ASWB LCSW Social Work Clinical Practice Exam

In which personality disorder do men show different patterns of impulse-related disorders?

1. Antisocial Personality Disorder

2. Borderline Personality Disorder

3. Narcissistic Personality Disorder

4. Obsessive-Compulsive Disorder

The correct answer is: Borderline Personality Disorder

The correct answer highlights the unique characteristics of Borderline Personality Disorder (BPD), particularly in how men may express impulse-related behaviors differently than women. In BPD, individuals often experience intense emotional instability, impulsivity, and difficulties in interpersonal relationships. Research indicates that while both genders may exhibit impulsive behaviors, men with BPD are more likely to display these behaviors in ways that are externalizing, such as aggression or substance use, while women may show more internalizing behaviors such as self-harm. This manifestation in men can lead to different patterns of impulse-related disorders, which may influence diagnoses and treatment approaches. Understanding these variations is crucial for effective therapeutic interventions and can help clinicians tailor their strategies to individual needs based on gender differences in symptom expression. In contrast, other personality disorders listed do not specifically highlight a significant difference in impulse-related behaviors based on gender. For example, Antisocial Personality Disorder often presents similarly in both genders regarding impulsivity, though the expression might differ based on socialization. Narcissistic Personality Disorder focuses more on self-importance and lack of empathy rather than impulse control. Obsessive-Compulsive Disorder, while affecting both genders, involves anxiety and compulsive behaviors rather than the kinds of impulse-related behaviors specific to personality disorders