NRNP 6675 Controversy Associated with Personality and Paraphilic Disorders

NRNP 6675 Controversy Associated with Personality and Paraphilic Disorders

NRNP 6675 Controversy Associated with Personality and Paraphilic Disorders

Personality disorders are among the most common mental disorders. Characterized by rigid and unhealthy thinking patterns, personality disorders are challenging to treat. As a result, a health professional must understand the condition in-depth and relate with the patients professionally. As a personality disorder, borderline personality disorder (BPD) adversely affects a person’s thinking and feelings, causing functionality challenges (Palmer & Unruh, 2018). The purpose of this paper is to explain the controversy surrounding BPD, professional beliefs, strategies for maintaining a healthy therapeutic relationship, and ethical and legal considerations.


Controversy Surrounding BPD

The dynamics of mental disorders are constantly evolving. How mental health professionals understand personality disorders also evolves, including communicating about the disorders, among other elements. Controversy about BPD is mainly centered on the diagnosis and how health professionals interpret the problem. For instance, specialists disagree on the disorder’s interpretation; some believe some feelings are a natural human reaction (Palmer & Unruh, 2018). Also, diagnosis usually overlooks the social context leading to the disorder. For instance, childhood traumas may cause personality disorders and be overlooked during diagnosis. Furthermore, some specialists feel that the term ‘personality disorder’ is judgmental and labeling (Mental Health Foundation, 2021). Such factors and views might hamper comprehensive diagnosis and overall health outcomes.

Professional Beliefs about BPD

Health care professionals perceive illnesses differently depending on their backgrounds, knowledge, and everyday exposure, among other factors. I believe that people with BPD are an at-risk population that requires close mental, emotional, and physical support. Hence, they should be accompanied by their partners or trusted family members or friends. Mirkovic et al. (2021) found people with BPD vulnerable to suicide. Their self-worth and ability to manage illnesses are common problems, particularly in young patients. According to Santangelo et al. (2020), people with BPD have self-image issues, lowering their self-esteem and ability to manage behavior and emotions. It can be challenging to achieve total healing when dealing with such patients unless the patients are assisted and watched closely. I also believe that mental health professionals should prioritize psychotherapy over medication. Psychotherapy focuses on feelings, the ability to function, and improving relationships; hence, high efficacy (Bozzatello & Bellino, 2020). In this case, it is comprehensive in its approach to illness management and should be the primary option.

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Strategies for Maintaining the Therapeutic Relationship

Treatment outcomes depend on the patient-provider relationship to a considerable extent. The same case applies to BPD control and management. A healthy therapeutic relationship should be dominated by calmness, support, and comprehensive condition analysis (Bozzatello & Bellino, 2020). As a result, the mental health professional must practice healthy communication. They must avoid labeling or blaming and ensure that the patient is calm to provide as much information as possible. Also, health professionals must offer ready emotional, mental, and physical support. Active listening, patience, and patient’s distraction when emotions arise are perfect strategies for a healthy therapeutic relationship.

Legal and Ethical Considerations

Several ethical and legal considerations should be brought to the practice when dealing with patients with BPD. The first consideration is that patients with BPD might be entangled in family battles, substance abuse, and suicide cases. Such problems stem from their impulsive behaviors and difficulties in relationship management. The other consideration is BPD patients usually use their providers for malpractice (Young et al., 2018). As a result, providers must be keen on these issues and show that a patient’s behavior or vulnerabilities after the treatment are not related to the recommended medications or treatment options.


BPD is a common personality disorder characterized by distorted feelings and thoughts. Patients with BPD have difficulties in relating with other people. Comprehensive BPD analysis is crucial to ensure that the patient provides detailed information regarding the cause and symptoms. As a result, health care providers must ensure that the patient is calm, supported, and not judged. It is also crucial to be aware of legal and ethical issues associated with BPD to avoid regrettable consequences.


Bozzatello, P., & Bellino, S. (2020). Interpersonal psychotherapy as a single treatment for borderline personality disorder: A pilot randomized-controlled study. Frontiers in Psychiatry11.

Mental Health Foundation. (2021). Personality disorders.,label%20placed%20on%20their%20personality.

Mirkovic, B., Delvenne, V., Robin, M., Pham-Scottez, A., Corcos, M., & Speranza, M. (2021). Borderline personality disorder and adolescent suicide attempt: the mediating role of emotional dysregulation. BMC Psychiatry21(1), 1-10.

Palmer, B., & Unruh, B. (Eds.). (2018). Borderline personality disorder: A case-based approach. Springer.

Santangelo, P. S., Kockler, T. D., Zeitler, M. L., Knies, R., Kleindienst, N., Bohus, M., & Ebner-Priemer, U. W. (2020). Self-esteem instability and affective instability in everyday life after remission from borderline personality disorder. Borderline Personality Disorder and Emotion Dysregulation7(1), 1-20.

Young, C., Habarth, J., Bongar, B., & Packman, W. (2018). Disorder in the court: cluster B personality disorders in United States case law. Psychiatry, psychology, and law : An Interdisciplinary Journal of the Australian and New Zealand Association of Psychiatry, Psychology and Law25(5), 706–723.


Assignment: Controversy Associated with Personality and Paraphilic Disorders
Between 10% and 20% of the population experience personality disorders. They are difficult to treat as individuals with personality disorders are less likely to seek help than individuals with other mental health disorders. Treatment can be challenging as they do not see their symptoms as painful to themselves or others.

Photo Credit: Joe Houghton – / Moment / Getty Images

Paraphilic disorders are far more common in men than in women, and generally quite chronic, lasting at least two years. Treatment of these disorders usually involves both psychotherapeutic and pharmacologic treatments.

In this Assignment, you will explore personality and paraphilic disorders in greater detail. You will research potentially controversial elements of the diagnosis and/or treatment and explain ethical and legal considerations when working with these disorders.

To Prepare
Review this week’s Learning Resources and consider the insights they provide on assessing, diagnosing, and treating personality and paraphilic disorders.
Select a specific personality or paraphilic disorder from the DSM-5 to use for this Assignment.
Use the Walden Library to investigate your chosen disorder further, including controversial aspects of the disorder, maintaining the therapeutic relationship, and ethical and legal considerations.
The Assignment
In 2–3 pages:

Explain the controversy that surrounds your selected disorder.
Explain your professional beliefs about this disorder, supporting your rationale with at least three scholarly references from the literature.
Explain strategies for maintaining the therapeutic relationship with a patient that may present with this disorder.
Finally, explain ethical and legal considerations related to this disorder that you need to bring to your practice and why they are important.
By Day 7 of Week 7
Submit your Assignment.

Submission and Grading Information
To submit your completed Assignment for review and grading, do the following:

Please save your Assignment using the naming convention “WK7Assgn+last name+first initial.(extension)” as the name.
Click the Week 7 Assignment Rubric to review the Grading Criteria for the Assignment.
Click the Week 7 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 “WK7Assgn+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.

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