scholarly journals Emotional Regulation and Affects in Patients With Borderline Personality Disorder

2021 ◽  
Author(s):  
Geovanny Genaro Reivan Ortiz ◽  
Daniel Orlando Icaza Álvarez
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Negative Affect ◽  
Positive Affect ◽  
Emotional Regulation ◽  
Cognitive Reappraisal ◽  
Borderline Personality ◽  
Expressive Suppression ◽  
Emotional Context ◽  
The Relationship

Abstract Background: The regulation of emotions and affective strategies have been shown to be relevant in the clinic of borderline personality disorder (BPD), however, the studies carried out are still not conclusive on the influencing role of these two variables on the course of the TLP. The need for empirical evidence on the relationship between the internal components of these manifestations is faced: cognitive reappraisal, expressive suppression, positive affect and negative affect. Result: The results indicate that the psychological variables studied present more dysfunctional values ​​in patients with BPD. The symptomatic of BPD does not moderate the relationship between cognitive reappraisal and negative affect; and cognitive reappraisal together with positive affect are associated with fewer BPD symptoms. Conclusion: The results obtained offer different clinical implications in the affective and emotional context of BPD, however, it would be necessary to use alternative measures of the emotional pattern, such as physiological methodologies to have more defining results.

scholarly journals Borderline Personality Disorder Symptoms and Affective Responding to Perceptions of Rejection and Acceptance from Romantic versus Non-Romantic Partners

2018 ◽  
Author(s):  
Sophie A. Lazarus ◽  
Lori Scott ◽  
Joseph E. Beeney ◽  
Aidan G.C. Wright ◽  
Stephanie D. Stepp ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Negative Affect ◽  
Positive Affect ◽  
Romantic Relationship ◽  
Romantic Partners ◽  
Borderline Personality ◽  
Affective Responses ◽  
Unique Effect ◽  
Perceived Acceptance

We examined event-contingent recording (ECR) of daily interpersonal interactions in a diagnostically diverse sample of 101 psychiatric outpatients who were involved in a romantic relationship. We tested whether the unique effect of borderline personality disorder (BPD) symptoms on affective responses (i.e., hostility, sadness, guilt, fear, positive affect) to perceptions of rejection or acceptance differed with one’s romantic partner compared to non-romantic partners. BPD symptoms were associated with more frequent perceptions of rejection and less frequent perceptions of acceptance across the study. For all participants, perceptions of rejecting behavior were associated with higher within-person negative affect and lower within-person positive affect. As predicted, in interactions with romantic partners only, those with high BPD symptoms reported heightened hostility and, to a lesser extent, attenuated sadness in response to perceptions of rejection. BPD symptoms did not moderate associations between perceptions of rejection and guilt, fear, or positive affect across romantic and non-romantic partners. For all participants, perceived acceptance was associated with lower within-person negative affect and high within-person positive affect. However, BPD symptoms were associated with attenuated positive affect in response to perceptions of accepting behavior in interactions with romantic partners only. BPD symptoms did not moderate associations between perceptions of acceptance and any of the negative affects across romantic and non-romantic partners. This study highlights the specificity of affective responses characteristic of BPD when comparisons are made to patients with other personality and psychiatric disorders. Implications for romantic relationship dysfunction are discussed.

Progression from interpersonal problems to suicidal ideation and suicidal behavior in borderline personality disorder

2020 ◽  
Author(s):  
Timothy Allen ◽  
Michael Hallquist ◽  
Aidan G.C. Wright ◽  
Alexandre Dombrovski
Keyword(s):  
Borderline Personality Disorder ◽  
Suicidal Ideation ◽  
Personality Disorder ◽  
Negative Affect ◽  
Structural Equation ◽  
Suicide Attempts ◽  
Borderline Personality ◽  
Equation Modeling ◽  
Interpersonal Dysfunction ◽  
Suicidal Crisis

