Asian Institute of Research, Journal Publication, Journal Academics, Education Journal, Asian Institute
Asian Institute of Research, Journal Publication, Journal Academics, Education Journal, Asian Institute

Journal of Health and Medical Sciences

ISSN 2622-7258

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Published: 26 April 2021

Borderline Personality Disorder with Paranoid Features

Adina Isabell Iancu, Monica-Georgiana Lazăr, Simona Trifu

University of Bucharest (Romania), University of Medicine and Pharmacy (Romania)

journal of social and political sciences
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doi

10.31014/aior.1994.04.02.157

Pages: 67-78

Keywords: Borderline, Impulsivity, Self-Destructive Behavior, Addictions

Abstract

This paper aims to evaluate the current and dynamic profile of a 19-year-old with Borderline Personality Disorder (BPD) with paranoid features. The case allows us to detect how the symptoms associated with BPD evolve on a background of poor management of potentially stressful events. There is a Borderline personality structure with obvious paranoid features, which pushes the patient into dysfunctional behaviors, aggressive acts and suicidal tendencies, the patient's instability, chaotic sexuality, addictive and self-harming behavior being observed. There are elements specific to an antisocial personality with narcissistic notes, which highlight impulsive and manipulative tendencies, accompanied by recurrent conflicts and delinquency. The clinical picture of axis II pathology is highlighted, an accentuated aspect being represented by the deficient defense mechanisms, which prevent the integration of the events in an adequate way. Considering the patient's self-destructive behaviors, impulsiveness, and multiple addictions, in the absence of appropriate treatment, psychotherapy, and/or pharmacological treatment, several future complications may occur, including risks of future problems with the law, self-destructive behaviors, and suicide attempts.

References

  1. Gunderson, J. G., Weinberg, I., & Choi-Kain, L. (2013). Borderline personality disorder. Focus, 11(2), 129-145.

  2. Sayrs, J., & Whiteside, U. (2006). Borderline personality disorder. Practitioner’s guide to evidence-based psychotherapy, 151-160.

  3. Kernberg OF, Michels R.(2009). Borderline personality disorder. Am J Psychiatry. 166(5):505-8.

  4. Fonagy, P., & Bateman, A. (2006). Progress in the treatment of borderline personality disorder. The British Journal of Psychiatry, 188(1), 1-3.

  5. Pascual, J. C., Córcoles, D., Castaño, J., Ginés, J. M., Gurrea, A., Martín-Santos, R., Garcia-Ribera, C., Pérez, V., & Bulbena, A. (2007). Hospitalization and Pharmacotherapy for Borderline Personality Disorder in a Psychiatric Emergency Service. Psychiatric services, 58(9), 6.

  6. Chanen, A. M., Jovev, M., & Jackson, H. J. (2007). Adaptive functioning and psychiatric symptoms in adolescents with borderline personality disorder. Journal of Clinical Psychiatry, 68(2), 297.

  7. Gunderson, J. G. (2011). Borderline Personality Disorder. The New England Journal of Medicine, 6.

  8. Gunderson, J. G., & Lyons-Ruth, K. (2008). BPD’s Interpersonal Hypersensitivity Phenotype: A Gene-Environment-Developmental Model. Journal of Personality Disorders, 22(1), 22–41.

  9. Stepp, S. D., Burke, J. D., Hipwell, A. E., & Loeber, R. (2012). Trajectories of attention deficit hyperactivity disorder and oppositional defiant disorder symptoms as precursors of borderline personality disorder symptoms in adolescent girls. Journal of abnormal child psychology, 40(1), 7-20.

  10. Crawford, T. N., Cohen, P. R., Chen, H., Anglin, D. M., & Ehrensaft, M. (2009). Early maternal separation and the trajectory of borderline personality disorder symptoms. Development and Psychopathology, 21(3), 1013–1030.

  11. Kaplan, B., Sadock, V. (2001): Pocket Manual of Clinical Psychiatry. Third Edition. Bucharest: Medical Publishing House.

  12. Predescu, V. (1989). Psychiatry, vol I. Bucharest: Ed. Medicală.

  13. Lee, R. J. (2017). Mistrustful and misunderstood: a review of paranoid personality disorder. Current behavioral neuroscience reports, 4(2), 151-165.

  14. Trifu S., Dragoi A.M., Vlaicu I. (2019). Psychodynamic Psychiatry. Clinical Theories. Beau Bassin: Lambert Academic Publishing.

  15. American Psychiatric Association. (2001). Practice guideline for the treatment of patients with borderline personality disorder. Washington DC: American Psychiatric Pub.

  16. Oldham, J. M. (2006). Borderline personality disorder and suicidality. American Journal of Psychiatry, 163(1), 20-26.