Childhood Adversity and the Development of Borderline Personality Disorder

2014 ◽  
pp. 265-276 ◽  
Author(s):  
Mary C. Zanarini ◽  
Michelle M. Wedig
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Childhood Adversity ◽  
Borderline Personality

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

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.

scholarly journals Childhood adversity and borderline personality disorder: a meta‐analysis

2019 ◽  
Vol 141 (1) ◽  
pp. 6-20 ◽  
Author(s):  
C. Porter ◽  
J. Palmier‐Claus ◽  
A. Branitsky ◽  
W. Mansell ◽  
H. Warwick ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Meta Analysis ◽  
Childhood Adversity ◽  
Borderline Personality

Part 1: Borderline Personality Disorder and Its Clinical Features

2017 ◽  
Author(s):  
Robert Biskin ◽  
Joel Paris
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Early Adulthood ◽  
Psychosocial Factor ◽  
Diagnostic System ◽  
Childhood Adversity ◽  
Borderline Personality ◽  
Clinical Settings ◽  
Self Harm ◽  
Genetic And Environmental Factors

Borderline personality disorder (BPD) is routinely encountered in all clinical settings and has been stigmatized and perceived as a difficult disorder to manage. Over the past 25 years, significant gains in our understanding of the diagnosis, treatment, and outcomes of the disorder have helped improve the lives of these patients. BPD is now understood to begin in adolescence and early adulthood, with a generally positive course and reductions in symptoms of self-harm and suicidality within several years of diagnosis. BPD is best understood as developing through an interaction between genetic and environmental factors. No clear biological features have been consistently identified yet, and similarly, no clear psychosocial factor, including childhood adversity or sexual abuse, is causative for BPD. Clearly separating BPD from other disorders, particularly bipolar disorder, is an important consideration and required to ensure proper care. Comorbid disorders, including other personality disorder, are frequent problems that partially reflect a challenge with the current diagnostic system that has not yet been resolved. Although the symptomatic outcome of patients with BPD is very good, functional outcomes, such as holding work and relationships, is more challenging for many patients, and suicide remains a risk in patients with this disorder. This review contains 2 figures, 4 tables, and 102 references. Key words: borderline personality disorder, outcome, personality disorder, self-harm, suicide

Predictors of Slower Time-to-Cessation of Individual Therapy for Borderline Patients Over 16 Years of Prospective Follow-Up

2019 ◽  
Vol 33 (1) ◽  
pp. 135-144
Author(s):  
Dana B. Borkum ◽  
Frances R. Frankenburg ◽  
Garrett M. Fitzmaurice ◽  
Argyro Athanasiadi ◽  
Christina M. Temes ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Personality Disorders ◽  
Childhood Adversity ◽  
Borderline Personality ◽  
Individual Therapy ◽  
Childhood Neglect ◽  
Borderline Patients ◽  
History Of

The current study assesses time-to-cessation of individual therapy for patients with borderline personality disorder (BPD) and comparison subjects with other personality disorders (OPD) after 16 years of prospective follow-up. It also details the multivariate factors that predict this outcome for those with BPD. At baseline, 290 patients met criteria for BPD and 72 met criteria for OPD. Individuals with BPD had a significantly slower time-to-cessation of individual therapy than OPD comparison subjects. Seven baseline variables were found to be significant multivariate predictors of a slower time-to-cessation of individual therapy: older age, being white, severity of childhood neglect, history of a mood disorder, an IQ less than 90, poor vocational record prior to index admission, and higher level of trait neuroticism. The results of this study suggest that prediction of slower time-to-cessation of individual therapy is multifactorial in nature, involving factors related to demographics, childhood adversity, comorbidity, individual competence, and temperament.

scholarly journals Narrative Coherence of Autobiographical Memories in Women with Borderline Personality Disorder and Associations with Childhood Adversity

2021 ◽  
Author(s):  
Glenn Bendstrup ◽  
Erik Simonsen ◽  
Mickey T. Kongerslev ◽  
Mie S. Jørgensen ◽  
Lea 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) appear 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 childhood trauma, which is prevalent in the disorder. 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 displayed 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: Our findings showed that women with BPD had incoherent autobiographical narratives, and that reduced narrative coherence was associated with more self-reported childhood adversity, which appeared to mediate the group differences.

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