Controversy That Surrounds Paranoid Personality Disorder Essay
Controversy That Surrounds Paranoid Personality Disorder Essay
This is a mental health condition that is characterized by a long-term pattern of suspicion and distrust of others without reason enough for paranoia. Individuals believe that other people threaten, demean, and threaten them. Various controversies have developed based on the diagnosis, treatment, and cultural considerations. On diagnosis, the diagnostic criteria for disorders overlap by an example of distrust, which is also similar to that of anxiety disorder and paranoid schizophrenia. Also, diagnosis is complicated because paranoid personality disorder coexists with personality disorders (Lee, 2017)Controversy That Surrounds Paranoid Personality Disorder Essay. During treatment, it is difficult to create a therapeutic relationship with the individual because of the distrust characteristics of the condition. There is controversy about its origin; some refer to it genetically, while others believe it is environmental-related, such as stress and childhood traumas. Because the development pathway for the condition is not well understood, it is complicated for early prevention and interventions (McWilliams et al., 2018). Finally, there is cultural controversy where paranoid behavior in one culture is expected in another. Therefore, social and cultural play a part in paranoid behaviors and thought interpretation and expression, potentially causing a misdiagnosis.
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My Professional Beliefs About Paranoid Personality Disorder
The etiology of paranoid personality disorder is both genetic as well as environmental factors. Genetic predisposition contributes to the condition, with paranoid traits prevalence higher in schizophrenic-related people (Wong, 2020)Controversy That Surrounds Paranoid Personality Disorder Essay. Chronic stress and traumas are the environmental factors associated with the onset of this condition. Therefore, genetics and environmental factors are essential to understand this condition during assessment.
Additionally, because of its overlapping nature with other personality disorders, I believe that the DSM-5 diagnostic technique for diagnosing PPD is a subject for discussion. This criterion focuses mainly on the suspicion and pervasive distrust of individuals, which makes it hard to distinguish it from other conditions with the same symptoms, like anxiety disorders and paranoid schizophrenia (Köse & Erbaş, 2020)Controversy That Surrounds Paranoid Personality Disorder Essay. It, therefore, requires an individual to ensure thorough clinical evaluation during differential diagnosis and obtain information from family members and friends for correct diagnosis.
I believe that trust between the client and the healthcare professional is essential during the treatment. However, distrust is a defining characteristic in this condition and, therefore, poses a challenge to the therapeutic relationship between the patient and the healthcare professional (Köse & Erbaş, 2020). Cognitive behavioral therapy has a positive outcome in solving thought patterns and offering adaptive coping methods. CBT effectiveness varies among patients, thus necessitating personalized therapeutic plans for the client’s symptoms.
Finally, cultural sensitivity and appropriateness are essential when dealing with individuals who have paranoid personality disorder. This is because what is considered paranoid behavior in a specific culture is normal for the other culture. Therefore, healthcare providers must be familiar with the cultural nuances to ensure that diagnosis and treatment methods are sensitive and appropriate for the specific culture (D Neacsiu et al., 2017)Controversy That Surrounds Paranoid Personality Disorder Essay.
The Strategies for Maintaining the Therapeutic Relationship with A Patient That May Present with Paranoid Personality Disorder
To maintain a good therapeutic relationship with the client, a balance of consistency, empathy, and patience is required. The patient should be approached with a respectful and nonjudgmental attitude, and active listening should be ensured. The approach should be clear, structured, and have consistent boundaries because its predictability could ease anxiety and ensure trust building. Communication transparency is meaningful because it could elevate patients’ fear of hidden intentions. Healthcare professionals should be careful with their actions and behaviors, which could be assumed to be manipulative and secretive. During creating rapport, the therapist should exercise patience because it would be a slow process owing to the distrust characteristics of individuals with this PPD. Also, the sensitive topics should only be discussed when the patient is ready. The treatment plan is reviewed and adjusted regularly according to patient response to the therapy as well as their feedback so as to foster trust and a sense of involvement in this process. Finally, clinicians should be culturally sensitive because cultural factors could guide an individual’s behavior and perception, modifying therapeutic methods so as to solve specific needs. Controversy That Surrounds Paranoid Personality Disorder Essay
The Ethical and Legal Considerations Related to Paranoid Personality Disorder
Confidentiality is the main ethical consideration. This is because patients with PPD have distrust characteristics, and any confidential breach could negatively affect the therapeutic relationship, worsening the distrust further (Cheli et al., 2021)Controversy That Surrounds Paranoid Personality Disorder Essay. The patient should be explained clearly the circumstances at which the information would be shared and to whom it would be shared. The sole purpose of sharing client information is to improve the condition of the patient.
