MedWorm: Borderline Personality Disorder

Group schema therapy for borderline personality disorder

EurekAlert! - Social and Behavioral Science — Mon, 06 Feb 2012 05:00:00 +0100

(International Society of Schema Therapy) Therapists, patients and families dealing with borderline personality disorder now have an unprecedented guide to a way out of the misery and chaos in the form of the soon to be release book "Group Schema Therapy for Borderline Personality Disorder: Treatment Manual and Patient Workbook." Recent studies have shown that Schema Therapy (both individual and group forms) leads to full recovery across the complete range of symptoms for many patients suffering from borderline personality disorder. (Source: EurekAlert! - Social and Behavioral Science)

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Borderline Personality Symptoms in Short‐Term and Long‐Term Abstinent Alcohol Dependence

Alcoholism: Clinical and Experimental Research — Mon, 06 Feb 2012 05:00:00 +0100

ConclusionsOur results suggest for the most part that BPD symptoms do not prevent the maintenance of recovery in AUD and SUD individuals who have established at least 6 weeks abstinence within the mutual‐help recovery network—in fact the presence of BPD symptoms is the norm. However, we did find difficulty in establishing longer‐term abstinence in women with anger‐associated symptoms and abandonment avoidance symptoms. (Source: Alcoholism: Clinical and Experimental Research)

A Comparison of Three Theoretically Important Constructs: What Accounts For Symptoms of Borderline Personality Disorder?

Journal of Clinical Psychology — Fri, 03 Feb 2012 05:00:00 +0100

ConclusionThese results suggest that emotion regulation difficulties and interpersonal problems may be particularly problematic for those with high BPD symptoms in different ways. Implications and future directions are discussed. (Source: Journal of Clinical Psychology)

α-Adrenergic Receptor Function, Arousal and Sleep: Mechanisms and Therapeutic Implications

Pharmacopsychiatry — Mon, 30 Jan 2012 05:00:00 +0100

PharmacopsychiatryDOI: 10.1055/s-0031-1299728Noradrenergic (NE) neurotransmission and particularly α-adrenergic receptor function has been identified as a critical component of the sleep/wake regulation in animals and humans. This work (i) provides an update on the impact of NE neurotransmission on the sleep/wake regulation, (ii) summarizes the effects of α-receptor agonists and antagonists on arousal and sleep in animals and healthy humans, and (iii) reviews the current body of evidence for the effectiveness and safety of these compounds in the treatment of clinical conditions characterized by alterations of arousal or sleep, including attention deficit and hyperactivity disorder (ADHD), post-traumatic stress disorder (PTSD), borderline personality disorder and primary sleep disorders. ...

Psychopharmacology of Borderline Personality DisorderPsychopharmacology of Borderline Personality Disorder

Medscape Today Headlines — Mon, 30 Jan 2012 04:00:00 +0100

A review of current evidence-based psychopharmacologic treatments for borderline personality disorder, with a focus on changes in DSM-5 and the impact it will have on therapeutic approach. Current Opinion in Psychiatry (Source: Medscape Today Headlines)

Lack of Empathy: The Most Telling Narcissistic Trait

Psychology Today Personality Center — Tue, 24 Jan 2012 15:28:32 +0100

Narcissists don't consider the pain they inflict on others; nor do they give any credence to others' perceptions.They simply do not care about thoughts and feelings that conflict with their own. read more (Source: Psychology Today Personality Center)

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Borderline Personality: The Promiscuous Diagnosis

Psychology Today Personality Center — Sun, 22 Jan 2012 17:32:45 +0100

Promiscuous Borderline Personality hangs out with many other diagnoses.read more (Source: Psychology Today Personality Center)

The Yung model of active style of schema. - Ogłodek E, Araszkiewicz A.

SafetyLit: All (Unduplicated) — Sat, 21 Jan 2012 12:05:52 +0100

Yung was of an opinion that the borderline personality as a pathology results from the experiences of a frightened and violence-experiencing child who is left to their own devices in the hostile world. In that situation, the child, longing for safety, simu... (Source: SafetyLit: All (Unduplicated))

Disruptive behaviors in the medical setting and borderline personality. - Sansone RA, Farukhi S, Wiederman MW.

SafetyLit: All (Unduplicated) — Sat, 21 Jan 2012 12:05:52 +0100

OBJECTIVE: Borderline personality disorder (BPD) is characterized in the DSM by anger. While previous studies have examined various types of externalized aggression and violence among individuals with BPD, we are aware of no investigations of disruptive be... (Source: SafetyLit: All (Unduplicated))

Assessing emotion sensitivity in female offenders with borderline personality symptoms: Results from a fear-potentiated startle paradigm. - Baskin-Sommers AR, Vitale JE, Maccoon D, Newman JP.

SafetyLit: All (Unduplicated) — Sat, 21 Jan 2012 12:05:52 +0100

An instructed fear-conditioning paradigm was used to measure fear-potentiated startle (FPS) in a sample of 80 Caucasian, female offenders assessed using the Personality Assessment Inventory-Borderline Features Scale (Morey, 1991). As predicted, women with ... (Source: SafetyLit: All (Unduplicated))

Don't Try to Reason with Unreasonable People

Psychology Today Personality Center — Fri, 20 Jan 2012 18:11:13 +0100

Tired of being belittled, misunderstood, or having your words twisted around by a bully? If you're a "normal" nice person, when you encounter someone difficult your natural reaction is to try to reason with them and win them over. Forget it! Medical doctor and life coach Dr. Susan Biali explains simple strategies for dealing with these types once and for all.read more (Source: Psychology Today Personality Center)

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The impact of borderline personality disorder on residential substance abuse treatment dropout among men

Drug and Alcohol Dependence — Thu, 19 Jan 2012 17:46:52 +0100

Conclusions: These findings add to the literature on BPD–SUD co-occurrence, suggesting that the presence of co-occurring BPD among male SUD patients may increase the risk for dropout from residential substance abuse treatment, necessitating targeted interventions focused on decreasing dropout within this patient subgroup. (Source: Drug and Alcohol Dependence)

Substance Abuse and "Pain Management" in Borderlines, Narcissists

Psychology Today Personality Center — Wed, 18 Jan 2012 20:59:32 +0100

Human beings have remarkably inventive ways to rid themselves from painful feelings. The more agonizing the emotion, the more resourceful one has to be. People with borderline and narcissistic disorders experience may experience a great deal of pain, so they get pretty savvy. read more (Source: Psychology Today Personality Center)

Brain structure and function in borderline personality disorder.

Brain Structure and Function — Wed, 18 Jan 2012 05:00:00 +0100

Authors: O'Neill A, Frodl T Abstract The spotlight on borderline personality disorder (BPD) has been growing in recent years, with the number of papers discussing potential causes and triggers of the disorder rapidly on the increase. Also on the increase, though still lacking sufficient numbers to produce well-supported hypotheses, are studies employing neuroimaging techniques as investigative tools in BPD. In this review, we investigate the current state and findings of neuroimaging studies in BPD, focusing in particular, on the studies examining structural, functional, and neurometabolic abnormalities in the disorder. Some suspected trends in the data are highlighted, including reductions in the hippocampi and amygdalae of BPD patients compared to healthy controls, exaggerated am...

Theme: Suicide and suicidal behaviours

Emergency Medicine Journal — Wed, 11 Jan 2012 05:00:00 +0100

Question 1 Which of the following are true regarding suicidal intent and suicide? A previous suicide attempt is the best predictor of a future suicide attempt. 10–15% of those attempting suicide succeed, but 60–70% of successful suicides have no prior history of attempts. Patients who attempt suicide have low CSF serotonin levels. Borderline personality disorder is the Axis II diagnosis most closely associated with suicide. Question 2 Which of the following are true regarding assessment of potentially suicidal patients? A ‘SAD PERSONS’ score of <6 has a negative predictive value (NPV) of >95%. No single psychological test can accurately predict suicidal attempts. Scoring systems might help in determining the need for hospitalisation. Suicide is often provoked ...

Persistent antinociception through repeated self-injury in patients with borderline personality disorder. - Magerl W, Burkart D, Fernandez A, Schmidt LG, Treede RD.

SafetyLit: All (Unduplicated) — Mon, 09 Jan 2012 12:09:00 +0100

Patients with borderline personality disorder, mostly female, exhibit severe autoaggressive behavior, namely an intentionally performed, nonsuicidal self-injury and severe blunting of pain perception, the mechanism of which is hitherto not understood. Beca... (Source: SafetyLit: All (Unduplicated))

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Is self disturbance the core of borderline personality disorder? An outcome study of borderline personality factors. - Meares R, Gerull F, Stevenson J, Korner A.

SafetyLit: All (Unduplicated) — Fri, 06 Jan 2012 15:21:09 +0100

Object: To determine which constellation of clinical features constitutes the core of borderline personality disorder (BPD). Method: The criterion of endurance was used to identify the constellation of features which are most basic, or core, in borderline ... (Source: SafetyLit: All (Unduplicated))

Struggling to recover by changing suicidal behaviour: Narratives from women with borderline personality disorder. - Holm AL, Severinsson E.

SafetyLit: All (Unduplicated) — Fri, 06 Jan 2012 15:21:09 +0100

Borderline personality disorder (BPD) is described as the most lethal of psychiatric disorders, with suicide rates of 3-9.5%, a rate almost 50 times higher than that of the general population. The struggle to recover by changing suicidal behaviour is not w... (Source: SafetyLit: All (Unduplicated))

Shame Is at the Root of Narcissistic, Borderline Personality Disorders

Psychology Today Personality Center — Thu, 05 Jan 2012 16:59:29 +0100

Toxic shame isn't about making a mistake. It's about feeling like you are a mistake: intrinsically bad based on the fact that you exist. If other people find out about your "badness," they will surely leave you.read more (Source: Psychology Today Personality Center)

Personality Differences between Drug Injectors and Non-injectors among Substance-Dependent Patients in Substitution Treatment.

