THERAPY FOR CLIENTS WITH PERSONALITY DISORDERS NRNP 6645
THERAPY FOR CLIENTS WITH PERSONALITY DISORDERS NRNP 6645
Therapy for Clients with Personality Disorders
A narcissistic personality condition is a psychological disorder where victims overrate their worth. They demonstrate high claims for solid admiration and attention and show no compassion for others, and they are likely to be disappointed and sad if their demands are not met (Hörz-Sagstetter et al., 2018). Such individuals are flimsy to common disparagement, which profusely affects their self-confidence. Based on DSM-5 criteria, the disorder presents from early adulthood and is distinguished by impaired personality functioning (Daurio & Taylor, 2021). The victims show eccentricity, egotistical manners, self-rule, reduced empathy, and a sense of entitlement. The laboratory diagnostic techniques for this condition are not established (Hörz-Sagstetter et al., 2018).
A therapeutic approach that has proved effective is psychoanalytic psychotherapy. It is a technique that entails interacting with the patients to perceive what is in their minds. It creates awareness of veiled thought outlines resulting in the disorder. The therapy employs dream scrutiny, free interaction, resistance analysis, and transference scrutiny as treatment options (Avdi & Seikkula, 2019). Psychoanalytic psychotherapy is crucial in this disorder since it unveils insentient thoughts and transmutes them to the conscious mind to promote the ego’s functioning, which weakens the feelings of preeminence and entitlement, hence managing the condition.
A therapeutic relationship is between two or more persons undergoing a psychiatry session. It is a relationship of trust and respect between a psychotherapist and his clients (Alvarez et al., 2021). Before sharing patient information, the therapist should seek consent to ensure he does not offend his client and break the bond. When addressing an individual, the therapist should clearly communicate the patient’s condition. In a family setting, the therapist should involve the patient’s household in a session to help them perceive the patient’s thoughts and viewpoints to enhance their understanding. In group therapy, the session should include patients diagnosed with the condition and under management (Alvarez et al., 2021). It will facilitate patient acceptance and avail necessary support as the therapy begins.
THERAPY FOR CLIENTS WITH PERSONALITY DISORDERS NRNP 6645 References
Alvarez, I., Herrero, M., Martínez‐Pampliega, A., & Escudero, V. (2021). Measuring perceptions of the therapeutic alliance in individual, family, and group therapy from a systemic perspective: Structural validity of the SOFTA‐s. Family Process, 60(2), 302-315. https://doi.org/10.1111/famp.12565
Avdi, E., & Seikkula, J. (2019). Studying the process of psychoanalytic psychotherapy: Discursive and embodied aspects. British Journal of Psychotherapy, 35(2), 217-232. https://doi.org/10.1111/bjp.12444
Daurio, A. M., & Taylor, J. (2021, July 29). An Investigation of the Triarchic Model of Psychopathy and Self-Reported Cluster B Personality Disorder Traits. Personality Disorders: Theory, Research, and Treatment. Advance online publication. http://dx.doi.org/10.1037/per0000500
Hörz-Sagstetter, S., Diamond, D., Clarkin, J. F., Levy, K. N., Rentrop, M., Fischer-Kern, M., … & Doering, S. (2018). Clinical characteristics of comorbid narcissistic personality disorder in patients with borderline personality disorder. Journal of Personality Disorders, 32(4), 562-575.
Individuals with personality disorders often find it difficult to overcome the enduring patterns of thought and behavior that they have
thus far experienced and functioned with in daily life. Even when patients are aware that personality-related issues are causing significant distress and functional impairment and are open to counseling, treatment can be challenging for both the patient and the therapist. For this Assignment, you examine specific personality disorders and consider therapeutic approaches you might use with clients.
RESOURCES
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
WEEKLY RESOURCES
To prepare:
- Review this week’s Learning Resources and reflect on the insights they provide about treating clients with personality disorders.
- Select one of the personality disorders from the DSM-5-TR(e.g., paranoid, antisocial, narcissistic). Then, select a therapy modality (individual, family, or group) that you might use to treat a client with the disorder you selected.
THE ASSIGNMENT:
Succinctly, in 1–2 pages, address the following:
- Briefly describe the personality disorder you selected, including the DSM-5-TRdiagnostic criteria.
- Explain a therapeutic approach and a modality you might use to treat a client presenting with this disorder. Explain why you selected the approach and modality, justifying their appropriateness.
- Next, briefly explain what a therapeutic relationship is in psychiatry. Explain how you would share your diagnosis of this disorder with the client in order to avoid damaging the therapeutic relationship. Compare the differences in how you would share your diagnosis with an individual, a family, and in a group session.
Support your response with specific examples from this week’s Learning Resources and at least three peer-reviewed, evidence-based sources. Explain why each of your supporting sources is considered scholarly. Attach the PDFs of your sources.
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Submit your Assignment. Also attach and submit PDFs of the sources you used.
