If you have read most of this chapter and had a good look at Barlow last two pages, Exploring Personality Disorders (p. 510 and 511) you should be aware, again, of how complicated the categorical and dimensional approaches for this range of phenomena are.
In this last reflection for the conclusion of this module I am challenging you at a higher level of thinking and discernment. I do this because I read in your previous reflections that this group is up to this challenge.
For the reflection on this chapter I have created the following focused limitations:
1. How can we discern between a boy or girl older than 7 and/or a teenager up to late adolescence’s “naughtiness”, misconduct or delinquency from antisocial personality disorder (p. 461)? How can the theme of antisocial personality disorder and criminality (p. 462) and the criteria for conduct disorder table 12.5 on p. 465, assist you in coming to a conclusion?
2. From personal professional experience I agree with Barlow when he claims that “Borderline personality disorder is one of the most common personality disorders observed in clinical settings”.
Read p 469-471 and then note Barlow’s attempt at an integrative model on p. 471. He writes: “Although there is no currently accepted integrative model for this disorder, it is tempting to borrow from the work on anxiety disorders to outline a possible view. If you recall from Chapter 5, we describe the “triple vulnerability” theory (Barlow, 2002; Suárez, Bennett, Goldstein, & Barlow, 2008).
What is the “triple vulnerability”? Does it, in your view, assist with an attempt to integrate our understanding of borderline personality disorder?
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