The American Journal of Drug and Alcohol Abuse — Thu, 05 Jan 2012 05:00:00 +0100

Conclusion: According to the route of drug administration, drug dependents differed in terms of personality disorders and dimensions. Scientific Significance: These results may have implications for the implementation of treatment programs. New research in this area may contribute to the understanding and prevention of intravenous drug use. PMID: 22220585 [PubMed - as supplied by publisher] (Source: The American Journal of Drug and Alcohol Abuse)

Diagnosis of Borderline Personality Disorder Is Often Flawed

Scientific American Topic - Medical Technology — Wed, 04 Jan 2012 15:30:00 +0100

This past June renowned clinical psychologist Marsha M. Linehan of the University of Washington made a striking admission. Known for her pioneering work on borderline personality disorder (BPD), a severe and intractable psychiatric condition, 68-year-old Linehan announced that as an adolescent, she had been hospitalized for BPD. Suicidal and self-destructive, the teenage Linehan had slashed her limbs repeatedly with knives and other sharp objects and banged her head violently against the hospital walls. The hospital’s discharge summary in 1963 described her as “one of the most disturbed patients in the hospital.” Yet despite a second hospitalization, Linehan eventually improved and earned a Ph.D. from Chicago’s Loyola University in 1971. [More] (Source: Scientific A...

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Parental sexual abuse and suicidal behaviour among women with major depressive disorder.

Canadian Journal of Psychiatry — Sun, 01 Jan 2012 05:00:00 +0100

Conclusions: Parental perpetration of sexual abuse increases the likelihood of multiple suicide attempts among women outpatients. The relationship of the perpetrator to the abused woman is important in suicide risk evaluation and treatment planning. Clinical Trial Registration Number: NCT00843700. PMID: 22296967 [PubMed - in process] (Source: Canadian Journal of Psychiatry)

Enviousness, Part of the Definition of Narcisistic Personality Disorder

Psychology Today Personality Center — Fri, 16 Dec 2011 17:29:37 +0100

Narcissists must be superior to others in every single way. So when someone else has something they don't have that they want: admiration, status, skills, objects, etc.--the narcissist sees it as a major threat. Like so much else in the narcissistic mind, it is unconscious. Primary Topic: Personality read more (Source: Psychology Today Personality Center)

Envy, Part of the Definition of Narcisistic Personality Disorder

Psychology Today Personality Center — Fri, 16 Dec 2011 17:29:37 +0100

"I Hate You, Don't Leave Me!"

Psychology Today — Wed, 14 Dec 2011 07:00:00 +0100

Understanding borderline personality disorder. (Source: Psychology Today)

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Borderline Personality Disorder: Big Changes in the DSM-5

Psychology Today Personality Center — Tue, 13 Dec 2011 17:05:08 +0100

Learn the DSM-5's new "Levels of Personality Functioning" and "Proposed Trait System" for Borderline Personality Disorder. Primary Topic: Personality read more (Source: Psychology Today Personality Center)

Prospective Associations Among Borderline Personality Disorder Symptoms, Interpersonal Problems, and Aggressive Behaviors

Journal of Interpersonal Violence — Tue, 13 Dec 2011 05:00:00 +0100

This study examined the prospective relationships among borderline personality disorder (BPD) symptoms, interpersonal problems, and types of aggressive behaviors (i.e., experiencing psychological and physical victimization and perpetrating psychological and physical aggression) in a psychiatric sample (N = 139) over the course of 2 years. We controlled for other PD symptoms and demographic variables. BPD symptoms at baseline were associated with interpersonal sensitivity, interpersonal ambivalence, interpersonal aggression, need for social approval, and lack of sociability 6 months later. In turn, interpersonal sensitivity predicted not experiencing physical aggression, interpersonal aggression predicted experiencing physical aggression and perpetrating both psychological and physical aggr...

The Sleepover: How a Cute Little Girl Develops Borderline Personality Disorder

Psychology Today Parenting Center — Tue, 13 Dec 2011 01:56:55 +0100

I have a heretical thought. Maybe borderlines fear abandonment because they do things that motivate people in their lives to want to get rid of them. Still, what causes them to act in such off-putting ways? Primary Topic: Personality read more (Source: Psychology Today Parenting Center)

"My Wife Makes Me Feel Like a Zombie": Radical Acceptance in Action

Psychology Today Personality Center — Mon, 12 Dec 2011 17:31:31 +0100

A reader asks, "I have been struggling with the roller coaster for 32 years. I go from trying to connect to trying to survive, to realizing (very recently) that I've become an emotional zombie where she's concerned. It breaks my heart. What do I do?" Primary Topic: Relationships read more (Source: Psychology Today Personality Center)

Bipolar or Borderline?

Psychology Today Depression Center — Sun, 11 Dec 2011 20:01:34 +0100

A rampant case of diagnonsense Primary Topic: Psychiatry read more (Source: Psychology Today Depression Center)

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Alexithymia in adolescents with borderline personality disorder

Journal of Psychosomatic Research — Tue, 06 Dec 2011 05:00:00 +0100

Conclusions: BPD adolescents are characterized by alexithymia, probably of a secondary or state-dependent nature. (Source: Journal of Psychosomatic Research)

Development of Borderline Personality Disorder in Adolescence and Young Adulthood: Introduction to the Special Section. - Stepp SD.

SafetyLit: All (Unduplicated) — Mon, 05 Dec 2011 01:07:44 +0100

Recognizable symptoms and features of borderline personality disorder (BPD) appear during adolescence. However, there has been resistance to diagnose or research this disorder prior to adulthood because of clinical lore that BPD is a long-standing illness ... (Source: SafetyLit: All (Unduplicated))

Black and White Thinking (Splitting) Is Both a Borderline and Narcissistic Trait

Psychology Today Personality Center — Fri, 02 Dec 2011 23:13:44 +0100

Being split black can happen out of the blue and can leave one reeling. One day you may be enjoying the "best" intimacy, sex, love, times of the relationship and the next you are dealing with a robot void of emotion, icy cold, and being completely ignored. Primary Topic: Personality read more (Source: Psychology Today Personality Center)

Long-Term Outcomes in Borderline Psychopathology: Old Assumptions, Current Findings, and New Directions

Current Psychiatry Reports — Fri, 02 Dec 2011 18:08:02 +0100

Abstract Borderline personality disorder (BPD) and historical variants of the diagnosis were long held to represent an intractable syndrome of psychopathology consisting of interpersonal, intrapsychic, and affective disturbances. For years, patients labeled “borderline” were regarded pejoratively due at least in part to the lack of effective treatments. Prospective data from recent naturalistic follow-along studies along with the development of treatments with empirically demonstrated efficacy have changed how BPD is viewed. It is now less common to hide the diagnosis from the patient, and BPD has become a useful label to guide the treatment process and help the patient make sense of his or her suffering. Although it is now accepted that BPD is a treatment-responsive d...

Family Perspectives on Borderline Disorder Conference Now Online

Psychology Today Parenting Center — Thu, 01 Dec 2011 14:00:43 +0100

Videos of the Nov 4 Atlanta Family Perspectives on Borderline Personality Disorder conference. Primary Topic: Personality read more (Source: Psychology Today Parenting Center)

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Personality disorders: review and clinical application in daily practice.

American Family Physician — Thu, 01 Dec 2011 05:00:00 +0100

Authors: Angstman K, Rasmussen NH Abstract Personality disorders have been documented in approximately 9 percent of the general U.S. population. Psychotherapy, pharmacotherapy, and brief interventions designed for use by family physicians can improve the health of patients with these disorders. Personality disorders are classified into clusters A, B, and C. Cluster A includes schizoid, schizotypal, and paranoid personality disorders. Cluster B includes borderline, histrionic, antisocial, and narcissistic personality disorders. Cluster C disorders are more prevalent and include avoidant, dependent, and obsessive-compulsive personality disorders. Many patients with personality disorders can be treated by family physicians. Patients with borderline personality disorder may benefit fro...

Beliefs and personality disorders: an overview of the personality beliefs questionnaire

Journal of Clinical Psychology — Wed, 30 Nov 2011 05:00:00 +0100

Conclusions: Given the proposed shift in the Diagnostic and Statistical Manual of Mental Disorders Fifth Edition (DSM‐5) to a dimensional conceptualization of psychological components of personality dysfunction, the PBQ is likely to remain relevant and useful for identifying such components in individuals with personality disorders. © 2011 Wiley Periodicals, Inc. J Clin Psychol: In Session 68:1–13, 2012. (Source: Journal of Clinical Psychology)

Who Am I? The Conundrum of Both Borderlines and Narcissists

Psychology Today Personality Center — Mon, 28 Nov 2011 16:35:05 +0100

Imagine yourself an amnesia patient, adrift. Sense the paralyzing emptiness that must go with not knowing who you are. People with BPD and NPD have specific--and different--approaches for dealing with their identity crisis. This post is about the BP strategy. Primary Topic: Personality read more (Source: Psychology Today Personality Center)

Blame-Storms and Rage Attacks Common to Borderlines, Narcissists

Psychology Today Personality Center — Fri, 25 Nov 2011 22:38:25 +0100

Both people with borderline and narcissistic personality disorder get into rages in which they blame and criticize others. However, the rages have slightly different motivations. Keeping these differences in mind will help you anticipate the attacks and respond when they occur. Primary Topic: Personality read more (Source: Psychology Today Personality Center)

Associations between Identity Diffusion, Axis II Disorder, and Psychopathology in Inpatients with Borderline Personality Disorder

Psychopathology — Fri, 25 Nov 2011 19:37:45 +0100

Psychopathology 2012;45:15–21 (DOI:10.1159/000325104) (Source: Psychopathology)

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Development of Borderline Personality Disorder in Adolescence and Young Adulthood: Introduction to the Special Section.

Journal of Abnormal Child Psychology — Fri, 25 Nov 2011 05:00:00 +0100

Authors: Stepp SD Abstract Recognizable symptoms and features of borderline personality disorder (BPD) appear during adolescence. However, there has been resistance to diagnose or research this disorder prior to adulthood because of clinical lore that BPD is a long-standing illness and that personality traits are not stable until adulthood. This has resulted in little information regarding the development of and risk factors for BPD in youth. The goal of this special section is to examine the development of BPD in adolescence and young adulthood using a broad collection of approaches, including a theoretical review paper, two prospective studies, and a multi-method cross-sectional study. This body of work provides new insights into vulnerabilities that may transact with early attac...