Importance: Clinicians treating borderline personality disorder (BPD) are often faced with the difficult challenge of assessing when, and for whom, risk for suicide is greatest. Addressing this dilemma requires longitudinal, prospective data from high-risk samples with an elevated base rate of suicide attempts.Objective: To test whether dispositional characteristics modulate the pathway from interpersonal dysfunction to suicide in BPD. Design: This longitudinal, observational study was conducted between 1990 and 2020. Data were analyzed between April and July 2020. Participants were assessed annually for up to 30 years (mean number of follow-ups = 7.82). Setting: Participants were recruited from inpatient, outpatient, and community referral sources.Participants: 458 individuals (Mean age = 28.59, 77% female) diagnosed with BPD.Main Outcomes and Measures: Presence or absence of a suicide attempt within one year of each follow-up assessment. Multilevel structural equation modeling was used to 1) examine longitudinal, within-person transitions from interpersonal dysfunction to suicidal ideation to suicide attempts (i.e., the [I]nterpersonal-[I]deation-[A]ttempt pathway); and 2) evaluate whether two maladaptive personality dimensions, negative affect and disinhibition, moderated these transitions.Results: At the within-person level, there was support for the I-I-A pathway: suicidal ideation accounted for the association between interpersonal dysfunction and suicide attempts. Personality further moderated each component of the I-I-A pathway: negative affect was associated with a stronger coupling between interpersonal dysfunction and ideation; and disinhibition was associated with a stronger coupling between ideation and attempts. Conclusions and Relevance: The escalation from interpersonal difficulties to a suicidal crisis in BPD involves two psychologically distinct process. An internalizing process links interpersonal dysfunction to suicidal ideation and is facilitated by trait negative. An additional externalizing process links suicidal ideation to suicide attempts, and is facilitated by trait disinhibition. Assessment of these intra- and interindividual risk factors may inform clinical decisions about when, and for whom, crisis intervention is necessary.

Concurrent and Lagged Relations between Emotion Regulation and Affect in Adolescents’ Daily Life

2018 ◽  
Vol 21 ◽  
Author(s):  
Eliana Silva ◽  
Teresa Freire ◽  
Susana Faria
Keyword(s):  
Emotion Regulation ◽  
Negative Affect ◽  
Positive Affect ◽  
Sampling Method ◽  
Daily Life ◽  
Cognitive Reappraisal ◽  
Expressive Suppression ◽  
Daily Lives ◽  
Trait Level

AbstractA better understanding of emotion regulation (ER) within daily life is a growing focus of research. This study evaluated the average use of two ER strategies (cognitive reappraisal and expressive suppression) and concurrent and lagged relationships between these two ER strategies and affect (positive and negative affect) in the daily lives of adolescents. We also investigated the role of the same strategies at the trait level on these within-person relationships. Thirty-three adolescents provided 1,258 reports of their daily life by using the Experience Sampling Method for one week. Regarding the relative use of ER strategies, cognitive reappraisal (M = 2.87, SD = 1.58) was used more often than expressive suppression (M = 2.42, SD = 1.21). While the use of both strategies was positively correlated when evaluated in daily life (p = .01), the same did not occur at the trait level (p = .37). Multilevel analysis found that ER strategies were concurrently related to affect (p < .01), with the exception of cognitive reappraisal-positive affect relationship (p = .11). However, cognitive reappraisal predicted higher positive affect at the subsequent sampling moment ( β = 0.07, p = .03). The concurrent associations between cognitive reappraisal and negative affect vary as function of the use of this strategy at the trait level (β = 0.05, p = .02). Our findings highlighted the complex associations between daily ER strategies and affect of a normative sample of adolescents.

Borderline Personality Disorder, Language, and Stigma

2014 ◽  
Vol 16 (2) ◽  
pp. 114-119 ◽  
Author(s):  
Rachel Kling
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Personal Experience ◽  
Borderline Personality ◽  
Working Relationship ◽  
Client Behavior ◽  
The Relationship ◽  
Research Studies

As many research studies show, a large portion of clinicians in the mental field hold pejorative attitudes toward those with borderline personality disorder. Oftentimes, these attitudes become manifest through the use of stigmatizing language to describe client behavior, such as “manipulative” and “attention seeking.” In this article, combining personal experience with research, I explore how stigmatizing language and attitudes affect the relationship between client and clinician and how such language impacts recovery. I offer for consideration solutions that might be more conducive to recovery and lead to a better working relationship between client and clinician.

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