Discussion 1: Alternative Model of Personality Disorders
The DSM-5 contributors did not make any changes to the DSM-IV criteria for the personality disorders (pp. 645-684). However, the contributors added an entirely new, alternative model for personality disorders (pp. 761-781) that the APA plans to transition towards.
For this Discussion, read the case study "Working with Clients with Dual Diagnosis (attached): The Case of Cathy" and review Cathy's DSM-IV diagnosis.
Post an update of Cathy's diagnosis into DSM-5 and ICD-10-CM. Then analyze how the addition of the alternative model for personality disorders affects Cathy's DSM-5 diagnosis.
What behaviors and/or symptoms may be a personality trait for her, versus criteria for a required diagnosis?
How might the "Other Conditions That May Be a Focus of Clinical Attention" affect Cathy's diagnosis?
References (use 3 or more)
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.
"Personality Disorders" (pp. 645-684)
"Alternative DSM-5 Model for Personality Disorders" (pp. 761-782)
Ferguson, C. (2010). Genetic contributions to antisocial personality and behavior: A meta-analytic review from an evolutionary perspective. The Journal of Social Psychology, 150(2), 160-180.
Gunderson, J. (2008). Borderline personality disorder. Social Work in Mental Health, 6(1), 5-12.
Ogrodniczuk, J. S., Piper, W. E., & Joyce, A. S. (2006). Treatment compliance among patients with personality disorders receiving group psychotherapy: What are the roles of interpersonal distress and cohesion? Psychiatry: Interpersonal & Biological Processes, 69(3), 249-261.
Verheul, R. (2005). Clinical utility of dimensional models for personality pathology. Personality Disorders, 19, 283-302.
Clinical Utility of Dimensional Models for Personality Pathology by Verheul, R. in Journal of Personality Disorders, 19/3. Copyright 2005 by Guilford Publications, Inc. Reprinted by permission of Guilford Publications, Inc. via the Copyright Clearance Center.
Widiger, T. A., & Simonsen, E. (2005). Alternative dimensional models of personality disorder: Finding a common ground. Personality Disorders, 19, 110-130.
Akehurst, S., & Thatcher, J. (2010). Narcissism, social anxiety and self-presentation in exercise. Personality and Individual Differences, 49(2), 130-135.
Allik, J. (2005). Personality dimensions across cultures. Personality Disorder, 19, 212-232.
Buffardi, L. E., & Campbell, W. K. (2008). Narcissism and social networking web sites. Personality and Social Psychology Bulletin, 34, 1303-1314.
Discussion 2: Are Social Networking Sites for Narcissists?
The term "narcissist" is used commonly in society to describe someone who is self-centered or self-absorbed. However, the DSM-5 requires much more extreme behaviors for someone to be diagnosed as having narcissistic personality disorder.
See the list of criteria for this diagnosis (p. 669) and also review the "Alternative DSM-5 Model for Personality Disorders" (pp. 761 to 781). Personality disorders develop throughout the lifespan.
Most social networking sites are based on individuals sharing information about themselves with very few limitations. Consider if these individuals are just participating in a cultural way of relating, or are they presenting behaviors of a narcissistic personality disorder?
For this Discussion, read the Buffardi and Campbell (2008) article (attached). Then review the DSM-5 on the traditional Narcissistic Personality Disorder and the Alternative DSM-5 Model for Personality Disorders to compare the models.
Post an analysis of your view on this topic using both types of DSM-5 personality criteria. Are individuals who use social networking sites displaying traits of narcissism? Is this a developmental stage in the lifespan?
Remember, this is not a place for personal opinion; this is a forum for professional, clinical discussion. Support your argument with evidence-based information (DSM-5, research) and other professional articles that you may find. Include examples of social networking websites. Remember you are to articulate your thoughts as a professional clinician.
Support your post with specific references to the resources. Be sure to provide full APA citations for your references.
References (use 3 or more)
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.
"Personality Disorders" (pp. 645-684)
"Alternative DSM-5 Model for Personality Disorders" (pp. 761-782)
Ferguson, C. (2010). Genetic contributions to antisocial personality and behavior: A meta-analytic review from an evolutionary perspective. The Journal of Social Psychology, 150(2), 160-180.
Gunderson, J. (2008). Borderline personality disorder. Social Work in Mental Health, 6(1), 5-12.
