ATTACHMENT ANXIETY AS MEDIATOR OF THE RELATIONSHIP BETWEEN CHILDHOOD TRAUMA AND PERSONALITY DYSFUNCTION IN BORDERLINE PERSONALITY DISORDER

Very few studies have focused on the relationship between cognitive functions and clinical features in borderline personality disorder (BPD). Subjects with BPD and healthy controls were administered the Repeatable Battery for the Assessment of Neuropsychological Status, Trail Making Test A and B, and the Wisconsin Card Sorting Test. The Brief Symptom Inventory (BSI-53) was used to assess the severity of current symptoms. Attachment style was assessed with the Experiences in Close Relationship Questionnaire, identity integration with the Personality Structure Questionnaire, and other domains of personality dysfunction with the RUDE Scale for Personality Dysfunction. Patients with BPD performed significantly worse than healthy controls in all cognitive domains. Cognitive functions, particularly delayed memory and visuospatial abilities, displayed meaningful associations with trait-like clinical features, above the effect of global cognition and state psychopathology. These findings highlight the need to evaluate effects of cognitive rehabilitation on trait features among individuals with BPD.

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Relationship of Personality to Dissociation and Childhood Trauma in Borderline Personality Disorder

CNS Spectrums ◽

10.1017/s109285290001912x ◽

2003 ◽

Vol 8 (10) ◽

pp. 755-762 ◽

Cited By ~ 29

Author(s):

Daphne Simeon ◽

Dorothy Nelson ◽

Rachela Elias ◽

Jennifer Greenberg ◽

Eric Hollander

Keyword(s):

Borderline Personality Disorder ◽

Personality Disorder ◽

Childhood Trauma ◽

Short Form ◽

Small Sample Size ◽

Borderline Personality ◽

Small Sample ◽

Emotional Neglect ◽

Childhood Trauma Questionnaire ◽

The Relationship

ABSTRACTBackground:Dissociation is a prominent feature in some individuals with borderline personality disorder (BPD), yet our understanding of the meanings and implications of prominent dissociation in BPD remains limited. The purpose of this study was to investigate the relationship between dissociation and childhood trauma in BPD and to explore the relationships of dissociation and trauma to various personality features of BPD.Methods:Twenty BPD subjects and 24 healthy comparison subjects of similar age and gender were administered the Dissociative Experiences Scale, the Childhood Trauma Questionnaire—short form, the Tridimensional Personality Questionnaire, the Defense Style Questionnaire, the Relationship Style Questionnaire, and the Schema Questionnaire.Results:The BPD group exhibited greater dissociation and childhood trauma, as well as greater pathology in most personality variables, compared with the healthy group. Dissociation in BPD was not significantly related to total childhood trauma, but only to emotional neglect, which accounted for 23% of the variance in dissociation scores.Conclusion:Within the BPD group, dissociation was associated with fearful attachment and immature defenses, while total childhood trauma and emotional neglect were associated with overconnection and disconnection schemata. This is a preliminary study with a small sample size, yet the correlates of dissociation in BPD merit further investigation.

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Affect dysregulation, adult attachment problems, and dissociation mediate the relationship between childhood trauma and borderline personality disorder symptoms in adulthood

European Journal of Trauma & Dissociation ◽

10.1016/j.ejtd.2017.11.002 ◽

2018 ◽

Vol 2 (2) ◽

pp. 91-99 ◽

Cited By ~ 1

Author(s):

Annemiek van Dijke ◽

Juliette A.B. Hopman ◽

Julian D. Ford

Keyword(s):

Borderline Personality Disorder ◽

Personality Disorder ◽

Childhood Trauma ◽

Adult Attachment ◽

Borderline Personality ◽

Affect Dysregulation ◽

Attachment Problems ◽

The Relationship

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The Relationship Between Cognitive Abilities and Trait Clinical Features in Patients With Borderline Personality Disorder

Journal of Personality Disorders ◽

10.1521/pedi_2020_34_497 ◽

2020 ◽

pp. 1-20

Author(s):

Martino Belvederi Murri ◽

Federica Folesani ◽

Silvia Costa ◽

Bruno Biancosino ◽

Luigi Zerbinati ◽

...

