scholarly journals 02 - PHENOMENOLOGY OF THE SELF, TIME, SPACE AND RELATION WITH OTHERS IN BORDERLINE PERSONALITY DISORDER: PRELIMINARY RESULTS

Author(s):  
Tânia Cavaco ◽  
Luís Madeira ◽  
João Rema ◽  
Joana Pereira ◽  
Mariana Melo ◽  
...  
Author(s):  
Stefano Carrera ◽  
Guia Pandolfi ◽  
Jee Yun Cappelletti ◽  
Walter Padoani ◽  
Silvia Salcuni

This contribution presents two brief reports about preliminary results of 18 months of oriented Mentalization-Based Treatment (MBT), with Borderline Personality Disorder patients, recruited at the Camposampiero Mental Health Center. Following in large part Bateman and Fonagy guidelines for MBT in institutional settings, this paper presents preliminary results in two brief reports related to two cohorts of patient underwent to the oriented MBT in Camposampiero Mental Health Center (MHC). In the first study, we analyzed a group of 9 patients: an anamnestic schedule was administered; then, symptoms (SCL-90-R), psychodiagnostic scale and global health functioning (Health of the Nation Outcome Scale, Structured Clinical Interview for DSM-IV Axis II Disorder [SCID-II], Global Assessment of Functioning, [GAF]), data on service impact and service costs (Cassel Community Adjustment Questionnaire, Patient Evaluation Schedule and folder data) were provided at the beginning (T0), at the end of the treatment (T2) and 1 year after the end of the MBT project. The second study showed a micro-analytical change on a second patient cohort (n=6) at T0, 3, 6 and 9 months (T1) were presented considering specifically mentalization (Comparative Psychotherapy Process Scale, Modes of Mentalization Scale, Mentalization Imbalances Scale) and patienttherapist session evaluation trends (Session Evaluation Questionnaire) and patient reflective functioning at T0 and T2 (Reflective Functioning Questionnaire). Aims and hypotheses of the two studies pointed out how the oriented MBT bring to an improvement of the overall functioning of the patients, a reduction of the symptoms, a decrease of the diagnostic criteria for the Borderline Personality Disorder (BPD) and the other Axis II disorders, a reduction of the workload hours for the MHC staff and of the costs of the assistance. The analyses of both the studies were carried out using non-parametric statistics (Friedman test, Spearman correlation, Chi-square). Preliminary results confirmed the improvement in the overall functioning of patients (GAF), the reduction in BPD-related symptoms and in diagnostic criteria for BPD (SCID-II), the improvement of patients’ mentalization skills, and a significant reduction in workload for health staff. Standing the limits and the preliminary results, the two brief reports demonstrate the feasibility of an oriented MBT within an Italian Public Service and the effectiveness of this treatment pathway for patients with BPD, leaving some open questions to stimulate a fruitful clinical discussion.


2004 ◽  
Vol 14 (1) ◽  
pp. 39-54 ◽  
Author(s):  
Birgit Völlm ◽  
Paul Richardson ◽  
John Stirling ◽  
Rebecca Elliott ◽  
Mairead Dolan ◽  
...  

Author(s):  
Jens Tasche

This article presents ten theses containing theoretical considerations for a postgraduate curriculum as currently tested by the Polish Society for Bioenergetic Analysis. The bioenergetic notion of the self, of affect regulation and of mental defense are modified in order to allow for psychodynamic conflict-, structureand trauma-pathological concepts to be integrated into Bioenergetic Analysis. Among other advantages, this approach facilitates the work with structural disorders (narcissism, borderline personality disorder) in Bioenergetic Analysis.


2021 ◽  
Author(s):  
Ailun Li ◽  
Jiaxuan Teng ◽  
Zuzanna Jagoda Tajchman ◽  
Iris Vilares

Background: Impulsivity as a multidimensional construct is commonly linked with a wide range of mental health disorders, such as Bipolar Disorder (BD) and Borderline Personality Disorder (BorPD). Previous research suggests that individuals with BD and BorPD are more likely to be associated with lower academic achievement. This experiment aims to investigate the interrelation between BD or BorPD traits, impulsivity, and poor academic performance (GPA). Method: Our pre-registered study tested bipolar and borderline personality traits from a sample of 125 college students. Two behavioral tasks (Two-choice impulsivity paradigm; Go/no-go) and a self-report questionnaire (Barratt Impulsiveness Scale, BIS-11) were used to measure impulsivity. Students’ Grade Point Averages (GPAs) were also collected. Results: Both bipolar and borderline personality traits were positively correlated with the self-report impulsivity questionnaire (BIS-11) but not with the behavioral tasks. Students’ GPA were not significantly correlated with BD, BorPD traits, and impulsivity measures (behavioral and self-report). The self-report impulsivity questionnaire (BIS-11) was only significantly correlated with the Go/no-go task performance, but not the two-choice impulsivity paradigm. Limitations: This study is a correlational study in which participants have pre-existing conditions, therefore we cannot get a causal relationship. Besides, due to the normative sample, the study can only look at traits instead of diagnosis. Conclusions: Results from this study suggest that students with bipolar and/or borderline personality traits tend to have higher self-report impulsivity, without a noticeable impact on their GPA. Our results also support the growing consensus that impulsivity describes a diverse set of processes and traits.


2017 ◽  
Vol 12 (6) ◽  
pp. 350-359 ◽  
Author(s):  
Fiona Donald ◽  
Cameron Duff ◽  
Jillian Broadbear ◽  
Sathya Rao ◽  
Katherine Lawrence

Purpose Borderline personality disorder (BPD) is a complex condition characterized by a number of psychosocial difficulties that typically involve considerable suffering for individuals with the condition. Recovery from BPD may involve specific processes such as work on how the self is perceived by the individual with BPD and his or her relationships which differ from those common to recovery from other mental health conditions. The details of the processes that may best promote changes within the self and relationships are yet to be established. The paper aims to discuss these issues. Design/methodology/approach In total, 17 consumers from a specialist BPD service were interviewed to identify factors they have experienced that contribute to recovery from BPD. Thematic analysis within a grounded theory framework was used to understand key themes within the interview data. The emphasis was on specific conditions of change rather than the more global goals for recovery suggested by recent models. Findings Key themes identified included five conditions of change: support from others; accepting the need for change; working on trauma without blaming oneself; curiosity about oneself; and reflecting on one’s behavior. To apply these conditions of change more broadly, clinicians working in the BPD field need to support processes that promote BPD-specific recovery identified by consumers rather than focusing exclusively on the more general recovery principles previously identified within the literature. Originality/value The specific factors identified by consumers as supporting recovery in BPD are significant because they involve specific skills or attitudes rather than aspirations or goals. These specific skills may be constructively supported in clinical practice.


Author(s):  
Giovanni Stanghellini ◽  
Milena Mancini

Persons with borderline personality disorder are often described as affected by extreme emotional fluctuations. This article analyses their fundamental emotions: dysphoria and anger, despair, boredom, shame, and guilt. Our focus will be mainly on the two distinct life-world configurations that originate from dysphoria and anger: the dysphoric life-world and the life-world of anger. The first is characterized by a quasi-ineffable constellation of feelings in which Self and Others are irritatingly indefinite. In the second, the vague sense of Self and Others disappear: the Self is the victim, the Other the Offender. This emotional intensity does not allow borderline persons to distance themselves from what they feel here-and-now, thus feelings and values overlap. We call this “frustrated normativity.” Borderline persons are guided by the value of authenticity thus entering into collision with the social norms/conventions which they consider inauthentic and therefore an unwarranted challenge to their truly natural being: spontaneity.


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