Borderline personality disorder and eating disorders: a trans-diagnostic approach to unravelling diagnostic complexity

2019 ◽  
Vol 27 (6) ◽  
pp. 556-558
Author(s):  
J Richard Newton
Keyword(s):  
Eating Disorders ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Interpersonal Problems ◽  
Borderline Personality ◽  
Self Concept ◽  
Diagnostic Approach ◽  
Presenting Problems ◽  
Co Morbidity ◽  
Diagnostic Approaches

Objectives: This opinion paper considers co-morbid borderline personality disorder (BPD) and eating disorders and proposes that a trans-diagnostic approach looking at presenting problems and treatment approaches may be of value. Conclusions: Trans-diagnostic elements can be identified across the two syndromes. Trans-diagnostic elements appear to include some shared aetiological factors as well as some shared syndromal components. The shared syndromal components include problems with affect, interpersonal problems, problems with self-concept and impulsivity. The pathoplastic effects of culture, attitudes to fatness and the neurobiology of starvation and/or restriction of intake are crucial to integrate into the understanding of co-morbidity of these two disorders. Trans-diagnostic approaches to treatment lead to trans-diagnostic improvements across the two disorders.

Self-concept structure and borderline personality disorder: Evidence for negative compartmentalization

2015 ◽  
Vol 46 ◽  
pp. 50-58 ◽  
Author(s):  
Aline Vater ◽  
Michela Schröder-Abé ◽  
Susan Weißgerber ◽  
Stefan Roepke ◽  
Astrid Schütz
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Borderline Personality ◽  
Self Concept

Negative bias in fast emotion discrimination in borderline personality disorder

2008 ◽  
Vol 39 (5) ◽  
pp. 855-864 ◽  
Author(s):  
M. Dyck ◽  
U. Habel ◽  
J. Slodczyk ◽  
J. Schlummer ◽  
V. Backes ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Emotion Recognition ◽  
Facial Expressions ◽  
Healthy Subjects ◽  
Borderline Personality ◽  
Negative Bias ◽  
Post Traumatic Stress ◽  
Co Morbidity ◽  
Direct Discrimination

BackgroundThe ability to decode emotional information from facial expressions is crucial for successful social interaction. Borderline personality disorder (BPD) is characterized by serious problems in interpersonal relationships and emotional functioning. Empirical research on facial emotion recognition in BPD has been sparsely published and results are inconsistent. To specify emotion recognition deficits in BPD more closely, the present study implemented two emotion recognition tasks differing in response format.MethodNineteen patients with BPD and 19 healthy subjects were asked to evaluate the emotional content of visually presented stimuli (emotional and neutral faces). The first task, the Fear Anger Neutral (FAN) Test, required a rapid discrimination between negative or neutral facial expressions whereas in the second task, the Emotion Recognition (ER) Test, a precise decision regarding default emotions (sadness, happiness, anger, fear and neutral) had to be achieved without a time limit.ResultsIn comparison to healthy subjects, BPD patients showed a deficit in emotion recognition only in the fast discrimination of negative and neutral facial expressions (FAN Test). Consistent with earlier findings, patients demonstrated a negative bias in the evaluation of neutral facial expressions. When processing time was unlimited (ER Test), BPD patients performed as well as healthy subjects in the recognition of specific emotions. In addition, an association between performance in the fast discrimination task (FAN Test) and post-traumatic stress disorder (PTSD) co-morbidity was indicated.ConclusionsOur data suggest a selective deficit of BPD patients in rapid and direct discrimination of negative and neutral emotional expressions that may underlie difficulties in social interactions.

Examining the Shared and Unique Features of Self-Concept Content and Structure in Borderline Personality Disorder and Depression

2015 ◽  
Vol 39 (5) ◽  
pp. 613-626 ◽  
Author(s):  
Davy Evans ◽  
Tim Dalgleish ◽  
Robert B. Dudas ◽  
Chess Denman ◽  
Maxine Howard ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Borderline Personality ◽  
Self Concept

Sexual Abuse and Eating Disorders

1993 ◽  
Vol 162 (6) ◽  
pp. 771-775 ◽  
Author(s):  
Glenn Waller
Keyword(s):  
Eating Disorders ◽  
Sexual Abuse ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Psychological Factors ◽  
Case Series ◽  
Causal Link ◽  
Borderline Personality ◽  
Psychological Factor ◽  
Eating Psychopathology

Sexual abuse appears to be causally linked to eating disorders, particularly those involving bulimic features. However, the psychological factors that mediate between these two phenomena are not understood. Recent findings suggest that borderline personality disorder may explain some of the association. The present research investigates the potential links between reported sexual abuse, borderline personality disorder, and eating psychopathology in a case series of 100 women with eating disorders. The results suggest that borderline personality disorder is a psychological factor that explains a small part of the causal link between sexual abuse and bulimic behaviour - especially frequency of bingeing. However, other factors are likely to be involved, and further research is suggested to investigate these.

scholarly journals Identifying Core Deficits in a Dimensional Model of Borderline Personality Disorder Features: A Network Analysis

2018 ◽  
Vol 6 (5) ◽  
pp. 685-703 ◽  
Author(s):  
Matthew W. Southward ◽  
Jennifer S. Cheavens
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Network Analysis ◽  
Emotion Dysregulation ◽  
Interpersonal Problems ◽  
Borderline Personality ◽  
Future Research ◽  
Self Identity ◽  
Affective Intensity ◽  
Core Deficits

Researchers have proposed three core deficits of Borderline Personality Disorder (BPD): emotion dysregulation, interpersonal problems, and self-identity disturbance. Previous methods for testing these deficits rest on problematic assumptions (e.g., the assumption that observable/measured features of BPD, such as chaotic relationships and affective intensity, occur independently). A network model of psychopathology assumes that observable features of disorders directly interact, and network analytic methods quantify how central each feature is. We conducted a network analysis of core deficits of BPD features using a large ( N = 4,386) sample of participants with a range of BPD features. The most central features of participants in the High BPD group were loneliness, recklessness/impulsivity, and intense moods, supporting models of emotion dysregulation and interpersonal problems. The networks of BPD features did not differ between men and women. We provide directions for future research to enhance our understanding of how networks of BPD features change over time.

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