Psychological Trauma and the Borderline Personality.

2005 ◽  
pp. 197-208
Author(s):  
George S. Everly ◽  
Jeffrey M. Lating
Keyword(s):  
Psychological Trauma ◽  
Borderline Personality

Psychotherapy and Psychological Trauma in Borderline Personality Disorder

1990 ◽  
Vol 20 (1) ◽  
pp. 33-43 ◽  
Author(s):  
J Christopher Perry ◽  
Judith L Herman ◽  
Bessel A Van Der Kolk ◽  
Lizbeth A Hoke
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Psychological Trauma ◽  
Borderline Personality

Comparing models of borderline personality disorder: Mothers’ experience, self-protective strategies, and dispositional representations

2010 ◽  
Vol 15 (3) ◽  
pp. 433-451 ◽  
Author(s):  
Patricia M. Crittenden ◽  
Louise Newman
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Psychological Trauma ◽  
Borderline Personality ◽  
Negative Effects ◽  
Conceptual Coherence ◽  
Model Method ◽  
Child Interview ◽  
Protective Strategies ◽  
Better Than

This study compared aspects of the functioning of mothers with borderline personality disorder (BPD) to those of mothers without psychiatric disorder using two different conceptualizations of attachment theory. The Adult Attachment Interviews (AAIs) of 32 mothers were classified using both the Main and Goldwyn method (M&G) and the Dynamic-Maturational Model method (DMM). We found that mothers with BPD recalled more danger, reported more negative effects of danger, and gave evidence of more unresolved psychological trauma tied to danger than other mothers. We also found that the DMM classifications discriminated between the two groups of mothers better than the M&G classifications. Using the DMM method, the AAIs of BPD mothers were more complex, extreme, and had more indicators of rapid shifts in arousal than those of other mothers. Representations drawn from the AAI, using either classificatory method, did not match the representations of the mother’s child drawn from the Working Model of the Child Interview; mothers with very anxious DMM classifications were paired with secure-balanced child representations. We propose that the DMM offers greater clinical utility, conceptual coherence, empirical validity, and coder reliability than the M&G.

scholarly journals Mentalization-based treatment for patients with borderline personality disorder: an overview

2009 ◽  
Vol 31 (1) ◽  
pp. 72-75 ◽  
Author(s):  
Mariana Eizirik ◽  
Peter Fonagy
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Mental Health Professionals ◽  
Therapeutic Process ◽  
Psychological Trauma ◽  
Borderline Personality ◽  
Randomized Controlled ◽  
Effective Interventions ◽  
Psychodynamically Oriented ◽  
The Individual

OBJECTIVE: To describe the concept of mentalization, and its application in understanding the development of psychopathology in patients with borderline personality disorder; to give an account of the main features of mentalization-based treatment; to summarise the evidence supporting its effectiveness. DISCUSSION: Mentalization is a predominantly preconscious mental activity that enables the individual to understand him/herself and others in terms of subjective states and mental processes. Psychological trauma in childhood is associated with deficits in mentalization and with the development of borderline personality disorder. Mentalization-based treatment is a psychodynamically-oriented manualized psychotherapy for borderline personality disorder that aims to develop a therapeutic process in which the patient's capacity for mentalization becomes the focus of treatment. Randomized controlled trials have demonstrated the effectiveness of this treatment for patients with borderline personality disorder. CONCLUSIONS: The development of a psychodynamically-oriented therapeutic intervention that specifically targets the deficits involved in the psychopathology of borderline personality disorder is a crucial step in increasing the effectiveness of treatment. Mental health professionals should be adequately prepared to deliver effective interventions to their patients, such as mentalization-based treatment.

Mentalization-Based Treatment of Borderline Personality Disorder

2012 ◽  
pp. 766-784 ◽  
Author(s):  
Anthony W. Bateman ◽  
Peter Fonagy
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Mental Health Professionals ◽  
Psychological Trauma ◽  
Mental States ◽  
Borderline Personality ◽  
Interpersonal Interaction ◽  
The Face ◽  
Disorder Treatment ◽  
Core Problem

An outline of the developmental origins of mentalizing and its relevance to borderline personality disorder is provided. Mentalizing, a capacity to understand intentions of oneself and others in terms of mental states, develops in the context of attachment relationships. Disruption of the attachment relationship due to psychological trauma leads to a vulnerability in adulthood to a loss of mentalizing in the context of interpersonal interaction, which is a core problem for people with borderline personality disorder. Treatment requires a focus on mentalizing, and mentalization-based treatment has been developed with the aim of helping patients improve their ability to maintain mentalizing in the face of emotional stimulation in the context of close relationships. The treatment has been subjected to research trials and shown to be effective in reducing many of the symptoms of borderline personality disorder when implemented by generic mental health professionals with limited specialist training.

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

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

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

Comparison of Three Questionnaires to Screen for Borderline Personality Disorder in Adolescents and Young Adults

2017 ◽  
Vol 33 (2) ◽  
pp. 123-128 ◽  
Author(s):  
Anne van Alebeek ◽  
Paul T. van der Heijden ◽  
Christel Hessels ◽  
Melissa S.Y. Thong ◽  
Marcel van Aken
Keyword(s):  
Young Adults ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Borderline Personality ◽  
Adolescents And Young Adults ◽  
Patient Questionnaire ◽  
Statistical Manual ◽  
Axis Ii ◽  
Diagnostic And Statistical Manual ◽  
Dsm Iv

Abstract. One of the most common personality disorders among adolescents and young adults is the Borderline Personality Disorder (BPD). The objective of current study was to assess three questionnaires that can reliably screen for BPD in adolescents and young adults (N = 53): the McLean Screening Instrument for BPD (MSI-BPD; Zanarini et al., 2003 ), the Personality Diagnostic Questionnaire 4th edition – BPD scale (PDQ-4 BPD; Hyler, 1994 ), and the SCID-II Patient Questionnaire – BPD scale (SCID-II-PQ BPD). The nine criteria of BPD according to the Diagnostic and Statistical Manual of Mental Disorders-IV (DSM-IV; APA, 1994 ) were measured with the Structural Clinical Interview for DSM-IV Axis II disorders – BPD scale (SCID-II; First, Spitzer, Gibbon, Williams, & Benjamin, 1995 ). Correlations between the questionnaires and the SCID-II were calculated. In addition, the sensitivity and specificity of the questionnaires were tested. All instruments predicted the BPD diagnosis equally well.

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