scholarly journals Biting the hand that feeds: current opinion on the interpersonal causes, correlates, and consequences of borderline personality disorder

F1000Research ◽  
2016 ◽  
Vol 5 ◽  
pp. 2796 ◽  
Author(s):  
Sheila E. Crowell
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Interpersonal Relationships ◽  
Borderline Personality ◽  
Major Objective ◽  
Interpersonal Dynamics ◽  
Individual Level ◽  
The Family ◽  
Heighten Risk ◽  
Preventative Interventions

Borderline personality disorder (BPD) is a complex psychiatric diagnosis characterized by dysregulated behaviors, emotions, cognitions, and interpersonal relationships. In recent years, developmental psychopathologists have sought to identify early origins of BPD, with the ultimate goal of developing and providing effective preventative interventions for those at highest risk. In addition to heritable biological sensitivities, many scholars assert that environmental and interpersonal risk factors contribute to the emergence and maintenance of key borderline traits. Nonetheless, many BPD researchers examine only affected individuals, neglecting the family, peer, couple, and other dynamic contextual forces that impinge upon individual-level behavior. In the past decade, however, theoretical and empirical research has increasingly explored the interpersonal causes, correlates, and consequences of BPD. Such work has resulted in novel research and clinical theories intended to better understand and improve interpersonal dynamics among those with borderline traits. A major objective for the field is to better characterize how interpersonal dynamics affect (and are affected by) the behaviors, emotions, and thoughts of vulnerable individuals to either reduce or heighten risk for BPD.

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 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.

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.

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 Clinical Features, Neuropsychology and Neuroimaging in Bipolar and Borderline Personality Disorder: A Systematic Review of Cross-Diagnostic Studies

2021 ◽  
Vol 12 ◽  
Author(s):  
Anna Massó Rodriguez ◽  
Bridget Hogg ◽  
Itxaso Gardoki-Souto ◽  
Alicia Valiente-Gómez ◽  
Amira Trabsa ◽  
...  
Keyword(s):  
Systematic Review ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Interpersonal Relationships ◽  
Clinical Features ◽  
Explanatory Power ◽  
Borderline Personality ◽  
Neuropsychological Performance ◽  
Diagnostic Studies ◽  
Co Morbidity

Background: Bipolar Disorder (BD) and Borderline Personality Disorder (BPD) have clinically been evolving as separate disorders, though there is still debate on the nosological valence of both conditions, their interaction in terms of co-morbidity or disorder spectrum and their distinct pathophysiology.Objective: The objective of this review is to summarize evidence regarding clinical features, neuropsychological performance and neuroimaging findings from cross-diagnostic studies comparing BD and BPD, to further caracterize their complex interplay.Methods: Using PubMed, PsycINFO and TripDataBase, we conducted a systematic literature search based on PRISMA guidelines of studies published from January 1980 to September 2019 which directly compared BD and BPD.Results: A total of 28 studies comparing BD and BPD were included: 19 compared clinical features, 6 neuropsychological performance and three neuroimaging abnormalities. Depressive symptoms have an earlier onset in BPD than BD. BD patients present more mixed or manic symptoms, with BD-I differing from BPD in manic phases. BPD patients show more negative attitudes toward others and self, more conflictive interpersonal relationships, and more maladaptive regulation strategies in affective instability with separate pathways. Impulsivity seems more a trait in BPD rather than a state as in BD. Otherwise, BD and BPD overlap in depressive and anxious symptoms, dysphoria, various abnormal temperamental traits, suicidal ideation, and childhood trauma. Both disorders differ and share deficits in neuropsychological and neuroimaging findings.Conclusion: Clinical data provide evidence of overlapping features in both disorders, with most of those shared symptoms being more persistent and intense in BPD. Thus, categorical classifications should be compared to dimensional approaches in transdiagnostic studies investigating BPD features in BD regarding their respective explanatory power for individual trajectories.Systematic Review Registration: The search strategy was pre-registered in PROSPERO: CRD42018100268.

