care plan of borderline personality disorder
Answers
Answer:
☆ 4 Personality Disorders Nursing Care Plans
Explanation:
Personality is defined as the differences in the characteristic patterns of behaving, feeling and thinking of an individual.
A personality disorder is a type of mental illness in which a person’s personality traits have become rigid, inflexible, maladaptive and can hinder the person’s perception and association to situations and people. This can cause significant problems and restriction in the family, social activities, school, employment and other functional roles.
☆ Management of borderline personality disorder
Introduction =>
People learn to recognise personal differences and to predict how others are likely to behave in certain situations; we learn how to respond to others to get the best out of them and ourselves. In our minds, we establish a wide spectrum of behaviour.
The International Classification of Mental
and Behavioural Disorders (ICD-10), defines a personality disorder as “a severe disturbance in the characterological condition and behavioural tendencies of the individual, usually involving several areas of the personality, and nearly always associated with considerable personal and social disruption” (World Health Organization, 1992). A more straightforward description is that of personality disorder cluster groups (American Psychiatric Association, 1994)
History of treatment
Over the past 30 years, there has been a dramatic change in views on treatment of BPD (Gibson, 2006). In the 1970s, long-term psychoanalytic psychotherapy and psychodynamic psychotherapy were the treatments of choice (Gibson, 2006). However, in the 1980s, these were seen as unsuccessful and medication became the standard treatment (Gibson, 2006).
In the 1990s, group and family therapy emerged as potentially useful. Dialectical behaviour therapy had the most significant effects (Linehan, 1993), but research has since shown its effectiveness to be limited (Verheul et al, 2002).
In 1999, psychiatrist Anthony Bateman and psychologist Peter Fonagy pioneered mentalisation. Mentalisation is recognising what is going on in the mind. This therapy is intended to help people to improve their ability to mentalise and be willing to use this ability, especially when feeling intense emotions. The therapist might ask a patient to consider what a person in a difficult situation might have been thinking, then help the patient to go beyond their initial assumption, especially if this is negative.
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