Using Plan Analysis in Psychotherapeutic Case Formulation of Borderline Personality Disorder

2011 ◽  
Vol 20 (1) ◽  
pp. 1-9 ◽  
Author(s):  
Laurent Berthoud ◽  
Ueli Kramer ◽  
Yves de Roten ◽  
Jean-Nicolas Despland ◽  
Franz Caspar
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Borderline Personality ◽  
Case Formulation ◽  
Plan Analysis

Aggressive Behavior and Interpersonal Difficulties in Borderline Personality Disorder

2017 ◽  
Author(s):  
Lori N. Scott ◽  
Paul A. Pilkonis
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Aggressive Behavior ◽  
Emotion Dysregulation ◽  
Interpersonal Problems ◽  
Borderline Personality ◽  
Case Formulation ◽  
Interpersonal Difficulties ◽  
Monitoring Progress

Interpersonal problems are among the most severely impairing, difficult-to-manage, and intransigent of borderline personality disorder (BPD) features and therefore require special attention in treatment. Emotion dysregulation and related mood-dependent behaviors among individuals with BPD typically occur in the context of interpersonally relevant events or stressors, signifying the central role of interpersonal and attachment-related concerns for these patients. Two prominent interpersonal themes in those with BPD are discussed: interpersonal hypersensitivity and angry or aggressive behavior. The chapter provides a brief case illustration of how these themes might emerge in psychotherapy and recommends explicit assessment of interpersonal problems and aggression to enhance risk evaluation, case formulation, treatment planning, and monitoring progress in treatment.

Assessment of borderline personality disorder: considering a diagnostic strategy

2002 ◽  
Vol 14 (2) ◽  
pp. 55-59 ◽  
Author(s):  
C. K. W. Schotte
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Biological Psychiatry ◽  
Borderline Personality ◽  
Therapeutic Interventions ◽  
Diagnostic Strategy ◽  
Case Formulation ◽  
Clinical Context ◽  
Idiographic Approach ◽  
Dsm Iv

Background:Borderline personality disorder (BPD) represents a highly prevalent, severe and difficult-to-treat mental health problem.Objective:This paper considers methods, instruments and strategies for assessing BPD as described within the frame of the DSM-IV classification.Conclusions:Following the general diagnostic approach introduced by Van Praag in biological psychiatry, a two-tier diagnostic strategy for the descriptive diagnostic assessment of BPD is recommended. Axis one results in a DSM-IV Axis II categorical diagnosis, whereas axis two refers to a symptomatological, dimensional or functional approach, in which the psychological dysfunctions of the nosological syndrome are depicted. Moreover, in a clinical context a basic aim of the diagnostic evaluation is to obtain therapeutically valid information that leads to a constructive conceptual framework, to a case formulation in which therapeutic interventions are understood, selected and implemented. This framework should be based on a biopsychosocial theoretical model and its application in the clinical context involves feedback to the patient, in which the descriptive evaluation is integrated with etiological; and pathogenic elements using an idiographic approach. This therapeutically orientated diagnostic strategy is illustrated by the use of the ADP-IV (Assessment of DSM-IV personality disorders) questionnaire within a cognitive behavioral orientation.

Borderline Personality Disorder

2013 ◽  
pp. 301-322 ◽  
Author(s):  
Shireen L. Rizvi ◽  
Kristalyn Salters-Pedneault
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Behavior Therapy ◽  
Dialectical Behavior Therapy ◽  
Borderline Personality ◽  
Case Formulation ◽  
Patient Assessment ◽  
Assessment Strategy ◽  
History Of ◽  
Background History

Chapter 12 covers Borderline Personality Disorder (BPD), and includes definition and history of the condition, description and background of dialectical behavior therapy (DBT) used to treatm BPD, background history of the patient, assessment strategy, case formulation and treatment approach, course of treatment, treatment transfer specific to this case, relapse prevention, avoiding common mistakes in therapy, and case conclusions.

Personalized Models of Psychopathology as Contextualized Dynamic Processes: An Example from Individuals with Borderline Personality Disorder

2018 ◽  
Author(s):  
William C. Woods ◽  
Cara Arizmendi ◽  
Kathleen Gates ◽  
Stephanie Stepp ◽  
Paul A. Pilkonis ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Clinical Assessment ◽  
Borderline Personality ◽  
Dynamic Processes ◽  
Model Estimation ◽  
Case Formulation ◽  
Multiple Model ◽  
Behavioral Regulation ◽  
The Individual

Objective: Psychopathology research has relied on discrete diagnoses, which neglects the unique manifestations of each individual’s pathology. Borderline personality disorder combines interpersonal, affective, and behavioral regulation impairments making it particularly ill-suited to a “one size fits all” diagnosis. Clinical assessment and case formulation involve understanding and developing a personalized model for each patient’s contextualized dynamic processes, and research would benefit from a similar focus on the individual. Method: We use group iterative multiple model estimation, which estimates a model for each individual and identifies general or shared features across individuals, in both a mixed-diagnosis sample (N=78) and a subsample with a single diagnosis (n=24). Results: We found that individuals vary widely in their dynamic processes in affective and interpersonal domains both within and across diagnoses. However, there was some evidence that dynamic patterns relate to transdiagnostic baseline measures. We conclude with descriptions of two person-specific models as an example of the heterogeneity of dynamic processes. Conclusions: The idiographic models presented here join a growing literature showing that the individuals differ dramatically in the total patterning of these processes, even as key processes are shared across individuals. We argue that these processes are best estimated in the context of person-specific models, and that so doing may advance our understanding of the contextualized dynamic processes that could identify maintenance mechanisms and treatment targets.