scholarly journals Effects of childhood maltreatment on social cognition and brain functional connectivity in borderline personality disorder patients

2018 ◽  
Author(s):  
Xochitl Duque ◽  
Ruth Alcalá-Lozano ◽  
Jorge J. González-Olvera ◽  
Eduardo A. Garza-Villarreal ◽  
Francisco Pellicer
Keyword(s):  
Child Abuse ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Interpersonal Relationships ◽  
Childhood Maltreatment ◽  
Social Cognitive ◽  
Borderline Personality ◽  
Cognitive Test ◽  
Cognitive Responses ◽  
Cognitive Paradigms

AbstractBorderline personality disorder (BPD) is a chronic condition characterized by high levels of impulsivity, affective instability, and difficulty to establish and manage interpersonal relationships. This paper assessed differences in performance on social cognitive paradigms (MASC, RMTE) and how it related to child abuse. Specifically, it evaluated the relationship between performance on cognitive paradigms and baseline brain connectivity in patients with BPD, compared to healthy controls.BPD patients had higher levels of childhood maltreatment, increased impulsivity and aggression, and more dissociative symptoms than control subjects. For the sexual abuse subdimension, there were no differences between the BPD and the control groups, but there was a negative correlation between MASC scores and total childhood maltreatment levels, as well as between physical abuse, physical negligence, and MASC. Both groups showed that the higher the level of childhood maltreatment, the lower the performance on the MASC social cognitive test. Further, in the BPD group, there was hypoconnectivity between the structures responsible for emotion regulation and social cognitive responses that have been described as part of the frontolimbic circuitry. The more serious the child abuse, the lower the connectivity.

scholarly journals “Family Connections”, a DBT-Based Program for Relatives of People with Borderline Personality Disorder during the COVID-19 Pandemic: A Focus Group Study

2021 ◽  
Vol 19 (1) ◽  
pp. 79
Author(s):  
Isabel Fernández-Felipe ◽  
Amanda Díaz-García ◽  
José Heliodoro Marco ◽  
Azucena García-Palacios ◽  
Verónica Guillén Botella
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Focus Group ◽  
Family Environment ◽  
Health Centre ◽  
Borderline Personality ◽  
Focus Group Study ◽  
Great Satisfaction ◽  
The Family ◽  
Family Connections

The COVID-19 pandemic has had a significant impact on the family environment due to the difficulties that have been generated by job losses, deaths, increase rates of family and domestic violence, poor mental health outcomes, and estrangement in personal relationships. “Family Connections” (FC) is an internationally renowned DBT-based program that supports the families and caregivers of people with borderline personality disorder. The study took place at a Specialized Health Centre in Spain. A focus group with seven participants was organized for people who had previously attended an FC group. The participants were asked about their experiences during the confinement periods that was caused by COVID-19 as well as their experiences and opinions on relatives, skills practiced, their need to and the advantages of attending the group, and satisfaction with the FC group. The qualitative research web program Dedoose was used for the thematic analysis of the data. The results showed that the participants experienced various experiences during confinement; validation and radical acceptance were determined to be the most useful skills; the importance of professionals and the content as well as the sincerity of attendees and having a safe space were determined to be the greatest benefits of the programs; and the participants all indicated great satisfaction of the program. This study allowed us to explore the experiences of family members of people with BPD with their loved ones during the confinement period caused by the COVID-19 pandemic. We evaluated the use of the FC program skills in the family environment during confinement, and we analyzed the acceptability and satisfaction with the FC program.

