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ID:20397355
大小:1.69 MB
页数:39页
时间:2018-10-13
《_personality disorder in primary care在初级保健的边缘性人格障碍课件》由会员上传分享,免费在线阅读,更多相关内容在教育资源-天天文库。
1、BorderlinePersonalityDisorderinPrimaryCareAshleyOwen,Ph.D.DepartmentofFamilyandPreventiveMedicineBorderlinePersonalityDisorder(BPD)LearningObjectives:1.TounderstandprevalenceandrelatedstatisticsofBPDthatareimportanttoprimarycare.2.Tounderstandthediagnosticcriteriaandconceptualizationo
2、fBPD.3.Todiscusstheuseofstructure,boundary-setting,andconstructiveresponsestobehaviorinthecontextofprimarycaretreatment.BPD:ALittleSelfReflection…WhatDoYouKnow?•What’sanindividualwithBPDlike?•HowdoyoufeelwhenyouhearthatapatienthasBPD?•HowmightyoufeelafterseeingapatientwithBPD?BPD:Prev
3、alenceandRelatedStatistics-MostpeoplehaveneverheardofBPDeventhoughitaccountsfor1/4ofallpsychiatrichospitaladmissions.-Affectsprimarilywomen.-TheprevalencerateforthediagnosisofBorderlinehasbeenfoundtobe4timeshigherinprimarycare(6.4%)thaninthegeneralpopulation(1.6%).BPD:PrevalenceandRela
4、tedStatisticsRisky:-Suicidalideationveryhighinprimarycarepopulations(21.4%)-Upto10%completesuicide.UnderidentifiedinPrimaryCare:AbouthalfofpatientswhohaveBPDwere“recognizedbytheirPCPsashavinganongoingemotionalormentalhealthproblemorhadreceivedmentalhealthtreatmentduringthepastyear”.Gro
5、ssetal.(2002)BPDDiagnosis:ControversialCONS:Maybeoverdiagnosedbyclinicianswhoarefrustratedbya"difficultpatient“.Stigmadoesexist.ThenameBorderlinePersonalityDisorderseemstosuggesttheconditionisapersonalityflaw.PROS:Appropriatereferralfortreatmentcanbeextremelyhelpful.RecognizingBPDmayen
6、hanceunderstandingpatientswithchallengingbehaviors.Physiciansmaydeveloprapport,feellessfrustrated,andevenhaveatherapeuticeffectbylearningaboutBPD.BPD:DiagnosticCriteriaApervasivepatternofinstabilityofinterpersonalrelationships,self-image,andaffects,andmarkedimpulsivitybeginningbyearlya
7、dulthoodandpresentinavarietyofcontexts.Five(ormore)criteria*mustbemetforadiagnosisofBPD.BPD:DiagnosticCriteriaCriteriareflecttheindividual’ssignificantdifficultyregulating…1.)Emotions*ShiftsinmoodusuallylastingonlyafewhoursandrarelymorethanafewdaysBPD:DiagnosticCriteria1.)Emotions(co
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