The Stable Instability of People with Borderline Personality Disorder.

Jaime Senabre
University of Alicante.

Abstract

If something characterizes the Borderline Personality Disorder (BPD) is its diagnostic complexity, its comorbidity with other types of conditions and its high ignorance on the part of many health professionals, in general, and mental health, in particular. To understand the BPD, on many occasions, we are going to have to go back to childhood and early adolescence.In this review of the subject we will try to put some light on this type of psychopathology; a necessary light, not so much for the professional as for the hidden victim of this ailment, the great protagonist; not because of its stigma of illness, but becauseof its degree of vulnerability and widespread instability. We will try to outline a characteristic profile of the borderline personality based on the "background" and "consequences" of the individual. Also, we will glimpse some aspects such as comorbidity, which can make diagnosis difficult. We will distinguish the different types of BPD and give a few strokes on the Therapeutic approach, based on: self-observation, self-care, psychoeducation, intermediate evaluations, emotion management and coping techniques, written expression and psychoeducation have given the best results with this type of patients. At last, we emphasize the importance of self-care of the mental health professional.

 Keywords: Borderline personality disorder, Mental health, Therapeutic approach, Comorbidity, Suicide.

Citation: Senabre J. (2019). The stable instability of people with borderline personality disorder. Edelweiss Psyi Open Access 3: 29-31. https://doi.org/10.33805/2638-8073.121

pdf: http://edelweisspublications.com/edelweiss/article/stable-instability-people-borderline-personality-disorder-2638-8073-poa-19-107.pdf

The experience of trauma in forest firefighters through indirect exposure.

Jaime Senabre

Director of SINIF.
University of Alicante, Spain.

One of the characteristics of work in the extinction of forest fires is the exposure of forest firefighters to situations that require a great demand of personal resources, both physical and psychological, which is an important source of stress for these professionals. On occasion, forest firefighters face critical situations that can be a traumatic experience capable of generating deep discomfort, both individually and collectively. This type of negative events can cause invisible emotional scars, difficult to erase and complex approach. Now, we know that an inadequate management of empathy towards victims can facilitate the initiation of a process of secondary traumatic stress in firefighters, due to emotional contagion. This paper deals with indirect exposure to trauma through the indiscriminate consumption of images and traumatic stories offered by the media (press and TV) or social networks. Our research team was able to observe how Forest Fire Brigades, which participated as Control Group in a study on emotional impact in forest firefighters after a forest fire in Spain with fatalities, manifested post-traumatic symptomatology, almost at the same level as those firefighters who participated directly in the works of extinction of that fire. The conclusions indicate that indirect exposure to trauma, uncontrolled empathy towards victims, and social or professional identification with victims may have (both in emergency professionals and in the general population) emotional consequences, similar to those produced in the direct victims of the fire, as well as a latent predisposition to manifest maladaptive behaviors before similar situations or that remember the lived experience.Finally, guidelines are offered on "what to do" to avoid emotional contagion due to indirect exposure to trauma, such as, for example, a dosed and unrepeated consumption of news and images with a heavy dramatic load.

 ScientificTracks Abstracts: J Psychol Psychother

 Citation: Senabre, J. (2018). The experience of trauma in forest firefighters through indirect exposure. Journal of Psychology & Psychotherapy. ISSN: 2161-0487. Volume 8. World Summit on Stress, Mindfulness and Philosophy. Boston, USA. Book of abstracts. pp52. DOI: 10.4172/2161-0487-C4-032

World Summit on Stress, Mindfulness and Philosophy. August 27-28, 2018 | Boston, USA.

Violence in fire stations: A study with Spanish firefighters.

Jaime Senabre Director of SINIF.

University of Alicante, Spain.

