Diagnosis of Borderline Personality Disorder

2017 ◽  
Author(s):  
Barbara Stanley ◽  
Tanya Singh
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Interpersonal Relationships ◽  
Affect Regulation ◽  
Borderline Personality ◽  
Affect Dysregulation ◽  
Affective Dysregulation ◽  
Mood Changes ◽  
Self Image ◽  
Persistent Pattern

The diagnosis of borderline personality disorder (BPD) can be devastating. BPD is characterized by instability on several domains: affect regulation, impulse control, interpersonal relationships, and self-image, and it affects about 1–2% of the general population—up to 10% of psychiatric outpatients, and 20% of inpatients. In addition to meeting the criteria set forth in DSM-5, BPD, like all personality disorders, is characterized by a pervasive and persistent pattern of behavior that begins in early childhood and is stable across contexts. Affective dysregulation (inappropriate, intense anger or difficulty controlling anger; affective instability due to a marked reactivity of mood), is one of the core domains associated with BPD and is characterized by erratic, easily aroused mood changes and disproportionate emotional responses. Affect dysregulation differs in BPD and mood disorders because in BPD it can shift rapidly and is affected by environmental triggers.

scholarly journals THE BORDERLINE PERSONALITY DISORDER OF ANTONY IN THE DRAMA ANTONY AND CLEOPATRABY WILLIAM SHAKESPEARE

2018 ◽  
Vol 3 (01) ◽  
pp. 27-44
Author(s):  
Eny Suprihandani ◽  
Thea Jacinda
Keyword(s):  
Borderline Personality Disorder ◽  
William Shakespeare ◽  
Personality Disorder ◽  
Interpersonal Relationships ◽  
Sigmund Freud ◽  
Mental Disease ◽  
Borderline Personality ◽  
Antony And Cleopatra ◽  
Self Image ◽  
Psychoanalytic Approach

Literature can be analyzed from many perspectives and point of views. By using psychoanalytic approach, this paper attempts to analyze one of the Shakespearean’s characters, Antony in the drama Antony and Cleopatra. The objective is to prove whether Antony truly suffers from Borderline Personality Disorder. Borderline Personality Disorder (BPD) is a personality disorder whose essential features are a pattern of marked impulsivity and instability of affects, interpersonal relationships, and self-image. Psychoanalysis theory is a theory developed by Sigmund Freud that enables to analyze whether a person suffers from a certain mental disease. Using those approaches, the characterization of Antony can be analyzed from his words, thoughts and other character’s opinion about him and then compared to the symptoms of Borderline Personality Disorder (BPD) and then found if they are matched. That Antony suffers from Borderline Personality Disorder can be finally proved.

scholarly journals Facilitation of self-empowerment of women living with borderline personality disorder: A concept analysis

2016 ◽  
Vol 21 ◽  
pp. 437-443
Author(s):  
N. Ntshingila ◽  
A. Temane ◽  
M. Poggenpoel ◽  
C. P.H. Myburgh
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Interpersonal Relationships ◽  
Nurse Practitioners ◽  
Borderline Personality ◽  
Central Concept ◽  
Self Image ◽  
Analysis And Synthesis ◽  
Definition Of ◽  
Synthesis Reasoning

Background: Borderline personality disorder is characterised by a pattern of instability in interpersonal relationships, self-image, affects and marked impulsivity.Objective: : The objective is to define the central concept of “facilitation of self empowerment”.Method: Analysis and synthesis reasoning methods as indicated by Walker and Avant (2011) were used to define the central concept.Results: A definition of the concept “facilitation of self-empowerment” was formulated from the dictionary and subject definitions.Conclusion: The central concept is important for developing a model as a frame of reference to assist psychiatric nurse practitioners in facilitating the mental health of women living with borderline personality disorder.

scholarly journals Borderline Personality Disorder (BPD): In the Midst of Vulnerability, Chaos, and Awe

2018 ◽  
Vol 8 (11) ◽  
pp. 201 ◽  
Author(s):  
Filiz Kulacaoglu ◽  
Samet Kose
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Interpersonal Relationships ◽  
Borderline Personality ◽  
Paper Briefly ◽  
The Core ◽  
Self Image ◽  
Wide Range ◽  
Affective Instability ◽  
Considerable Morbidity

Borderline personality disorder (BPD) is a chronic psychiatric disorder characterized by pervasive affective instability, self-image disturbances, impulsivity, marked suicidality, and unstable interpersonal relationships as the core dimensions of psychopathology underlying the disorder. Across a wide range of situations, BPD causes significant impairments. Patients with BPD suffer considerable morbidity and mortality compared with other populations. Although BPD is more widely studied than any other personality disorder, it is not understood sufficiently. This paper briefly reviews the recent evidence on the prevalence, etiology, comorbidity, and treatment approaches of borderline personality disorder (BPD) by examining published studies, and aims to offer a more coherent framework for the understanding and management of borderline personality disorder.

