Posted: December 25th, 2022

Narcissistic vs Borderline Personality Disorders essay

Narcissistic vs Borderline Personality Disorders essay

1. Discuss unique features associated with interviewing a patient who has a narcissistic personality disorder. Describe your approach to the comprehensive assessment of someone with this personality disorder. 2. Discuss unique features associated with interviewing a patient who has borderline personality disorder. Describe your approach to the comprehensive assessment of 6. someone with this personality disorder. Narcissistic vs Borderline Personality Disorders essay

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Assessment of Personality Disorders: Narcissistic and Borderline Personality Disorders

Personality disorders

Personality assessment entails the use specific tools and techniques to determine a person’s personality. It is employed in the diagnosis of psychological derangements.  Narcissistic personality disorder is defined by presence of grandiose fantasies coupled to mental and physiological comorbidities.  Interview should seek to elicit the pathognomic traits of overinflated ego and fantasies of grandiosity (Kacel, 2017). This is elicited using various questionnaires such as the personality diagnostic questionnaire- (PDQ-4) and the Minnesota Multiphasic Personality Inventory (MMPI); which assess patients’ cognition, attitudes and behavior. A comprehensive personality assessment examines attitudes and behavior through patient interviews. Additionally, projection tests such as The Rorschach Inkblot Tests are coupled to self-report inventories such as MMPI for a diagnosis to be made following the (Diagnostic and Statistical Manual for Mental Disorders- fifth edition) DSM-V manual (Zimmerman, 2019). These provide the clinical profile as well as a complete examination of the patient’s unconscious challenges, desires, and fears.

Borderline personality is identified based on the presenting symptoms and their contexts. During the interview, the clinician seeks to elicit specific signs and symptoms which fall under the following categories; cognitive, affectivity, impulse control and interpersonal functioning (Biskin, 2012) Narcissistic vs Borderline Personality Disorders essay.  According to DSM-5, a diagnosis is made only if the subject displays five or more of the specific criteria outlined. The patients often display marked impulsivity from early years, and persistent pattern of unpredictability in affect, self-image and interpersonal relationships. A holistic assessment requires the examination of the signs elicited in different contexts to allow for the distinction between borderline and other personality disorders (Bogaerts, 2021). Narcissistic vs Borderline Personality Disorders essay This is made by finding the trigger to the specific mood and behavioral disturbances elicited as in borderline disorder, it is often due to external stimuli for example an argument with a sibling thus high stress level.

References

Biskin, R. S., & Paris, J. (2012). Diagnosing borderline personality disorder. CMAJ: Canadian Medical Association Journal, 184(16), 1789.

Bogaerts, A., Luyckx, K., Bastaens, T., Kaufmann, E. A., &Claes, L. (2021). Identity impairment as a central dimension in personality pathology. Journal of Psychopathology and Behavioral Assessment, 43(1), 33-42.

Kacel, E. L., Ennis, N., & Pereira, D. B. (2017). Narcissistic personality disorder in clinical health psychology practice: Case studies of comorbid psychological distress and life-limiting illness. Behavioral Medicine, 43(3), 156-164.

Zimmermann, J., Kerber, A., Rek, K., Hopwood, C. J., & Krueger, R. F. (2019). A brief but comprehensive review of research on the alternative DSM-5 model for personality disorders. Current Psychiatry Reports, 21(9), 1-19. Narcissistic vs Borderline Personality Disorders essay