Ogrodniczuk, J. S., Piper, W. E., & Joyce, A. S. (2006). Treatment compliance among patients with personality disorders receiving group psychotherapy: What are the roles of interpersonal distress and cohesion? Psychiatry: Interpersonal & Biological Processes, 69(3), 249-261.
Verheul, R. (2005). Clinical utility of dimensional models for personality pathology. Personality Disorders, 19, 283-302.
Clinical Utility of Dimensional Models for Personality Pathology by Verheul, R. in Journal of Personality Disorders, 19/3. Copyright 2005 by Guilford Publications, Inc. Reprinted by permission of Guilford Publications, Inc. via the Copyright Clearance Center.
Widiger, T. A., & Simonsen, E. (2005). Alternative dimensional models of personality disorder: Finding a common ground. Personality Disorders, 19, 110-130.
Akehurst, S., & Thatcher, J. (2010). Narcissism, social anxiety and self-presentation in exercise. Personality and Individual Differences, 49(2), 130-135.
Allik, J. (2005). Personality dimensions across cultures. Personality Disorder, 19, 212-232.
Buffardi, L. E., & Campbell, W. K. (2008). Narcissism and social networking web sites. Personality and Social Psychology Bulletin, 34, 1303-1314.
Discussion 3:
Policies and the Influence of Values
Ideology, politics, and the influence of values often override evidence-based policy. When there is evaluation conflict, a policy advocate must be prepared to defend his/her reasons for wanting to implement a policy.
Because almost all proposed policies are circumscribed by politics (for reasons brought up by Jansson throughout the course when discussing the subtleties of policy implementation), you should be prepared for some conflict, ranging from having your research ignored, to having the accuracy of your data questioned, to having your personal values brought into question.
In this Discussion, you consider the assertion that the evaluation of specific policies is often strongly influenced by values. You also examine and evaluate ways to mitigate evaluation conflict to defend the feasibility of your policy.
By Day 3
Post a response to Jansson's assertion that evaluating specific policies is strongly influenced by values with respect to the case of the evaluation of special services. How do the values of evaluation conflict adhere to social work values? What practices would you use to defend the feasibility of and effectiveness of your evidence-based policy?
References (use 3 or more)
Jansson, B. S. (2018). Becoming an effective policy advocate: From policy practice to social justice (8th ed.). Pacific Grove, CA: Brooks/Cole Cengage Learning Series.
Midgley, J., & Livermore, M. M. (Eds.) (2008). The handbook of social policy (2nd ed.). Thousand Oaks, CA: Sage Publications.
· Chapter 33, "The Future of Social Policy" (pp. 557-569) (PDF)
English, D. J., Brummel, S., & Martens, P. (2009). Fatherhood in the child welfare system: Evaluation of a pilot project to improve father involvement. Journal of Public Child Welfare, 3(3), 213-234. Doi:10.1080/15548730903129764.
Swank, E. W. (2012). Predictors of political activism among social work students. Journal of Social Work Education,48(2), 245-266. Doi:10.5175/JSWE.2012.200900111.
Discussion 4:
Becoming a Lifelong Advocate
It is not enough to be compassionate. You must act.
-Tenzin Gyatso
As this course comes to a close, consider and reflect on how you can become a lifelong advocate for social change in your future social work practice. As a motivated policy advocate and social worker, your actions in your chosen profession will reflect your motivation to help relatively powerless, disenfranchised groups of people improve their resources, their opportunities, and their quality of life.
In this Discussion, you reflect upon your responsibility as a social worker, politically and professionally.
Post your thoughts on this question: As a social worker, what is your responsibility to engage in political action? Identify an area of social welfare where social work policy advocacy is needed.
References (use 3 or more)
Jansson, B. S. (2018). Becoming an effective policy advocate: From policy practice to social justice (8th ed.). Pacific Grove, CA: Brooks/Cole Cengage Learning Series.
Midgley, J., & Livermore, M. M. (Eds.) (2008). The handbook of social policy (2nd ed.). Thousand Oaks, CA: Sage Publications.
· Chapter 33, "The Future of Social Policy" (pp. 557-569) (PDF)
English, D. J., Brummel, S., & Martens, P. (2009). Fatherhood in the child welfare system: Evaluation of a pilot project to improve father involvement. Journal of Public Child Welfare, 3(3), 213-234. Doi:10.1080/15548730903129764.
Swank, E. W. (2012). Predictors of political activism among social work students. Journal of Social Work Education,48(2), 245-266. Doi:10.5175/JSWE.2012.200900111.