Jury, defendant, Dr. Demarco and JM all in courtroom.
profiles . . . anything to do with MMPI . . . floating profile a number of elevated domains over 65 . . . floating profile often seen in person's with borderline Personality Disorder
borderline!!!!!!!
in way which JA smiled as if it were a highschool picture . . . strange and immature . .. her parents described her as being "happy as hell" . . . . this is why I gave the intelligence test . . .
result of that testing . .. reach a diagnosis? . . . conducted 4 tests we have already discussed. . . . behavioral observations too.
Borderline Personality D/O - think of it as seen in teens . . sense of immaturity - emotional lability . . .unstability - unstable relationships, emotions, lots manipulation involved, large sense of immaturity . . . .think of like a teen ager
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DSM - used to look for specific sypmtoms . .
the TR version is updated . . . it is not completely different from the Dsm . . .but the subsections are different . . . how do you tell one from the other . . these 2 disorders might have overlap - here is what to look for.
not laid out like PTSD just a list of symptoms like caracteristics . . .
JM is moving to have exhibit #622 entered . . . copy of the DSM-4=TR involving diagnosis of Borderline Personality D/o
refresh recollection . . . . she knows them off the top of her head but feels it would be helpful to review.
first criteria . . . .DSM-4TR lists
frantic efforts . . . . . . efforts to avoid real or imagined abandonment.
a symptom of JA . . . abandonment . . we don't want to be alone but Borderline PD have terrified feeling of being abandoned by ohers. . . looking for a pattern over time . . engage in behaviors to try and keep people close but these behaviors often push people away . . demonstrated life and earlier . . after she and TA broke upshe moved to Mesa . . spoke to TA's brother - over step boundaries and be intrusive . . . she said she checked his FB . . . don't leave me - I want you near by spying on him and being intrusive with is space in general . . .
2nd criteria - unstable and intense interpersonal relationships
people with Borderline personality d/o - have problem with relationship . . they split people . . . idealized people on a pedestal no matter what they do they idealize them . . . and devalue there is no good in them.
JA met symptoms for borderline personality d/o = had ability to go from boyfriend to boyfriend - she had strong idealize man she was with . .. even though he wasn't monogamous with her from the beginning but she kept this saccharine sweet idealized thoughts about him.
identity disturbance = back to thinking of teenager -when we are young we have sense of who we are as person - can shift over time but when we are adults we become relatively stable . . .in borderline personality disorder that is not sta ble but changing . . .her tendency to join Mormon church very quick . . . even in her relationship with Darryl . he indicated she changed her hair bought a car to be like his wife . . . she bahved one way with one boufriend with MM they lived in tent . . around DB and TA she was much more professional . . depends on whos in her environment
impulsivity - tendency to do things on whim - not be thought ful in actions . . . not a stable characteristic on behalf of ja - doesn't believe JA meets this criteria
Suicidal behavior/ideation: . . . self explanatory . . . .can see suicidal behavior in a number of different psychological disorers throughout life . . .had access to her diary throughout many years . . . consistent pattern of her writing she didn't want to be alive = she met this criteria
affective instability - easiest way to think of this is a roller coaster of emotions . . .up and down . . . when weactually show that to people they say they have bi-polar disorder . . . consistent pattern of her boyfriends all described her as having quick shift emotions . . . saw this in her journal in the same day within one day very quickly up and then very down . . .
one more thing ....pattern of consistent behavior - her parent describe this since she was very young
chronic feelings of emptiness . . .
9 symptoms in the DSM-4TR - 5 of them must be met to meet Borderline Personality DO
a long time of feeling empty . . . JA stated she has felt this way since adolescence . . .
Inappropriate intense anger - tendency to engage in angry and aggressive behaviors . . . looking for a pattern of behavior . . .she identified it in an email to TA
show you an exhibit - Feb 14, 2007 from JA to TA . . . discuss her inappropriate intense anger? it does.
#643 hands over to JW for admit to exhibit.