Family Psychoeducation Approaches for Borderline Personality Disorder

2017 ◽  
Author(s):  
Valerie Porr
Keyword(s):  
Social Support ◽  
Treatment Outcome ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Family Members ◽  
Borderline Personality ◽  
Family Psychoeducation ◽  
Improve Treatment ◽  
Improve Treatment Outcome ◽  
The Family

This chapter provides a rationale for training family members of individuals with borderline personality disorder (BPD) to help them develop into therapeutic allies and treatment adjuncts. It also describes the experiences of family members in finding help for their loved ones with BPD and the family psychoeducation programs currently available for BPD and other disorders. By default, families often are the only alternative available to handle crisis situations since some individuals with BPD refuse to participate in therapy, have dropped out of therapy, or appropriate BPD services are not available in their communities. With an understanding of BPD, social support, and appropriate training, families can potentially develop as adjuncts and that can help improve treatment outcome

Low Compliance to Pharmacological Treatment of Severe Chronic Illness: Passive Suicide Ideation in Borderline Personality Disorder?

2017 ◽  
Vol 41 (S1) ◽  
pp. S711-S711
Author(s):  
M. Bonea ◽  
I. Miclutia
Keyword(s):  
Liver Cirrhosis ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Interpersonal Relationships ◽  
Suicide Ideation ◽  
Suicide Attempts ◽  
Treatment Plan ◽  
Primary Hypothyroidism ◽  
Borderline Personality ◽  
Affective Instability

IntroductionThe core features of Borderline Personality Disorder (BPD), such as deliberate self-harm, suicide attempts and demandingness in interpersonal relationships persist with age, even though impulsivity decreases. Impairing progressive disease combined with affective instability and chronic feelings of emptiness can lead to a desire for death.ObjectivesTo present a case of BPD with severe chronic endocrine pathology and liver cirrhosis who refused to take his treatment as prescribed.MethodsA case report is presented and discussed.ResultsWe report the case of a 61-year-old man with BPD and liver cirrhosis, complex endocrine pathology (pituitary adenoma, diabetes insipidus and primary hypothyroidism), type 2 diabetes mellitus with insulin therapy, essential hypertension and alcohol use disorder. He had a history of 5 suicide attempts caused by marked feelings of rejection and emptiness and a pattern of unstable relationships and lack of commitment, thus his marriage lasted only 2 years. He idealized and was extremely familiar with his clinician and displayed marked affective instability (dysphoria, periods of anger and despair, affective ambivalence towards his parents and recurrent depressive symptoms). Because of his liver disease, the psychotropic medication was ceased by his physician. The patient refused to follow the rest of his treatment plan and diet as prescribed, resulting in the deterioration of his somatic status. The patient denied an active suicidal ideation, but did not explain his non-compliance.ConclusionThe impairment from BPD and the risk of suicide persist even in older age affecting the outcome of co-morbid somatic conditions.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Transcranial Magnetic Stimulation for Borderline Personality Disorder: Rationale, Stimulation Site and Methods

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
L. Cailhol ◽  
E. Bui ◽  
B. Roussignol ◽  
A.-H. Moncany ◽  
R. Klein ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Transcranial Magnetic Stimulation ◽  
Personality Disorder ◽  
Interpersonal Relationships ◽  
Magnetic Stimulation ◽  
Suicide Attempts ◽  
Repetitive Transcranial Magnetic Stimulation ◽  
Controlled Trial ◽  
Borderline Personality ◽  
Post Traumatic Stress

Borderline personality disorder (BPD) is characterized by pervasive instability in moods, interpersonal relationships, self-image, and behavior. This disorder is associated with a significant rate of suicide attempts and completed suicides (4 to 10%), a major impairment in social functioning and an increased healthcare utilization cost. Treatments available include psychotherapy and pharmacotherapy. Research has shown some efficacy of repetitive Transcranial Magnetic Stimulation (rTMS) on post-traumatic stress disorder and mood disorder which both share common biological or clinical features with BPD. It is then likely that rTMS might prove efficient on BPD symptoms.A review of the literature on neuroimaging and neuropsychology of BPD shows a hypoactivity of the dorsolateral prefrontal cortex which may be a potential target site for rTMS.We will conduct a pilot randomized sham-controlled trial on 30 BPD patients assessing the efficacy of a 10-day course of daily rTMS on neuropsychological tasks, BPD symptoms severity, risk taking behaviour, depression and general psychopathology.

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