Borderline States

1990 ◽  
Vol 156 (5) ◽  
pp. 752-754
Author(s):  
Mark Berelowitz
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
American Psychiatric Association ◽  
Close Relationships ◽  
Diagnostic Category ◽  
Borderline Personality ◽  
Psychoanalytic Literature ◽  
Classificatory System ◽  
Dual Origin ◽  
First Time

A new diagnostic category, borderline personality disorder, was included in the psychiatric classificatory system for the first time when it appeared in the DSM–III (American Psychiatric Association, 1980). However, the label, some of the associated concepts, and of course, the patients, have all been around for much longer. The contemporary concepts have two roots. The first is in the psychoanalytic literature: on the borderline between neurosis and psychosis. These patients are chronically unstable and impulsive, have difficulties in close relationships, and are prone to brief psychotic episodes. The second root is in the general psychiatric literature: on the border of schizophrenia. These patients are cold and aloof, with odd speech, depersonalisation and derealisation, and recurrent illusions. This dual origin will be reflected in the choice of papers and books.

scholarly journals The Italian Version of the Borderline Personality Disorder Severity Index IV: Psychometric Properties, Clinical Usefulness, and Possible Diagnostic Implications

2018 ◽  
Vol 32 (2) ◽  
pp. 207-219 ◽  
Author(s):  
Ester di Giacomo ◽  
Arnoud Arntz ◽  
Maria Fotiadou ◽  
Eugenio Aguglia ◽  
Lavinia Barone ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Psychometric Properties ◽  
Clinical Presentation ◽  
Severity Index ◽  
Borderline Personality ◽  
Structured Interviews ◽  
Italian Version ◽  
Good Internal Consistency ◽  
First Time

Borderline personality disorder (BPD) has a core embodied in affective and behavioral dysregulations, impulsivity, and relational disturbance. Clinical presentation might be heterogeneous due to a combination of different symptoms listed in the DSM-5. Clinical diagnosis and assessment of the severity of manifestations might be improved through the administration of structured interviews such as the Borderline Personality Disorder Severity Index, 4th edition (BPDSI-IV). The psychometric properties of the Italian version of the BPDSI-IV were examined for the first time in 248 patients affected by BPD and 113 patients affected by bipolar disorder, proving to be a valid and accurate instrument with good internal consistency and high accuracy. The Italian version also demonstrates significant validity in the discrimination between these clinical groups (p < 5001).

Complex PTSD – a better description for borderline personality disorder?

2017 ◽  
Vol 25 (4) ◽  
pp. 333-335 ◽  
Author(s):  
Jayashri Kulkarni
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Posttraumatic Stress ◽  
Stress Disorder ◽  
Diagnostic Category ◽  
Borderline Personality ◽  
Complex Posttraumatic Stress Disorder ◽  
Dsm 5 ◽  
Trauma Informed

Objective: To consider the use of the diagnostic category ‘complex posttraumatic stress disorder’ (c-PTSD) as detailed in the forthcoming ICD-11 classification system as a less stigmatising, more clinically useful term, instead of the current DSM-5 defined condition of ‘borderline personality disorder’ (BPD). Conclusions: Trauma, in its broadest definition, plays a key role in the development of both c-PTSD and BPD. Given this current lack of differentiation between these conditions, and the high stigma faced by people with BPD, it seems reasonable to consider using the diagnostic term ‘complex posttraumatic stress disorder’ to decrease stigma and provide a trauma-informed approach for BPD patients.

Borderline personality disorder and larger comfortable interpersonal distance in close relationships

2021 ◽  
Vol 182 ◽  
pp. 111067
Author(s):  
Mostafa Abdevali ◽  
Mohammad Ali Mazaheri ◽  
Mohammad Ali Besharat ◽  
Abbas Zabihzadeh ◽  
Jeffrey D. Green
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Close Relationships ◽  
Borderline Personality ◽  
Interpersonal Distance

From Humpty-Dumpty to Rapunzel: Theoretical Formulations concerning Borderline Personality Disorder

1985 ◽  
Vol 19 (4) ◽  
pp. 372-381 ◽  
Author(s):  
Isla Lonie
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Diagnostic Category ◽  
Borderline Personality ◽  
Developmental Defect ◽  
Detailed Consideration ◽  
Humpty Dumpty ◽  
Psychodynamic Understanding

A brief review of the development of the concept of Borderline Personality Disorder is given, together with a more detailed consideration of theorists who have made significant contributions to its psychodynamic understanding. Examples of the extreme limits of this diagnostic category are illustrated, using the symbolism of Humpty-Dumpty and Rapunzel. The theories of Winnicott and Kohut, which both elaborate on the concept of a developmental defect, are compared and contrasted. Some implications for therapy are considered.

scholarly journals Borderline personality disorder – current psychotherapy guidelines

2021 ◽  
Vol 21 (1) ◽  
pp. 36-44
Author(s):  
Agnieszka Popiel ◽  
◽  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
American Psychiatric Association ◽  
Treatment Plan ◽  
American Psychological Association ◽  
Strong Support ◽  
Clinical Excellence ◽  
Borderline Personality ◽  
Evidence Based ◽  
American Psychological

