Emotional processing of traumatic emotions and early experiences using the therapeutic letters, role playing and imagination in borderline and other difficult patients

In many patients cognitive reconstruction helps to understand their problems in life and symptoms of stress or psychiatric disorders. Change in the thoughts and beliefs help them to feel better. But there are many patients who suffer with strong traumatic experiences deep in their mind and typically dissociate them or want to avoid them voluntarily. There is typical for patients suffering with dissociative disorders, borderline personality disorder and many people with various psychiatric disorders who were abused in childhood. The processing of the traumatic emotions from childhood can be helpful in the treatment of these patients. For the help is important:a) Understanding what was happen in childhoodb) Making clear of repeated figures of maladaptive behaviors, mostly in interpersonal relationsc) Making a connection between childhood experiences and here and now emotional reactions on various triggersd) Experiencing repeatedly the traumatic memories and elaborate them with imaginal coping.We describe:- how to map and elaborate emotional schemas- Socratic questioning with the patients with traumatic memories- how to work with traumatic experiences from childhood in borderline personality disorder.Supported by the research grant IGA MZ CR NS 10301-3/2009

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MUSIC AS A TREATMENT FOR BORDERLINE PERSONALITY DISORDER SUFFERERS WHO HAVE DEVELOPED CARDIOMETABOLIC SYNDROME

Psychological Applications and Trends 2021 ◽

10.36315/2021inpact084 ◽

2021 ◽

Author(s):

Esther Hunter ◽

Keyword(s):

Borderline Personality Disorder ◽

Personality Disorder ◽

Emotional Processing ◽

Memory Function ◽

Borderline Personality ◽

Traumatic Experiences ◽

Emotional Pain ◽

Cardiometabolic Syndrome ◽

Lifestyle Choices ◽

Increased Risk

"Research demonstrating the ability of music to reach the older parts of the brain responsible for emotional processing make a case for utilising specific musical compositions to deliver treatment to people with Borderline Personality Disorder. BPD has been linked to an increased risk of Cardiometabolic Syndrome (CMS), as traumatic experiences in childhood predict adverse mental and physical health in adulthood including Personality Disorders. BPD sufferers who develop CMS as a result of impulsive lifestyle choices may have their recovery inhibited by the effects of CMS. Dieting may be particularly difficult for people with BPD as food serves as a way to soothe emotional pain and depression. Emotional pain leads to making choices which increase the chances of developing health conditions which research has shown negatively affect mood and memory function. Remission of BPD requires maintaining a reduction in impulsive lifestyle choices. Traditional treatments such as CBT require the patient to utilise their own degree of cognitive abilities (willpower), which may not be functioning well due to poor health. A direct line to brain areas such as the amygdala could circumnavigate the necessity to use slower cortical areas when reprogramming the patient towards healthier decision-making. This presentation will provide suggestions for how to integrate therapy into tailored songs."

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Emotional Reactions to Standardized Stimuli in Women With Borderline Personality Disorder

The Journal of Nervous and Mental Disease ◽

10.1097/nmd.0b013e3181bea44d ◽

2009 ◽

Vol 197 (11) ◽

pp. 808-815 ◽

Cited By ~ 27

Author(s):

Gitta A. Jacob ◽

Kathrin Hellstern ◽

Nicole Ower ◽

Mona Pillmann ◽

Corinna N. Scheel ◽

...

Keyword(s):

Borderline Personality Disorder ◽

Personality Disorder ◽

Emotional Reactions ◽

Borderline Personality

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BORDERLINE PERSONALITY DISORDER IN DRAMA AUGUST: OSAGE COUNTY (2007) BY TRACY LETTS

English Language and Literature ◽

10.24036/ell.v8i1.103190 ◽

2019 ◽

Vol 8 (1) ◽

Author(s):

Dova Yovenescha ◽

Desvalini Anwar

Keyword(s):

Borderline Personality Disorder ◽

Personality Disorder ◽

Emotional Reactions ◽

Borderline Personality ◽

Main Character ◽

Destructive Behaviors ◽

Osage County

The purpose of this analysis is to expose the issue of Borderline Personality Disordere which is represented by the main character and to know the contribution of the plot, setting, and character in revealing the Borderline Personality Disorder. This analysis is related to the concept neurosis by Freud that is supported by the text-based interpretation. The result of this analysis shows the main character has Borderline Personality Disorder that can be seen from the main character’s inappropriate emotional reactions and highly self-destructive behaviors.

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Heart rate variability in bipolar disorder and borderline personality disorder: a clinical review

Evidence-Based Mental Health ◽

10.1136/eb-2017-102760 ◽

2017 ◽

Vol 21 (1) ◽

pp. 23-30 ◽

Cited By ~ 11

Author(s):

Oliver Carr ◽

Maarten de Vos ◽

Kate E A Saunders

Keyword(s):

Bipolar Disorder ◽

Heart Rate ◽

Heart Rate Variability ◽

Borderline Personality Disorder ◽

Personality Disorder ◽

Psychiatric Disorders ◽

Borderline Personality ◽

Ongoing Research ◽

Area Of Interest ◽

Technological Advances

Heart rate variability (HRV) in psychiatric disorders has become an increasing area of interest in recent years following technological advances that enable non-invasive monitoring of autonomic nervous system regulation. However, the clinical interpretation of HRV features remain widely debated or unknown. Standardisation within studies of HRV in psychiatric disorders is poor, making it difficult to reproduce or build on previous work. Recently, a Guidelines for Reporting Articles on Psychiatry and Heart rate variability checklist has been proposed to address this issue. Here we assess studies of HRV in bipolar disorder and borderline personality disorder against this checklist and discuss the implication for ongoing research in this area.

