scholarly journals Values in persons with Borderline Personality Disorder: Their relevance for the therapeutic interview

2020 ◽  
Vol 23 (1) ◽  
Author(s):  
Milena Mancini ◽  
Giovanni Stanghellini
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Common Sense ◽  
Borderline Personality ◽  
The Other ◽  
Consensual Qualitative Research ◽  
Dynamic Psychotherapy ◽  
Social Rules ◽  
Explorative Study ◽  
Ethical Norms

This is an explorative study on values of 25 patients affected by borderline personality disorder interviewed in a clinical setting (phenomenological-dynamic psychotherapy) and re-classified following Consensual Qualitative Research. We identified three main categories of values: recognition (the importance for attention, acknowledgment, commendation and acceptance by the other), authenticity (the importance of absolute emotional fusion with the other), and immediacy (the importance of instantaneous, hic et nunc satisfaction of one’s needs/desires). Each of these values expresses a kind of ‘logic’, namely the logic of intimacy (the other’s closeness as indispensable for defining oneself and establish/reinforce one’s selfhood and identity), spontaneity (over-reliance on feelings unrestricted by social norms undermining their intensity), and instantaneity (glorification of ‘now-moments’/execration of procrastination draining the vitality of feelings). The borderline person lives an emotional normativity constituted by the intensity of feelings under the spell of a frustrated normativity since they enter into a collision with the hypocrisy of common-sense ethical norms and social rules and conventions, as well as by potential conflicts with the feelings of the other. Acknowledging the values affirmed by borderline persons may help to better understand their condition - that is, to grasp ‘what it is like’ and make sense of the phenomena that affect them – and particularly to find a logic in their otherwise irrational and incomprehensible self-defeating behavior.

The Life-World of Persons with Borderline Personality Disorder

2018 ◽  
pp. 664-681 ◽  
Author(s):  
Giovanni Stanghellini ◽  
Milena Mancini
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Sense Of Self ◽  
Borderline Personality ◽  
The Self ◽  
The Other ◽  
Emotional Intensity ◽  
Life World ◽  
The Social ◽  
Shame And Guilt

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.

Sons of mothers with borderline personality disorder: Identifying fostering strategies

2017 ◽  
Vol 41 (S1) ◽  
pp. S440-S440
Author(s):  
S. Goretti ◽  
M.D.C. Sanchéz Sanchéz ◽  
P. Lucas Borja ◽  
G. Bautista Riviera ◽  
M. Rodríguez Lara
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Attachment Style ◽  
Parenting Practices ◽  
Psychological Intervention ◽  
Borderline Personality ◽  
The Other ◽  
Childhood Experiences ◽  
Competing Interest ◽  
Genetic And Environmental Factors

IntroductionThere is a higher incidence of borderline personality disorder (BPD) in families and offspring of people with the disorder, suggesting that both genetic and environmental factors are vulnerable to the condition that is passed from generation to generation.ObjectivesIdentify the parenting strategies used by these mothers as potential targets for psychological intervention.MethodLiterature review of the scientific literature.ResultsThe literature shows that mothers with BPD often have very characteristic parenting practices and that they are conditioned by what is inherent to BPD – oscillations between a search for excessive control of the other person for fear of abandonment and neglect behaviors, attachment insecure or disorganized. They are between extremes of over-involvement and lack of involvement with the child, that is, mothers who show themselves in some cold, avoidant and rejecting moments and in others that are excessively demanding, invasive and over-involved with the child, consistently denoting a pattern. Of relationship that goes from one end to the other.ConclusionsAttachment-based interventions work through corrective experiences in the therapeutic relationship, work on their attachment style, giving the mother an opportunity to reflect on her own childhood experiences with her caregivers and how they led her to Have an insecure or disorganized attachment, while being encouraged to connect these reflections with your current experiences with your child.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Impact of Borderline Personality Disorder on Bulimia Nervosa

2008 ◽  
Vol 42 (12) ◽  
pp. 1021-1029 ◽  
Author(s):  
Sarah L. Rowe ◽  
Jennifer Jordan ◽  
Virginia V. W. McIntosh ◽  
Frances A. Carter ◽  
Cynthia M. Bulik ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Bulimia Nervosa ◽  
Borderline Personality ◽  
The Other ◽  
Behaviour Therapy ◽  
Cognitive Behaviour ◽  
General Functioning ◽  
Pretreatment Assessment

