervigilant and resentful.
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| What is considered the strongest risk factor for developing borderline personality disorder? |
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Sexual abuse
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| What are considered risk factors for borderline personality disorder? |
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Sexual abuse, physical abuse, parental loss and separation
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| What biologic differences have been found in patients with borderline personality disorder? |
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CNS dysfunction, a smaller amygdala, limbic system and frontal lobe dysfunctions, decreased serotonin, increased alpha2 adrenergic receptor sites, and excessive dopaminergic activity.
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| What three borderline personality disorder characteristics are associated with biologic abnormalities? |
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Affective instability, transient psychotic episodes and impulsive/aggressive/suicidal behavior
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| What are the two psychoanalytic concepts that focus on behaviors of borderline personality disorder? |
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Separation-individuation and projective identification
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| ___________ is the term for the time in which a child develops a sense of self, a permanent sense of significant others, and integration of both good and bad components of self. In patients with borderline personality disorder, this process isn't successful. |
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Separation-individuation
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| What do theorists suggest is the reason for poor separation-individuation of patients with borderline personality disorder? |
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Inconsistent or insensitive behaviors by a primary caregiver which causes a child to experience intense fear and anger when separating from others.
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| _________ is a defense mechanism used by people with borderline personality disorder to protect their self-image. It is characterized by unconsciously blaming others for what happens to them by attributing their own feelings to others. |
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Projective identification
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| What is Lineham's theory regarding borderline personality disorder? |
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The combination of a person's innate emotional vulnerability, emotional dysregulation (lack of control), and an environment that invalidates their emotions leads to borderline personality disorder.
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