Care Across the Lifespan Il
PERSONALITY AND PARAPHILIC DISORDERS
assignment;
CONTROVERSY ASSOCIATED WITH PERSONALITY AND PARAPHILIC DISORDERS
Personality disorders represent perhaps the most challenging disorders that psychiatric-mental health nurse practitioners will have to address in their professional careers. Personality disorders can co-occur in every mental health disorder and, in some cases, can mask other disorders. Although difficult to treat, the PMHNP must be able to identify personality disorders and endeavor to work with the patient to not only recognize the disorder but also treat a disorder that patients often do not believe exist.
Although there is tremendous variety in what is considered normal sexual interests, paraphilic disorders occur when a persistent behavior or fantasy causes distress, harm, or risk of harm to oneself or others. Some paraphilic disorders include pedophilia, exhibitionism, fetishism, and voyeurism.
This week, you will explore controversies related to personality and paraphilic disorders, as well as clinical, ethical, and legal issues that should be considered when working with patients with such diagnoses.
Between 10% and 20% of the population experience personality disorders. They are difficult to treat as individuals with personality disorders are less likely to seek help than individuals with other mental health disorders. Treatment can be challenging as they do not see their symptoms as painful to themselves or others.
Paraphilic disorders are far more common in men than in women, and generally quite chronic, lasting at least two years. Treatment of these disorders usually involves both psychotherapeutic and pharmacologic treatments.
In this Assignment, you will explore personality and paraphilic disorders in greater detail. You will research potentially controversial elements of the diagnosis and/or treatment and explain ethical and legal considerations when working with these disorders.
· Review this week’s Learning Resources and consider the insights they provide on assessing, diagnosing, and treating personality and paraphilic disorders.
· Select a specific personality or paraphilic disorder from the
DSM-5-TR to use for this Assignment.
· Use the Walden Library to investigate your chosen disorder further, including controversial aspects of the disorder, maintaining the therapeutic relationship, and ethical and legal considerations.
THE ASSIGNMENT
In 2–3 pages:
· Explain the controversy that surrounds your selected disorder.
· Explain your professional beliefs about this disorder, supporting your rationale with at least three scholarly references from the literature.
· Explain strategies for maintaining the therapeutic relationship with a patient that may present with this disorder.
· Finally, explain ethical and legal considerations related to this disorder that you need to bring to your practice and why they are important.
Required Readings
· National Institute for Health and Care Excellence: NICE Guidelines. (2010).
Antisocial personality disorder: Prevention and management
Links to an external site.
.
https://www.nice.org.uk/guidance/cg77
Required Media
· Buchanan, N. T. (2020, April 13).
Lecture 14 part 3: Paraphilic disorders
Links to an external site.
[Video]. YouTube. https://www.youtube.com/watch?v=ykkMo9t0bxs
· MDedge. (2020, January 22).
Personality disorders with Dr. Frank Yeomans
Links to an external site.
