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  • Essay / Borderline Personality Disorder Essay - 1183

    In the past, BPD was thought to be a cluster of symptoms between problems associated with mood and schizophrenia. These symptoms were thought to consist of reality distortions and mood problems. A closer look at this disorder has led to the realization that although the symptoms of this disorder reveal emotional complexity, this disorder is more similar to other personality disorders, based on the way it develops and occurs in families, than schizophrenia (Hoffman, Fruzzetti, Buteau & Neiditch, 2005). However, the use of the term limit has given rise to heated controversy between the health care community and patients. Patients argue that this term appears to be somehow discriminatory and that it should be removed and the disorder renamed. Patients point out that another name, such as emotionally unstable personality disorder, should be adopted instead of borderline personality disorder. Clinicians, on the other hand, say there is nothing wrong with using the term borderline. Opponents of the term argue that terms used to describe people with this disorder, such as demanding, treatment-resistant, and difficult among others, are discriminatory. These terms can create a negative feeling on the part of healthcare professionals towards patients, an aspect which can lead to the adoption of negative responses which may trigger self-harming behavior (Giesen-Bloo et al, 2006). The fact is, however, that the term borderline has been so misunderstood and misused that any attempt to redefine it is futile, leaving the abandoned term as the only option. There is also controversy over whether borderline personality disorder is a disorder in its own right. own or whatever...... middle of paper ......n fear and excitement (Schmahl, Berne, Krause, Kleindienst, Valerius, Vermetten &ump; Bohus, 2009). The work of dampening this excitation is carried out by the prefrontal region of the brain. Brain imaging has revealed that personal differences in the ability to activate areas of the prefrontal cerebral cortex, thought to activate inhibitory responses, predict the ability to repress negative feelings (Williams Sidis, Gordon, & Meares, 2006). Acetylcholine and norepinephrine as well as serotonin are the main neurotransmitters in the circuit involved in the regulation of emotions. It is thought that the imbalance of these neurotransmitters, coupled with increased GABA activity, can lead to intense mood swings similar to those in borderline personality disorder (Schmahl, Berne, Krause, Kleindienst, Valerius, Vermetten & Bohus, 2009).