Week 4: Personality Disorders The diagnosis of personality disorders may be among the most controversial and problematic. Research suggests that one of the controversies surrounding personality disorders may stem from a lack of clear and explicit criteria for diagnosis. As a result, psychologists may need to take more time in understanding the client, and his or her signs and symptoms, before assigning a diagnosis of personality disorder. With a cautious approach and reliance on the DSM, psychologists may have more information to make an accurate diagnosis of personality disorders. This week, you explore the controversies associated with a diagnosis of personality disorder. You also examine the criteria used for creating a personality diagnosis. Objectives Analyze influence of culture and gender on diagnoses of personality disorders Analyze controversies associated with diagnoses of personality disorders Analyze gender in relation to borderline personality disorder and antisocial personality disorder Apply a personality diagnosis Justify a personality diagnosis Analyze other information necessary for accurate diagnoses Learning Resources Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus. Required Readings American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing. Personality Disorders Paris, J. (2015). The intelligent clinician’s guide to the DSM-5 (2nd ed.). New York, NY: Oxford University Press Chapter 14, Personality Disorders Crosby, J. P., & Sprock, J. (2004). Effect of patient sex, clinician sex, and sex role on the diagnosis of antisocial personality disorder: Models of underpathologizing and overpathologizing biases. Journal of Clinical Psychology, 60(6), 583–604. Jovev, M., McKenzie, T., Whittle, S., Simmons, J. G., Allen, N. B., & Chanen, A. M. (2013). Temperament and maltreatment in the emergence of borderline and antisocial personality pathology during early adolescence. Journal Of The Canadian Academy Of Child & Adolescent Psychiatry, 22(3), 220–229. Required Media Laureate Education. (Producer). (2012). Psychopathology: Personality disorders. [Video file]. Retrieved from https://class.waldenu.edu Note: The approximate length of this media piece is 5 minutes. Accessible player –Downloads– Download Video w/CC Download Audio Download Transcript Optional Resources Millon, T. (2000). Reflections on the future of DSM Axis II. Journal of Personality Disorders, 14(1), 30–41. Retrieved from the Walden Library databases. Morey, L. C., Krueger, R. F., & Skodol, A. E. (2013). The hierarchical structure of clinician ratings of proposed DSM–5 pathological personality traits. Journal Of Abnormal Psychology, 122(3), 836–841. Retrieved from the Walden Library databases. Neumann, C., Schmitt, D., Carter, R., Embley, I., & Hare, R. (2012). Psychopathic traits in females and males across the globe. Behavioral Sciences & The Law, 30(5), 557–574. Retrieved from the Walden Library databases. Wastell, C. A. (1996). Feminist developmental theory: Implications for counseling. Journal of Counseling & Development, 74(6), 575–581. Retrieved from the Walden Library databases. Discussion: Personality Disorders, Current Controversies What is the difference between observed patterns of personality and a personality disorder? Although some patterns of behavior may contribute to an individual’s personality, not all personality patterns may be disorders. For example, if a person is described as cold, cerebral, and rigid, these are patterns that might affect his or her personality, but may not lead to a diagnosed disorder. As defined in the DSM, “A personality disorder is an enduring pattern of inner experience and behavior that deviates markedly from the expectations of one’s culture, is pervasive and inflexible, has an onset in adolescence or early adulthood, is stable over time, and leads to distress or impairment” (APA, 2013, p. 645). Specifically, personality disorders, such as antisocial personality disorders and borderline personality disorders, present pervasive, maladaptive pattern of inner experience and behavior that violate social norms such as trust, honesty, and personal value. For this Discussion, consider current controversies in the diagnosis of personality disorders, with specific attention to borderline personality disorders and antisocial personality disorders. Additionally, think about how culture and gender influences the diagnosis of personality disorders. With these thoughts in mind: By Day 4 Post by Day 4 a brief explanation of how culture and gender may influence diagnoses of clients with personality disorders. Then, explain one controversy associated with the diagnosis of women with borderline personality disorder and one controversy associated with the diagnosis of antisocial personality disorder in men. Be sure to support your postings and responses with specific references to the Learning Resources and current literature. Read a selection of your colleagues’ postings. By Day 6 Respond by Day 6 to at least one of your colleagues’ postings in one or more of the following ways: Ask a probing question. Share an insight from having read your colleague’s posting. Offer and support an opinion. Validate an idea with your own experience. Make a suggestion. Expand on your colleague’s posting. Return to this Discussion in a few days to read the responses to your initial posting. Note what you have learned and/or any insights you have gained as a result of the comments your colleagues made. Submission and Grading Information Grading Criteria To access your rubric: Week 4 Discussion Rubric Post by Day 4 and Respond by Day 6 To participate in this Discussion: Week 4 Discussion Assignment: Case Study – Personality Disorders Chaotic lifestyles, chronic life interruptions, fractured support systems, and frayed identities collectively describe some of the characteristics of individuals who suffer with personality disorders. Individuals with personality disorders are similar to children navigating through life confused and unsure. Even when surrounded by family and friends, individuals who suffer with personality disorders may feel isolated and alone. As a future professional in the field of psychology, assigning a diagnosis of personality disorder may be very complex. For this Application, review the case study in the Learning Resources. Consider important client characteristics for developing a personality disorder diagnosis. Think about your rationale for assigning a particular diagnosis on the basis of the DSM. The Assignment (3–4 pages) A DSM diagnosis of the client in the case study An explanation of your rationale for assigning the diagnosis on the basis of the DSM An explanation of what other information you may need about the client to make an accurate diagnosis based on the DSM diagnostic criteria Support your Application Assignment with specific references to all resources and current literature used in its preparation. You are to provide a reference list for all resources, including those in the Learning Resources for this course. By Day 7 Submit this Assignment by Day 7. Submission and Grading Information To submit your completed Assignment for review and grading, do the following: Please save your Assignment using the naming convention “WK4Assgn+last name+first initial.(extension)” as the name. Click the Week 4 Assignment Rubric to review the Grading Criteria for the Assignment. Click the Week 4 Assignment link. You will also be able to “View Rubric” for grading criteria from this area. Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK4Assgn+last name+first initial.(extension)” and click Open. If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database. Click on the Submit button to complete your submission. Grading Criteria To access your rubric: Week 4 Assignment Rubric Check Your Assignment Draft for Authenticity To check your Assignment draft for authenticity: Submit your Week 4 Assignment draft and review the originality report.To submit your Assignment: Week 4 Assignment Next Week To go to the next week: Week 5
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