Integrative Therapy for Borderline Personality Disorder

2005 ◽  
pp. 299-320 ◽  
Author(s):  
Heidi L. Heard ◽  
Marsha M. Linehan
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Dialectical Behavior Therapy ◽  
Borderline Personality ◽  
Treatment Modalities ◽  
Initial Assessment ◽  
Case Formulation ◽  
Integrative Therapy ◽  
History Of ◽  
Dialectical Philosophy

Chapter 14 elaborates on the various integrative aspects of Dialectical Behavior Therapy (DBT) by describing its application to individuals who meet criteria for borderline personality disorder (BPD), the population on which the treatment was originally developed. First, it identifies the primary theoretical and philosophical principles of the approach and the history of their integration. It discusses ‘dialectics’ in greater detail and describes some of the ways in which the dialectical philosophy performs multiple integrating roles throughout the therapy. The chapter describes the initial assessment, case formulation, and treatment modalities. It focuses on the strategies and process that occur within a therapy session, as well as how the therapy relationship contributes to change. A case example illustrates the integration of the various strategies. Finally, the chapter summarizes the results of outcome trials that examine the efficacy of DBT for BPD and considers future directions for the treatment approach.

Emotion-Oriented Coping Style Predicts Self-Harm in Response to Acute Psychiatric Hospitalization

Crisis ◽  
2020 ◽  
pp. 1-7
Author(s):  
Jacqueline M. Frei ◽  
Vladimir Sazhin ◽  
Melissa Fick ◽  
Keong Yap
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Psychiatric Hospitalization ◽  
Coping Styles ◽  
Psychiatric Inpatients ◽  
Borderline Personality ◽  
Self Report ◽  
Therapeutic Interventions ◽  
Coping Behaviors ◽  
Self Harm

Abstract. Psychiatric hospitalization can cause significant distress for patients. Research has shown that to cope with the stress, patients sometimes resort to self-harm. Given the paucity of research on self-harm among psychiatric inpatients, a better understanding of transdiagnostic processes as predictors of self-harm during psychiatric hospitalization is needed. The current study examined whether coping styles predicted self-harm after controlling for commonly associated factors, such as age, gender, and borderline personality disorder. Participants were 72 patients (mean age = 39.32 years, SD = 12.29, 64% male) admitted for inpatient treatment at a public psychiatric hospital in Sydney, Australia. Participants completed self-report measures of coping styles and ward-specific coping behaviors, including self-harm, in relation to coping with the stress of acute hospitalization. Results showed that younger age, diagnosis of borderline personality disorder, and higher emotion-oriented coping were associated with self-harm. After controlling for age and borderline personality disorder, higher levels of emotion-oriented coping were found to be a significant predictor of self-harm. Findings were partially consistent with hypotheses; emotion-oriented but not avoidance-oriented coping significantly predicted self-harm. This finding may help to identify and provide psychiatric inpatients who are at risk of self-harm with appropriate therapeutic interventions.

Comparison of Three Questionnaires to Screen for Borderline Personality Disorder in Adolescents and Young Adults

2017 ◽  
Vol 33 (2) ◽  
pp. 123-128 ◽  
Author(s):  
Anne van Alebeek ◽  
Paul T. van der Heijden ◽  
Christel Hessels ◽  
Melissa S.Y. Thong ◽  
Marcel van Aken
Keyword(s):  
Young Adults ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Borderline Personality ◽  
Adolescents And Young Adults ◽  
Patient Questionnaire ◽  
Statistical Manual ◽  
Axis Ii ◽  
Diagnostic And Statistical Manual ◽  
Dsm Iv

Abstract. One of the most common personality disorders among adolescents and young adults is the Borderline Personality Disorder (BPD). The objective of current study was to assess three questionnaires that can reliably screen for BPD in adolescents and young adults (N = 53): the McLean Screening Instrument for BPD (MSI-BPD; Zanarini et al., 2003 ), the Personality Diagnostic Questionnaire 4th edition – BPD scale (PDQ-4 BPD; Hyler, 1994 ), and the SCID-II Patient Questionnaire – BPD scale (SCID-II-PQ BPD). The nine criteria of BPD according to the Diagnostic and Statistical Manual of Mental Disorders-IV (DSM-IV; APA, 1994 ) were measured with the Structural Clinical Interview for DSM-IV Axis II disorders – BPD scale (SCID-II; First, Spitzer, Gibbon, Williams, & Benjamin, 1995 ). Correlations between the questionnaires and the SCID-II were calculated. In addition, the sensitivity and specificity of the questionnaires were tested. All instruments predicted the BPD diagnosis equally well.

Sign in / Sign up

Export Citation Format

Share Document