All personality disorders deal with _____.
ID, EGO and SUPEREGO
When psyche is insulted at a young age because there’s no structure, what happens?
grow into not being able to think outside of dichotomous thinking.
What is dichotomous thinking?
unable to integrate the grays in the world. all good or all bad
What age do we start tearing away of our supergo?
13 to 14
What is the ID?
your desires
ID: Kids ______ this.
EGO: Kids _____ this.
SUPEREGO: Kids ____ this.
ID: have
EGO: dont have
SUPEREGO: have
What is borderline personality disorder (BPD)?
extensive pattern of instability of interpersonal relationships, self-image, and affects and noticeable impulsivity
Most common cause of BPD?
chaotic environment
How to deal with someone with “dichotomous thought”?
dont argues back
*only validates their behaviors and creates chaos
Who is at risk for borderline personality disorder?
female with history sexual abuse
Issues with the ego in BPD
- malfunctioned
- ID went wild causing their ego to never develop
What type of affect BPD have?
affective instability day to day: - manic - psychotic - depression (common) - cutting - suicidal attempts
TRUE diagnostic symptoms to be classified as BPD
- Dichotomous thought
- Attention seeking
- Tumultuous relationships
- Hx of substance and sexual abuse
- Chaotic enviroment
How do BPD “seek attention”?
- always feel abandoned
- talk about being safe and someone who left them
- will manipulate you for attention and cause chaos
Characteristics of borderline patients
- Manipulative
- Exhausting
- Pleasure seeking (drugs, promiscuity)
- Attention seeking
What usually happens when BPD pts are discharged?
- discharged makes them feel liked their being “kicked-out”/abandoned
- they act out
- validate over-exaggerated feelings w/ drug use
Caring for BDP patients
- validate loneliness as normal
- Use DBT
- Be a “united front” and stick to rules
- Treat evident symptoms
- Apply rules accordingly
What is DBT? Why DBT and not just CBT?
DBT: dialectical behavior therapy - combines cognitive and behavior therapy strategies
Dichotomous thought process won’t allow them to see “in between”
What happens during DBT?
- peer groups and talk therapy
- changes BEHAVIOR
What is the difference between TRANSFERENCE and COUNTER-TRANSFERENCE?
TRANSFERENCE: feelings you get from your patients
COUNTER-TRANSFERENCE: what you give pt; how you behave in response to your transference
What is “Antisocial Personality Disorder”?
long-term pattern of manipulating, exploiting, or violating the rights of others.
lack emotional connection to things
ASPD pts lack ________.
remorse
ASPDs in regards to ID and superego?
All ID. Ego was never built up. Superego = so chaotic that ego was never built up
ASPDs interpersonal relationship traits
- charismatic, convincing and nice
- very manipulative
- cheat people and steal
- lack remorse
