Borderline Personality Disorder

2017 ◽  
Author(s):  
Gloria Hegge
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Object Relations ◽  
Brain Imaging ◽  
Historical Development ◽  
Imaging Techniques ◽  
Borderline Personality ◽  
Evidence Based ◽  
Evidence Based Treatments ◽  
Margaret Mahler

The historical development of the borderline concept is traced up through the development of the diagnosis of borderline personality disorder (BPD). Treatments for BPD during the 1970s and 1980s are discussed, including the object relations theories of Margaret Mahler and James Masterson, as well as trauma theory described by Judith Herman. Three evidence-based treatments (EBTs) that have emerged from the 1990s to the present time are described, as well as findings from brain imaging techniques and how new EBTs and neuroimaging have changed the view of this disorder.

scholarly journals Metaphors in Mentalization-Based Treatment: Reintroducing the Language of Change in “Plain Old Therapy”

2021 ◽  
Author(s):  
E. J. Folmo ◽  
T. Langjord ◽  
N. C. S. Myhrvold ◽  
M. Lind
Keyword(s):  
Borderline Personality Disorder ◽  
High Risk ◽  
Personality Disorder ◽  
Social Trust ◽  
Borderline Personality ◽  
Evidence Based ◽  
Cognitive Content ◽  
Perennial Philosophy ◽  
Evidence Based Treatments

AbstractMetaphors, a central conduit of change in psychotherapy, have not been taken adequately into account in Mentalization-Based Treatment (MBT). Despite successfully utilized by other evidence-based treatments for borderline personality disorder (BPD), MBT considers metaphors confusing for patients with low mentalizing abilities. For metaphors and teaching stories to stimulate growth within the window of tolerance, interventions should be responsively tailored (e.g., explained). Metaphors might be a route to making spoken matter more apprehensible, and bridge emotions with cognitive content. They hold the potential for challenging without being too confronting, and to translate knowledge between different range of understanding. This theoretical article presents why the use of metaphors in MBT—in the hands of a responsive therapists—may prove a powerful tool to open social trust, despite being considered a “high risk” intervention. The timeless lens of the metaphor may help us connect with archetypical versions of our own narratives, hence understanding our subjectivity in a larger perspective. By reaching towards concepts beyond our normal reasoning, typically denoted perennial philosophy or wisdom, they may substitute and/or supplement mentors in a memorable way.

Evidence-Based Treatments for Borderline Personality Disorder

2016 ◽  
Vol 24 (5) ◽  
pp. 342-356 ◽  
Author(s):  
Lois W. Choi-Kain ◽  
Elizabeth B. Albert ◽  
John G. Gunderson
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Borderline Personality ◽  
Evidence Based ◽  
Evidence Based Treatments

Access to Evidence-Based Services for Individuals With Borderline Personality Disorder

2019 ◽  
pp. 155-176
Author(s):  
Peter King ◽  
Jennifer M. Martin
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Sexual Assault ◽  
Treatment Outcomes ◽  
Psychological Factors ◽  
Borderline Personality ◽  
Evidence Based ◽  
International Literature ◽  
High Prevalence ◽  
Key Features

This chapter outlines the key features of the diagnosis of borderline personality disorder. This is a diagnosis that has attracted significant levels of stigma and has generally been viewed as difficult to treat. This has resulted in often inadequate service responses for people experiencing high levels of distress. Increased understanding is facilitated by exploring precipitating factors leading to this diagnosis, including invalidating and often traumatizing environments. Available evidence from Australian and international literature is considered, with main treatments identified to inform improved treatment outcomes. The need for attention to biological, psychological factors is highlighted and in particular acknowledgment of the high prevalence of trauma, particularly childhood sexual assault, amongst the mostly women who are given this diagnosis.

Personality Disorders

2018 ◽  
Author(s):  
Carla Sharp ◽  
Jared D. Michonski
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Dialectical Behavior Therapy ◽  
Evidence Base ◽  
Borderline Personality ◽  
Evidence Based ◽  
Assessment And Treatment ◽  
Literature Base ◽  
Vantage Points ◽  
Robust Evidence

The current chapter considers personality disorder in adolescents. In keeping with the evidence-based approach taken in this volume, the focus is on adolescent borderline personality disorder (BPD), as BPD currently has the most robust evidence base in terms of assessment and treatment in adolescents. While understudied relative to other disorders of childhood and adolescents, the current chapter summarizes the nascent, but rapidly growing, literature base for the definition, prevalence, assessment, and intervention of BPD in adolescents. Assessment and intervention are considered from the vantage points of both the leading treatment approaches to BPD, namely, dialectical behavior therapy and mentalization-based treatment. The chapter concludes with a discussion of the next frontier for BPD research in adolescents.

An object relations perspective on borderline personality

2002 ◽  
Vol 14 (2) ◽  
pp. 76-80 ◽  
Author(s):  
F. E. Yeomans ◽  
K. N. Levy
Keyword(s):  
Clinical Practice ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Cognitive Science ◽  
Object Relations ◽  
Empirical Research ◽  
Developmental Psychology ◽  
Empirical Studies ◽  
Borderline Personality ◽  
Object Relations Theory

One of the principal formulations of borderline personality disorder is based on object relations theory, a component of psychoanalytic theory. To remain relevant, psychoanalytic formulations must find support from empirical research. After summarizing the object relations understanding of borderline personality, the authors review studies in biological neuroscience, developmental psychology and cognitive science related to the fundamental concepts of object relations theory as it aplies to borderline pathology. This review suggests that these empirical studies support psychoanalytic formulations originally derived from clinical practice and observation.

A Jacksonian and Biopsychosocial Hypothesis Concerning Borderline and Related Phenomena

1999 ◽  
Vol 33 (6) ◽  
pp. 831-840 ◽  
Author(s):  
Russell Meares ◽  
Janine Stevenson ◽  
Evian Gordon
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Affect Regulation ◽  
Imaging Techniques ◽  
Attentional Focus ◽  
Borderline Personality ◽  
Stream Of Consciousness ◽  
Somatisation Disorder ◽  
Nervous System Function ◽  
Higher Psychological Functions

Objective: The aim of this paper is to develop an aetiological model for borderline personality disorder. Method: The postulates of Hughlings Jackson are used to provide a preliminary explanatory framework for borderline phenomena. As a necessary background to this discussion, the findings concerning abuse in the early history of borderline personality disorder (BPD) and other conditions, notably somatisation disorder and dissociative states, are briefly reviewed. Other data, including family studies, which might have significance in the aetiology of BPD are also reviewed. Results: The hypothesis is put forward that the symptoms of BPD are due to the failure of ‘experience-dependent’ maturation of a cascade of neural networks, with prefrontal connections, which become active relatively late in development and which coordinate disparate elements of central nervous system function. These networks subserve higher psychological functions, including attentional focus and affect regulation. They also underpin the reflective function necessary to the emergence of self as the stream of consciousness, which appears at about the age of 4 years. Conclusion: Adverse developmental circumstances may produce an interrelated set of symptom clusters, with associated neural network disturbances that are amenable to investigation with psychometric and brain imaging techniques. Since these disturbances are seen as ‘experience-dependent’, they are considered reversible, at least in part.

Naturalistic Outcomes of Evidence-Based Therapies for Borderline Personality Disorder at a University Clinic

2013 ◽  
Vol 61 (3) ◽  
pp. 578-584 ◽  
Author(s):  
Shilpa Sachdeva ◽  
Gregory Goldman ◽  
Georgian Mustata ◽  
Evan Deranja ◽  
Robert J. Gregory
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Borderline Personality ◽  
Evidence Based
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