Disorder

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Please reply to each post- minimum 100 words each:

1. Elizabeth- A personality disorder is a pattern of an inner experience that can be seen in different externals behaviors that deviates from expectations of the client’s individual culture (American Psychiatric Publishing, 2013). This disorder can be difficult to diagnose as the social worker doesn’t spend that long with the client to understand the difference between a disorder or a mood switch or they may not even see that aspect of the client in person. For example narcissistic personality disorder, often is seen in certain aspects of their life with people they are comfortable with, often it can be masked and not as visible to others. I have had an experience with a past roomate, who fit the description of this personality and it had taken months for me to see this side of them. As a social worker the only way to fully make a proper diagnosis is to see this behavior or have them be honest with the issues that have been having, and that’s even if they know they have an issue and come into your office to ask for help. An article I read, explained that people with personality disorders feel that their reactions are normal responses.  "So it’s unhelpful and upsetting to call it an illness or ‘disorder’ in their personality," therefore diagnosing them won’t solve the behavior (Personality Disorder, n.d.). Jeremiah 29:11 states “For I know the plans I have for you, declares the Lord, plans for welfare and not for evil, to give you a future and a hope” (King James Version). I think this is important to let your clients know that there is hope and it’s also important to remember with God all things are possible. However, this verse will only make a difference if the client has intellectual humility. This self-awareness comes from listening to others, which takes time. Most people don’t want to believe that they are wrong especially if their brain is wired to think what they are doing is normal.

 

References 

American Psychiatric Publishing. (2013). Diagnostic and statistical manual of mental disorders: Dsm-5.

Personality disorder – why is diagnosis controversial? Mind. (n.d.). Retrieved December 17, 2021, from https://www.mind.org.uk/information-support/types-of-mental-health-problems/personality-disorders/why-is-it-controversial/


2. Samantha- Personality disorders are so difficult to diagnosed because "personality" is not necessarily something that can be defined in a black and white way. Personalities can vary based upon family upbringing, cultural influence, societal influence, etc…  "The idea of a personality as disordered is controversial, however, because t appears to describe the total person, rather than particular aspects of the person or the result of person-in-environment processes." (Corcoran, J., & Walsh, J. M.,2019 P. 201).  

If we define a personality disorder as deviating from the cultural norm, that can become problematic. Just because a person comes from a different culture than me and therefore has different cultural norms does not mean they have a personality disorder it just means they were raised with different cultural norms than I was.  "Only when personality traits are inflexible and maladaptive and cause significant functional impairment or subjective distress do they constitute personality disorders." (Association, A. P. 2013 P. 647).  This tells us that someone has to have a significant history with someone or interact with them almost daily in order to report any sort of personality disorder suspicion. 

Social workers should be cautious when giving this diagnosis because these reasons. They should also take into account that there could be many other things that have seemingly changed the clients personality recently. Perhaps they’ve recently been through a traumatic or stressful incident and have PTSD, perhaps they have an undiagnosed medical condition, perhaps they have started abusing drugs or alcohol, possibly they’re suffering a depressive episode or anxiety. Also, if a social worker is unfamiliar with the culture the client comes from, diagnosing them with a personality disorder could be very incorrect. 

"On the supportive end of the continuum, goals involve the strengthening of defenses and self-esteem, validation of feelings, internalization of the therapeutic relationship, and development of a greater capacity to cope with disturbing feelings." (Corcoran, J., & Walsh, J. M., 2019 P. 208).  From a Christian perspective all of these things (self-esteem, validation, strengthening ourselves) are things we get from God and His word. Because I am a Christian and know the Bible, I should be able to relay the encouragement and strengthening I’ve experienced to my clients. If they are open to it, I could also share scripture with them. 

 

Association, A. P. (2013). Diagnostic and Statistical Manual of Mental Disorders (DSM-5®) (5th Edition). American Psychiatric Publishing, Inc.. https://libertyonline.vitalsource.com/books/9780890425572

Corcoran, J., & Walsh, J. M. (2019). Mental Health in Social Work (3rd Edition). Pearson Education (US). https://libertyonline.vitalsource.com/books/9780135171967


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