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A instabilidade afetiva na perturbação borderline de personalidade
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Abstract(s)
As perturbações da personalidade (PP) têm uma elevada prevalência na população, em geral, estando associadas, na sua maioria, a problemas relacionais, bem como a uma redução da qualidade de vida do doente. A Perturbação Borderline de Personalidade (PBP) é a PP mais frequentemente encontrada na população clínica podendo ser caracterizada, por um padrão global de instabilidade no relacionamento com os outros, na autoimagem e nos afetos, apresentando uma impulsividade marcada com começo no início da idade adulta. O objetivo deste trabalho é estudar a instabilidade afetiva associada à PBP. Para o estudo de caso foi primeiramente realizada uma revisão da literatura. De seguida, foi obtida informação a partir de uma entrevista semiestruturada com um doente do sexo masculino de 43 anos, instável e impulsivo, com antecedentes pessoais de ansiedade, abuso sexual, consumo excessivo de álcool e tabaco. Foram ainda consultadas outras fontes, como, por exemplo, registos das suas sessões de psicoterapia, consultas de psiquiatria e outros documentos oficiais do Sistema Nacional de Saúde entendidos como pertinentes. Para a revisão da literatura existente, foi consultada a base de dados PubMed, usando os termos “personality disorder”, “borderline personality disorder”, “emotional instability”, “affective instability”, “psychotherapy and BPD”. Em suma, espera-se com este trabalho compreender as possíveis causas, apresentações e o impacto da instabilidade afetiva na vida dos doentes com PBP, bem como as suas implicações clínicas.
Personality disorders (PD) have a high prevalence in the general population, being mostly associated with relational problems, as well as a reduction in the patient's quality of life. Borderline Personality Disorder (BPD) is the most frequently found PD in the clinical population and can be characterized as a global pattern of instability in relationships with others, in self-image and in affections, showing marked impulsivity beginning in early adulthood. The goal of this dissertation is to study the affective instability associated with BPD. Regarding the case study, a literature review was carried out first. In addition, information was obtained from a semi-structured interview with an unstable and impulsive 43-year-old male patient, with a personal history of anxiety, sexual abuse, excessive consumption of alcohol and tobacco. Other sources were also consulted, for example, records of his psychotherapy sessions, psychiatry appointments and other relevant official documents from the National Health System. To review the existing literature, the PubMed database was consulted, using the terms “personality disorder”, “borderline personality disorder”, “emotional instability”, “affective instability”, “psychotherapy and BPD”. All in all, this work hopes to understand the possible causes, presentations, and impact of affective instability in the lives of patients with BPD and its clinical implications.
Personality disorders (PD) have a high prevalence in the general population, being mostly associated with relational problems, as well as a reduction in the patient's quality of life. Borderline Personality Disorder (BPD) is the most frequently found PD in the clinical population and can be characterized as a global pattern of instability in relationships with others, in self-image and in affections, showing marked impulsivity beginning in early adulthood. The goal of this dissertation is to study the affective instability associated with BPD. Regarding the case study, a literature review was carried out first. In addition, information was obtained from a semi-structured interview with an unstable and impulsive 43-year-old male patient, with a personal history of anxiety, sexual abuse, excessive consumption of alcohol and tobacco. Other sources were also consulted, for example, records of his psychotherapy sessions, psychiatry appointments and other relevant official documents from the National Health System. To review the existing literature, the PubMed database was consulted, using the terms “personality disorder”, “borderline personality disorder”, “emotional instability”, “affective instability”, “psychotherapy and BPD”. All in all, this work hopes to understand the possible causes, presentations, and impact of affective instability in the lives of patients with BPD and its clinical implications.
Description
Trabalho Final do Curso de Mestrado Integrado em Medicina, Faculdade de Medicina, Universidade de Lisboa, 2023
Keywords
Perturbação da personalidade Perturbação borderline de personalidade Instabilidade afetiva Instabilidade emocional Psiquiatria