Should People with Borderline Disorder Be Confined in Mental Homes in Terms of Safety?
Borderline disorder is a hard mental disorder that affects many people of different age and could be very dangerous not only for an ill person but others too. Individuals with this illness hardly control their emotions and thoughts, can make impulsive and irresponsible decisions and actions, have complicated relations with others and troubles with regular communication. Furthermore, their behavior can be suicidal. They need professional help, treatment, and compelling support. People with the borderline disorder in case if it’s required should be confined in mental homes regarding safety because they can do harm to themselves or others, break their social relationship and lose connection with reality.
There are many causes and symptoms of borderline disorders. That could be biological, genetic, psychological, social factors or even brain abnormalities. For example, rough childhood, war, torture experience, a lot of stressful situations, complexes, etc. Losing parents, physical or mental abuse or ignorance can have an awful impact in childhood which leads to disease development in the future. It’s evident that the environment has a high impact. That is why it’s a meaningful social problem and society might take attention to it to be able to provide appropriate help. If people not acquainted with symptoms, they easily tear any connection with the sick. “The borderline personality disorder is characterized by impulsivity and instability of mood, relationships, and self-image. People with this disorder may experience brief psychotic symptoms when under perceived stress. They feel bored and empty and may exhibit inappropriate anger” (Austrian 175). Individuals with the borderline disorder have wrong, a fragmented image of self. That is why they have a deep need for a union which often they reject. With borderline personality disorder can be diagnosed with new mental diseases. Many people in that state have problems with alcohol and narcotics. Consider the behavior, problems caused by illness, in part, the inability to accept the condition itself, the danger and aggressiveness of action or the care of relatives or friends treatment can be involuntary at first. It’s relevant to the matter because “while BPD is often associated with self-harm behavior, such as cutting, burning, or scratching oneself, individuals with this Axis II disorder may also funnel their aggression into the external environment” (Sansone and Sansone).
There are many effective ways to treat the borderline disorder and also many institutions and organizations which direct, develop, diagnose and put into practice various types of care during illness. As example National Institute for Mental Health (NIMH), New England Personality Disorder Association (NEPDA), The Linehan Institute Behavioral Tech; mental health program, borderline personality disorder treatment centers. Nevertheless, the treatment is troublesome, challenging and time-consuming. The primary and most common types of treatment are psychotherapy and psychoanalysis. Treating deviations associated with unstable and impulsive behavior, emotional distortions, rage, depression, panic is very difficult. This can be dangerous and directly for the therapist. The “specific therapies for borderline personality disorder, therefore, developed through modification of existing techniques” (Borderline personality disorder, 2009) like dialectical behavior therapy (DBT), cognitive analytic therapy (CAT), interpersonal therapy (IPT), etc. Pharmacological treatment is also a good alternative, especially in case of crisis, but “the crisis is usually time-limited and can be expected to resolve itself irrespective of drug treatment” (Borderline personality disorder, 2009). Group therapy and anger management seem helpful too. Essential is the awareness of the sick that he can help himself with various practices like meditation or simple physical activity.
Mental homes made themselves a bad and even dreadful reputation, especially in mass culture. There is why people can have a lack of confidence in them. Mental homes, psychiatric hospitals treat people with mental illnesses of a different kind of complexity, and one of the main goals at the beginning is trying to establish trust with the patient. Although the treatment is burdensome and can be long, a patient can not lose hope.
In conclusion, borderline disorder has a significant number of people. It’s delicate and troublesome mental illness. It’s not only psychological but social problem that includes responsibility and the need to disseminate information about it because a mostly primary cause of borderline disorder it’s social and environmental factors. Bad parenting and childhood traumas have tremendous influence. The person with this illness combines a complex of symptoms that affect everyone. This disorder includes the inability to control emotions, reactive actions directed at themselves and others, depressed states that lead to suicidal behavior. That’s why there are reasons to argue that in certain situations, especially crisis people with the borderline disorder should be confined in mental homes in terms of safety. Against the will of man, this should be done only in extreme cases, to make it aware of its condition and the desire to undergo treatment or to at least survive the crisis.
Austrian, S. (2012). Mental Disorders, Medications, and Clinical Social Work. 3rd ed. New York: Columbia University Press, p.175.
National Collaborating Centre for Mental Health (Great Britain) (2009). Borderline Personality Disorder: The Nice Guideline on Treatment and Management. The British Psychological Society and The Royal College of Psychiatrists, pp.25-26.
Sansone, Randy A., and Lori A. Sansone. “Borderline Personality and Externalized Aggression.” Innovations in Clinical Neuroscience, Matrix Medical Communications, Mar. 2012, www.ncbi.nlm.nih.gov/pmc/articles/PMC3342993/. Accessed 30 Aug. 2017.