scholarly journals How Does It Feel to Have a Disturbed Identity? The Phenomenology of Identity Diffusion in Patients With Borderline Personality Disorder: A Qualitative Study

2021 ◽  
pp. 1-30
Author(s):  
Carsten R. J⊘rgensen ◽  
Rikke B⊘ye
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Interpersonal Relationships ◽  
Interpretative Phenomenological Analysis ◽  
Subjective Experience ◽  
Borderline Personality ◽  
The Self ◽  
Younger Women ◽  
Identity Diffusion ◽  
Self Image

Identity diffusion is one of the defining characteristics of borderline personality disorder (BPD). Given its central importance in the formal diagnostic criteria for personality disorders, identity diffusion is remarkably under-researched. In particular, our knowledge of the phenomenology of identity diffusion needs to be improved. This study is based on semistructured interviews with 16 younger women SCID-5–diagnosed with BPD. All interviews were analyzed using the interpretative phenomenological analysis approach. On the basis of this analysis, the patients’ descriptions of how identity diffusion manifests itself in their subjective experience are classified into nine categories: disintegrated self-image; using various façades to stabilize the self; painful feelings of the self as broken; feeling that the self does not fit in; inner emptiness; “I don't know what I want”; great need for attention from others to stabilize identity; feeling unable to handle interpersonal relationships; and using sex to distract the self and regulate painful self-states.

scholarly journals Borderline personality disorder and nursing approach

2020 ◽  
Vol 3 (1) ◽  
pp. 4-10
Author(s):  
Marindela Pergjini ◽  
Evangelos Fradelos ◽  
Ioanna V. Papathanasiou
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Interpersonal Relationships ◽  
Borderline Personality ◽  
Treatment Team ◽  
Emotional Instability ◽  
Self Image ◽  
Key Characteristics ◽  
Diagnosis Therapy ◽  
Relationship Of

Introduction: Borderline Personality Disorder, is one of the ten Personality Disorders. These Disorders are split into three categories, with the Borderline being part of the second one where elements of dramatization and emotional instability are frequently evident. Purpose: The purpose of the present study is to investigate and highlight the characteristics, the treatment and nursing approach for people with this disorder. Methodology: The study material consisted of articles on the topic found in Greek and international databases such as: PubMed, Cochrane, Hellenic Academic Libraries Association (HEAL-Link), Scopus and PsycINFO, using keywords as: “Borderline Personality Disorder”, “Diagnosis”, “Therapy”, “Treatment”, “Holistic Care”, “Nursing Care”. Results: Bordeline Personality Disorder is characterized as a condition in which a person differs significantly from the average of people, about how he thinks, perceives, feels or relates to others. Treatment for this Disorder does not exist, however medication is used to remission the symptoms. Nurses are part of the treatment team. They’re going to help the patient learn to live with the symptoms of his disorder. As these people are special patients, nurses must learn from their training not to focus on the patient's problem, but on the patient himself. Conclusions: The key characteristics of Borderline are impulsivity and instability in interpersonal relationships, self-image and emotions. As there is no treatment, nurses as members of the treatment team must develop a relationship of trust with the patient in order to be able to help him in his recovery. It is important for nurses to be able to properly approach the person with Borderline Personality Disorder to learn to adapt according to his personality

scholarly journals Self-esteem instability and affective instability in everyday life after remission from borderline personality disorder

2020 ◽  
Author(s):  
Philip Samuel Santangelo ◽  
Tobias D. Kokler ◽  
Marie-Luise Zeitler ◽  
Rebekka Knies ◽  
Nikolaus Kleindienst ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Self Esteem ◽  
Borderline Personality ◽  
Specific Symptom ◽  
Affective Dysregulation ◽  
Daily Life Activities ◽  
Diary Studies ◽  
Affective Instability