Treatment of Patients with Borderline Personality Disorder and Comorbid Posttraumatic Stress Disorder Using Narrative Exposure Therapy: A Feasibility Study

Psychotherapy and Psychosomatics — Thu, 24 Nov 2011 23:00:00 +0100

Psychother Psychosom 2012;81:61–63 (DOI:10.1159/000329548) (Source: Psychotherapy and Psychosomatics)

Suicidal Risk and Management in Borderline Personality Disorder

Current Psychiatry Reports — Wed, 23 Nov 2011 17:34:24 +0100

Abstract This paper reviews recent advances in our understanding of suicidality in borderline personality disorder (BPD), with a focus on suicide risk assessment, guidelines for treatment, and medicolegal concerns. Relevant material on distinctions between suicide completers and suicide attempters, contributions of published American Psychiatric Association Guidelines, the controversial role of hospitalization, and management strategies regarding litigation is addressed. Despite accumulating data on suicidality in BPD, the current state of knowledge offers only partial clues to help identify the BPD patients most at risk of death by suicide, and offers a limited armamentarium of treatment targeted to suicide prevention, creating discomfort in clinicians and fears regarding...

ADHD in Adolescents With Borderline Personality DisorderADHD in Adolescents With Borderline Personality Disorder

Medscape Today Headlines — Wed, 23 Nov 2011 04:00:00 +0100

This study examines the complex relationship of these two syndromes in adolescents. BMC Psychiatry (Source: Medscape Today Headlines)

Higher Executive Control and Visual Memory Performance Predict Treatment Completion in Borderline Personality Disorder

Karger Publishers — Mon, 21 Nov 2011 23:00:00 +0100

Psychother Psychosom 2012;81:38–43 (DOI:10.1159/000329700) (Source: Karger Publishers)

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Emotional Alchemy: A Borderline/Narcissistic Woman Reveals Her Rules of Life

Psychology Today Personality Center — Mon, 21 Nov 2011 21:54:42 +0100

Borderline personality disorder (BPD) and narcissistic personality disorder (NPD) are the toxic twins of the Cluster B personality disorder spectrum. Advocate Stephanie Price has both of them. In this essay she describes living with so many co-occuring disorders--and how they might affect those close to her. Primary Topic: Personality read more (Source: Psychology Today Personality Center)

A Multisite Study of the Association Between Emotion Dysregulation and Deliberate Self-harm Among Substance Use Disorder Inpatients: Replication and Extension

Addictive Disorders and Their Treatment — Mon, 21 Nov 2011 05:31:44 +0100

This study sought to determine if emotion dysregulation is heightened among SUD patients with (vs. without) DSH, and if such associations remained after controlling for factors such as comorbid psychiatric disorders, severity of substance use, and various demographic factors. Results partially replicated previous findings, indicating emotion dysregulation to be heightened among SUD patients with (vs. without) DSH, and with this association remaining even after controlling for number of Axis II disorders, borderline personality disorder status, posttraumatic stress disorder, substance abuse severity, and childhood factors. In addition, findings indicated the particular relevance of the dimensions of emotional nonacceptance, goal-directed behavior difficulties, and limited access to emotion ...

Supervised team management, with or without structured psychotherapy, in heavy users of a mental health service with borderline personality disorder: a two-year follow-up preliminary randomized study.

BMC Psychiatry - Latest articles — Mon, 21 Nov 2011 05:00:00 +0100

Conclusions: Although STM for BPD applied to heavy MHS users was effective in reducing symptoms and improving their global functioning, adding a time-limited and focused psychotherapy was found to achieve a better outcome. In particular, focusing treatment on patients' personality with a specific psychotherapeutic approach (i.e. SB-APP) seemed to be more effective than STM alone.Trial Registration: ClinicalTrials.gov: NCT1356069 (Source: BMC Psychiatry - Latest articles)

Ten Tips for Staying in a Relationship with a Borderline Loved One

Psychology Today Personality Center — Fri, 18 Nov 2011 23:44:43 +0100

Many people want to remain connected to their borderline family member. Here are 10 hints you'll want to keep in mind to stay balanced. Primary Topic: Relationships read more (Source: Psychology Today Personality Center)

What Motivates Sexual Promiscuity?

Psychology Today Sex Center — Fri, 18 Nov 2011 00:24:36 +0100

Promiscuity is formally defined as including not only frequent but "indiscriminate" sexual behavior. Preference for frequent sexual contacts is not necessarily the same as being sexually indiscriminating. The latter, in women, indicates a possible compulsive, and therefore, pathological quality to the excessive sexual behavior, referred to traditionally as nymphomania. Primary Topic: Sex read more (Source: Psychology Today Sex Center)

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Dispelling Myths about Dissociative Identity Disorder

Psych Central — Mon, 14 Nov 2011 14:35:41 +0100

Dissociative identity disorder (DID), known previously as multiple personality disorder, is not a real disorder. At least, that’s what you might’ve heard in the media, and even from some mental health professionals. DID is arguably one of the most misunderstood and controversial diagnoses in the current Diagnostic and Statistical Manual of Mental Disorders (DSM). But it is a real and debilitating disorder that makes it difficult for people to function. Why the controversy? According to Bethany Brand, Ph.D, a professor of psychology at Towson University and an expert in treating and researching dissociative disorders, there are several reasons. DID is associated with early severe trauma, such as abuse and neglect. This raises the concern over false memories. Some people worry that cl...

Rapid improvement of tardive dyskinesia with tetrabenazine, clonazepam and clozapine combined: a naturalistic long-term follow-up study

Journal of Neurology — Wed, 09 Nov 2011 07:04:05 +0100

Abstract Tardive dyskinesia (TD) is a complex involuntary movement disorder affecting about 23% of neuroleptic-treated patients. Our objective was to retrospectively analyze a combination of tetrabenazine (TBZ), clonazepam (CLONAZ) and clozapine (CLOZ) used simultaneously for TD in psychotic patients. Six patients with severe, unsuccessfully controlled TD were referred for treatment (mean age 51.5 years; three male; four schizophrenics; one bipolar disease; one borderline personality disorder). They were being treated with neuroleptics (classic, three; risperidone, two; olanzapine, one) and developed severe neck and buccolingual dyskinesias. At our clinic, all of them were treated simultaneously with TBZ (mean dose 141.6 mg); CLONAZ (mean dose 4.3 mg); and CLOZ (...

Dissociation and emotion regulation in borderline personality disorder.

Psychological Medicine — Wed, 09 Nov 2011 05:00:00 +0100

CONCLUSIONS: These results suggest that careful attention must be paid to the moderating effect of dissociative symptoms on the psychophysiological responses of BPD patients. Furthermore, the findings have important implications for the assessment and treatment of BPD, including the need to carefully assess BPD patients for dissociative symptoms and to incorporate the treatment of dissociation. PMID: 22067328 [PubMed - as supplied by publisher] (Source: Psychological Medicine)

Personality Disorders and the 3-Year Course of Alcohol, Drug, and Nicotine Use Disorders [Original Article]

Archives of General Psychiatry — Mon, 07 Nov 2011 05:00:00 +0100

Conclusions The consistent findings on the association of antisocial, borderline, and schizotypal personality disorders with persistent SUD indicates the importance of these personality disorders in understanding the course of SUD. Future studies should examine dimensional representations of personality disorders and the role of specific components of these disorders, biological and environmental contributors to these relationships, and potential applications of these findings to treatment development. (Source: Archives of General Psychiatry)

Attachment and alliance in the treatment of depressed, sexually abused women

Depression and Anxiety — Mon, 07 Nov 2011 05:00:00 +0100

Conclusion: Understanding the influence of attachment style and the working alliance on treatment outcomes can inform efforts to improve the treatments for depressed women with a history of childhood sexual abuse. Depression and Anxiety 0:1–8, 2011. © 2011 Wiley Periodicals, Inc. (Source: Depression and Anxiety)

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Treatment differences in the therapeutic relationship and introject during a 2-year randomized controlled trial of dialectical behavior therapy versus nonbehavioral psychotherapy experts for borderline personality disorder.

Journal of Consulting and Clinical Psychology — Mon, 07 Nov 2011 05:00:00 +0100

Conclusions: The study showed positive intrapsychic change during DBT and emphasized the importance of affirmation and control in the therapeutic relationship. Results are discussed in the context of understanding the mechanisms of change in DBT. (PsycINFO Database Record (c) 2012 APA, all rights reserved) (Source: Journal of Consulting and Clinical Psychology)

Aggression in Borderline Personality Disorder: Evidence for Increased Risk and Clinical Predictors. - Allen A, Links PS.

SafetyLit: All (Unduplicated) — Fri, 04 Nov 2011 09:28:46 +0100

A Pilot Study of the DBT Coach: An Interactive Mobile Phone Application for Individuals With Borderline Personality Disorder and Substance Use Disorder.

Behavior Therapy — Fri, 04 Nov 2011 08:47:38 +0100

Authors: Rizvi SL, Dimeff LA, Skutch J, Carroll D, Linehan MM Abstract Dialectical behavior therapy (DBT) has received strong empirical support and is practiced widely as a treatment for borderline personality disorder (BPD) and BPD with comorbid substance use disorders (BPD-SUD). Therapeutic success in DBT requires that individuals generalize newly acquired skills to their natural environment. However, there have been only a limited number of options available to achieve this end. The primary goal of this research was to develop and test the feasibility of the DBT Coach, a software application for a smartphone, designed specifically to enhance generalization of a specific DBT skill (opposite action) among individuals with BPD-SUD. We conducted a quasiexperimental study in which 22...

Prospective prediction of nonsuicidal self-injury: a 1-year longitudinal study in young adults.

Behavior Therapy — Fri, 04 Nov 2011 08:45:20 +0100

Authors: Glenn CR, Klonsky ED Abstract Nonsuicidal self-injury (NSSI) has become a significant public health problem. Although numerous studies have examined cross-sectional psychological correlates of NSSI, there has been little research examining predictors of NSSI over time. The present study examined cross-sectional and longitudinal correlates of NSSI in 81 young adult self-injurers (M age=19, 74.1% female, 51.9% Caucasian), 51 of whom were followed up 1year later. At baseline, participants completed self-report measures of NSSI, Axis-I disorders, borderline personality disorder (BPD), and impulsivity, as well as an implicit measure of NSSI attitudes and identity. One year later, participants completed a Timeline Followback Method whereby they indicated their engagement in NSSI...

