scholarly journals Borderline Personality Disorder with Paranoid Features

2021 ◽  
Vol 4 (2) ◽  
Author(s):  
Adina Isabell Iancu ◽  
◽  
Monica-Georgiana Lazăr ◽  
Simona Trifu ◽  
◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Defense Mechanisms ◽  
Suicide Attempts ◽  
Borderline Personality ◽  
Stressful Events ◽  
Axis Ii ◽  
Appropriate Treatment ◽  
Destructive Behaviors ◽  
Poor Management

This paper aims to evaluate the current and dynamic profile of a 19-year-old with Borderline Personality Disorder (BPD) with paranoid features. The case allows us to detect how the symptoms associated with BPD evolve on a background of poor management of potentially stressful events. There is a Borderline personality structure with obvious paranoid features, which pushes the patient into dysfunctional behaviors, aggressive acts and suicidal tendencies, the patient's instability, chaotic sexuality, addictive and self-harming behavior being observed. There are elements specific to an antisocial personality with narcissistic notes, which highlight impulsive and manipulative tendencies, accompanied by recurrent conflicts and delinquency. The clinical picture of axis II pathology is highlighted, an accentuated aspect being represented by the deficient defense mechanisms, which prevent the integration of the events in an adequate way. Considering the patient's self-destructive behaviors, impulsiveness, and multiple addictions, in the absence of appropriate treatment, psychotherapy, and/or pharmacological treatment, several future complications may occur, including risks of future problems with the law, self-destructive behaviors, and suicide attempts.

scholarly journals Borderline Personality Disorder with Paranoid Features

2021 ◽  
Author(s):  
Adina Isabell Iancu ◽  
Monica-Georgiana Lazăr ◽  
Simona Trifu
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Defense Mechanisms ◽  
Suicide Attempts ◽  
Borderline Personality ◽  
Stressful Events ◽  
Axis Ii ◽  
Appropriate Treatment ◽  
Destructive Behaviors ◽  
Poor Management

This paper aims to evaluate the current and dynamic profile of a 19-year-old with Borderline Personality Disorder (BPD) with paranoid features. The case allows us to detect how the symptoms associated with BPD evolve on a background of poor management of potentially stressful events. There is a Borderline personality structure with obvious paranoid features, which pushes the patient into dysfunctional behaviors, aggressive acts and suicidal tendencies, the patient's instability, chaotic sexuality, addictive and self-harming behavior being observed. There are elements specific to an antisocial personality with narcissistic notes, which highlight impulsive and manipulative tendencies, accompanied by recurrent conflicts and delinquency. The clinical picture of axis II pathology is highlighted, an accentuated aspect being represented by the deficient defense mechanisms, which prevent the integration of the events in an adequate way. Considering the patient's self-destructive behaviors, impulsiveness, and multiple addictions, in the absence of appropriate treatment, psychotherapy, and/or pharmacological treatment, several future complications may occur, including risks of future problems with the law, self-destructive behaviors, and suicide attempts.

scholarly journals Defense Mechanisms and Psychological Characteristics According to Suicide Attempts in Patients with Borderline Personality Disorder

2020 ◽  
Vol 17 (8) ◽  
pp. 840-849
Author(s):  
Young-Ji Lee ◽  
Mu-Sung Keum ◽  
Hye-Geum Kim ◽  
Eun-Jin Cheon ◽  
Young-Chul Cho ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Defense Mechanisms ◽  
Minnesota Multiphasic Personality Inventory ◽  
Suicide Attempts ◽  
Borderline Personality ◽  
Psychological Characteristics ◽  
Suicide Attempters ◽  
Defense Style ◽  
Biological Studies

