Borderline Personality Disorder: An Overview

Adams, Henry E.; Bernat, Jeffrey A.; Luscher, Kristen A.

doi:10.1007/0-306-47377-1_17

Cited by 10 publications

(15 citation statements)

References 101 publications

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“…Although the diagnosis of borderline personality disorder (BPD) is relatively new, first appearing in 1980 with the third edition of the DSM, the term ‘borderline’ has a long and controversial history (Adams, Bernat, & Luscher, ). Originating with Adolf Stern in 1938, borderline was applied to people who exhibited features of instability and vulnerability (Spitzer, Endicott, & Gibbon, ) but did not seem to fit within two standard psychopathological classifications of the time—psychosis and neurosis (Stern, ).…”

Section: Findings Of Previous Studies Exploring the Factor Structure mentioning

confidence: 99%

Borderline personality disorder subtypes: A factor analysis of the DSM‐IV criteria

Lewis

Caputi

Grenyer

2012

Personality & Mental Health

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This study examined the underlying factor structure of the DSM-IV criteria to determine whether the diagnosis could be classified into subtypes. It also sought to enhance the clinical interpretation of any identified subtypes by examining their relation to comorbid axis I and II disorders. In 95 treatment-seeking adults (82 women, 13 men), attending a psychiatric outpatient clinic principle components analysis yielded support for three subtypes: 'affect dysregulation', 'rejection sensitivity' and 'mentalization failure'. Results of logistic regression analyses indicated that the affect dysregulation subtype was associated with the comorbid diagnosis of generalized anxiety and panic disorder and other cluster B and C personality disorders. The mentalization failure subtype was found to be predictive of posttraumatic stress disorder and other cluster B personality disorders. With further research, confirmation of these subtypes may inform diagnostic revisions and appropriate treatment regimes that are individually designed to target the patients' core symptoms.

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Section: Findings Of Previous Studies Exploring the Factor Structure mentioning

confidence: 99%

Borderline personality disorder subtypes: A factor analysis of the DSM‐IV criteria

Lewis

Caputi

Grenyer

2012

Personality & Mental Health

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“…6,7 Originating in a psychological context with Adolf Stern in 1938, 8 borderline was generally applied to patients who exhibited features of mental instability but seemed to defy the standard psychotic or neurotic categories, thus placing them, as Stern suggested "on the border line between neurosis and psychosis." For the next few decades, the notion of borderline was predominantly dealt with in the psychoanalytic literature, 6 in which the term was used to describe a distinct cluster of individuals who exhibited features such as poor impulse control, poor frustration tolerance, problems with identity, inappropriate aggression, and unstable emotions. 4 from the impairment of the three core internal psychological processes of BPO-namely, identity diffusion, primitive defenses, and intact reality testing.…”

Section: Diagnostic and Statistical Manual Of Mental Disordersmentioning

confidence: 99%

Borderline Personality or Complex Posttraumatic Stress Disorder? An Update on the Controversy

Lewis

Grenyer

2009

Harvard Review of Psychiatry

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There remains controversy surrounding the nature of the relationship between borderline personality disorder and posttraumatic stress disorder, with strong arguments that it would be more accurate and less stigmatizing for the former to be considered a trauma spectrum disorder. This article reviews the major criticisms of the DSM-IV diagnosis of borderline personality disorder that have fueled this controversy, including the absence of an etiology for the disorder, which is widely believed to be associated with early traumatic experiences. Also reviewed are recent attempts to redefine the disorder as a trauma spectrum variant based on the apparent overlap in symptomatology, rates of diagnostic comorbidity, and the prevalence of early trauma in individuals with a borderline diagnosis. The conceptual and theoretical problems for these reformulations are discussed, with particular reference to discrepancies in theoretical orientation, confusion of risk with causation, and the different foci of interventions for borderline personality disorder and posttraumatic stress disorder.

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“…Demographic characteristics associated with the disorder include being female, single, younger, of lower socioeconomic status, and residing in an urban area (Swartz et al, 1990). Clinically, BPD frequently co-occurs with a number of Axis I conditions that include mood, anxiety, substance abuse, and eating disorders (Adams, Bernat, & Luscher, 2001). Perhaps the most significant correlate of BPD is the alarming rate of suicidal, parasuicidal, and self-injurious behaviors (Gunderson & Ridolfi, 2001).…”

Section: Suicidality and Borderline Personality Disordermentioning

confidence: 99%

Behavioral Activation and the Prevention of Suicidal Behaviors in Patients With Borderline Personality Disorder

Hopko

Sanchez

Hopko³

et al. 2003

Journal of Personality Disorders

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Clinical approaches in treating and preventing suicidal behaviors in patients with borderline personality disorder (BPD) have received limited attention. To stimulate further work in this area, we present a behavioral activation treatment for depression (BATD; Lejuez, Hopko, & Hopko, 2002) that has shown promising results in treating clinically depressed patients and a theoretical conceptualization for why BATD may prove particularly useful in reducing the frequency of suicide-related behaviors and other symptoms characteristic of patients with BPD. We also present theoretical consistencies between BATD and the well-established intervention of dialectical behavior therapy (DBT; Linehan, 1993), which may allow for their practical integration, and conclude with a case study that illustrates the assimilation of these strategies in the treatment of a patient with BPD.

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Borderline Personality Disorder: An Overview

Cited by 10 publications

References 101 publications

Borderline personality disorder subtypes: A factor analysis of the DSM‐IV criteria

Borderline personality disorder subtypes: A factor analysis of the DSM‐IV criteria

Borderline Personality or Complex Posttraumatic Stress Disorder? An Update on the Controversy

Behavioral Activation and the Prevention of Suicidal Behaviors in Patients With Borderline Personality Disorder

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