Substance Use and Mental Health Disparities among Sexual Minority Girls: Results from the Pittsburgh Girls Study

Journal of Pediatric and Adolescent Gynecology — Fri, 04 Nov 2011 04:00:00 +0100

Conclusions: Sexual minority girls are an underrepresented group in the health disparities literature, and compared with heterosexual girls, they are at higher risk for mental health problems, most likely because of minority stress experiences such as discrimination and victimization. The disparities found in this report highlight the importance of discussing sexual orientation as part of a comprehensive preventive care visit. (Source: Journal of Pediatric and Adolescent Gynecology)

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Depressive-type emotional response pattern in impulsive-aggressive patients with borderline personality disorder

Journal of Affective Disorders — Thu, 03 Nov 2011 23:29:29 +0100

Abstract: Introduction: Borderline personality disorder (BPD) is typically characterized by severe affective dysregulation leading to impulsive behaviors. Accordingly, preliminary data suggest the hypothesis that BPD patients could have a specific and altered pattern of subjective emotional response to stimuli. The nature of the emotional response in BPD can be compared with other affective disorders and provide further insight on the nosological proximity with other psychiatric disorders.Methods: Subjective emotional response was investigated in 19 patients with DSM-IV BPD with no current depressive episode and in 19 healthy control subjects by using the International Affective Picture System (IAPS). The intensity of arousal, valence and dominance was rated in response to 60 images catego...

You're So Vain: Narcissistic "Grandiosity" and What it Means to You

Psychology Today Personality Center — Wed, 02 Nov 2011 18:00:35 +0100

Businesswoman and real estate investor Leona Helmsley famously said, "We [rich people] don't pay taxes. Only the little people pay taxes." That's a quote people with narcissistic personality disorder can really relate to. They are aggravated by having to deal with the "little people" all the time. Primary Topic: Personality read more (Source: Psychology Today Personality Center)

ECT revisited: impact on major depression in borderline personality disorder.

The Australian and New Zealand Journal of Psychiatry — Tue, 01 Nov 2011 04:00:00 +0100

Authors: Gescher DM, Cohen S, Ruttmann A, Malevani J PMID: 21981774 [PubMed - in process] (Source: The Australian and New Zealand Journal of Psychiatry)

Subthreshold bipolarity: diagnostic issues and challenges

Bipolar Disorders — Tue, 01 Nov 2011 04:00:00 +0100

Conclusion: There are clinical and scientific reasons for systematically documenting subsyndromal hypomanic presentations in the assessment and diagnosis of mood disorders. However, these benefits are balanced with important challenges, including (i) the difficulty in reliably identifying subsyndromal hypomanic presentations, (ii) operationalizing subthreshold bipolarity, (iii) differentiating subthreshold bipolarity from borderline personality disorder, (iv) the risk of over‐diagnosing bipolar spectrum disorders, and (v) uncertainties about optimal interventions for subthreshold bipolarity. (Source: Bipolar Disorders)

Treating co‐occurring first‐episode psychosis and borderline personality: a pilot randomized controlled trial

Early Intervention in Psychiatry — Tue, 01 Nov 2011 04:00:00 +0100

Conclusion: A larger‐scale randomized controlled trial of early intervention for borderline personality for young first‐episode psychosis patients with co‐occurring full or subsyndromal borderline personality is warranted. (Source: Early Intervention in Psychiatry)

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Slow processing in borderline personality disorder: the emotional Stroop paradigm.

Actas Espanolas de Psiquiatria — Tue, 01 Nov 2011 04:00:00 +0100

Conclusions. The findings suggest that the emotional dysregulation may account for selective processing with emotional stimulus, which in turn triggers emotional responses in BPD patients, rather than to reflect a more general hypervigilance and an attentional bias for any kind of stimulus. Key words: Borderline personality disorder (BPD), Emotional dysregulation, Emotional Stroop, Processing information, Attention. PMID: 22127908 [PubMed - in process] (Source: Actas Espanolas de Psiquiatria)

Digest

Progress in Neurology and Psychiatry — Tue, 01 Nov 2011 04:00:00 +0100

AbstractNewsTreating personality disordersThe Department of Health has published its response to the consultation on a new pathway approach for the treatment and management of offenders with serious personality disorders (www.dh.gov.uk/health). It says ‘... it is clear ... that there is broad support for our plans and ... respondents agree that the National Offender Management Service (NOMS) and the NHS should work together to design and implement integrated pathways for managing and treating offenders with severe personality disorders, building on local and regional structures.’ The full response is available online.Coincidentally, NICE has been consulting on whether to update its 2009 clinical guideline (CG78) on borderline personality disorder. New clinical trial evidence about drug...

Aggression in Borderline Personality Disorder: Evidence for Increased Risk and Clinical Predictors

Current Psychiatry Reports — Fri, 28 Oct 2011 06:04:53 +0100

This article aimed to systematically review the current literature regarding elevated risk of aggression in borderline personality disorder (BPD) and to review factors that differentiate aggressive from nonaggressive individuals with BPD. It has done so via a systematic review of the literature using Ovid MEDLINE and PsycINFO from 1980 to June 2010. Results indicate that BPD does not appear to be independently associated with increased risk of violence in the general population. History of childhood maltreatment, history of violence or criminality, and comorbid psychopathy or antisocial personality disorder appear to be predictors of violence in patients with BPD. This review concludes that the current evidence suggests that patients with BPD are not more violent than individuals in ...

Relation between childhood maltreatment and severe intrafamilial male‐perpetrated physical violence in Chinese community: the mediating role of borderline and antisocial personality disorder features

Aggressive Behavior — Tue, 25 Oct 2011 04:00:00 +0100

This study investigates the role of borderline personality disorder (BPD) and antisocial personality disorder (ASPD) features as mediators of the effects of childhood maltreatment on severe intrafamilial physical violence amongst Chinese male perpetrators. A cross‐sectional survey and face‐to‐face interview were conducted to examine childhood maltreatment, personality disorder features, impulsivity, aggression, and severe intrafamilial physical violence in a community sample of 206 abusive men in China. The results suggest that ASPD or BPD features mediate between childhood maltreatment and intimate partner violence perpetration in Chinese abusive men. These findings may yield clinical and forensic implications for assessing the psychopathology of abusive men, and may steer the inter...

Does mindfulness mediate the association between attachment dimensions and Borderline Personality Disorder features? A study of Italian non-clinical adolescents.

Attachment and Human Development — Mon, 24 Oct 2011 21:40:51 +0100

Authors: Fossati A, Feeney J, Maffei C, Borroni S Abstract The aim of this study was to assess whether mindfulness mediates the association between attachment dimensions and features of Borderline Personality Disorder (BPD) in a sample of 501 Italian high-school students. Low scores on Confidence and high scores on Need for Approval and Preoccupation with Relationships attachment scales was significantly related to the number of BPD features (adjusted R (2) = .21, p < .001). Further, mindfulness scores were negatively associated with Need for Approval and Relationships as Secondary attachment scales (adjusted R (2) = .14, p < .001). Finally, mindfulness scores were negatively associated with the number of BPD features (adjusted R (2) = .15, p < .001). Mediation...

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History of suicide attempt in male substance-dependent inpatients and relationship to borderline personality features, anger, hostility and aggression

Psychiatry Research — Mon, 24 Oct 2011 04:00:00 +0100

Abstract: The aim of this study was to investigate the relationship between severity of borderline personality features and history of suicide attempt (HSA) in male substance-dependent inpatients and the effect of anger, hostility and aggression on this relationship. Further, the effect of some variables that may be related to suicide and/or borderline personality, such as age at inception of regular substance use, substance of dependence (alcohol/drug), depression, and both state and trait anxiety, were controlled. Participants were 200 consecutively admitted male substance-dependent inpatients. Patients were investigated with the Borderline Personality Inventory (BPI), the Buss–Perry Aggression Questionnaire (AQ), the Beck Depression Inventory (BDI) and the State–Trait Anxiety Invent...

Psychobiology of borderline personality traits related to subtypes of eating disorders: A study of platelet MAO activity

Psychiatry Research — Mon, 24 Oct 2011 04:00:00 +0100

Abstract: Increased and decreased levers of platelet monoamine oxidase (MAO) activity have been reported in patients with eating disorders, indicating abnormalities of the serotonin turnover. However, whether these findings are related to eating disorders or are rather reflecting the pathophysiology of borderline personality traits in these patients is still unknown. Platelet MAO activity and comorbid personality disorders were investigated in 72 patients with different subtypes of eating disorders (ED) and in a group of 28 healthy controls. ED patients comprised the following subtypes: 25 anorexia nervosa (AN) restrictive, 14 AN binge eating–purging (AN b-p), 3 anorexia nervosa not otherwise specified (AN NOS) and 30 bulimia nervosa (BN). Personality disorders and traits were assessed w...

Confirmatory Factor Analysis of Borderline Personality Disorder symptoms based on two different interviews: The Structured Clinical Interview for DSM-IV Axis II Disorder and the Revised Diagnostic Interview for Borderlines

Psychiatry Research — Mon, 24 Oct 2011 04:00:00 +0100

This study validates the findings of previous studies by performing a CFA with the DSM-IV BPD criteria and information derived from the DIB-R. A sample of 338 patients referred to our outpatient BPD program participated in the study. Results of the CFA support both the hypothesized unidimensional and the three-factor models, whereas the five-factor model was not confirmed. However, the three-factor model fits better than the unidimensional model. Thus, although the DSM-IV BPD criteria conceptualize BPD as a unidimensional structure, our results give support to the idea that the three-factor model could offer a better approach to further improve the current treatment of BPD, as well as lead to a better understanding of its ethiopathogenesis and comorbidity analysis. (Source: Psychiatry Rese...

Lifespan attention deficit/hyperactivity disorder and borderline personality disorder symptoms in female patients: A latent class approach

Psychiatry Research — Mon, 24 Oct 2011 04:00:00 +0100

Abstract: Attention-deficit/hyperactivity disorder (ADHD) and borderline personality disorder (BPD) are frequently comorbid. To contribute to a better understanding of the associations regularly found between ADHD and BPD, on the one hand, and the developmental pathways for these disorders, on the other hand, latent class analyses (LCA) were undertaken to identify classes differing in profiles of childhood symptoms of ADHD and adult symptoms of ADHD and BPD. Diagnostic interviews with 103 female outpatients meeting the criteria for ADHD and/or BPD were used to assess current DSM-IV symptoms; childhood symptoms of ADHD were assessed in parent interviews. The latent classes were examined in relation to the DSM-IV conceptualizations of ADHD and BPD. And relations between childhood and adult c...

Differentiating Adolescent Self-Injury from Adolescent Depression: Possible Implications for Borderline Personality Development.