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THERAPY FOR CLIENTS WITH PERSONALITY DISORDERS NRNP 6645 Rubric
NRNP_6645_Week10_Assignment_Rubric
| NRNP_6645_Week10_Assignment_Rubric | ||||||
| Criteria | Ratings | Pts | ||||
| This criterion is linked to a Learning OutcomeSuccinctly, in 1–2 pages, address the following: • Briefly describe the personality disorder you selected, including the DSM-5-TR diagnostic criteria. |
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15 pts | ||||
| This criterion is linked to a Learning Outcome• Explain a therapeutic approach and a modality you might use to treat a client presenting with this disorder. Explain why you selected the approach and modality, justifying their appropriateness. |
|
25 pts | ||||
| This criterion is linked to a Learning Outcome• Briefly explain what a therapeutic relationship is in psychiatry. Explain how you would share your diagnosis of this disorder with the client in order to avoid damaging the therapeutic relationship. Compare the differences in how you would share your diagnosis with an individual, a family, and in a group session. |
|
30 pts | ||||
| This criterion is linked to a Learning Outcome· Support your approach with specific examples from this week’s media and at least three peer-reviewed, evidence-based sources. PDFs are attached. |
|
15 pts | ||||
| This criterion is linked to a Learning OutcomeWritten 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 is provided which delineates all required criteria. |
|
5 pts | ||||
| This criterion is linked to a Learning OutcomeWritten Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation |
|
5 pts | ||||
| This criterion is linked to a Learning OutcomeWritten 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. |
|
5 pts | ||||
| Total Points: 100 | ||||||
Therapy for Clients with Antisocial Personality Disorder
Personality disorders pose challenges, in the field of health according to the DSM 5 TR. Among these disorders, Antisocial Personality Disorder (ASPD) stands out due to its patterns of disregarding norms and the rights of others(Marzilli et al., 2021). The purpose of this paper is to explore how the therapeutic modality approach for clients diagnosed with ASPD. It also delves into the concept of a relationship in psychiatry and the sensitive task of discussing the ASPD diagnosis with clients in individual, family, and group settings.
Antisocial Personality Disorder
According to Marzilli et al. (2021), Antisocial Personality Disorder is characterized by a disregard of the rights of others, showing a lack of empathy, engaging in behavior that goes against norms, and having a history of such actions.According to DSM 5 TR, some of the traits one may exhibit include, not abiding by norms when it comes to behaviors, engaging in practices such as repeated lying, using identities, or manipulating others for personal gain, acting impulsively or not planning, displaying irritability and aggressiveness that often leads to fights or assaults, and Showing a disregard for the safety of themselves or others(Marzilli et al., 2021). Additionally, they could be Demonstrating irresponsibility through repeated failures to maintain work behavior or fulfill financial obligations, or Lacking remorse and displaying indifference towards hurting, mistreating, or stealing from others.
Therapeutic Modality
Group therapy can be highly beneficial for individuals, with Antisocial Personality Disorder as it provides them with a controlled setting to address their behaviors and interpersonal challenges. Cognitive Behavioral Therapy (CBT) proves to be a method because it concentrates on recognizing and addressing unhelpful thought patterns and behaviors(Morken et al., 2022). Group therapy provides an opportunity for clients to gain insights, from one another’s experiences enhance their abilities, and cultivate empathy.
Therapeutic Relationship in Psychiatry
The therapeutic alliance, in the field of psychiatry, pertains to the connection between healthcare professionals and their patients and is founded on mutual respect, trust, open dialogue, and empathy. According to Ruud and Friis (2022),the primary objective of this bond is to establish a nurturing atmosphere wherein patients can freely delve into their thoughts, emotions, and behaviors while striving for growth. When discussing a diagnosis of antisocial personality disorder, it is vital to handle it with care and effective communication to avoid any harm, to the relationship.
During individual sessions, privacy and confidentiality would be emphasized by the nurse. The diagnosis would be shared in a confrontational manner focusing on the client’s personal experiences and challenges. The nurse would also highlight that therapy offers opportunities for growth and positive transformation. In family sessions, the nurse would involve the client’s family members as part of the treatment process. When sharing the diagnosis in this setting emphasis would be placed on how family support plays a role, in facilitating the client’s progress and nurturing relationships(Steindl et al., 2022).
In a one-on-one session the nurse would prioritize respecting privacy and confidentiality. They would communicate the diagnosis in a manner focusing on the individual’s experiences and challenges. The nurse would also emphasize how therapy can lead to growth and positive transformation. During family sessions, the nurse would involve the client’s family members as part of the treatment process. When sharing the diagnosis in this context they would highlight the role of family support in facilitating progress and nurturing relationships. In a group session, the nurse would openly discuss the diagnosis while creating a judgmental atmosphere. The primary goal would be to educate participants about Antisocial Personality Disorder address common challenges faced by group members and encourage support and accountability. In all scenarios it is essential to emphasize that change is possible and avoid blaming or shaming the client(Steindl et al., 2023). Instead, a collaborative approach to treatment should be offered.
Conclusion
Effectively treating individuals with Antisocial Personality Disorder requires an approach that addresses their difficulties and Group CBT has shown advantages in fostering growth within an environment. Building a relationship is crucial, for successful treatment, and disclosing the diagnosis should be handled carefully to maintain trust and rapport. Whether it’s during sessions, family therapy, or group discussions the central objective should consistently center around comprehending one another providing support and collaboratively striving for behaviors and healthy relationships.