ASSIGNMENT: CONTROVERSY ASSOCIATED WITH PERSONALITY AND PARAPHILIC DISORDERS
ASSIGNMENT: CONTROVERSY ASSOCIATED WITH PERSONALITY AND PARAPHILIC DISORDERS
CONTROVERSY ASSOCIATED WITH PERSONALITY AND PARAPHILIC DISORDERS
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.
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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.
NRNP_6675_Week7_Assignment_Rubric
NRNP_6675_Week7_Assignment_Rubric
Criteria Ratings Pts
This criterion is linked to a Learning OutcomeIn 2–3 pages, address the following: • Explain the controversy that surrounds your selected personality or paraphilic disorder. 15 to >13.0 pts
Excellent 90%–100%
The response includes an accurate and concise explanation of the controversy within the field related to the disorder. 13 to >11.0 pts
Good 80%–89%
The response includes an accurate explanation of the controversy within the field related to the disorder. 11 to >10.0 pts
Fair 70%–79%
The response includes a somewhat vague or inaccurate explanation of the controversy within the field related to the disorder. 10 to >0 pts
Poor 0%–69%
The response includes a vague or inaccurate explanation of the controversy within the field related to the disorder. Or the response is missing.
15 pts
This criterion is linked to a Learning Outcome• Explain your professional beliefs about your selected disorder, supporting your rationale with at least three scholarly references from the literature. 25 to >22.0 pts
Excellent 90%–100%
The response includes a thorough and well-organized explanation of the student’s professional beliefs about the disorder. Rationale demonstrates critical thinking and is strongly supported with three scholarly references. 22 to >19.0 pts
Good 80%–89%
The response includes a well-organized explanation of the student’s professional beliefs about the disorder. Rationale is clear and appropriately supported with three scholarly references. 19 to >17.0 pts
Fair 70%–79%
The response includes a somewhat vague explanation of the student’s professional beliefs about the disorder. Rationale is somewhat unclear and references either provide weak support for the rationale or are not scholarly/current. 17 to >0 pts
Poor 0%–69%
The response includes a vague explanation of the student’s professional beliefs about the disorder. Rationale is unclear and references are inappropriate. Or the response is missing.
25 pts
This criterion is linked to a Learning Outcome• Explain strategies for maintaining the therapeutic relationship with a client that may present with the disorder. 30 to >26.0 pts
Excellent 90%–100%
The response includes an accurate and concise explanation of strategies for maintaining the therapeutic relationship with a client that may present with the disorder. 26 to >23.0 pts
Good 80%–89%
The response includes an accurate explanation of strategies for maintaining the therapeutic relationship with a client that may present with the disorder. 23 to >20.0 pts
Fair 70%–79%
The response includes a somewhat vague or incomplete explanation of strategies for maintaining the therapeutic relationship with a client that may present with the disorder. 20 to >0 pts
Poor 0%–69%
The response includes a vague or inaccurate explanation of strategies for maintaining the therapeutic relationship with a client that may present with the disorder. Or the response is missing.
30 pts
This criterion is linked to a Learning Outcome• Finally, explain ethical and legal considerations related to the disorder that you need to bring to your practice and why they are important. 15 to >13.0 pts
Excellent 90%–100%
The response includes an accurate and concise explanation of ethical and legal considerations related to the disorder that are important to clinical practice and why they are important. 13 to >11.0 pts
Good 80%–89%
The response includes an accurate explanation of ethical and legal considerations related to the disorder that are important to clinical practice and why they are important. 11 to >10.0 pts
Fair 70%–79%
The response includes a somewhat vague or incomplete explanation of ethical and legal considerations related to the disorder that are important to clinical practice and why they are important. 10 to >0 pts
Poor 0%–69%
The response includes a vague and inaccurate explanation of ethical and legal considerations related to the disorder that are important to clinical practice and why they are important. Or, response is missing.
15 pts
This criterion is linked to a Learning OutcomeWritten Expression and Formatting – Paragraph Development and Organization: Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction are provided that delineate all required criteria. 5 to >4.0 pts
Excellent 90%–100%
Paragraphs and sentences follow writing standards for flow, continuity, and clarity…. A clear and comprehensive purpose statement, introduction, and conclusion are provided that delineate all required criteria. 4 to >3.5 pts
Good 80%–89%
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time…. Purpose, introduction, and conclusion of the assignment are stated, yet they are brief and not descriptive. 3.5 to >3.0 pts
Fair 70%–79%
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time…. Purpose, introduction, and conclusion of the assignment are vague or off topic. 3 to >0 pts
Poor 0%–69%
Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time…. No purpose statement, introduction, or conclusion were provided.
5 pts
This criterion is linked to a Learning OutcomeWritten Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation 5 to >4.0 pts
Excellent 90%–100%
Uses correct grammar, spelling, and punctuation with no errors 4 to >3.5 pts
Good 80%–89%
Contains 1-2 grammar, spelling, and punctuation errors 3.5 to >3.0 pts
Fair 70%–79%
Contains 3-4 grammar, spelling, and punctuation errors 3 to >0 pts
Poor 0%–69%
Contains five or more grammar, spelling, and punctuation errors that interfere with the reader’s understanding
5 pts
This criterion is linked to a Learning OutcomeWritten Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list. 5 to >4.0 pts
Excellent 90%–100%
Uses correct APA format with no errors 4 to >3.5 pts
Good 80%–89%
Contains 1-2 APA format errors 3.5 to >3.0 pts
Fair 70%–79%
Contains 3-4 APA format errors 3 to >0 pts
Poor 0%–69%
Contains five or more APA format errors
5 pts
Total Points: 100
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Controversies Associated with Personality and Paraphilic Disorders
Paraphilic disorders are mental health disorders that affect a significant proportion of the population. The affected patients have different sexual interests and preferences from what society considers normal. Patients have intense, recurrent sexually arousing fantasies, behaviors, or urges that involve non-human objects, children, or non-consenting persons occurring for at least six months. Pedophilic disorder is an example of paraphilic disorder. Intense sexually arousing urges, fantasies, or behaviors that involve children characterize pedophilic disorder. Therefore, this essay examines the controversy that surrounds pedophilic disorder, my professional beliefs about it, strategies for maintaining a therapeutic relationship with a patient with pedophilic disorder, and ethical and legal considerations related to the disorder.