Journal of Abnormal Child Psychology — Sat, 22 Oct 2011 04:00:00 +0100

Authors: Crowell SE, Beauchaine TP, Hsiao RC, Vasilev CA, Yaptangco M, Linehan MM, McCauley E Abstract Self-inflicted injury (SII) in adolescence marks heightened risk for suicide attempts, completed suicide, and adult psychopathology. Although several studies have revealed elevated rates of depression among adolescents who self injure, no one has compared adolescent self injury with adolescent depression on biological, self-, and informant-report markers of vulnerability and risk. Such a comparison may have important implications for treatment, prevention, and developmental models of self injury and borderline personality disorder. We used a multi-method, multi-informant approach to examine how adolescent SII differs from adolescent depression. Self-injuring, depressed, and typica...

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What Borderlines and Narcissists Fear Most: Part B

Psychology Today Personality Center — Fri, 21 Oct 2011 17:10:28 +0100

In part A of this two-part series, I explained that a narcissist's greatest fear is losing narcissistic supply. Today I'm tackling the BPD counterpart, fear of abandonment. Fear of abandonment is the engine that drives borderline personality disorder. The real or imagined belief of imminent separation destabilizes all the other BPD traits. Primary Topic: Personality read more (Source: Psychology Today Personality Center)

Borderline Personality Disorder and Depression: An Update

Psychiatric Quarterly — Fri, 21 Oct 2011 16:01:03 +0100

Abstract To review the literature related to recent temperamental and biological findings on borderline personality disorder (BPD) and major depression, the close link between the two disorders, and the latest therapeutical findings on BPD, focusing on the conditions of co-morbidity between depression and BPD. The National Institutes of Health’s PubMed database was used to identify indexed studies on BPD, depression and the co-morbidity between the two. Only studies published between 2000 and 2011 were assessed. Similar temperamental features have been demonstrated in BPD and depression. The strong link between the two disorders seems to be widely recognized by scientific community. Psychotherapy and new antipsychotics are the topics of current major interest of research...

What Borderlines and Narcissists Fear Most: Part A

Psychology Today Personality Center — Wed, 19 Oct 2011 20:55:25 +0100

Narcissists require others for "narcissistic supply." They fear losing it. People with BPD fear real or imagined abandonment. These twin fears incite behaviors that wound their loved ones and ironically drive them out of relationships with the people who need them so desperately. Primary Topic: Personality read more (Source: Psychology Today Personality Center)

Developmental Pathways to Borderline Personality Disorder

Current Psychiatry Reports — Wed, 19 Oct 2011 05:55:50 +0100

Abstract This paper reviews recent studies of biological and environmental risk and protective factors and patterns of continuity leading to borderline personality disorder (BPD). It focuses on prospective studies of children and adolescents and studies of young people with borderline pathology, reporting findings from genetics, neurobiology, experimental psychopathology, environmental risk, and precursor signs and symptoms. Studies of individuals earlier in the course of BPD demonstrate relatively consistent environmental risk factors, but neurobiological and experimental psychopathology findings are still inconsistent. Also, temperamental and mental state abnormalities that resemble aspects of the BPD phenotype emerge in childhood and adolescence and presage the BPD synd...

Feelings of Emptiness: Not Just a Borderline Trait Anymore

Psychology Today Personality Center — Tue, 18 Oct 2011 13:27:02 +0100

I am faced with this excruciating emptiness daily. Is it covering up all of the intense and hot emotions brewing under the surface? I would almost feel better if it were covering up something, because I hate this void! I want to know that there is something other than this horrible black hole inside of me. Am I really just a blank page? Primary Topic: Personality read more (Source: Psychology Today Personality Center)

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The Forgiveness Cure

Psychology Today Relationships Center — Mon, 17 Oct 2011 16:58:36 +0100

Surely, as adults, don't we want to stop thinking about our childhoods so much? Don't we want to stop being ambushed by them? Don't we want to be grown-ups? Primary Topic: Social Life read more (Source: Psychology Today Relationships Center)

Pay Attention to Me! When Is It Borderline Disorder?

Psychology Today Personality Center — Mon, 17 Oct 2011 14:43:27 +0100

People with narcissistic and borderline personality disorder want to be the focus of your life. This can make it difficult to tell BPD and NPD apart when you really want to know what you're dealing with. With a little education, you'll know whether or not the person in your life is a narcissist or borderline (although someone can have both). Primary Topic: Personality read more (Source: Psychology Today Personality Center)

The Family Dynamics of Narcissistic Personality Disorder and of Psychosomatic Illnesses

Psychology Today Parenting Center — Mon, 17 Oct 2011 14:14:45 +0100

Grandiosity and Low Self Esteem Primary Topic: Personality read more (Source: Psychology Today Parenting Center)

Development and Clinical Outcomes of a Dialectical Behavior Therapy Clinic [BRIEF REPORTS]

Acad Psychiatry — Mon, 17 Oct 2011 04:00:00 +0100

Conclusion: A Resident DBT Clinic was successfully implemented as an elective rotation in the adult psychiatry residency training program at the University of Utah. (Source: Acad Psychiatry)

Suicide attempts and borderline personality disorder symptomatology in a cardiac stress test population. - Sansone RA, Dittoe N, Hahn HS, Wiederman MW.

SafetyLit: All (Unduplicated) — Sun, 16 Oct 2011 02:41:16 +0100

[Abstract unavailable] Language: Eng... (Source: SafetyLit: All (Unduplicated))

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What Have You Done for Me Lately? Entitlement: A Key Narcissistic Trait

Psychology Today Personality Center — Thu, 13 Oct 2011 23:54:07 +0100

In the borderline personality disorder online community, there is a lot of confusion about the difference between BPD and narcissistic personality disorder. Many similarities exist. But clear differences are just as visible. One of them is a sense of entitlement. This post will focus on that: upcoming posts will look at other differences. Primary Topic: Personality read more (Source: Psychology Today Personality Center)

The Emotional Vulnerability of Borderline Personality Disorder

Psych Central — Thu, 13 Oct 2011 19:35:26 +0100

Imagine you have a cut. The skin around your cut heals. But it heals all wrong. The scarred tissue is extra sensitive. So much so that every time you simply touch the area, it’s like the wound tears open again, and again, and again; and the pain peaks every single time. Now imagine this wound represents your emotional sensitivity and how you deal with the world every day. This is akin to the emotional susceptibility of borderline personality disorder (BPD). As Shari Y. Manning, Ph.D, writes in her excellent book Loving Someone with Borderline Personality Disorder, “People with BPD have an exquisite vulnerability to emotions.” And this susceptibility is hardwired. For instance, Manning cites one interesting study where researchers tickled infants on their noses with a feather. Their...

What Is Dual Diagnosis?

Psychology Today Addiction Center — Mon, 10 Oct 2011 16:27:57 +0100

Dual Diagnosis describes a practice that treats people who suffer from both an addiction and a psychiatric disorder. Primary Topic: Addiction read more (Source: Psychology Today Addiction Center)

An examination of psychiatric comorbidities as a function of gender and substance type within an inpatient substance use treatment program

Drug and Alcohol Dependence — Sat, 08 Oct 2011 15:01:12 +0100

Conclusions: There are particularly elevated rates of psychiatric disorders among individuals with substance dependence in inpatient treatment. These rates differ as a function of substance dependence type and gender, making these factors important to consider when researching and treating this type of population. (Source: Drug and Alcohol Dependence)

New Research Focuses On The Teenage Mind

Health News from Medical News Today — Thu, 06 Oct 2011 09:00:00 +0100

How teens think and whether their thoughts might indicate a personality disorder is the focus of a new research study led by Carla Sharp, associate professor in clinical psychology and director of the Developmental Psychopathology Lab at the University of Houston (UH). The study covers a two-year period and investigates the relationship between borderline personality disorder traits and "hypermentalizing" in 111 adolescent between the ages of 12 to 17. Mentalizing refers to the ability to infer and attribute thoughts and feelings to understand and predict another person's behavior... (Source: Health News from Medical News Today)

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A Life Tiptoeing: Being a Significant Other to Persons With Borderline Personality Disorder

Archives of Psychiatric Nursing — Wed, 05 Oct 2011 04:00:00 +0100

Conclusion: The results revealed four categories: a life tiptoeing; powerlessness, guilt, and lifelong grief; feeling left out and abandoned; and lost trust. The first two categories describe the experience of living close to a person with BPD, and the last two categories describe encounter with psychiatric care. (Source: Archives of Psychiatric Nursing)

Misreading the facial signs: Specific impairments and error patterns in recognition of facial emotions with negative valence in borderline personality disorder

Psychiatry Research — Wed, 05 Oct 2011 03:45:59 +0100

Abstract: Patients with borderline personality disorder (BPD) exhibit impairment in labeling of facial emotional expressions. However, it is not clear whether these deficits affect the whole domain of basic emotions, are valence-specific, or specific to individual emotions. Whether BPD patients' errors in a facial emotion recognition task create a specific pattern also remains to be elucidated. Our study tested two hypotheses: first, we hypothesized, that the emotion perception impairment in borderline personality disorder is specific to the negative emotion domain. Second, we hypothesized, that BPD patients would show error patterns in a facial emotion recognition task more commonly and more systematically than healthy comparison subjects. Participants comprised 33 inpatients with BPD and...

Perceived parental protection and cortisol responses among young females with borderline personality disorder and controls

Psychiatry Research — Wed, 05 Oct 2011 03:45:59 +0100

Abstract: Borderline personality disorder (BPD) has been associated with deviations in cortisol in response to interpersonal stressors. Identifying mechanisms contributing to such deviations may help to address emotional dysregulation and the increased risk of self-destructive behavior. While dysfunctional relationships to caregivers have been widely reported among individuals with BPD, their contribution to cortisol hyperresponsiveness has yet to be investigated. Fifty-one females (aged 18–24years) participated to assess the impact of BPD and the quality of protective care in mother-daughter relationships on stress responsiveness. Seventeen females with BPD and twenty females without BPD participated with their mothers in a videotaped parent-young adult conflict discussion. Fourteen non...

Impaired working memory and normal sustained attention in borderline personality disorder

Acta Neuropsychiatrica — Sat, 01 Oct 2011 04:00:00 +0100

CONCLUSIONS: These results suggest the presence of working memory deficits in BPD that may be linked to greater impulsivity and sustained by impairment in the dorsolateral prefrontal cortex. (Source: Acta Neuropsychiatrica)

Raising awareness of borderline personality disorder and self-injury.