Objective There have been many biological studies on suicide behaviors of borderline personality disorder (BPD), however few studies have sought to psychoanalytic characteristics including defense mechanisms. Therefore, we investigated psychological, symptomatic, and personality characteristics including defense mechanisms in suicide attempters and non-suicide attempters among patients with BPD.Methods We enrolled 125 patients with BPD. Forty-two patients with a history of one or more suicide attempts formed the suicide attempters group and 83 patients with no such history formed the non-suicide attempters group. We collated the differences in clinical and psychological characteristics between the two groups by using the Symptom Checklist-90-Revised (SCL-90-R), the Minnesota Multiphasic Personality Inventory-2 (MMPI-2), the Personality Disorder Questionnaire-4+ (PDQ-4+), and the Defense Style Questionnaire (DSQ).Results The suicide attempters group scored higher on the hostility subscale of SCL-90-R. The suicide attempters group also scored higher on the Infrequency, Back Infrequency, Lie, Masculinity-femininity, Paranoia, Psychasthenia, and Schizophrenia scales of the MMPI-2. The incidence of paranoid and antisocial personality disorders, as assessed by the PDQ-4+, was significantly different in both groups. Maladaptive, self-sacrificing defense style, splitting and affiliation on the DSQ were also higher for the suicide attempters group. In the results of the logistic regression analysis, gender, the F(B) and L scales on the MMPI-2, and ‘splitting of other’s image’ defense mechanism on the DSQ were the factors that significantly influenced to suicide attempts.Conclusion These findings suggest that impulsive psychiatric features and maladaptive defense style may be related to suicidal risk in patients with BPD. Therefore, our findings may help clinicians in estimating the risk of suicide in patients with BPD.

Comparison of Three Questionnaires to Screen for Borderline Personality Disorder in Adolescents and Young Adults

2017 ◽  
Vol 33 (2) ◽  
pp. 123-128 ◽  
Author(s):  
Anne van Alebeek ◽  
Paul T. van der Heijden ◽  
Christel Hessels ◽  
Melissa S.Y. Thong ◽  
Marcel van Aken
Keyword(s):  
Young Adults ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Borderline Personality ◽  
Adolescents And Young Adults ◽  
Patient Questionnaire ◽  
Statistical Manual ◽  
Axis Ii ◽  
Diagnostic And Statistical Manual ◽  
Dsm Iv

Abstract. One of the most common personality disorders among adolescents and young adults is the Borderline Personality Disorder (BPD). The objective of current study was to assess three questionnaires that can reliably screen for BPD in adolescents and young adults (N = 53): the McLean Screening Instrument for BPD (MSI-BPD; Zanarini et al., 2003 ), the Personality Diagnostic Questionnaire 4th edition – BPD scale (PDQ-4 BPD; Hyler, 1994 ), and the SCID-II Patient Questionnaire – BPD scale (SCID-II-PQ BPD). The nine criteria of BPD according to the Diagnostic and Statistical Manual of Mental Disorders-IV (DSM-IV; APA, 1994 ) were measured with the Structural Clinical Interview for DSM-IV Axis II disorders – BPD scale (SCID-II; First, Spitzer, Gibbon, Williams, & Benjamin, 1995 ). Correlations between the questionnaires and the SCID-II were calculated. In addition, the sensitivity and specificity of the questionnaires were tested. All instruments predicted the BPD diagnosis equally well.

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.

Borderline Personality Disorder: Associations Between Dimensional Personality Profiles and Self-Destructive Behaviors

2019 ◽  
Vol 33 (2) ◽  
pp. 249-261 ◽  
Author(s):  
Katharina Kolbeck ◽  
Steffen Moritz ◽  
Julia Bierbrodt ◽  
Christina Andreou
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Factor Model ◽  
Five Factor Model ◽  
Risk Preference ◽  
Borderline Personality ◽  
Self Report ◽  
Personality Profiles ◽  
Ongoing Research ◽  
Destructive Behaviors

Ongoing research is shifting towards a dimensional understanding of borderline personality disorder (BPD). Aim of this study was to identify personality profiles in BPD that are predictive of self-destructive behaviors. Personality traits were assessed (n = 130) according to the five-factor model of personality (i.e., Neuroticism, Extraversion, Openness to Experience, Agreeableness, Conscientiousness) and an additional factor called Risk Preference. Self-destructive behavior parameters such as non-suicidal self-injury (NSSI) and other borderline typical dyscontrolled behaviors (e.g., drug abuse) were assessed by self-report measures. Canonical correlation analyses demonstrated that Neuroticism, Extraversion, and Conscientiousness are predictors of NSSI. Further, Neuroticism, Agreeableness, and Risk Preference were associated with dyscontrolled behaviors. Our results add further support on personality-relevant self-destructive behaviors in BPD. A combined diagnostic assessment could offer clinically meaningful insights about the causes of self-destruction in BPD to expand current therapeutic repertoires.

scholarly journals BORDERLINE PERSONALITY DISORDER IN DRAMA AUGUST: OSAGE COUNTY (2007) BY TRACY LETTS

2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Dova Yovenescha ◽  
Desvalini Anwar
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Emotional Reactions ◽  
Borderline Personality ◽  
Main Character ◽  
Destructive Behaviors ◽  
Osage County

The purpose of this analysis is to expose the issue of Borderline Personality Disordere which is represented by the main character and to know the contribution of the plot, setting, and character in revealing the Borderline Personality Disorder. This analysis is related to the concept neurosis by Freud that is supported by the text-based interpretation. The result of this analysis shows the main character has Borderline Personality Disorder that can be seen from the main character’s inappropriate emotional reactions and highly self-destructive behaviors.

