Borderline Kişilik Bozukluğunun Ergenlik Döneminde Belirlenmesine Dair Bir Değerlendirme

Yıl 2021, Cilt: 18 Sayı: 43, 7139 - 7166, 07.11.2021

Haydeh Faraji

https://doi.org/10.26466/opus.898571

Cited By: 9

Öz

Borderline kişilik bozukluğu; bireyin kimlik duygusu, ilişkileri, duygulanımı, davranışları ve bilişsel örüntüsünde, yaygın ve süreğen bir dengesizliğin hakim olduğu bir bozukluktur. Borderline kişilik bozukluğu yüksek düzeyde komorbiditeye sahip olup; risk alma davranışları, intihar ve kasıtlı kendine zarar vermenin sıklıkla görüldüğü, işlevsellikte düşüşün yaygın ve şiddetli olduğu bir bozukluk olarak yüksek düzeyde kamu maliyeti yaratmaktadır. Tanılamaya yönelik kategorik yaklaşımın kişilik bozuk-luğu tanısı için 18 yaş sınırı çizmesi ve “kişilik bozukluğu damgasının” önüne geçme kaygısı nedeni ile ergenlik döneminde borderline kişilik bozukluğu tanılaması tartışmalı bir konudur. Ancak bozukluk boyutsal olarak ele alındığında ergenlik döneminde de kendilikte, ilişkilerde, duygularda, davranışlarda ve bilişlerde normatif ergenlerden daha farklı biçimde düzensizlik gösteren ergenlerin varlığıyla karşılaşılmaktadır. Üstelik yoğun, yaygın ve esneklikten yoksun borderline kişilik özelliklerinin varlığı, ergenin erken yetişkinliğe geçerken önemli gelişimsel kilometre taşlarına ulaşma becerisini olumsuz etkileyebilmektedir. Hastalığın hem bireysel hem de kamusal maliyetinin önüne geçmek ve hastalığın yıkıcı sonuçlarına önlemek adına erken teşhis önem taşımaktadır. Bu derleme makalesinde ergenlik döneminde borderline kişilik bozukluğu teşhisinin tartışmalı doğası incelenmiştir.

Anahtar Kelimeler

Borderline Kişilik Bozukluğu, Ergenlik, Kasıtlı Kendine Zarar Verme, Risk Alma, Dürtüsellik

Evaluation of Determining Borderline Personality Disorder in Adolescence

Öz

Borderline personality disorder; It is a disorder dominated by a common and chronic imbalance in the individual's sense of identity, relationships, affect, behaviors and cognitive patterns. Borderline personality disorder has a high level of comorbidity, risk-taking behaviors, suicide and deliberate self-harm is common, and the decline in functionality is common and severe, and creates high public costs. The diagnosis of borderline personality disorder in adolescence is a controversial issue, since the categorical approach to diagnosis sets an age limit of 18 for the diagnosis of personality disorder and prevents the "personality disorder stigma". However, when considered dimensio-nally, there are adolescents who show irregularities in self, relationships, emotions, behaviors and cognitions in a different way than normative adolescents. Moreover, the presence of severe border-line personality traits can negatively affect the adolescent's ability to reach important developmental milestones as they move into early adulthood. Early diagnosis is important in order to avoid both individual and public costs of the disease and the devastating consequences of the disease. This review article examines the controversial nature of the diagnosis of borderline personality disorder in adolescence.

Anahtar Kelimeler

Borderline Personaality Disorder, Adolescence, Deliberate Self Harm, Risk Taking, İmpulsivity

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