Nursing Standard — Sat, 01 Oct 2011 04:00:00 +0100

This article aims to increase the awareness of borderline personality disorder and self-injury among non-mental health nurses to assist them to work more effectively with patients who present with these difficulties. PMID: 22073744 [PubMed - in process] (Source: Nursing Standard)

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ADHD in adolescents with borderline personality disorder

BMC Psychiatry - Latest articles — Fri, 30 Sep 2011 04:00:00 +0100

Conclusions: Comorbid ADHD influences the clinical presentation of adolescents with BPD and is associated with higher rates of ODD, other cluster B personality disorders, and cognitive impulsiveness. A subgroup of BPD patients may exhibit developmentally driven impairments of the inhibitory system persisting since childhood. Specific interventions should be recommended for this subsample of BPD adolescents. (Source: BMC Psychiatry - Latest articles)

‘I think we're all guinea pigs really’: a qualitative study of medication and borderline personality disorder

Journal of Psychiatric and Mental Health Nursing — Wed, 28 Sep 2011 04:00:00 +0100

Accessible summary• Seven service users with Borderline Personality Disorder (BPD) were interviewed to explore their experience of being treated with medication.• Service users identified there was a lack of knowledge and understanding around the BPD diagnosis, which made treating this group difficult for staff.• Service users also reported there was also a lack of resources for this diagnostic group so staff relied on medication, although this had improved with the introduction of a specialist service for people with a personality disorder.• Service users had different opinions on whether they thought medication was a part of their recovery pathway, but agreed they should be involved in deciding whether it would be used as a treatment.AbstractNational Institute for Clinica...

Alexithymic Traits and Facial Emotion Recognition in Borderline Personality Disorder

Karger Publishers — Tue, 27 Sep 2011 23:00:00 +0100

Psychother Psychosom 2011;80:383–385 (DOI:10.1159/000325828) (Source: Karger Publishers)

On Splitting, Anger, and Getting Stuck

Psychology Today Personality Center — Tue, 27 Sep 2011 16:09:10 +0100

Splitting, splitting, splitting. It refers to thinking in terms of black and white, good and bad, awful or wonderful. Everybody does it, although it's a hallmark of people with borderline and narcissistic personality disorders. Even therapists and others professionals do it, although they should know better. Primary Topic: Personality read more (Source: Psychology Today Personality Center)

Free Call In Series for People with Borderline Disorder, Their Families, and Professionals

Psychology Today Personality Center — Mon, 26 Sep 2011 16:19:30 +0100

Thanks to the generosity of the professional borderline personality disorder community, the National Education Alliance for Borderline Personality Disorder will be hosting lectures on the phone providing the larger community the opportunity to hear the latest information and research on the disorder. The name of the series is, Perspectives to Understanding Borderline Personality Disorder. Primary Topic: Personality read more (Source: Psychology Today Personality Center)

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Treatment terminable and interminable: Implications of the Mental Health Act 2007 in England and Wales for the treatment of borderline personality disorder

Criminal Behaviour and Mental Health — Mon, 19 Sep 2011 09:47:42 +0100

(Source: Criminal Behaviour and Mental Health)

The impact of borderline personality pathology on mothers' responses to infant distress.

Journal of Family Psychology — Mon, 19 Sep 2011 04:00:00 +0100

This study sought to extend extant research on the association between borderline personality (BP) pathology and at-risk parenting by examining the dynamic nature of parenting in response to infant distress in mothers with and without clinically relevant levels of BP pathology. Findings revealed that mothers with clinically relevant levels of BP pathology were less likely than those without BP pathology to display positive affect in response to infant distress. There were no differences in the overall likelihood of insensitive parenting behaviors as a function of BP pathology, either in general or in response to infant distress. However, consistent with literature emphasizing the transactional nature of parent–child relationships, findings revealed that the likelihood of insensitive pare...

Oxytocin administration attenuates stress reactivity in borderline personality disorder: A pilot study

Psychoneuroendocrinology — Thu, 15 Sep 2011 17:05:08 +0100

Summary: Oxytocin has known stress-reducing and attachment-enhancing effects. We thus hypothesized that oxytocin would attenuate emotional and hormonal responses to stress in borderline personality disorder (BPD). Fourteen BPD and 13 healthy control (HC) adults received 40IU intranasal oxytocin or placebo in double-blind randomized order followed by the Trier Social Stress Test. Subjective dysphoria (Profile of Mood Changes) and plasma cortisol levels were measured. Childhood trauma history, attachment style, and self-esteem were also rated. A significant “Group×Drug×Time” interaction effect for dysphoria (p=.04) reflected a proportionately greater attenuation of stress-induced dysphoria in the BPD group after oxytocin administration. Additionally, a marginally significant “Group×...

The Family Dynamics of Patients with Borderline Personality Disorder

Psychology Today Parenting Center — Wed, 14 Sep 2011 19:03:37 +0100

Why do some people create havoc in their relationships? Primary Topic: Parenting read more (Source: Psychology Today Parenting Center)

Reflections on the education and training of mental health staff who work with women who have been sexually abused in childhood. - Phillips L.

SafetyLit: All (Unduplicated) — Wed, 14 Sep 2011 01:00:09 +0100

ACCESSIBLE SUMMARY: • The experiences of women patients with sexual abuse histories in inpatient mental health services are a cause for concern. Many of these women patients receive a diagnosis of borderline personality disorder, and are vulnerable to se... (Source: SafetyLit: All (Unduplicated))

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Timing, quantity and quality of stressful life events in childhood and preceding the first episode of bipolar disorder

Journal of Affective Disorders — Tue, 13 Sep 2011 03:39:47 +0100

Conclusions: Negative and loss-related SLE are common in BPD subjects, occur in the year preceding the first episodes of depression and mania and are less common in childhood or after the onset of the disorder. (Source: Journal of Affective Disorders)

Orbitofrontal dysfunction related to depressive symptomatology in subjects with borderline personality disorder

Journal of Affective Disorders — Tue, 13 Sep 2011 03:39:46 +0100

Abstract: Objective: In order to explore the relationships of fronto-limbic dysfunction with the clinical features of borderline personality disorder (BPD), the authors investigated brain electrophysiological activity in BPD patients following stimulation with emotionally arousing images.Methods: Seventeen non-medicated patients with borderline personality disorder were studied with magneto-encephalography. Regional cortical activities were obtained by minimum norm estimate (MNE) of steady-state visual evoked fields (ssVEFs). Linear regression models were conducted to explore clinical correlates of brain activity.Results: Although no interaction group×picture category×brain region was found, a significant interaction group×brain region appeared for orbito-frontal cortex (OFC). BPD patie...

A Person-Centered Approach to the Treatment of Borderline Personality Disorder

Journal of Humanistic Psychology — Mon, 12 Sep 2011 04:00:00 +0100

This article addresses psychotherapy with a person described as possessing a borderline personality disorder (BPD), or possessing features consistent with this diagnosis. In particular, a selection of mainstream approaches is reviewed to examine unique and universal aspects of current thinking about this treatment population. Following this review, an expanded analysis of person-centered therapy is offered, examining current research evidence and the mechanisms of change hypothesized to occur in the person-centered treatment of BPD. (Source: Journal of Humanistic Psychology)

The World of the Borderline Mother--And Her Children

Psychology Today Parenting Center — Tue, 06 Sep 2011 14:54:32 +0100

The children of borderline and narcissistic parents spend a lifetime gaining their freedom after living such a warped childhood. No one explains better how to do this than Christine Lawson, author of the classic book Understanding the Borderline Mother: Helping Her Children Transcend the Intense, Unpredictable, and Volatile Relationship (2002) (no books on borderline fathers yet).read more (Source: Psychology Today Parenting Center)

[Polysomnographic studies on sleep in adult borderline personality disorder.]

Presse Medicale — Tue, 06 Sep 2011 04:00:00 +0100

CONCLUSION: There are objective disturbances associated with BPD according to polysomnographic studies. PMID: 21903357 [PubMed - as supplied by publisher] (Source: Presse Medicale)

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History of suicide attempt in male substance-dependent inpatients and relationship with borderline personality features, anger, hostility and aggression. - Evren C, Cınar O, Evren B, Celik S.

SafetyLit: All (Unduplicated) — Sat, 03 Sep 2011 22:31:35 +0100

The aim of this study was to investigate the relationship between severity of borderline personality features and history of suicide attempt (HSA) in male substance-dependent inpatients and the effect of anger, hostility and aggression on this relationship... (Source: SafetyLit: All (Unduplicated))

[Original Article] Intima-Media Thickness in Women With Borderline Personality Disorder

Psychosomatic Medicine — Thu, 01 Sep 2011 23:00:00 +0100

Conclusions The data suggest that women with BPD are at increased risk of developing subsequent cardiovascular disease. (Source: Psychosomatic Medicine)

Anorexia Nervosa as a Disorder of Emotion Dysregulation: Theory, Evidence, and Treatment Implications

Clinical Psychology: Science and Practice — Thu, 01 Sep 2011 04:00:00 +0100

[Clin Psychol Sci Prac 18: 203–207, 2011]At present, no evidence‐based treatments are available showing benefit for adults with anorexia nervosa (AN). Reasons for the absence of large‐scale controlled trials include AN’s relative rarity and challenges regarding participant retention. A promising investigative field is neuropsychology. Findings that AN patients demonstrate specific deficits in executive functioning are currently being translated into clinical interventions (e.g., cognitive remediation therapy). Emerging in parallel is literature emphasizing the role of emotion regulation deficits in disordered behavior. Originally developed for borderline personality disorder, emotion regulation–based treatments have been adapted for bulimia and binge eating. Haynos and Fruzzetti ...

A (re)-evaluation of the symptom structure of borderline personality disorder.