Keyword(s):

Borderline Personality Disorder ◽

Personality Disorder ◽

Clinical Features ◽

Cognitive Functions ◽

Borderline Personality ◽

Brief Symptom Inventory ◽

Structure Questionnaire ◽

Healthy Controls ◽

Personality Dysfunction ◽

The Relationship

Very few studies have focused on the relationship between cognitive functions and clinical features in borderline personality disorder (BPD). Subjects with BPD and healthy controls were administered the Repeatable Battery for the Assessment of Neuropsychological Status, Trail Making Test A and B, and the Wisconsin Card Sorting Test. The Brief Symptom Inventory (BSI-53) was used to assess the severity of current symptoms. Attachment style was assessed with the Experiences in Close Relationship Questionnaire, identity integration with the Personality Structure Questionnaire, and other domains of personality dysfunction with the RUDE Scale for Personality Dysfunction. Patients with BPD performed significantly worse than healthy controls in all cognitive domains. Cognitive functions, particularly delayed memory and visuospatial abilities, displayed meaningful associations with trait-like clinical features, above the effect of global cognition and state psychopathology. These findings highlight the need to evaluate effects of cognitive rehabilitation on trait features among individuals with BPD.

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Affect dysregulation, psychoform dissociation, and adult relational fears mediate the relationship between childhood trauma and complex posttraumatic stress disorder independent of the symptoms of borderline personality disorder

European Journal of Psychotraumatology ◽

10.1080/20008198.2017.1400878 ◽

2018 ◽

Vol 9 (1) ◽

pp. 1400878 ◽

Cited By ~ 11

Author(s):

Annemiek van Dijke ◽

Juliette A. B. Hopman ◽

Julian D. Ford

Keyword(s):

Posttraumatic Stress Disorder ◽

Borderline Personality Disorder ◽

Personality Disorder ◽

Posttraumatic Stress ◽

Childhood Trauma ◽

Stress Disorder ◽

Borderline Personality ◽

Complex Posttraumatic Stress Disorder ◽

Affect Dysregulation ◽

The Relationship

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Narrative coherence of autobiographical memories in women with borderline personality disorder and associations with childhood adversity

Borderline Personality Disorder and Emotion Dysregulation ◽

10.1186/s40479-021-00159-5 ◽

2021 ◽

Vol 8 (1) ◽

Author(s):

Glenn Bendstrup ◽

Erik Simonsen ◽

Mickey T. Kongerslev ◽

Mie S. Jørgensen ◽

Lea S. Petersen ◽

...

Keyword(s):

Borderline Personality Disorder ◽

Personality Disorder ◽

Childhood Trauma ◽

Childhood Adversity ◽

Narrative Structure ◽

Borderline Personality ◽

Autobiographical Narratives ◽

Narrative Coherence ◽

Autobiographical Memories ◽

Tentative Evidence

Abstract Background People suffering from Borderline Personality Disorder (BPD) seem to have incoherent autobiographical narratives. Tentative evidence suggests that reduced narrative coherence of autobiographical memories is associated with insecure attachment. However, it remains unknown whether incoherent autobiographical narratives in people with BPD are coupled to experiences of childhood trauma, which is highly prevalent in BPD. Method We examined if written autobiographical memories in 26 female participants with BPD had reduced narrative coherence relative to 28 healthy female controls and whether more incoherent narratives were associated with childhood trauma. Results As hypothesized, results showed that compared to controls, the autobiographical memories in participants with BPD had reduced narrative coherence, specifically inadequate orientation about the narrative and lack of narrative structure. More self-reported childhood adversity was coupled to lower orientation across groups whereas increased childhood adversity showed a specific relationship to lowered narrative structure in BPD participants. Conclusion Women with BPD had incoherent autobiographical narratives, and reduced narrative coherence was associated with more self-reported childhood adversity, which appeared to explain the group differences.

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Borderline Personality Disorder, Language, and Stigma

Ethical Human Psychology and Psychiatry ◽

10.1891/1559-4343.16.2.114 ◽

2014 ◽

Vol 16 (2) ◽

pp. 114-119 ◽

Cited By ~ 3

Author(s):

Rachel Kling

Keyword(s):

Borderline Personality Disorder ◽

Personality Disorder ◽

Personal Experience ◽

Borderline Personality ◽

Working Relationship ◽

Client Behavior ◽

The Relationship ◽

Research Studies

As many research studies show, a large portion of clinicians in the mental field hold pejorative attitudes toward those with borderline personality disorder. Oftentimes, these attitudes become manifest through the use of stigmatizing language to describe client behavior, such as “manipulative” and “attention seeking.” In this article, combining personal experience with research, I explore how stigmatizing language and attitudes affect the relationship between client and clinician and how such language impacts recovery. I offer for consideration solutions that might be more conducive to recovery and lead to a better working relationship between client and clinician.

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