Download Borderline Personality Disorder (Medical Psychiatry) by Mary C. Zanarini PDF

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By Mary C. Zanarini

Addressing all features of borderline character disease (BPD) from the path, epidemiology, and historical past of the ailment to the newest directions in sufferer analysis, pharmacotherapy, and psychotherapy, this reference serves as an all-encompassing reference for the psychological health care professional looking authoritative insurance of BPD id, improvement, and therapy.

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Der Triebhafte Charakter. Leipzig: Internationaler Psychoanalytischer Verlag, 1925. 28. Frosch J, Wortis SB. A contribution to the nosology of impulse disorders. Am J Psychiatry 1954; 111:132–138. 29. Frosch J. Disorders of impulse control. Psychiatry 1977; 40:295–314. 30. Frosch J. The psychotic character. J Am Psychoan Assoc 1960; 8:544–551. 31. Frosch J. The psychotic character. Psychiatr Q 1964; 38:81–96. History of the Concept 17 32. Jacobson E. Contributions to the metapsychology of cyclothymic depression.

The first is affective in nature and includes the DSM-IV criteria pertaining to anger, emptiness, and mood reactivity. The second is cognitive in nature and includes both the criterion pertaining to transient, stressrelated dissociation and paranoia and the criterion pertaining to the lack of a consistent identity. The third consists of various forms of impulsivity —both that of a deliberately physically self-destructive nature and other forms of impulsive behavior that end in being destructive of one’s selfesteem and sense of control.

And for severely disturbed borderline patients, this type of experience may reenact childhood experiences of physical and/or sexual abuse. ’’ Much of the chaos in an inpatient unit trying to work with a borderline patient arises from the inner feelings 32 Zanarini of the patient that they are being controlled or they have lost all control and are again, small and powerless. However, a large measure of the chaos arises because so many young people—patients and staff alike—are trapped in a small space with all of their conflicted longings to be taken care of and to take care of others casually intermingled (38,39).

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