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Differential Personality Disorder Diagnoses Assignment Discussion

Differential Personality Disorder Diagnoses Assignment Discussion

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For this assignment, there are 3 short video clips. Watch the video clips, then answer the 3 questions after each clip.

This quiz assignment is worth a total of 5 points. It is an individual assignment that will be included in your class “exam” average.

Will Looks To Hannibal For Help | Red Dragon (2002) ***Clip URL provided in the attachment Differential Personality Disorder Diagnoses Assignment Discussion

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1. Identify at least two differential personality disorder diagnoses from the clip and describe the traits that support your diagnostic conclusions.
2. Describe at least two therapeutic interventions you would consider using if this character were your patient.
3. What personal barriers, thoughts or concerns would you have to overcome to effectively work with this patient?

BEST Girl, Interrupted Scenes (Angelina Jolie)

1. Identify at least two differential personality disorder diagnoses from the clip and describe the traits that support your diagnostic conclusions.
2. Describe at least two therapeutic interventions you would consider using if this character were your patient.
3. What personal barriers, thoughts or concerns would you have to overcome to effectively work with this patient?

Red (3/11) Movie CLIP – Why Are You Trying to Kill Me? (2010) Differential Personality Disorder Diagnoses Assignment Discussion

1. Identify at least two differential personality disorder diagnoses from the clip and describe the traits that support your diagnostic conclusions.
2. Describe at least two therapeutic interventions you would consider using if this character were your patient?
3. What personal barriers, thoughts or concerns would you have to overcome to effectively work with this patient?

Video 1: Will Looks to Hannibal for Help | Red Dragon (2002)

In the first video on Will Grahan (Fear, 2019), two possible personality disorder diagnoses that could be considered are antisocial personality disorder (ASPD) and narcissistic personality disorder (NPD).

ASPD

Hannibal, a character in the video, displays a lack of empathy and remorse, as evidenced by their nonchalant attitude towards their past actions, including wearing the same aftershave they wore in court and their disregard for the consequences of their behavior. This is consistent with the characteristic traits of ASPD, such as a disregard for the rights and feelings of others, deceitfulness, impulsivity, and a lack of remorse. Differential Personality Disorder Diagnoses Assignment Discussion

NPD

Will Graham demonstrates grandiosity and a sense of entitlement, as indicated by his expectation for special treatment and his need for validation and admiration. He also displays manipulative behavior, attempting to flatter Hannibal and seeking his advice while subtly asserting his own superiority. These traits align with the diagnostic criteria for NPD, which include a grandiose sense of self-importance, fantasies of unlimited success, power, brilliance, and a belief that they are special and unique.

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Therapeutic Interventions

Cognitive-Behavioral Therapy (CBT)

This approach could help the patient identify and challenge their maladaptive thought patterns, such as their need for validation and their sense of entitlement. CBT could also address any distorted beliefs about their own superiority and help develop more adaptive coping strategies.

Dialectical Behavior Therapy (DBT)

DBT could assist in managing their emotions and interpersonal relationships more effectively. It focuses on teaching skills such as emotion regulation, distress tolerance, and interpersonal effectiveness, which could help the patient navigate his interactions with others in a more constructive manner. Differential Personality Disorder Diagnoses Assignment Discussion

Personal Barriers, Thoughts, And Concerns That May Need to Be Addressed

Maintaining Boundaries, it’s crucial to establish and maintain clear boundaries to prevent manipulation or exploitation by the patient, especially considering their potential for deceitfulness and lack of empathy. Managing Countertransference, Therapists may experience frustration, anger, or even admiration towards patients with ASPD or NPD (Hales et al., 2011)Differential Personality Disorder Diagnoses Assignment Discussion. It’s essential to recognize and manage these feelings to avoid enacting counterproductive dynamics in therapy. Addressing Resistance to Change, Patients with personality disorders may be resistant to treatment, particularly if they do not perceive any problems with their behavior. Overcoming this resistance may require a collaborative approach, focusing on building rapport and fostering insight into the consequences of their actions.

 Video 2: BEST Girl, Interrupted Scenes (Angelina Jolie)

From the video (Far8Far, 2010), I can identify potential traits suggestive of certain personality disorders like

Borderline Personality Disorder (BPD) and Dependent Personality Disorder (DPD).

BPD

Lisa exhibits impulsive behavior, as seen in her distress and the rapid shifts in emotion.

She displays intense and unstable relationships, such as her conflicted interaction with Valerie.