Abstract Background: Borderline personality disorder (BPD) is defined by a pervasive pattern of instability. According to prior findings and clinical theories, self-esteem instability and affective instability are key features of BPD. Previous e-diary studies showed that instability in self-esteem is heightened and that it is highly intertwined with affective instability in BPD in comparison to healthy controls (HC). The present study sought to extend these findings by adding symptomatologically remitted BPD patients (BPD-REM), i.e. former patients with BPD who met four or fewer BPD criteria within the past year, as a comparison group.Methods: To examine differences regarding self-esteem instability and affective instability, we used e-diaries for repeatedly collecting data on self-esteem, valence, and tense arousal 12 times a day for four consecutive days while participants underwent their daily life activities. Determining three different state-of-the-art instability indices and applying multilevel analyses, we compared 35 BPD-REM participants with previously reported 60 acute BPD patients (BPD-ACU) and 60 HC.Results: Our results revealed that self-esteem instability was significantly lower in the BPD-REM compared to the BPD-ACU group, irrespective of the instability index. In contrast, there were no significant differences regarding affective instability between the BPD-REM participants and those in the BPD-ACU group. The comparison between the BPD-REM with the HC indicated both a significantly higher instability in self-esteem as well as significantly heightened affective instability in the BPD-REM participants. Moreover, even though the associations were not significant, we found tentative support for the assumption that affective changes that are accompanied by changes in self-esteem are experienced as more burdensome and negatively impact the quality of life of remitted BPD participants.Conclusions: This study builds on growing evidence for the importance of self-esteem instability in BPD. Whereas affective instability has been reported in various psychiatric disorders and might indeed constitute a transdiagnostic marker of affective dysregulation, our results indicate that self-esteem instability might be a specific symptom that construes the unique pathology in BPD.

scholarly journals Cognitive control and daily affect regulation in major depression and borderline personality disorder: protocol for an experimental ambulatory assessment study in Berlin, Germany

BMJ Open ◽  
2018 ◽  
Vol 8 (10) ◽  
pp. e022694 ◽  
Author(s):  
Lars Schulze ◽  
Paul-Christian Bürkner ◽  
Julian Bohländer ◽  
Ulrike Zetsche
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Cognitive Control ◽  
Affect Regulation ◽  
Smartphone Application ◽  
Borderline Personality ◽  
Medium Effect ◽  
Interference Control ◽  
Control Functions ◽  
Regulation Strategies

IntroductionAffective disturbances and difficulty in affect regulation are core features of major depressive disorder (MDD) as well as borderline personality disorder (BPD). Whereas depressed individuals are characterised by affective inertia, individuals with BPD are characterised by affective instability. Both groups have been found to use more maladaptive affect regulation strategies than healthy controls. Surprisingly, however, there have been hardly any studies directly comparing these two disorders to disentangle shared and disorder-specific deficits in affective dynamics and affect regulation.Furthermore, theoretical models link deficits in affect regulation to deficits in cognitive control functions. Given that individuals with MDD or BPD are both characterised by impairments in cognitive control, the present study will further examine the link between individual differences in cognitive control and disturbances in affect dynamics and regulation in the daily life of individuals with MDD or BPD.Methods and analysesWe will use a smartphone application to assess negative and positive affect as well as affect regulation strategies at eight times a day for 7 days. We will further employ four computerised tasks to assess two cognitive control functions, namely interference control and discarding irrelevant information from working memory. Our hypotheses will be tested using a multimethod approach. Power analyses determined a sample size of 159 (53 MDD, 53 BPD, 53 controls) to detect medium effect sizes.Ethics and disseminationEthics approval has been obtained from the Freie Universität Berlin. Data collection started in January 2017 and will last until the end of 2018. Results will be disseminated to relevant psychotherapeutic and patient communities in peer-reviewed journals, and at scientific conferences.

scholarly journals Experiences of women living with borderline personality disorder

2016 ◽  
Vol 21 ◽  
pp. 110-119 ◽  
Author(s):  
N. Ntshingila ◽  
M. Poggenpoel ◽  
C. P.H. Myburgh ◽  
A. Temane
Keyword(s):  
Mental Health ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Interpersonal Relationships ◽  
Life Story ◽  
Borderline Personality ◽  
Childhood Experiences ◽  
Educational Challenges ◽  
Contextual Study ◽  
Experiences Of Women

There is limited understanding of the experiences of women living with borderline personality disorder. It was therefore decided to discover how women living with this disorder would tell their life story. For the researcher, who worked in a psychotherapy ward where most women were living with borderline personality disorder, the care of these women was of vital importance, as they were less understood by mental health care providers.The research aimed to explore and describe the experiences of women living with borderline personality disorder. A qualitative, explorative, descriptive and contextual study design was used. Data was collected through in-depth phenomenological interviews that focused on the central question, “Tell me your life story”. Eight participants living with borderline personality disorder were interviewed. Tesch's method for data analysis was used (Creswell, 2009:186), along with an independent coder. Measures to ensure trustworthiness and ethical principles were applied throughout the research. From the findings obtained by means of the interviews of women living with borderline personality disorder, it was evident that there were childhood experiences of living in an unsafe space, related to unhealthy family dynamics, boundary violations and educational challenges. They experienced chronic feelings of emptiness in their relationships with theself. They also presented with a pattern of unstable interpersonal relationships and compromised mental health, which was apparent through the early on set of mental problems, emotional upheaval, looking for emotional escape and having different triggerfactors. Lastly, all these women yearned for facilitated mental health.

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