Borderline Personality Disorder
David F. O'Connell in Dual Disorders, 2014
A number of theorists have developed ideas on the causes and manifestations of borderline personality disorder. Patients with borderline personality disorder suffer from profound arrest in their psycho-developmental functioning that leaves them impaired in nearly all areas of their emotional and interpersonal functioning. They show impairments in the development of a stable cohesive identity, self-esteem, social functioning, the control of drives and impulses, and the capacity to regulate anxiety and modulate strong feelings. The unique defensive constellation that borderline patients show falls under the rubric of splitting. Splitting is both a specific defense and a class of defenses, including projective identification, primitive idealization, and devaluation. During times of extreme stress, some patients with borderline personality disorder may have psychotic episodes, become self-destructive, and require psychiatric hospitahzation. Perhaps the most common mode of psychotherapy with borderline patients is psychodynamic or expressive therapy, which has as its main focus the interpretation of problems and defenses.
Eating Disorders and Treatment
Emily Crews Splane, Neil E. Rowland, Anaya Mitra in Psychology of Eating, 2019
This chapter discusses the symptoms associated with anorexia nervosa and bulimia nervosa (BN), risk factors, leading explanations for these disorders, and best current treatments. Several techniques have been used by different groups of researchers to assess perceived body size. A binge is an excessive amount of food eaten within a limited amount of time. Some people with BN have symptoms of borderline personality disorder, which is characterized by emotional instability and impulsiveness. Several groups of researchers have found evidence implicating a role of the genes involved in the synthesis of the neurotransmitter serotonin and its receptors in eating disorders. From the cognitive perspective in the field of psychology, their maladaptive and negative thoughts lead to attempts to restrain eating and lose weight. Only a small percentage of people with eating disorders receive treatment, and an even smaller percentage completes the recommended therapeutic phases.
Psychology of mental health
Dominic Upton in Introducing Psychology for Nurses and Healthcare Professionals, 2013
At the end of this chapter you will be able to: Define mental health Evaluate the classification of mental health and abnormality Understand the nature of schizophrenia, including the subtypes, symptoms, aetiology and treatment Appreciate the nature of anxiety disorders including their nature, aetiology and treatment Interpret specific knowledge about the diagnosis, aetiology and treatment for both major depression and bipolar disorder Understand the differing concepts for personality disorder (clusters A, B and C), particularly the diagnosis, aetiology and treatment for antisocial and borderline personality disorder Understand the nature of anorexia and bulimia nervosa, the various aetiological explanations and effectiveness of treatments Appreciate the range of substance misuse disorders and their diagnosis, aetiology and treatment Understand what is meant by the Mental Health Act.
Examining the Relationship between Childhood Sexual Abuse and Borderline Personality Disorder: Does Social Support Matter?
Published in Journal of Child Sexual Abuse, 2011
The relationship between childhood sexual abuse and borderline personality disorder is a prominent issue in the etiological research on borderline personality disorder. This study further explored the relationship between childhood sexual abuse and the development of borderline personality features while evaluating the moderating role of a primary social support source in a sample of 290 female undergraduate students enrolled at a major southeastern university. Consistent with previous research, retrospective self-reports of childhood sexual abuse and low social support were both positively correlated with current borderline personality features. It was hypothesized that the presence of a supportive relationship at the time the childhood sexual abuse occurred would moderate the relationship between childhood sexual abuse and borderline personality features. This moderation hypothesis was not supported in the current study, but post-hoc analyses reveal the need to further examine how we define social support following childhood sexual abuse. This research is a stepping stone toward the prevention of borderline personality disorder following childhood sexual abuse.
Borderline Personality Disorder and Access to Services: A Crucial Social Justice Issue
Published in Australian Social Work, 2016
A diagnosis of Borderline Personality Disorder (BPD) can significantly affect access to services. Two Australian approaches to addressing this crucial social justice issue are compared: Project AIR (Affect Integration and Recovery), exemplifying changes within the existing psychiatric paradigm; and Adults Surviving Child Abuse's Practice Guidelines for Treatment of Complex Trauma and Trauma Informed Care and Service Delivery. Changes within the existing paradigm do not address stigma and fragmented services that create barriers to service. By comparison, the Guidelines represent a trauma informed perspective that recognises underlying complex trauma for most with the BPD diagnosis. Implications for services are discussed.
Borderline Personality Disorder Diagnostic Criteria as Risk Factors for Suicidal Behavior Through the Lens of the Interpersonal Theory of Suicide
Published in Archives of Suicide Research, 2016
Megan L. Rogers, Thomas E. Joiner
Borderline personality disorder diagnostic criteria, particularly affective dysregulation and behavioral dysregulation, are avenues through which suicide risk is conferred, though pathways are not well understood. The interpersonal theory of suicide may help elucidate these associations. The current study examined indirect relationships between affective and behavioral dysregulation and suicidal ideation through perceived burdensomeness, thwarted belongingness, and the acquired capability for suicide. 169 outpatients completed measures prior to their intake assessment. Perceived burdensomeness accounted for the relationship between affective dysregulation and suicidal ideation. The acquired capability did not explain the association between behavioral dysregulation and suicide attempt history. Affective and behavioral dysregulation may be key targets in treatment for reducing suicide risk.
Related Knowledge Centers
- Bulimia
- Dissociative Disorder
- DSM
- IV
- Personality Disorders
- Psychogenic Pain
- IV
- Psychiatric Assessment