Informed consent is essential during the care of an individual with PPD. An individual with PPD could be suspicious of the reasons behind therapeutic interventions, rendering it important to explain the treatment process, benefits, and potential risks of the interventions (Gürcan & Ekmekci, 2024)Controversy That Surrounds Paranoid Personality Disorder Essay. By ensuring transparency, the individual develops trust and ensures the patient makes informed decisions on their care.
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Competence is important because the skills and knowledge are required during the care of patients with PPD. A healthcare provider needs to have knowledge when handling a patient to ensure they get the most appropriate and effective care.
Legally, if the patient exhibits threat of harming themselves or the other, the healthcare provider can take the necessary action. They can breach confidentiality by informing those at risk of harm or initiating and ensuring involuntary patient hospitalization (Gürcan & Ekmekci, 2024)Controversy That Surrounds Paranoid Personality Disorder Essay.
References
Cheli, S., Cavalletti, V., Popolo, R., & Dimaggio, G. (2021). A case study on a severe paranoid personality disorder client treated with metacognitive interpersonal therapy. Journal of Clinical Psychology, 77(8), 1807-1820. https://doi.org/10.1002/jclp.23201
D Neacsiu, A., W Eberle, J., Keng, S. L., M Fang, C., & ZacharyRosenthal, M. (2017). Understanding borderline personality disorder across sociocultural groups: findings, issues, and future directions. Current Psychiatry Reviews, 13(3), 188-223. https://doi.org/10.2174/1573400513666170612122034
Gürcan, G., & Ekmekci, P. E. (2024). Ethical Issues and Ethical Problems in Psychiatry. In Ethical Dilemma in Psychiatry: Real Cases Scenario (pp. 43-57). Cham: Springer International Publishing. https://doi.org/10.1007/978-3-031-56211-2_4 Controversy That Surrounds Paranoid Personality Disorder Essay
Köse, S. S., & Erbaş, O. (2020). Personality disorders diagnosis, causes, and treatments. Demiroglu Science University Florence Nightingale Journal of Transplantation, 5(2), 022-031. DOI: 10.5606/dsufnjt.2020.013
Lee, R. J. (2017). Mistrustful and misunderstood: a review of paranoid personality disorder. Current behavioral neuroscience reports, 4, 151-165. https://doi.org/10.1007/s40473-017-0116-7
McWilliams, N., Grenyer, B. F., & Shedler, J. (2018). Personality in PDM-2: Controversial issues. Psychoanalytic Psychology, 35(3), 299. https://psycnet.apa.org/doi/10.1037/pap0000198
Wong, K. K. Y. (2020). Paranoid Personality Disorder. The Wiley Encyclopedia of Personality and Individual Differences: Clinical, Applied, and Cross‐Cultural Research, 175-179. https://doi.org/10.1002/9781118970843.ch293 Controversy That Surrounds Paranoid Personality Disorder Essay
THE ASSIGNMENT
• 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.
Grading Criteria
This criterion is linked to a Learning OutcomeIn 2–3 pages, address the following: • Explain the controversy that surrounds your selected personality or paraphilic disorder.
Explain your professional beliefs about your selected disorder, supporting your rationale with at least three scholarly references from the literature.
Explain strategies for maintaining the therapeutic relationship with a client that may present with the disorder.
Finally, explain ethical and legal considerations related to the disorder that you need to bring to your practice and why they are important. Controversy That Surrounds Paranoid Personality Disorder Essay
Written Expression and Formatting – Paragraph Development and Organization: Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction are provided that delineate all required criteria.
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Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation.
Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list. Controversy That Surrounds Paranoid Personality Disorder Essay