Objective: The primary aim of the present study was to examine whether the presence of borderline personality disorder (BPD) adversely impacted on outcome 3 years after treatment among women with bulimia nervosa (BN), in comparison to those women with either other personality disorders (other PD) or no personality disorder (no PD). Method: Participants were 134 women who received cognitive behaviour therapy for BN. The sample was divided into three groups: BPD (n=38), other PD (n=37), and no PD (n=59). Eating disorder (ED) symptoms and attitudes, and personality traits were examined at pretreatment assessment, 1 year and 3 year follow up. Results: At pretreatment assessment the BPD group had higher purging frequency, more comorbidity and poorer general functioning than the other PD and no PD groups. By 3 year follow up, however, no significant differences were found in ED symptomatology and general functioning among the groups. Pretreatment differences between the BPD and no PD groups on the personality measures of harm avoidance, self-directedness and cooperativeness disappeared over the course of 3 years. Conclusion: Although women with BN and comorbid BPD appear more impaired at pretreatment assessment, they do not have poorer outcome than the other PD and no PD groups. The rate and level of improvement across the groups is not affected by the presence of BPD.

scholarly journals BORDERLINE PERSONALITY DISORDER DURING COVID-19 PANDEMIC

2021 ◽  
Vol 2 (2) ◽  
pp. 14-17
Author(s):  
Dearisa Yudhantara ◽  
Ratri Istiqomah
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Borderline Personality ◽  
The Other ◽  
Patient Acceptance ◽  
Negative Effects ◽  
Other Hand

The COVID-19 pandemic has had a significant impact on patients diagnosed with Borderline Personality Disorder (BPD). BPD patients who are unable to see a therapist due to limitations during the pandemic may experience feelings of uncertainty, misperceptions, misunderstandings, and even paranoid ideas that are usually associated with stress. In patients who have previously undergone psychotherapy, there may be negative effects during this pandemic. The majority of providers/therapists, on the other hand, stated that their experience exceeded their expectations and that they had a favorable assessment of patient acceptance.

scholarly journals Clinically useful screen for borderline personality disorder in psychiatric out-patients

2017 ◽  
Vol 210 (2) ◽  
pp. 165-166 ◽  
Author(s):  
Mark Zimmerman ◽  
Matthew D. Multach ◽  
Kristy Dalrymple ◽  
Iwona Chelminski
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Diagnostic Interview ◽  
Borderline Personality ◽  
The Other ◽  
Instability Criterion ◽  
Single Feature ◽  
Affective Instability ◽  
Dsm Iv ◽  
Structured Diagnostic Interview

SummaryA total of 3674 psychiatric out-patients were evaluated with a semi-structured diagnostic interview for DSM-IV borderline personality disorder (BPD). The affective instability criterion had a sensitivity of 92.8%, higher than the sensitivities of the other eight BPD criteria. The negative predictive value of the affective instability criterion was 99%. We recommend that clinicians screen for BPD in the same way that they screen for other psychiatric disorders: by enquiring about a single feature of the disorder (i.e. affective instability), the presence of which identifies most patients with the disorder and the absence of which rules out the disorder.

Emotion-Oriented Coping Style Predicts Self-Harm in Response to Acute Psychiatric Hospitalization

Crisis ◽  
2020 ◽  
pp. 1-7
Author(s):  
Jacqueline M. Frei ◽  
Vladimir Sazhin ◽  
Melissa Fick ◽  
Keong Yap
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Psychiatric Hospitalization ◽  
Coping Styles ◽  
Psychiatric Inpatients ◽  
Borderline Personality ◽  
Self Report ◽  
Therapeutic Interventions ◽  
Coping Behaviors ◽  
Self Harm

Abstract. Psychiatric hospitalization can cause significant distress for patients. Research has shown that to cope with the stress, patients sometimes resort to self-harm. Given the paucity of research on self-harm among psychiatric inpatients, a better understanding of transdiagnostic processes as predictors of self-harm during psychiatric hospitalization is needed. The current study examined whether coping styles predicted self-harm after controlling for commonly associated factors, such as age, gender, and borderline personality disorder. Participants were 72 patients (mean age = 39.32 years, SD = 12.29, 64% male) admitted for inpatient treatment at a public psychiatric hospital in Sydney, Australia. Participants completed self-report measures of coping styles and ward-specific coping behaviors, including self-harm, in relation to coping with the stress of acute hospitalization. Results showed that younger age, diagnosis of borderline personality disorder, and higher emotion-oriented coping were associated with self-harm. After controlling for age and borderline personality disorder, higher levels of emotion-oriented coping were found to be a significant predictor of self-harm. Findings were partially consistent with hypotheses; emotion-oriented but not avoidance-oriented coping significantly predicted self-harm. This finding may help to identify and provide psychiatric inpatients who are at risk of self-harm with appropriate therapeutic interventions.

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