Abstract

Violence of any kind between humans is nothing new. In the last decades a great interest has been awakened by the study of violence developed in work environments. Variety, temporality and frequency are necessary criteria for diagnosis. Factors related to the organization of work and the work environment could facilitate this type of behavior. Likewise, personality factors of the aggressor and the victim could play a role in the whole process, as well as the type of response of the aggrieved person. For the analysis, three questionnaires will be used, one of personality factors, the LIPT-60, on perception and strategies of workplace harassment and a Spanish adaptation of the MBI conducted by Senabre (2005) for fire services. The sample is composed of 34 firefighters, of which 20 are forest firefighters. Preliminary results suggest that 8.82% of the participants in the study reported that they had the perception that they were being harassed in their work, compared to 91.17% who don???t think that they have this work situation. Affability, age and emotional fatigue do seem to play their role in different ways. Younger professionals seem to be the most vulnerable to suffer this type of behavior, as well as those who are more emotionally exhausted. However, the more affable firefighters, that is, those who are more pleasant and friendly can be less affected by this type of aggression. Another important fact that emerges from this research is that there is a clear trend in these groups to deny any behavior of harassment, so the figures could be higher. Thus, we can conclude that workplace harassment is present in the fire services, being the strategies of job loss of prestige and intimidation manifested the most prevalent in the sample studied, followed by the obstruction of progress. The loss of prestige in the workplace is more frequently used by forest firefighters and the intimidation manifested among structural firefighters. According to the data provided in this study, we can notice that violent behaviors and harassment occur in fire stations, especially when working conditions are more precarious.

Citation: Senabre, Jaime (2018). Violence in fire stations: A study with Spanish firefighters. In Journal of Child & Adolescent Behaviour, Vol. 6, pp 43. DOI: 10.4172/2375-4494-C1-006

Journal of Child & Adolescent Behaviour | ISSN: 2375-4494 | Volume 6

30^th World Psychiatrists and Psychologists Meet. Osaka, Japan.

The emotional impact caused by a traumatic event and the process of second victimization in forest firefighters.

Jaime Senabre

Director of SINIF.

University of Alicante, Spain.

Abstract:

The forest fire extinguishing services sometimes face critical situations that can suppose a traumatic experience capable of generating a deep discomfort in the interveners, such as the loss of companions during the work of extinction, burns caused by the fire, the emotional impact in situations of entrapment, etc. This type of negative events can provoke fear and feelings of terror in the victims, as well as invisible emotional scars, difficult to erase and of complex approach.

An inadequate assistance to this type of professionals, affected by a critical incident of these characteristics can originate various processes of victimization, causing a psychological damage characterized by pain, anger, indignation, guilt, fear, awe, intense re-experimentation of what was lived, physiological and psychological hyperactivation, apathy, helplessness, feeling of loss of control, insecurity and avoidance behaviors.

The absence of empathy and sensitivity of the staff that attends to the victims, together with a lack of information and a mismatch between the expected and received treatment can cause a negative feeling in the firefighters affected by the traumatic incident, capable of initiating a process of revictimization called second victimization. In this work, concepts such as traumatic experience, traumatic event, psychological damage and second victimization are addressed.

Likewise, the conditioning factors of the emotional impact (external and internal), the objectives of the psychological help work and the basic skills to develop it are pointed out. Also, the phases through which the forest firefighters go when they suffer a revictimization are indicated. 

Finally, some guidelines are offered on what to do to avoid a second victimization.

Citation: Senabre, Jaime (2018).  The emotional impact caused by a traumatic event and the process of second victimization in forest firefighters. In Journal of Psychology and Psychotherapy, Vol. 8, pp 38 DOI: 10.4172/2161-0487-C3-030

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Journal of Psychology & Psychotherapy

Secondary traumatic stress in fire fighters because of the interaction with the victims.

