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.
To Prepare
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.
Learning Resources
National Institute for Health and Care Excellence: NICE Guidelines. (2010). Antisocial
personality disorder: Prevention and management.
https://www.nice.org.uk/guidance/cg77
, Sadock, B. J., Sadock, V. A., & Ruiz, P. (2015). Kaplan & Sadock’s synopsis of psychiatry (11th
ed.). Wolters Kluwer. (For review as needed)
Chapter 22, “Personality Disorders”
Thapar, A., Pine, D. S., Leckman, J. F., Scott, S., Snowling, M. J., & Taylor, E. A. (Eds.). (2015).
Rutter’s child and adolescent psychiatry (6th ed.). Wiley Blackwell.
Chapter 67, “Disorders of Personality”
Chapter 68, “Developmental Risk for Psychopathy”
Chapter 69, “Gender Dysphoria and Paraphilic Sexual Disorders” (pp. 988–993 only)
Zakhari, R. (2021). The psychiatric-mental health nurse practitioner certification review manual.
Springer Publishing Company.
Chapter 14, “Personality Disorders”
Required Media (click to expand/reduce)
Buchanan, N. T. (2020, April 13). Lecture 14 part 3: Paraphilic disorders [Video]. YouTube.
https://www.youtube.com/watch?v=ykkMo9t0bxs
MDedge. (2020, January 22). Personality disorders with Dr. Frank Yeomans [Video]. YouTube.
https://www.youtube.com/watch?v=ESQIDslCX_s
In 2–3 pages, 14 (14%) - 15 12 (12%) - 13 11 (11%) - 11 0 (0%) - 10
address the (15%) (13%) (11%) (10%)
following: The response The response The response The response
• Explain the includes an includes an includes a includes a
controversy accurate and accurate somewhat vague or
that concise explanation of vague or inaccurate
surrounds explanation of the inaccurate explanation of
your selected the controversy explanation of the
personality controversy within the the controversy
or paraphilic within the field related to controversy within the
disorder. field related to the disorder. within the field related to
the disorder. field related to the disorder.
the disorder. Or the
response is
missing.
• Explain your 23 (23%) - 25 20 (20%) - 22 18 (18%) - 19 0 (0%) - 17
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.
To Prepare
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.
Learning Resources
National Institute for Health and Care Excellence: NICE Guidelines. (2010). Antisocial
personality disorder: Prevention and management.
https://www.nice.org.uk/guidance/cg77
, Sadock, B. J., Sadock, V. A., & Ruiz, P. (2015). Kaplan & Sadock’s synopsis of psychiatry (11th
ed.). Wolters Kluwer. (For review as needed)
Chapter 22, “Personality Disorders”
Thapar, A., Pine, D. S., Leckman, J. F., Scott, S., Snowling, M. J., & Taylor, E. A. (Eds.). (2015).
Rutter’s child and adolescent psychiatry (6th ed.). Wiley Blackwell.
Chapter 67, “Disorders of Personality”
Chapter 68, “Developmental Risk for Psychopathy”
Chapter 69, “Gender Dysphoria and Paraphilic Sexual Disorders” (pp. 988–993 only)
Zakhari, R. (2021). The psychiatric-mental health nurse practitioner certification review manual.
Springer Publishing Company.
Chapter 14, “Personality Disorders”
Required Media (click to expand/reduce)
Buchanan, N. T. (2020, April 13). Lecture 14 part 3: Paraphilic disorders [Video]. YouTube.
https://www.youtube.com/watch?v=ykkMo9t0bxs
MDedge. (2020, January 22). Personality disorders with Dr. Frank Yeomans [Video]. YouTube.
https://www.youtube.com/watch?v=ESQIDslCX_s
In 2–3 pages, 14 (14%) - 15 12 (12%) - 13 11 (11%) - 11 0 (0%) - 10
address the (15%) (13%) (11%) (10%)
following: The response The response The response The response
• Explain the includes an includes an includes a includes a
controversy accurate and accurate somewhat vague or
that concise explanation of vague or inaccurate
surrounds explanation of the inaccurate explanation of
your selected the controversy explanation of the
personality controversy within the the controversy
or paraphilic within the field related to controversy within the
disorder. field related to the disorder. within the field related to
the disorder. field related to the disorder.
the disorder. Or the
response is
missing.
• Explain your 23 (23%) - 25 20 (20%) - 22 18 (18%) - 19 0 (0%) - 17