scholarly journals EXPLORING DIMENSIONS OF IMPULSIVITY IN PATIENTS WITH PERSONALITY DISORDER DURING THE PERIOD OF CONFINEMENT

2021 ◽  
Vol 9 (06) ◽  
pp. 244-248
Author(s):  
A. Karara ◽  
◽  
S. Benzahra ◽  
H. Nafiaa ◽  
A. Ouanass ◽  
...  
Keyword(s):  
Personality Disorder ◽  
Antisocial Personality Disorder ◽  
Clinical Characteristics ◽  
Daily Life ◽  
Borderline Personality ◽  
Three Dimensions ◽  
Antisocial Personality ◽  
The World ◽  
The University ◽  
Psychic State

Objective:The objective of this work is to describe the sociodemographic and clinical characteristics and to explore the dimensions of impulsivity in patients with personality disorders and to evaluate their evolution during the period of confinement. Methods:This study included a sample of 60 patients followed in ambulatory consultation at the university psychiatric hospital Arrazi inSaléwith a personality disorder. The description of the sociodemographic and clinical characteristics was carried out using a questionnaire. The exploration of the dimensions of impulsivity was carried out based on the BarrattImpulsiveness scale. Results: The average age of our patients was 28.3 years, most of the patients were male (75%). In our sample, 61.7% had a substance use disorder, 38.3% had a depressive comorbidity. Concerning the impulsivity context, borderline personality disorder was found in 78.3% of our patients, antisocial personality disorder was found in 21.7%. According to the scores obtained on the Barratt Impulsiveness scale, the three dimensions measured were high in all our patients. Conclusion: Confinement is a mode of adaptation of daily life in crisis situations that has dramatically changed the habits of millions of people throughout the world. It is necessary to underline the great vulnerability of people with a personality disorder to this situation which could expose to a weakening of their psychic state.

scholarly journals Oxytocin Receptor Gene, Childhood Maltreatment and Borderline Personality Disorder Features among Male Inmates in China

2020 ◽  
Author(s):  
Min Zhang ◽  
Na Liu ◽  
Haocheng Chen ◽  
Ning Zhang
Keyword(s):  
Sexual Abuse ◽  
Borderline Personality Disorder ◽  
High Risk ◽  
Personality Disorder ◽  
Antisocial Personality Disorder ◽  
Childhood Maltreatment ◽  
Oxytocin Receptor ◽  
Borderline Personality ◽  
Antisocial Personality ◽  
Male Inmates

Abstract Background: Borderline personality disorder (BPD) is caused by a variety of biological and environmental factors. Accumulating evidence suggests that childhood maltreatment is a risk environmental factor in the development of BPD, but research on the genetic pathology of BPD is still in its early stages, and very little is known about the oxytocin receptor (OXTR) gene. The purpose of this study is to further explore the interactive effects between OXTR gene polymorphisms and childhood maltreatment on BPD risk. Methods: Among the 1804 male inmates, 765 inmates who had BPD or antisocial personality disorder (ASPD) or highly impulsive or violent crime were considered as high-risk inmates and included in this study. Childhood maltreatment, BPD, antisocial personality disorder (ASPD) and impulsivity were measured by self-reported questionnaires. Peripheral venous blood was collected for the genotype test. Results: Analyses revealed that the BP group (inmates with BPD features) had higher rs53576 AA genotype frequency and rs237987 AA genotype frequency than the non-BP group, while the statistical significances were lost after Bonferroni correction. Total childhood maltreatment score, emotional abuse and neglect could positively predict BPD risk. Among the high-risk samples, rs53576 GG genotype carriers had higher BPD scores at higher levels of physical abuse and sexual abuse and had lower BPD scores at lower levels of physical abuse and sexual abuse. Conclusions: The findings suggest that the interaction between OXTR gene variations and childhood maltreatment is an important mechanism for the development of BPD. The moderating role of the OXTR gene provides evidence for gene plasticity.

Ethical Issues in the Treatment of Dangerous Psychiatric Patients

2014 ◽  
Author(s):  
Nancy Nyquist Potter ◽  
Jay Englehart
Keyword(s):  
Personality Disorder ◽  
Sex Offenders ◽  
Antisocial Personality Disorder ◽  
Ethical Issues ◽  
Psychiatric Patients ◽  
Borderline Personality ◽  
Antisocial Personality ◽  
Ethical Concerns ◽  
Physical Danger ◽  
Danger To Others

This chapter examines ethical issues that arise when diagnosing and treating dangerous and self-destructive patients. In particular, we look at sex offenders and those diagnosed with antisocial personality disorder (ASPD), who primarily present a danger to others, and those with borderline personality disorder (BPD), who primarily present a physical danger to self. We identify four questions that arise within this population: (1) when should patients be restrained and secluded; (2) what ethical justifications can be employed to analyze the use of restraint and seclusion in these populations; (3) what special considerations need to be taken into account in the use of restraint and seclusion; and (4) what metaphysical and epistemological challenges are involved with this population? Each of these questions is linked to ethical concerns and responsibilities in the use of confinement measures when patients are dangerous to themselves or others.

PERSONALITY DISORDERAS SEEN IN THE JOKER MOVIE BY TODD PHILLIP

2020 ◽  
Vol 26 (02) ◽  
pp. 406-430
Author(s):  
Abdur Rahman ◽  
Ulfatmi Azlan ◽  
Firdiansyah Firdiansyah
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Environmental Factors ◽  
Antisocial Personality Disorder ◽  
Psychological Factors ◽  
Borderline Personality ◽  
Main Character ◽  
Antisocial Personality ◽  
Structural Context ◽  
Depressive Personality

This research discusses personality disorder as seen in main character in the movie Joker. Personality disorder can be recognized in adolescence because the structure of disfunctional characteristics at that stage is similar to the structure of personality disorder in adulthood (Westen et al. 2003). Biological and psychological considerations, personality disorder develop in a socio structural context and appear to be socially sensitive. Through this movie, it can be concluded that there are five kinds of personality disorder reflected to the Joker as the main character in Joker movie by Todd phillips, they are borderline personality disorder, depressive personality disorder, sadistic personality disorder, antisocial personality disorder, and negativistic personality disorder. There are two causes of personality disorder that influence Joker as the main character they are psychological factors and environmental factors.

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