Abstract 

Generally, when any type of disaster or catastrophe occurs, be it of natural or human origin, there is much talk about the number of victims and deaths, the magnitude of infrastructure and material goods affected, the economic amounts lost in the event, etc. In the same way, much has been said and written about the psychological impact on victims and the community exposed to such an event. However, there is a type of hidden victims that, in many cases, tend to go unnoticed, perhaps in part because of their resistance to accepting that they are also vulnerable. I am referring to the members of the first response teams in emergencies (fire, police, health, etc.). The presence of the scene, the proximity to the deadly victims and the interaction with the survivors, as well as the work in highly toxic atmospheres or of great risk for the physical integrity, together with problems of organizational, familiar or interpersonal type, will exert a strong impact on these troops, with possible repercussions on their physical and mental health. Moreover, they can be factors of vulnerability to suffer more or less severe episodes of Acute Stress, Post Traumatic Stress and Secondary Traumatic Stress, among others. In the present work an approximation is made to the Secondary Traumatic Stress (STS) construct, a type of emerging labor condition in the professionals who develop their tasks of help and rescue with people exposed to critical incidents or vital events, as is the case of the Firefighter Departments. Factors such as the history of personal traumas, the organizational context, the characteristics of the intervention and the individual personality, will significantly condition the capacity of resistance to the traumas in the professionals of the Fire Services. 

Key notes: emotional trauma, secondary traumatic stress, resistant personality, firefighter, critical incident.

4^th International Conference on Depression, Anxiety and Stress Management

Cita:  Senabre, J. (2018). Secondary traumatic stress in fire fighters because of the interaction with the victims. In Journal of Depression and Anxiety 2018, Volume 7, pp 69-70. DOI: 10.4172/2167-1044-C1-005  ISSN: 2167-1044

 https://www.omicsonline.org/proceedings/secondary-traumatic-stress-in-fire-fighters-because-of-the-interaction-with-the-victims-85539.html

 https://www.omicsonline.org/conference-proceedings/2167-1044-C1-005-016.pdf

Modulating effect of hardiness in the development of emotional trauma in firefighters trapped in forest fire.

Abstract

Some authors have pointed out that the individuals with resistant personality deal with stressful situations in an active and committed way, perceiving them as less threatening. Also, we know that stress acts as a mediator in the predisposition, precipitation or exacerbation of the disease. Emergency services professionals are often confronted with numerous critical incidents that are likely to break into their lives and cause them to suffer, often because of their surprising nature. The traumatic experience is pointed out as one of the most revealing sources of deep discomfort. The aim of this study is to determine if the resistant personality or hardiness plays a role as a modulator of the stress experience and, more specifically, the development of posttraumatic stress. To this end, we evaluated a sample of firefighters, who were surprised by the fire in an entrapment situation during the extinction of a forest fire in the province of Alicante (Spain) and that had a fatal outcome for some of the emergency device personnel. The results indicate that 37.5% of the sample developed posttraumatic stress disorder (PTSD) at the clinical level after the month of the incident and 25% some type of posttraumatic symptomatology (PTSD sub-syndrome); the remaining 37.5% were not emotionally affected by that stress experience. On the other hand, the dispersion analysis shows a tendency to the appearance of PTSD as the hardiness decreases (figure 1). These results support the idea that resistant personality can play a modulating role in the development of emotional trauma. The dimensions of the construct, implication and challenge, seem to have a greater role in this stress modulating process, being the influence of control more contained. In the discussion, emphasis is given on the need for specialized evaluation and follow up after the experience of a critical incident of these characteristics, as well as the design of training actions aimed at the development of knowledge, skills, abilities and psychological skills in professionals belonging to the different emergency services, and more specifically, firefighters.

 https://www.omicsonline.org/proceedings/modulating-effect-of-hardiness-in-the-development-of-emotional-trauma-in-firefighters-trapped-in-forest-fire-85033.html

4^th International Conference on Mental Health and Human Resilience

Cita:  Senabre, J. (2018). Modulating effect of hardiness in the development of emotional trauma in firefighters trapped in forest fire. In International Journal of Emergency Mental Health and Human Resilience 2018, Volume 20, pp 52. DOI: 10.4172/1522-4821-C1-011. ISSN: 1522-4821.

https://www.omicsonline.org/conference-proceedings/1522-4821-C1-011-011.pdf