Controversy that Surrounds Pedophilic Disorder
Controversies surround pedophilic disorder. The first controversy is the quantification of pedophilic disorder as a disease. Mental health problems are conditions that can harm the patient or others. However, in pedophilic disorder, only the victims are harmed and not those diagnosed with the disorder. This makes pedophilic disorder more of a criminal act than a mental health disorder (Münch et al., 2020). Besides, the lack of harm to perpetrators of sexual acts in pedophilic disorder makes it fall out of the confines of what constitutes an illness.
Controversies also exist on the definition of pedophilic disorder. For most, pedophilic disorder has high linkages with socially deviant behaviors. People diagnosed with pedophilic disorder and those with histories of sexual offenses have a high risk of re-offending. As a result, they are considered vices of immoral conduct or thought and not mental health disorders. Scholars have also argued that pedophilic disorder and other paraphilias are social concepts of pressure rather than advances in the field of science. Accordingly, paraphilia diagnosis is largely grounded on societal norms and not psychiatric health (Heron et al., 2023; Kiper et al., 2021). Therefore, insufficient evidence or grounds support a diagnosis of pedophilia or paraphilia disorders, hence, the controversies.
Professional Beliefs about Pedophilic Disorder
I believe that pedophilia disorder is a mental health disorder. This is because pedophilia is beyond one’s control. The fact that patients require mental health treatments for pedophilia makes it a mental health problem. I also believe that patients should be provided with safe, quality, and efficient care for pedophilic disorders (Bayram et al., 2023). This would ensure the promotion of optimum mental health for all despite their diagnoses.
Strategies for Maintaining the Therapeutic Relationship with a Patient with Pedophilic Disorder
Several strategies can be adopted to maintain the therapeutic relationship with a patient with pedophilic disorder. Firstly, psychiatric mental health nurse practitioners should show respect when treating patients with pedophilic disorders. They should not be judgmental during the patient-nurse interaction and aim to promote honesty and trust in the treatment process. Practitioners should also show empathy in the treatment process. They should acknowledge the experiences of their patients without being judgmental. They should also show a consistent approach to therapy to ensure the clients feel safe with them in the treatment process (Kiper et al., 2021). It is also important for practitioners to educate their clients about pedophilic disorder to raise their awareness and increase their health-seeking habits and engagement in positive lifestyles and behaviors.
Ethical and Legal Considerations Related to Pedophilic Disorder
Some of the ethical and legal considerations related to pedophilic disorder that I need to bring to my practice includes ensuring justice, informed consent, confidentiality, and non-maleficence. I must ensure clients access the care that they need irrespective of their diagnoses. I must also ensure their right to confidentiality and privacy is protected to eliminate undesired outcomes such as trauma with the care process. I must also adopt treatments that minimize the risk of harm and optimize outcomes in the treatment (Bašić, 2020). The considerations are important for the promotion of safe, quality, efficient, and ethical treatment for clients diagnosed with pedophilic disorders.
Conclusion
In summary, controversies surround pedophilic disorder. Practitioners should adopt care interventions that promote a therapeutic relationship with patients diagnosed with pedophilic disorder. I believe that pedophilic disorder is a mental health problem. Legal and ethical considerations should inform the care given to patients with pedophilic disorder.
References
Bašić, K. (2020). Responding to Pedophilia: Legal and Ethical Issues [Info:eu-repo/semantics/bachelorThesis, University of Rijeka. Faculty of Humanities and Social Sciences. Department of Philosophy]. https://urn.nsk.hr/urn:nbn:hr:186:756882
Bayram, G., McMahan, A., Juth, N., & Rahm, C. (2023). Health care professionals’ view on pedophilic disorder: A qualitative study. Sexual and Relationship Therapy, 38(4), 684–695. https://doi.org/10.1080/14681994.2021.1900560
Heron, R. L., Schwiekert, L., & Karsten, J. (2023). Meeting a person with pedophilia: Attitudes towards pedophilia among psychology students: A pilot study. Current Psychology, 42(2), 1022–1033. https://doi.org/10.1007/s12144-021-01384-5
Kiper, V., Gary, A., & Geist, R. (2021). The facts about pedophilic disorder. Nursing Made Incredibly Easy, 19(1), 42. https://doi.org/10.1097/01.NME.0000723384.14908.d4
Münch, R., Walter, H., & Müller, S. (2020). Should Behavior Harmful to Others Be a Sufficient Criterion of Mental Disorders? Conceptual Problems of the Diagnoses of Antisocial Personality Disorder and Pedophilic Disorder. Frontiers in Psychiatry, 11, 558655. https://doi.org/10.3389/fpsyt.2020.558655