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Controversy Associated With Personality And Paraphilic Disorders

Controversy Associated With Personality And Paraphilic Disorders

Sample Answer 

Controversy Associated With Personality And Paraphilic Disorders

Personality disorders, such as Schizoid Personality Disorder, are fraught with controversy. These personality disorders are the subject of three common debates. There are disagreements among scholars about how to understand these disorders, personality disorders are frequently stigmatized, and social contexts are not taken into account (Mind Charity Organization, 2019). For starters, scholars disagree because many people with these disorders do not fit into a single category, and the diagnosis may reveal more than one disorder. As a result, several scholars believe that rather than categorizing people, the emphasis should be on what they need to face their difficulties and find alternative ways of life (Mind Charity Organization, 2019). Another point of contention is that these personality disorders are observed in a few social contexts. Poverty, racism, sexism, prejudice, social deprivation, homophobia, or cultural change, for example, may all play a role in personality disorders (Mind Charity Organization, 2019). Other examples of social context include child neglect and abuse, traumatic experiences, and a lack of parenting experience. Finally, stigmatization is a source of contention in the context of personality disorders (Mind Charity Organization, 2019). Individuals, for example, may feel very upset and ashamed about being labeled with a specific personality disorder, implying that something is wrong with them and who they believe they are or what they represent (Mind Charity Organization, 2019). As a result, in the future, practitioners and scholars should find effective ways to address these controversies in order to provide quality care that results in positive health outcomes.

Professional Opinions on the Disorder

Regarding my professional beliefs, I contend that every disease or disorder, as defined in the DSM-5 manual, must be classified in order to facilitate the diagnosis and treatment of patients who present with the problem (American Psychiatric Association, 2013). Because mental health encompasses a wide range of manifestations relating to the differences in effects that patients experience, it is critical to categorize these personality disorders in order to have a quick reference for assessing clients’ symptoms (Greco, 2015). A schizoid personality disorder, according to the DSM-5 manual, is defined as a chronic tendency of alienation from and broad indifference to societal and interpersonal connections, as well as a restricted spectrum of feelings in human interactions (American Psychiatric Association, 2013). Another study discovered that Cognitive Behavioral Therapy (CBT) is the most preferred treatment approach for schizoid personality disorders because CBT patients can learn and acquire social skills (Devany & Poerwandari, 2020). As a result of the foregoing professional details, I believe that adhering to the DSM-5 manual makes it easier to condense problems and arrive at the final intervention described in these studies. Many people may associate this disorder with being naturally cold; however, we now understand from professional studies and the DSM-5 manual that such coldness may be a condition that requires immediate attention rather than judging based on societal norms.

Methods for Keeping Therapeutic Relationships with Patients

Following the application of the above professional beliefs supported by scientific evidence in helping clients with schizoid personality disorders, various strategies for maintaining therapeutic relationships with these patients would be required. Various strategies for maintaining therapeutic relationships with patients suffering from mental illnesses or disorders, according to existing research, increase trust, hope, respect, and gratitude (Pullen & Mathias, 2010). It is critical to recognize the importance of effective physical and verbal communication in connecting health practitioners and patients, as well as delivering treatment in a way that allows patients to be active participants in achieving desired health outcomes. As a result, as proposed by Pullen and Mathias, some strategies for working with patients with schizoid personality disorder include establishing rapport, maintaining professional boundaries, and active listening (2010). To establish a rapport, an introduction involving handshaking, name-mentioning, and using the clients’ names when conversing would be required. Second, maintaining professional boundaries entails protecting and honoring the patient’s right to privacy by not acting against their wishes, thereby increasing trust. Finally, practicing active listening would be necessary to comprehend all of the patients’ problems and points of view. As a result of the aforementioned strategies, these patients would gain trust, which is essential for assisting them in achieving the best possible health outcomes.

Ethical and Legal Concerns Regarding the Disorder

The data privacy and confidentiality dilemma is an ethical and legal issue when dealing with patients with a schizoid personality disorder. Because these clients may already face stigma in their societies and communities, protecting their privacy while providing quality treatment services is critical. Privacy begins with safeguarding patients’ data and records to prevent any kind of leakage that could allow third parties access. Existing research indicates that the mental health department is in charge of ensuring patient confidentiality and privacy because these concerns are related to therapy effectiveness (Lustgarten et al., 2020). According to the research, the therapist-to-client privilege is enshrined in the United States Constitution, which means that any violations are punishable by law. As a result, adopting more secure methods of sharing information is critical to avoiding any breaches of confidentiality and privacy. As a result, I would keep an eye on these issues to avoid any legal issues or ethical violations which could have an impact on service quality and health outcomes.


American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Association. http://repository.poltekkes-

Devany, K., & Poerwandari, E. K. (2020). Integrating cognitive-behavioral therapy and gratitude therapy for treating somatic symptom disorder with schizoid-avoidant personality features: A case report. Indonesian Journal of Indigenous Psychology, 7(2), 113–121.

Greco, M. (2015). What is the DSM? Diagnostic manual, a cultural icon, political battleground: an overview with suggestions for a critical research agenda. Psychology & Sexuality, 7(1), 6–22. %20DSM%20for%20GRO.pdf

Lustgarten, S. D., Garrison, Y. L., Sinnard, M. T., & Flynn, A. W. (2020). Digital privacy in mental healthcare: Current issues and recommendations for technology use. Current Opinion in Psychology, 36, 25–31.


Mind Charity Organization. (2020). Personality disorders: Why is it controversial? Mind. problems/personality disorders/why-is-it-controversial/

Pullen, R. L., & Mathias, T. (2010). Fostering therapeutic nurse-patient relationships. Nursing Made Incredibly Easy!, 8(3), 4.



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In 3 pages:

Explain the controversy that surrounds your selected disorder(Pedophilia).

Controversy Associated With Personality And Paraphilic Disorders

Controversy Associated With Personality And Paraphilic Disorders

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.



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