Canadian Journal of Psychiatry — Thu, 01 Sep 2011 04:00:00 +0100

Conclusion: BPD is a multidimensional construct. PMID: 21959028 [PubMed - in process] (Source: Canadian Journal of Psychiatry)

Auditory Hallucinations: A Comparison of Beliefs about Voices in Individuals with Schizophrenia and Borderline Personality Disorder

Clinical Psychology — Thu, 01 Sep 2011 04:00:00 +0100

ConclusionAuditory hallucinations in psychosis and BPD do not differ in their phenomenology or cognitive responses (beliefs about the power and malevolence of their dominant voice). The main differential appears to be the affective response. CBT that focuses on appraisals and the relationship with voices may be helpful for distressing auditory hallucinations in individuals with BPD as well as psychosis.Key Practitioner MessageIt may be important to assess the presence of and experience of voices in those with a diagnosis of BPD.It may be helpful to consider both beliefs about voices and the individual's affective responses to voices.CBT designed to target voices in psychosis (focusing on both the appraisal and the relationship with voices) may be helpful for those with BPD. Copyright © 20...

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Borderline personality disorder.

Australian Family Physician — Thu, 01 Sep 2011 04:00:00 +0100

Authors: Shea I PMID: 21998894 [PubMed - in process] (Source: Australian Family Physician)

Cognitive Analytic Therapy for Borderline Personality Disorder: Therapist Competence and Therapeutic Effectiveness in Routine Practice

Clinical Psychology — Thu, 01 Sep 2011 04:00:00 +0100

This study sought to examine the competency of cognitive analytic therapy (CAT) delivered under routine care conditions and to identify the effectiveness of CAT for patients with borderline personality disorder (BPD). Ten cognitive analytic therapists in six National Health Service Trust sites treated 19 patients with BPD using the standard CAT BPD contract of 24 sessions plus four follow‐ups. The methodology was small N repeated measures deign, with patients interviewed at the third follow‐up session using the Change Interview. Results indicate a high treatment and follow‐up compliance rate (89.47%). Significant reductions in psychological distress, risk and dissociation over the time course of the CAT occurred, with a significant increase in personality integration. Most sessions (...

Two-year follow-up of borderline personality disorder patients in Italy: A preliminary report on prognosis and prediction of outcome

International Journal of Social Psychiatry — Wed, 31 Aug 2011 23:00:00 +0100

Conclusions: Borderline individuals seeking treatment at Italian public psychiatric centres may show some improvement in BPD psychopathology over a two-year follow-up; however, the remission rate seems to be lower than that found in North American samples. Furthermore, outcome predictors overlap only partially with those detected by North American studies. (Source: International Journal of Social Psychiatry)

Negative life experiences and the development of cluster C personality disorders: a cognitive perspective.

Cognitive Behaviour Therapy — Wed, 31 Aug 2011 23:00:00 +0100

Authors: Birgenheir DG, Pepper CM Abstract Early negative experiences have long been thought to play an important role in the development of personality disorders. Most of the literature regarding these early life experiences has focused on borderline personality disorder, with only occasional focus on other personality disorders. Utilizing cognitive theory of personality disorders (Beck et al., 2004), the authors conceptualize cluster C personality disorders (avoidant, dependent, and obsessive-compulsive). They then critically review the relevant literature on early negative life experiences and later development of these disorders to determine whether the theory is supported by the empirical data. The theory regarding avoidant and dependent personality disorders has limited suppo...

Using Plan Analysis in Psychotherapeutic Case Formulation of Borderline Personality Disorder

Clinical Psychology — Wed, 31 Aug 2011 23:00:00 +0100

This study confirms the existence of several core similarities in the functioning of patients with BPD. These findings are in line with earlier studies and expand the latter with the aim of contributing to the understanding of BPD psychopathology. Clinical implications are discussed. Copyright © 2011 John Wiley & Sons, Ltd.Key Practitioner MessagePlan Analysis can especially be of help with patients who have difficult interpersonal patterns, as those presenting with BPD.Two tendencies were found within BPD patients: (1) support‐seeking and (2) control and self‐protecting Plans.Further research using Plan Analysis should focus on the identification and detail of emotions within BPD. (Source: Clinical Psychology)

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Clinical Considerations for Long-acting Injectable Risperidone's Use on Cocaine Dependence and Dual Diagnosis

Addictive Disorders and Their Treatment — Tue, 30 Aug 2011 05:52:20 +0100

Conclusions: Although cocaine dependence has no specific pharmacological treatment, approaches to treating inpatients and outpatients could include LAIR because of its efficacy on other frequently related mental illnesses (dual diagnosis). However, borderline personality disorder and cocaine dependence could be an exception, maybe because mood instability prevails over impulsivity and other antipsychotic responding symptoms. (Source: Addictive Disorders and Their Treatment)

Cortical inhibition in alexithymic patients with borderline personality disorder.

Biological Psychology — Mon, 29 Aug 2011 04:00:00 +0100

Authors: Lang S, Stopsack M, Kotchoubey B, Frick C, Grabe HJ, Spitzer C, Barnow S Abstract High levels of alexithymia, a personality trait closely associated with emotion dysregulation, have been found in several psychiatric disorders including borderline personality disorder (BPD). Both BPD and alexithymia have been related to impaired cortical inhibition; however, this relationship has not been tested directly. The aim of the present study was, therefore, to investigate whether cortical inhibition is modulated by alexithymia in BPD. Fifteen BPD patients with Toronto-Alexithymia Scale (TAS-20) scores ≥61, 14 BPD patients with TAS-20 <61, and 16 healthy controls were examined using different TMS paradigms. High-alexithymia patients showed a shortened cortical silent period (CS...

Adolescent Disruptive Behavior and Borderline Personality Disorder Symptoms in Young Adult Men. - Burke JD, Stepp SD.

SafetyLit: All (Unduplicated) — Sat, 27 Aug 2011 22:22:37 +0100

Very few studies have prospective information, especially regarding males, on the prediction of Borderline Personality Disorder (BPD) in adulthood from psychiatric disorders in childhood. Certain childhood disorders, however, have notably similar features ... (Source: SafetyLit: All (Unduplicated))

Prospective Associations Among Borderline Personality Disorder Symptoms, Interpersonal Problems, and Aggressive Behaviors. - Stepp SD, Smith TD, Morse JQ, Hallquist MN, Pilkonis PA.

SafetyLit: All (Unduplicated) — Sat, 27 Aug 2011 22:22:37 +0100

Testing the Relations Between Impulsivity-Related Traits, Suicidality, and Nonsuicidal Self-Injury: A Test of the Incremental Validity of the UPPS Model. - Lynam DR, Miller JD, Miller DJ, Bornovalova MA, Lejuez CW.

SafetyLit: All (Unduplicated) — Wed, 24 Aug 2011 23:28:41 +0100

Borderline personality disorder (BPD) has received significant attention as a predictor of suicidal behavior (SB) and nonsuicidal self-injury (NSSI). Despite significant promise, trait impulsivity has received less attention. Understanding the relations be... (Source: SafetyLit: All (Unduplicated))

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Personality and Situational Correlates of Self‐reported Reasons for Intimate Partner Violence among Women versus Men Referred for Batterers' Intervention

Behavioral Sciences and the Law — Tue, 23 Aug 2011 23:00:00 +0100

This study examines personality and situational correlates of self‐reported reasons for intimate partner violence (IPV) among women and men court‐ordered to batterers' intervention as IPV offenders. Women endorsed self‐defense and men retaliation as their primary reasons for IPV. Both also endorsed emotion dysregulation as a reason for much of their violence. Women's partner violence was largely, but not exclusively, situationally motivated. Women's reasons for violence also related significantly to self‐reported borderline personality symptomology. Men's reasons for IPV related primarily to their self‐reported antisocial and borderline personality traits, not to situational factors. Thus, the IPV of some women and some men may be considered “characterological,” in that it re...

How to Help a Loved One with Borderline Personality Disorder, Part 2

Psych Central — Tue, 23 Aug 2011 13:32:20 +0100

When your loved one has borderline personality disorder (BPD), you might feel like you’re already overextending yourself but to no avail. You may feel “directionless, because all you can ever seem to do is react,” writes Shari Manning, Ph.D, a licensed professional counselor in private practice who specializes in treating BPD, in her excellent book Loving Someone with Borderline Personality Disorder. “You go from one extreme to the other, from trying to make sure nothing upsets the person you love to trying to get away from the person at all costs. You may feel like you’re caught in a riptide, unsure when the behaviors that upset you are going to stop and where you’re going to be dropped off at the end.” However, you can take steps to become “unlost,” as Manning puts it,...

How to Help a Loved One with Borderline Personality Disorder, Part 1

Psych Central — Mon, 22 Aug 2011 13:30:07 +0100

Borderline personality disorder (BPD) can seem like an enigma, even to family and friends, who are often at a loss for how to help. Many feel overwhelmed, exhausted and confused. Fortunately, there are specific strategies you can use to support your loved one, improve your relationship and feel better yourself. In Part 1 of our interview, Shari Manning, Ph.D, a licensed professional counselor in private practice who specializes in treating BPD, shares these effective strategies and helps readers gain a deeper understanding of the disorder. Specifically, she reveals the many myths and facts behind BPD, how the disorder manifests and what mistakes loved ones make when trying to help. Manning also is Chief Executive Officer of the Treatment Implementation Collaborative, LLC, and author of...

Attachment mental states and inferred pathways of development in borderline personality disorder: a study using the Adult Attachment Interview.

Attachment and Human Development — Fri, 19 Aug 2011 21:08:22 +0100

We report the outcome of an investigation on how specific attachment states of mind and corresponding risk factors related to different DSM Axis I comorbidities in subjects with BPD. Mental representations of attachment in four BPD sub-groups (BPD and Anxiety/Mood Disorders, BPD and Substance Use and Abuse Disorders, BPD and Alcohol Use and Abuse Disorders, and BPD and Eating Disorders) were assessed in 140 BPD subjects using the Adult Attachment Interview (AAI). In addition to the global attachment picture in which Insecure organized (Dismissing 51% and Enmeshed 35%) and Insecure disorganized categories (40%) were overrepresented, significant differences in attachment category were found between the four BPD sub-groups. Axis I comorbidities corresponded with attachment features on the int...

Adolescent Disruptive Behavior and Borderline Personality Disorder Symptoms in Young Adult Men.

Journal of Abnormal Child Psychology — Thu, 18 Aug 2011 23:00:00 +0100

Authors: Burke JD, Stepp SD Abstract Very few studies have prospective information, especially regarding males, on the prediction of Borderline Personality Disorder (BPD) in adulthood from psychiatric disorders in childhood. Certain childhood disorders, however, have notably similar features in common with BPD. In particular, the affective dysfunction, hostility and interpersonal conflict of Oppositional Defiant Disorder (ODD) and the impulsivity of Attention Deficit Hyperactivity Disorder (ADHD) in particular may be indicative of an early developmental path towards BPD. The present study uses longitudinal data from a clinical sample of 177 boys, initially between the ages of 7 and 12, who were followed up annually to age 18, and who were reassessed at age 24 (n = 142). The stu...