Borderline personality disorder affects about 1–1.5% of the population. It is characterised by chronicity (from adolescence to adulthood) and a significant suicide rate (about 10%). Spontaneous improvement can be observed in some patients; however, it is estimated that specialised therapy accelerates this process several times. Psychotherapy is the recommended treatment for those with borderline personality disorder; however, it is necessary to specify the methods and principles of its application. Data from research on effectiveness (ranging from strong support to modest/controversial results requiring replication) focus on a few psychotherapy methods: dialectical behavioural therapy, schema therapy (belonging to the cognitive-behavioural approach), as well as mentalisation-based therapy and transference-oriented therapy (belonging to the psychodynamic/psychoanalytical approach). The aim of the article is to present the recommended psychotherapy methods for patients with borderline personality disorder included in the guidelines developed by institutions referring to the principles of evidence-based practice – a tripartite approach where the basis of practice is recognising methods whose effectiveness has been demonstrated in empirical studies (evidence-based treatments). We also referred to the recommendations of the American Psychiatric Association, the American Psychological Association, and the National Institute for Health and Clinical Excellence. In the summary, the principles for psychotherapy in borderline personality disorders, common to many recommendations, including the diagnosis, risk management, therapy time planning, structure, discontinuation of psychotherapy and supervision, are also discussed. According to the guidelines (American Psychiatric Association, American Psychological Association and National Institute for Health and Clinical Excellence), pharmacotherapy plays a supportive role in the treatment of borderline personality disorder, but it should be considered in the coherent treatment plan and case management – therefore the main recommendations for pharmacological treatment are also discussed.

scholarly journals The PID -5 Inventory: the dimensional profile of DSM5 to guide diagnosis and therapeutic needs in personality disorders.

2018 ◽  
Vol 35 (1) ◽  
pp. 47-57 ◽  
Author(s):  
Juan-F. Torres-Soto ◽  
Francisco-J. Moya-Faz ◽  
Cesar-A. Giner-Alegría ◽  
Maria-A. Oliveras-Valenzuela
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Personality Disorders ◽  
American Psychiatric Association ◽  
Negative Affectivity ◽  
Borderline Personality ◽  
Day Hospital ◽  
Dsm 5 ◽  
Clinical Disorders ◽  
Therapeutic Needs

The PID-5 Inventory of the American Psychiatric Association evaluates personality and related disorders based on the dimensional trait model (DSM-5 Section III), which guides individual diagnosis and therapeutic needs. We analysed its usefulness as it was applied to patients that had been referred to a Day Hospital for Personality Disorders. In the sample of 85 subjects, 51 % had Borderline Personality Disorder (BPD), and 47 % had Personality Disorder NOS or Mixed (PD-NOS/MP), 65 % presenting comorbid clinical disorders. Among the BPD group, 89 % were women, 53 % were under 30 years old; they presented a PID-5 profile of greater severity, the Negative Affect and Disinhibition Domains stood out, as well as the facets of depression, impulsivity, anhedonia and distraction. Their borderline symptoms (BEST scale) were of greater intensity, they used fewer symptom coping strategies and more avoidance strategies (COPE-28 inventory). Among the PD-NOS/MP group, 58 % are women, 80 % were aged over 30 years, and negative affectivity, especially anxiety, stood out in their PID-5 profile. Both groups show borderline and avoidant features in the IPDE screening. The PID-5 was useful for confirming specific diagnoses (BPD), for describing the trait profile as well as proposing the specific therapeutic needs of both BPD and PD-NOS/MP patients.

scholarly journals Comorbidity Between Non-suicidal Self-Injury Disorder and Borderline Personality Disorder in Adolescents: A Graphical Network Approach

2020 ◽  
Vol 11 ◽  
Author(s):  
Tinne Buelens ◽  
Giulio Costantini ◽  
Koen Luyckx ◽  
Laurence Claes
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Separation Anxiety ◽  
Borderline Personality ◽  
Small Male ◽  
Dsm 5 ◽  
Self Injury ◽  
Symptom Level ◽  
First Time ◽  
Nssi Disorder

In 2013, DSM-5 urged for further research on non-suicidal self-injury (NSSI) and defined NSSI disorder (NSSI-D) for the first time separate from borderline personality disorder (BPD). However, research on the comorbidity between NSSI-D and BPD symptoms is still scarce, especially in adolescent populations. The current study selected 347 adolescents who engaged at least once in NSSI (78.4% girls, Mage = 15.05) and investigated prevalence, comorbidity, gender differences, and bridge symptoms of NSSI-D and BPD. Network analysis allowed us to visualize the comorbidity structure of NSSI-D and BPD on a symptom-level and revealed which bridge symptoms connected both disorders. Our results supported NSSI-D as significantly distinct from, yet closely related to, BPD in adolescents. Even though girls were more likely to meet the NSSI-D criteria, our findings suggested that the manner in which NSSI-D and BPD symptoms were interconnected, did not differ between girls and boys. Furthermore, loneliness, impulsivity, separation anxiety, frequent thinking about NSSI, and negative affect prior to NSSI were detected as prominent bridge symptoms between NSSI-D and BPD. These bridge symptoms could provide useful targets for early intervention in and prevention of the development of comorbidity between NSSI-D and BPD. Although the current study was limited by a small male sample, these findings do provide novel insights in the complex comorbidity between NSSI-D and BPD symptoms in adolescence.

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