Lisa demonstrates fear of abandonment, as indicated by her plea for Valerie to stay and her reaction to feeling rejected. Differential Personality Disorder Diagnoses Assignment Discussion

DPD

The character from hospital shows signs of excessive dependence on others for emotional support and decision-making, as seen in her reliance on her father. She appears submissive in her interactions, particularly with Lisa, and struggles to assert herself.

Therapeutic interventions for these characters could include

Dialectical Behavior Therapy (DBT), DBT could help Lisa learn distress tolerance skills, emotion regulation, interpersonal effectiveness, and mindfulness to manage her intense emotions and impulsive behaviors. It could also address her fear of abandonment and help her build healthier relationships. Differential Personality Disorder Diagnoses Assignment Discussion

Cognitive Behavioral Therapy (CBT), CBT might be beneficial for Valerie to challenge and reframe her maladaptive thought patterns related to dependency and low self-esteem (Hales et al., 2011). It could also focus on improving her assertiveness skills and increasing her sense of self-efficacy.

Personal barriers or concerns for working with these patients might include

Countertransference, Therapists may experience frustration or burnout due to the intensity of the patients’ emotions and behaviors, particularly with Lisa’s impulsivity and Valerie’s dependency. Therapists might need to be mindful of their own emotional reactions and seek supervision or support to manage countertransference effectively. Establishing Boundaries, Given the manipulative tendencies often associated with personality disorders, therapists may need to establish clear boundaries to maintain a therapeutic alliance while also ensuring the safety and well-being of both parties. Setting limits on communication outside of sessions and addressing boundary violations could be essential in the therapeutic process.

Video 3: Red (3/11) Movie CLIP – Why Are You Trying to Kill Me? (2010)

Based on the video (Movieclips, 2014), I can see potential traits associated with certain personality disorders, that is, Paranoid Personality Disorder (PPD) and borderline personality disorder (BPD): Differential Personality Disorder Diagnoses Assignment Discussion

PPD

Frank demonstrates paranoid traits by constantly instructing others to keep their voices down, avoid sudden movements, and not use their cell phones, indicating a heightened sense of suspicion and distrust. He also expresses paranoia about surveillance systems such as satellites and helicopters, suggesting a pervasive distrust of others and a belief that he is being targeted or monitored.

BPD

Marvin exhibits traits associated with BPD, such as impulsivity (accusing Frank of trying to kill him based on past events without concrete evidence), intense and unstable interpersonal relationships (shifting from suspicion and accusation to acceptance and trust based on minimal reassurance), and emotional dysregulation (quickly escalating from suspicion to fear and back again)Differential Personality Disorder Diagnoses Assignment Discussion.

Therapeutic Interventions

DBT, this therapeutic approach can help individuals with BPD learn skills to manage intense emotions, improve interpersonal relationships, and reduce impulsive behaviors. Cognitive-Behavioral Therapy (CBT), CBT can help individuals with paranoid ideation challenge and reframe their thoughts, reducing anxiety and improving their ability to trust others.

Personal Barriers and Concerns

Establishing Trust, working with a patient exhibiting paranoid traits can be challenging due to their inherent distrust of others. Building a therapeutic alliance and establishing trust may require patience and consistency. Managing Impulsivity, Individuals with BPD may engage in impulsive behaviors that could disrupt the therapeutic process. Implementing strategies to address impulsivity while maintaining boundaries is essential (Hales et al., 2011)Differential Personality Disorder Diagnoses Assignment Discussion.

Addressing Emotional Dysregulation, managing intense emotional reactions and mood swings may require additional support and resources to ensure the safety and well-being of both the patient and the therapist. Navigating Resistance, both paranoid and borderline traits can contribute to resistance to therapy. It’s crucial to approach resistance with empathy and understanding, while also gently challenging maladaptive beliefs and behaviors.

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Reference

Far8Far. (2010). BEST Girl, Interrupted Scenes (Angelina Jolie). YouTube. https://www.youtube.com/watch?v=JT7ItsxgcMw

Fear. (2019). Will Graham asks Hannibal For Help | Red Dragon (2002). YouTube. https://www.youtube.com/watch?v=JT7ItsxgcMw

Hales, R. E., Yudofsky, S. C., & Gabbard, G. O. (2011). Essentials of psychiatry (5th ed.). American Psychiatric Pub.

Movieclips. (2014). Red (3/11) Movie CLIP – Why Are You Trying to Kill Me? (2010) HD. YouTube. https://www.youtube.com/watch?v=6HXgPGZcXe4  Differential Personality Disorder Diagnoses Assignment Discussion

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