[Video]. YouTube. https://www.youtube.com/watch?v=ESQIDslCX_s
Rubric
NRNP_6675_Week7_Assignment_Rubric
| NRNP_6675_Week7_Assignment_Rubric | ||||
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Criteria |
Ratings |
Pts |
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This criterion is linked to a Learning OutcomeIn 2–3 pages, address the following: • Explain the controversy that surrounds your selected personality or paraphilic disorder. |
15 to >13.0 pts Excellent 90%–100% The response includes an accurate and concise explanation of the controversy within the field related to the disorder. 13 to >11.0 pts Good 80%–89% The response includes an accurate explanation of the controversy within the field related to the disorder. 11 to >10.0 pts Fair 70%–79% The response includes a somewhat vague or inaccurate explanation of the controversy within the field related to the disorder. 10 to >0 pts Poor 0%–69% The response includes a vague or inaccurate explanation of the controversy within the field related to the disorder. Or the response is missing. |
1 5 pts |
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This criterion is linked to a Learning Outcome• Explain your professional beliefs about your selected disorder, supporting your rationale with at least three scholarly references from the literature. |
25 to >22.0 pts Excellent 90%–100% The response includes a thorough and well-organized explanation of the student’s professional beliefs about the disorder. Rationale demonstrates critical thinking and is strongly supported with three scholarly references. 22 to >19.0 pts Good 80%–89% The response includes a well-organized explanation of the student’s professional beliefs about the disorder. Rationale is clear and appropriately supported with three scholarly references. 19 to >17.0 pts Fair 70%–79% The response includes a somewhat vague explanation of the student’s professional beliefs about the disorder. Rationale is somewhat unclear and references either provide weak support for the rationale or are not scholarly/current. 17 to >0 pts Poor 0%–69% The response includes a vague explanation of the student’s professional beliefs about the disorder. Rationale is unclear and references are inappropriate. Or the response is missing. |
25 pts |
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This criterion is linked to a Learning Outcome• Explain strategies for maintaining the therapeutic relationship with a client that may present with the disorder. |
30 to >26.0 pts Excellent 90%–100% The response includes an accurate and concise explanation of strategies for maintaining the therapeutic relationship with a client that may present with the disorder. 26 to >23.0 pts Good 80%–89% The response includes an accurate explanation of strategies for maintaining the therapeutic relationship with a client that may present with the disorder. 23 to >20.0 pts Fair 70%–79% The response includes a somewhat vague or incomplete explanation of strategies for maintaining the therapeutic relationship with a client that may present with the disorder. 20 to >0 pts Poor 0%–69% The response includes a vague or inaccurate explanation of strategies for maintaining the therapeutic relationship with a client that may present with the disorder. Or the response is missing. |
30 pts |
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This criterion is linked to a Learning Outcome• Finally, explain ethical and legal considerations related to the disorder that you need to bring to your practice and why they are important. |
15 to >13.0 pts Excellent 90%–100% The response includes an accurate and concise explanation of ethical and legal considerations related to the disorder that are important to clinical practice and why they are important. 13 to >11.0 pts Good 80%–89% The response includes an accurate explanation of ethical and legal considerations related to the disorder that are important to clinical practice and why they are important. 11 to >10.0 pts Fair 70%–79% The response includes a somewhat vague or incomplete explanation of ethical and legal considerations related to the disorder that are important to clinical practice and why they are important. 10 to >0 pts Poor 0%–69% The response includes a vague and inaccurate explanation of ethical and legal considerations related to the disorder that are important to clinical practice and why they are important. Or, response is missing. |
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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 are provided that delineate all required criteria. |
5 to >4.0 pts Excellent 90%–100% Paragraphs and sentences follow writing standards for flow, continuity, and clarity…. A clear and comprehensive purpose statement, introduction, and conclusion are provided that delineate all required criteria. 4 to >3.5 pts Good 80%–89% Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time…. Purpose, introduction, and conclusion of the assignment are stated, yet they are brief and not descriptive. 3.5 to >3.0 pts Fair 70%–79% Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time…. Purpose, introduction, and conclusion of the assignment are vague or off topic. 3 to >0 pts Poor 0%–69% Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time.... No purpose statement, introduction, or conclusion were provided. |
5 pts | ||
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This criterion is linked to a Learning OutcomeWritten Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation |
5 to >4.0 pts Excellent 90%–100% Uses correct grammar, spelling, and punctuation with no errors 4 to >3.5 pts Good 80%–89% Contains 1-2 grammar, spelling, and punctuation errors 3.5 to >3.0 pts Fair 70%–79% Contains 3-4 grammar, spelling, and punctuation errors 3 to >0 pts Poor 0%–69% Contains five or more grammar, spelling, and punctuation errors that interfere with the reader’s understanding |
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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 to >4.0 pts Excellent 90%–100% Uses correct APA format with no errors 4 to >3.5 pts Good 80%–89% Contains 1-2 APA format errors 3.5 to >3.0 pts Fair 70%–79% Contains 3-4 APA format errors 3 to >0 pts Poor 0%–69% Contains five or more APA format errors |
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Total Points: 100 |
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