Organization of co-occurring Axis II features in borderline personality disorder

2008 ◽  
Vol 47 (2) ◽  
pp. 185-200 ◽  
Author(s):  
Kenneth L. Critchfield ◽  
John F. Clarkin ◽  
Kenneth N. Levy ◽  
Otto F. Kernberg
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Borderline Personality ◽  
Axis Ii

scholarly journals Mediating role of borderline personality disorder traits in the effects of childhood maltreatment on suicidal behaviour among mood disorder patients

2017 ◽  
Vol 44 ◽  
pp. 53-60 ◽  
Author(s):  
K.I. Aaltonen ◽  
T. Rosenström ◽  
I. Baryshnikov ◽  
B. Karpov ◽  
T. Melartin ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Suicidal Ideation ◽  
Personality Disorder ◽  
Childhood Maltreatment ◽  
Suicidal Behaviour ◽  
Suicide Attempts ◽  
Borderline Personality ◽  
Mediation Effect ◽  
Mediation Analyses ◽  
Borderline Personality Disorder Traits

AbstractBackground:Substantial evidence supports an association between childhood maltreatment and suicidal behaviour. However, few studies have examined factors mediating this relationship among patients with unipolar or bipolar mood disorders.Methods:Depressive disorder and bipolar disorder (ICD-10-DCR) patients (n = 287) from the Helsinki University Psychiatric Consortium (HUPC) Study were surveyed on self-reported childhood experiences, current depressive symptoms, borderline personality disorder traits, and lifetime suicidal behaviour. Psychiatric records served to complement the information on suicide attempts. We examined by formal mediation analyses whether (1) the effect of childhood maltreatment on suicidal behaviour is mediated through borderline personality disorder traits and (2) the mediation effect differs between lifetime suicidal ideation and lifetime suicide attempts.Results:The impact of childhood maltreatment in multivariate models on either lifetime suicidal ideation or lifetime suicide attempts showed comparable total effects. In formal mediation analyses, borderline personality disorder traits mediated all of the total effect of childhood maltreatment on lifetime suicide attempts, but only one fifth of the total effect on lifetime suicidal ideation. The mediation effect was stronger for lifetime suicide attempts than for lifetime suicidal ideation (P = 0.002) and independent of current depressive symptoms.Conclusions:The mechanisms of the effect of childhood maltreatment on suicidal ideation versus suicide attempts may diverge among psychiatric patients with mood disorders. Borderline personality disorder traits may contribute to these mechanisms, although the influence appears considerably stronger for suicide attempts than for suicidal ideation.

Differential Change of Borderline Personality Disorder Traits During Dialectical Behavior Therapy for Adolescents

2019 ◽  
Vol 33 (1) ◽  
pp. 119-134 ◽  
Author(s):  
Arne Buerger ◽  
Gloria Fischer-Waldschmidt ◽  
Florian Hammerle ◽  
Kristin von Auer ◽  
Peter Parzer ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Behavior Therapy ◽  
Dialectical Behavior Therapy ◽  
Suicide Attempts ◽  
Treatment Options ◽  
Skills Training ◽  
Borderline Personality ◽  
Secondary Outcomes ◽  
The Impact

Despite the expansion of treatment options for adults with borderline personality disorder (BPD), research on treatment options for adolescent BPD is scarce. The aim of this study was to investigate the impact of dialectical behavior therapy for adolescents (DBT-A) on the individual trait level as primary outcome; and the frequency of suicide attempts and nonsuicidal self-injury, self-reported BPD core pathology, and general psychopathology as secondary outcomes. Seventy-two adolescents (aged 12–17 years) with full- or subsyndromal BPD were treated with DBT-A (25 single sessions, 20 sessions of skills training), and 13 patients (18.1%) withdrew during treatment. From baseline to post-treatment, the number of BPD traits decreased significantly (p ≤ .001). All secondary outcomes decreased significantly as well (p ≤ .001). Results of this uncontrolled study suggest that beside self-harm, DBT-A may also have a beneficial impact on other features of BPD.

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