Prototypic typology and the Borderline Personality Disorder.

Clarkin, John F.; Widiger, Thomas A.; Frances, Allen; Hurt, Stephen W.; Gilmore, Margaret

doi:10.1037/0021-843x.92.3.263

Cited by 219 publications

(137 citation statements)

References 6 publications

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“…NSSI is one of the most common dysfunctional behaviors in BPD, with prevalence rates of up to 84% (Clarkin, Widiger, Frances, Hurt, & Gilmore, 1983;McGlashan et al, 2005). The occurrence of NSSI in patients with eating disorders (EDs) is also common, ranging between 25.4% and 55.2% (Muehlenkamp, Claes, Peat, Smits, & Vandereycken, 2011;Svirko & Hawton, 2007).…”

mentioning

confidence: 99%

The role of emotion regulation strategies and dissociation in non-suicidal self-injury for women with borderline personality disorder and comorbid eating disorder

Haro

Wessman

Botella

et al. 2015

Comprehensive Psychiatry

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Different dysfunctional emotion regulation strategies are observed in patients with borderline personality disorder (BPD) with comorbid eating disorders (ED) who report nonsuicidal self-injury (NSSI). The objective of this study was to investigate the relationship of two well-defined emotion regulation strategies (i.e. expressive suppression and cognitive reappraisal) and dissociation with NSSI. The participants were sixty-eight women diagnosed with BPD and comorbid ED. A cross-sectional research design was used, and clinical interviews and self-report questionnaires were administered to collect data. Multiple regression was conducted to analyze the relationship of two emotion regulation strategies and dissociation with NSSI. According to the results, for low cognitive reappraisal scores, an increase in dissociation leads to an increase in NSSI; however, as cognitive reappraisal increases, higher dissociation is associated with fewer NSSI. When expressive suppression is low, an increase in cognitive reappraisal is associated with a decrease in NSSI; however, as suppression increases, a higher cognitive reappraisal has less effect on decreasing NSSI. These findings indicate that cognitive reappraisal reduces the harmful effects that dissociation has on NSSI and that expressive suppression interferes with the beneficial effects of cognitive reappraisal on NSSI. Therefore, targeting expressive suppression before cognitive reappraisal is conducted may enhance treatment outcomes for patients with BPD and comorbid ED.

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confidence: 99%

The role of emotion regulation strategies and dissociation in non-suicidal self-injury for women with borderline personality disorder and comorbid eating disorder

Haro

Wessman

Botella

et al. 2015

Comprehensive Psychiatry

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“…The information that is known about diagnoses come from studies that have been conducted in inpatient settings (e.g., Clarkin et al, 1983;Milnes et al, 2002) or among mentally retarded or developmentally delayed populations (e.g., Yang, 2003). The few outpatient studies that have been conducted involve military recruits (Klonsky, Oltmanns, Turkheirner, 2003), clients with eating disorders (Stein et al, 2004), or have extremely small sample sizes (Yaryura-Tobiaset al, 1995), and typically include self-injury as a secondary variable.…”

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confidence: 99%

Self-injurious behaviors, diagnoses, and treatment methods: What mental health professionals are reporting

Trepal¹,

Wester

2007

Journal of Mental Health Counseling

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“…BPD wird als Quelle für Langzeit-Schädigungen angesehen (Widiger u. Weissman, 1991). Es handelt sich um ein verbreitetes, chronisches, schwächendes Syndrom, das mit einer gesteigerten Inanspruchnahme von medizinischen und psychiatrischen Leistungen assoziiert ist (Lenzenweger et al, 1997;Torgersen, Kriglen, Cramer, 2001;Skodol et al, 2002); mit einer erhöhten Prävalenz von suizidalem und selbst-verletzendem Verhalten (McGlashan, 1986;Stone, 1993;Clarkin et al, 1983); einem negativen Effekt auf die Behandlung von Achse I-Störungen (Clarkin, 1996); und eine reduzierte Ansprechbarkeit auf Pharmakotherapie (Soloff, 2000). Es wurden einige Versuche unternommen, sich dieser spezifischen Aspekte der BPD Pathologie bei Jugendlichen (Kernberg, 1994) sowie der damit zusammenhängenden Symptome (Lewinsohn et al, 1998) Jugendliche, die an einer Identitätsdiffusion leiden, haben ein höheres Risiko, in der Schule, in der Familie und in zwischenmenschlichen Beziehungen mit Gleichaltrigen und Erwachsenen Probleme zu entwickeln.…”

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