Question at position 4 Janice is impulsive, emotional, and insecure. Her relationships tend to be intense and unstable. She has threatened or attempted suicide many times. Which of these personality disorders might she best be diagnosed with? AntisocialSchizoidDependentBorderlineNarcissistic单项选择题
A
Antisocial
B
Schizoid
C
Dependent
D
Borderline
E
Narcissistic

Question

Question at position 4 Janice is impulsive, emotional, and insecure. Her relationships tend to be intense and unstable. She has threatened or attempted suicide many times. Which of these personality disorders might she best be diagnosed with? AntisocialSchizoidDependentBorderlineNarcissistic单项选择题

A

Antisocial

B

Schizoid

C

Dependent

D

Borderline

E

Narcissistic

BlackTom AI · Accepted Answer

Borderline personality disorder is characterized by marked impulsivity, unstable and intense interpersonal relationships, affective (emotional) instability, and recurrent suicidal behavior or self-harm.

1. Relevant knowledge points and concepts
- DSM-5 criteria for borderline personality disorder (BPD) include: frantic efforts to avoid abandonment; unstable and intense interpersonal relationships; identity disturbance; impulsivity in potentially self-damaging areas; recurrent suicidal behavior, gestures, or self-mutilation; affective instability due to marked reactivity of mood; chronic feelings of emptiness; inappropriate, intense anger; and transient stress-related paranoia or dissociation.
- Other personality disorders listed have distinct core features: Antisocial (disregard for others’ rights, deceit, rule-breaking), Schizoid (detachment, limited emotional expression), Dependent (excessive need to be cared for, submissive/clinging), Narcissistic (grandiosity, need for admiration, lack of empathy).

2. Step-by-step reasoning mapping symptoms to diagnosis
- “Impulsive” maps to DSM-5 BPD criterion of impulsivity in potentially self-damaging areas.
- “Emotional” and “insecure” indicate affective instability and unstable self-image/relationships, consistent with BPD.
- “Her relationships tend to be intense and unstable” directly matches the BPD criterion of unstable and intense interpersonal relationships.
- “She has threatened or attempted suicide many times” matches the recurrent suicidal behavior/gestures/self-harm criterion that is especially characteristic of BPD.

3. Intermediate logical steps
- Each symptom from the vignette corresponds to a separate established BPD criterion.
- The presence of multiple core criteria (impulsivity, affective instability, unstable relationships, recurrent suicidality) together strongly supports BPD over other disorders.

4. Why the correct answer is correct
- The cluster of impulsivity, emotional instability, intense/unstable relationships, and repeated suicidal behavior is prototypical for borderline personality disorder and meets multiple DSM-5 criteria simultaneously.

5. Why the other options are incorrect
- Antisocial: focuses on violation of others’ rights, deceit, lack of remorse—does not emphasize recurrent suicidality or unstable emotional relationships in this way.
- Schizoid: marked detachment and limited affect; people prefer solitude and are not characteristically impulsive or repeatedly suicidal.
- Dependent: clinginess and submissiveness to be cared for, but not typically impulsivity with repeated suicide attempts and intensely unstable relationships.
- Narcissistic: grandiosity and need for admiration; relationships are strained by entitlement, not the pattern of emotional instability and recurrent self-harm seen here.

6. Conclusion confirming the answer
- The described symptom pattern best fits Borderline personality disorder. Final answer: Borderline.

类似问题

A superficially charming person who is indifferent to the pain of others and has spent their life in and out of prison for violent crimes would most likely be diagnosed with which type of personality disorder?

Which assessment finding is most characteristic of schizoid personality disorder?

A nurse assessing a patient notes: mistrust, suspicion, grudges, and interpreting neutral comments as threatening. These findings are most consistent with:

Which factor is identified as a general risk factor for the development of personality disorders?

What is a reason for the lack of research on Cluster A personality disorders?

Personality disorder characterized by grandiose sense of self-importance and preoccupation with fantasies of success and power:

What was the world's first widely adopted biodiversity policy?

更多留学生实用工具

智能学习助手

风格化写作助手

论文查重助手

文献引用助手

课堂转译助手

课堂笔记助手

Quiz搜索助手

学校历年真题

智能刷题助手

智能匹配练习

希望你的学习变得更简单