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Interaction between behavioral inhibition and emotional processing in borderline personality disorder using a pictorial emotional go/no-go paradigm

Psychiatry Research ◽

10.1016/j.psychres.2017.06.046 ◽

2017 ◽

Vol 256 ◽

pp. 286-289 ◽

Cited By ~ 2

Author(s):

Christopher Sinke ◽

M. Axel Wollmer ◽

Jonas Kneer ◽

Kai G. Kahl ◽

Tillmann H.C. Kruger

Keyword(s):

Borderline Personality Disorder ◽

Personality Disorder ◽

Behavioral Inhibition ◽

Emotional Processing ◽

Borderline Personality

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Predictive factors for borderline personality disorder: patients' early traumatic experiences and losses suffered by the attachment figure

Acta Psychiatrica Scandinavica ◽

10.1034/j.1600-0447.2000.102004282.x ◽

2000 ◽

Vol 102 (4) ◽

pp. 282-289 ◽

Cited By ~ 60

Author(s):

G. Liotti ◽

P. Pasquini ◽

R. Cirrincione ◽

Keyword(s):

Borderline Personality Disorder ◽

Personality Disorder ◽

Predictive Factors ◽

Borderline Personality ◽

Traumatic Experiences ◽

Attachment Figure

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Staff attitudes towards patients with borderline personality disorder

European Psychiatry ◽

10.1016/s0924-9338(11)72715-8 ◽

2011 ◽

Vol 26 (S2) ◽

pp. 1010-1010

Author(s):

E. Bodner ◽

S. Cohen-Fridel ◽

I. Ianco

Keyword(s):

Borderline Personality Disorder ◽

Personality Disorder ◽

Mental Health Professionals ◽

Negative Emotions ◽

Borderline Personality ◽

List Type ◽

Staff Attitudes ◽

Community Settings ◽

Common Diagnosis ◽

Level Of Agreement

IntroductionBDP is a common diagnosis in hospitals and community settings, estimated at 20% and 11%, respectively. Nevertheless, the attitudes and skills of all mental health professionals regarding the treatment of these patients had hardly been studied.ObjectivesDevelop tools and use them to understand staff attitudes towards BDP patients.Aims(1)To develop two inventories for the measurement of cognitive and emotional attitudes towards borderline personality disorder (BPD) patients and their treatment;(2)To use these tools to understand and compare attitudes of psychiatrists, psychologists and nurses toward BPD patients.MethodTwo lists of items referring to cognitive and emotional attitudes towards BPD patients were formulated. Nurses, psychologists and psychiatrist (n = 57), working in public psychiatric institutions rated their level of agreement with each item. Both lists of attitudes yielded three factors (cognitive: required treatment, suicidal tendencies, and antagonistic judgment, and emotional: negative emotions, experienced difficulties in treatment, and empathy, respectively).ResultsPsychologists scored lower than psychiatrists and nurses on antagonistic judgments. Nurses scored lower than psychiatrists and psychologists on empathy. Regression stepwise analyses on the three emotional attitudes separately showed that suicidal tendencies of BPD patients mainly explained negative emotions and difficulties in treating these patients. All groups were interested in learning more about the treatment of these patients.ConclusionsSuicidal tendencies of BPD patients provoke antagonistic judgments among the three professions. Psychiatrists, psychologists and nurses hold distinctive cognitive and emotional attitudes towards these patients. Staff training programs regarding BDP patients should consider these differences and concerns.

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Facial emotional expression in reaction to social exclusion in borderline personality disorder

Psychological Medicine ◽

10.1017/s0033291711000080 ◽

2011 ◽

Vol 41 (9) ◽

pp. 1929-1938 ◽

Cited By ~ 50

Author(s):

K. Staebler ◽

B. Renneberg ◽

M. Stopsack ◽

P. Fiedler ◽

M. Weiler ◽

...

Keyword(s):

Borderline Personality Disorder ◽

Personality Disorder ◽

Social Exclusion ◽

Social Contexts ◽

Emotional Reactions ◽

Borderline Personality ◽

Emotional Expressions ◽

Control Group ◽

Coding System ◽

Emotional Facial Expressions

BackgroundDisturbances in social interaction are a defining feature of patients with borderline personality disorder (BPD). In this study, facial emotional expressions, which are crucial for adaptive interactions in social contexts, were assessed in patients with BPD in response to social exclusion.MethodWe examined facial emotional reactions of 35 patients with BPD and 33 healthy controls when playing Cyberball, a virtual ball-tossing game that reliably induces social exclusion. Besides self-reported emotional responses, facial emotional expressions were analyzed by applying the Emotional Facial Action Coding System (EMFACS).ResultsPatients with BPD showed a biased perception of participation. They more readily reported feeling excluded compared to controls even when they were included. In BPD, social exclusion led to an increase in self-reported other-focused negative emotions. Overall, EMFACS analyses revealed that BPD patients reacted with fewer positive expressions and with significantly more mixed emotional expressions (two emotional facial expressions at the same time) compared to the healthy control group when excluded.ConclusionsBesides a negative bias for perceived social participation, ambiguous facial emotional expressions may play an important role in the disturbed relatedness in patients with BPD.

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