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COSIG CONFERENCE BROCHURE.pdf - Drexel University College ...

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<strong>COSIG</strong> Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006<br />

DSM-IV BPD CRITERIA<br />

ARE ALSO GENERALLY SEEN IN CLUSTERS<br />

• IMPULSE CLUSTER<br />

– Impulsivity in two or more areas.<br />

– Repetitive self-destructive behavior<br />

DSM-IV BPD CRITERIA<br />

ARE ALSO GENERALLY SEEN IN CLUSTERS<br />

(Cont’d)<br />

• AFFECT CLUSTER<br />

– Uncontrolled anger<br />

– Unstable interpersonal relations<br />

– Labile moods<br />

– Stress-related paranoia or Dissociative<br />

symptoms<br />

DSM-IV BPD CRITERIA<br />

ARE ALSO GENERALLY SEEN IN CLUSTERS<br />

(Cont’d)<br />

• IDENTITY CLUSTER<br />

– Identity diffusion<br />

– Feelings or emptiness and boredom<br />

– Intolerance of being alone<br />

CULTURAL FACTORS<br />

(Paris, 1996)<br />

• BPD highly sensitive to sociocultural context<br />

• Rare in traditional societies<br />

• Maybe a byproduct of rapid change/<br />

modernization<br />

• Need to consider a late-age onset that meets<br />

DSM-IV criteria<br />

A NEW DIAGNOSIS<br />

COMPLEX POST-TRAUMATIC STRESS<br />

DISORDER<br />

• A history of subjection to totalitarian<br />

control over a prolonged period<br />

• Alterations in affect regulation<br />

• Alterations in consciousness<br />

A NEW DIAGNOSIS<br />

COMPLEX POST-TRAUMATIC STRESS<br />

DISORDER (Cont’d)<br />

• Alterations in self-perception<br />

• Alterations in perception of perpetrator<br />

• Alterations in relations with others<br />

• Alterations in system of meaning<br />

(Herman, 1992)<br />

6

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