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Hard to swallow: a systematic review of deliberate foreign body ingestion

General Hospital Psychiatry — Thu, 18 Aug 2011 04:00:00 +0100

Conclusion: Understanding the function of this behavior is critical in developing treatment for patients who engage in these dangerous, potentially life-threatening, self-injurious behaviors. An amalgam of medical, pharmacological and cognitive–behavioral interventions is recommended, as is additional research. (Source: General Hospital Psychiatry)

Associations of childhood trauma, trauma in adulthood and previous-year stress with psychopathology in patients with major depression and borderline personality disorder.

Child Abuse and Neglect — Wed, 17 Aug 2011 23:00:00 +0100

Authors: Wingenfeld K, Schaffrath C, Rullkoetter N, Mensebach C, Schlosser N, Beblo T, Driessen M, Meyer B PMID: 21855143 [PubMed - as supplied by publisher] (Source: Child Abuse and Neglect)

It's Nothing Personal: A Woman With BPD Explains Her Actions in Romantic Relationships

Psychology Today Personality Center — Tue, 16 Aug 2011 13:56:39 +0100

Have you ever wanted to ask a person with borderline or narcissistic personality disorder why he or she acts the way they do in romantic relationships? In today's blog, Stephanie Price, the founder of the BPD organization Love Is The Cure, (see full bio below) shares her insight into why she acts the way she does in romantic relationships.read more (Source: Psychology Today Personality Center)

Gender Differences in the Effects of ADH1B and ALDH2 Polymorphisms on Alcoholism

Alcoholism: Clinical and Experimental Research — Mon, 15 Aug 2011 23:00:00 +0100

Conclusions: ALDH2 polymorphism appears to have contrasting effects on the development of alcoholism in women and men. One possible reason for this gender difference may be the high prevalence of psychiatric comorbidities in female alcoholics with inactive ALDH2. (Source: Alcoholism: Clinical and Experimental Research)

Gender Differences in the Effects of ADH1B and ALDH2 Polymorphisms on Alcoholism.

Alcoholism, Clinical and Experimental Research — Mon, 15 Aug 2011 23:00:00 +0100

Conclusions: ALDH2 polymorphism appears to have contrasting effects on the development of alcoholism in women and men. One possible reason for this gender difference may be the high prevalence of psychiatric comorbidities in female alcoholics with inactive ALDH2. PMID: 21848961 [PubMed - as supplied by publisher] (Source: Alcoholism, Clinical and Experimental Research)

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A Developmental Neuroscience of Borderline Pathology: Emotion Dysregulation and Social Baseline Theory.

Journal of Abnormal Child Psychology — Mon, 15 Aug 2011 23:00:00 +0100

Authors: Hughes AE, Crowell SE, Uyeji L, Coan JA Abstract Theoretical and empirical research has linked poor emotion regulation abilities with dysfunctional frontolimbic circuitry. Consistent with this, research on borderline personality disorder (BPD) finds that frontolimbic dysfunction is a predominant neural substrate underlying the disorder. Emotion regulation is profoundly compromised in BPD. However, BPD is also associated with broad impairment across multiple domains, including impulse control, interpersonal relationships, and cognitive functioning. To date, BPD research has focused largely on single areas of dysfunction, failing to account for overlap at either the biological or behavioral levels of analysis. We examine the literature on frontolimbic dysfunction in BPD with...

Relational Aggression in Women during Emerging Adulthood: A Social Process Model. - Ostrov JM, Hart EJ, Kamper KE, Godleski SA.

SafetyLit: All (Unduplicated) — Thu, 11 Aug 2011 14:49:19 +0100

Two studies investigated potential mediators of the association between relational victimization and relational aggression. Self-report measures of aggressive behavior among peers, exclusivity, hostile attribution biases, and borderline personality disorde... (Source: SafetyLit: All (Unduplicated))

A Farewell Message from About.com's Guide to BPD

About.com Borderline Personality Disorder — Wed, 10 Aug 2011 04:00:00 +0100

I write this post with a heavy heart. For the past three years, I have had the pleasure of being About.com's Guide to borderline personality disorder. I have met so many wonderful people through this site, and have enjoyed interacting with my readers and providing what I hope has been reliable, encouraging information about BPD. Recently, new personal and professional responsibilities have reduced the amount of time that I have been able to devote to the site, and it has become clear to me that it is time to leave and make way for a new guide to give their fresh perspective....Read Full Post (Source: About.com Borderline Personality Disorder)

What Attracts Men Who Batter to Their Partners? An Exploratory Study

Journal of Interpersonal Violence — Mon, 08 Aug 2011 23:00:00 +0100

Men who batter, because of particular personality traits and sense of entitlement, may select partners whom they perceive will be dependent on them, meet their emotional needs, or be "objects" of physical attractiveness. During treatment intake, 181 offenders responded to the question, "What attracted you to her (your partner)?" We explored whether men who mentioned their own needs or her physical traits would engage in more frequent and severe violence and would have specific forms of personality disorder dimensions or personality traits. Six categories of attraction, including "her physical traits" and "his needs," were derived from the men’s responses. The results showed that men who focused on their partners’ physical attractiveness were more likely to be violent after trea...

Retrospective Evaluation of Attention Deficit Hyperactivity Disorder with the Wender Utah Rating Scale in a Sample of Spanish Prison Inmates.

Journal of Forensic Sciences — Mon, 08 Aug 2011 23:00:00 +0100

Authors: Vegue-González M, Alvaro-Brun E, Santiago-Sáez A, Kanaan-Kanaan A Abstract The aim of this study is to determine the prevalence of childhood history of attention deficit hyperactivity disorder (ADHD) in a sample of prison inmates. This is a descriptive, cross-sectional study, which consisted of a sample of 100 inmates from penitentiary centers in Madrid. The instruments used were the Wender Utah Rating Scale (WURS), the International Personality Disorder Examination, and a questionnaire of demographic, penitentiary, and toxicological data. For statistical analysis, the SPSS program was used with confidence interval estimation of 95%. The mean score of the WURS was 65.7 points. Fifty percent of the sample surpassed the cut-off point of 32 for the 25 best discriminativ...

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Borderline Personality Disorder: Are Black Children at Greater Risk? Part Two

Psychology Today Parenting Center — Mon, 08 Aug 2011 16:49:47 +0100

This is Part Two re: Borderline Personality Disorder and the possible greater prevalence of it in Black children. Please be sure to read Part One: click here. Continuing...read more (Source: Psychology Today Parenting Center)

Borderline Personality Disorder: Who's at Risk; What Sufferers Do (Part 2)

Psychology Today Parenting Center — Mon, 08 Aug 2011 16:49:47 +0100

This is Part Two re: Borderline Personality Disorder; how early family dynamics can lead to the disorder, and what sufferers of the condition do. I also ponder the possible greater risk/prevalence of BPD in modern-day Black children. Please be sure to read Part One: click here. Continuing...read more (Source: Psychology Today Parenting Center)

Borderline Personality Disorder: Are Black Children at Greater Risk? Part One

Psychology Today Parenting Center — Mon, 08 Aug 2011 16:11:09 +0100

Inconsistent parenting. Divided, insufficient parental time (as if momma's working many jobs, or there are too many kids in the house). Early parental loss from death or divorce, and 70-75% are victims of childhood sexual abuse.read more (Source: Psychology Today Parenting Center)

Borderline Personality Disorder: Who's at Risk; What Sufferers Do (Part 1)

Psychology Today Parenting Center — Mon, 08 Aug 2011 16:11:09 +0100

Affect and alcohol use: An ecological momentary assessment study of outpatients with borderline personality disorder.

Journal of Abnormal Psychology — Sun, 07 Aug 2011 23:00:00 +0100

We examined associations between both negative and positive affects and alcohol use in outpatient women diagnosed with borderline personality disorder (BPD; n = 74), a prototype of emotional dysregulation, as well as a psychiatric control group of women with current depressive disorder (major depressive disorder/dysthymic disorder [MDD\DYS]; n = 50). Participants completed randomly prompted reports of mood and alcohol use up to six times a day over a 28-day period using electronic diaries. Mean levels of either positive or negative affects did not distinguish between drinkers and nondrinkers in either diagnostic group. However, levels of both negative and positive affects were positively associated with alcohol use at the momentary level in BPD drinkers. More robust findings were obtained ...

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Depressive-type emotional response pattern in impulsive-aggressive patients with borderline personality disorder. - Jayaro C, De La Vega I, Bayon-Palomino C, Díaz-Marsá M, Montes A, Tajima K, López-Ibor JJ, Carrasco JL.

SafetyLit: All (Unduplicated) — Sun, 07 Aug 2011 00:36:40 +0100

INTRODUCTION: Borderline personality disorder (BPD) is typically characterized by severe affective dysregulation leading to impulsive behaviors. Accordingly, preliminary data suggest the hypothesis that BPD patients could have a specific and altered patter... (Source: SafetyLit: All (Unduplicated))

Rearranging the Introversion-Extroversion Schema

Psychology Today Personality Center — Sat, 06 Aug 2011 18:50:03 +0100

Discussion was lively on the post about Jennifer O. Grimes' theory, which posits that introversion is on the nonclinical end of the autism spectrum.Some people objected to the theory, believed it "pathologized" introversion and was "a step backwards for us introverts."read more (Source: Psychology Today Personality Center)

The Social Transformation of Self-Injury

Psychology Today Anxiety Center — Fri, 05 Aug 2011 23:52:31 +0100

What’s happened to self-injury? Everyone’s doing it! Has it become a silent epidemic? What does it mean?read more (Source: Psychology Today Anxiety Center)

Football Player Brandon Marshall: The New Face of Borderline Personality Disorder

Psychology Today Relationships Center — Thu, 04 Aug 2011 21:22:48 +0100

"My pain, resentments, and sadness give me my strength. My strength ruined my mind, body, and soul. I've been trapped all my life--not by man or cages, but by my own emotions. Where I have been, what I have seen, when I travel inside myself, can be summed up by one word. Damn!"read more (Source: Psychology Today Relationships Center)