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Meeting-The-Challenge-Making-a-Difference-Practitioner-Guide

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THE RANGE OF SEVERITY OF PERSONALITY PROBLEMS AND THE DIFFERENT<br />

INTERVENTIONS THAT MIGHT BE HELPFUL<br />

HEALTHY PERSONALITY<br />

FUNCTIONING<br />

SOME PROBLEMATIC TRAITS<br />

MANY PROBLEMATIC TRAITS<br />

POSSIBLE PERSONALITY<br />

DISORDER<br />

Anna is a teacher who regularly puts on school plays. She takes great<br />

pleasure in the children’s delight, and in the response of the audience.<br />

She enjoys the applause and the appreciation for her hard work, but is<br />

happy to step back and let the children be the stars of the show.<br />

• Anna is unlikely to need or want help with this aspect of her life<br />

Angela is a music teacher at another school, where she has a reputation<br />

for organizing outstanding concerts. <strong>The</strong> quality of the children’s work is<br />

very high, but some parents feel that she drives the children too hard to<br />

excel, often losing her temper with them if she thinks they are not working<br />

hard enough. Her friends know that if she thinks the performance is less<br />

than perfect she will be miserable for days<br />

• Angela might benefit from some short-term counselling or self-help<br />

information to help her see that her very high standards are problematic<br />

and can make her unhappy<br />

Annabel is a teacher at a third school. She is known for demanding very high<br />

standards from herself and everyone she comes into contact with, and for<br />

losing her temper very easily if she feels criticised or slighted in any way.<br />

Annabel works extremely long hours and sleeps very badly, feels very<br />

stressed and has repeatedly sought help from her GP. Her colleagues and<br />

acquaintances feel they have to tread very carefully around her so as not<br />

to spark off an outburst. Annabel feels anxious, unappreciated, and<br />

wonders why she does not have more friends.<br />

• Annabel’s problems are pervasive and she might benefit from some<br />

psychological therapy to explore the range of situations that cause<br />

her difficulty<br />

Anne-Marie has not worked for several years. She started out as an art<br />

teacher but left teaching after a number of uncontrolled outbursts at work<br />

led to her being disciplined. She could not stand having to fit in with the<br />

strict timetable and demands of the job. She tries to paint, but swings<br />

between feeling that she is an exceptional artist and that people should<br />

recognise her talent, and feeling that her work is worthless rubbish. She has<br />

had a number of intimate relationships, but she is quick to feel that she is<br />

being let down or misunderstood, and relationships tend to deteriorate into<br />

jealous arguments and physical fights. She has always cut herself when very<br />

stressed, but recently this has been getting more frequent and more severe.<br />

Her life feels empty and depressing and she holds onto the thought that, if<br />

things got desperate, she could always kill herself.<br />

• Anne-Marie’s difficulties are persistent, pervasive and problematic.<br />

She may need longer term or specialist help from a personality disorder<br />

service or team.<br />

14

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