Identity Disturbance In Borderline Personality Disorder

2000 ◽  
Author(s):  
T. Wilkinson-Ryan ◽  
◽  
D. Westen
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Borderline Personality ◽  
Identity Disturbance

scholarly journals Autobiographical memories, identity disturbance and brain functioning in patients with borderline personality disorder: An fMRI study

Heliyon ◽  
2019 ◽  
Vol 5 (3) ◽  
pp. e01323 ◽  
Author(s):  
Paola Bozzatello ◽  
Rosalba Morese ◽  
Maria Consuelo Valentini ◽  
Paola Rocca ◽  
Francesca Bosco ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Borderline Personality ◽  
Autobiographical Memories ◽  
Brain Functioning ◽  
Identity Disturbance ◽  
Fmri Study

The Experience of Maltreatment in Young Children Whose Mothers Have Borderline Personality Disorder: Reflections in Their Narrative Representations

2020 ◽  
Vol 34 (6) ◽  
pp. 750-763 ◽  
Author(s):  
Jenny Macfie ◽  
Gretchen Kurdziel
Keyword(s):  
Sexual Abuse ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Borderline Personality ◽  
Identity Disturbance ◽  
Narrative Representations ◽  
Child Relationship ◽  
Self Harm ◽  
Normative Comparisons ◽  
Negative Relationships

Child maltreatment is an etiological factor in borderline personality disorder (BPD), which may be transmitted to the children of mothers with BPD. We assessed maltreatment in 36 children aged 4–7 whose mothers have BPD and in 34 normative comparisons. Children whose mothers have BPD were more likely to have experienced sexual abuse, physical abuse, and neglect than were normative comparisons. Mothers’ self-reported borderline features were significantly correlated with children's maltreatment. Neglect was associated with mothers’ affective instability, identity disturbance, negative relationships, and self-harm; sexual abuse was associated with mothers’ identity disturbance, and negative relationships; and physical abuse was associated with mothers’ self-harm. Maltreatment mediated the relationship between all four of mothers’ borderline features and children's narrative representations of the caregiver–child relationship, which included fear of abandonment, role reversal, and mother–child relationship expectations. The authors discuss results in the context of risk for developing BPD in early adulthood and early preventive interventions targeting children's representations.

scholarly journals Boredom in Borderline Personality Disorder: A Lost Criterion Reconsidered

2020 ◽  
Vol 53 (5-6) ◽  
pp. 239-253
Author(s):  
Sara R. Masland ◽  
Tanya V. Shah ◽  
Lois W. Choi-Kain
Keyword(s):  
Clinical Practice ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Personality Disorders ◽  
Diagnostic Criteria ◽  
Empirical Research ◽  
Borderline Personality ◽  
Cascade Model ◽  
Identity Disturbance ◽  
Behavioral Dysregulation

Difficulty with boredom was eliminated from the formal diagnostic criteria for borderline personality disorder (BPD) in 1994 based on significantly limited, unpublished data. However, it is apparent in clinical practice that boredom remains relevant to BPD. This review synthesizes empirical research, with consideration of theoretical accounts, to critically examine the relevance of boredom to BPD. We first briefly review issues in defining and measuring boredom and offer an expanded conceptualization for BPD, which includes the notion of boredom reactivity, before turning to boredom’s differentiation from and overlap with feelings of emptiness, with which it was paired prior to its removal from the DSM. We then discuss perspectives on boredom’s significance in BPD, briefly touching on its relevance in other personality disorders. We propose a Boredom Cascade Model that articulates how boredom and boredom reactivity interact with identity disturbance and chronic emptiness to create escalating patterns of behavioral dysregulation and make recommendations for research and treatment.

Borderline personality disorder and violence

2019 ◽  
Vol 27 (6) ◽  
pp. 578-580
Author(s):  
Jaydip Sarkar
Keyword(s):  
Risk Management ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Early Identification ◽  
Borderline Personality ◽  
Local Context ◽  
Identity Disturbance ◽  
Secure Care ◽  
Affective Instability ◽  
Contingency Plans

Objective: This paper aims to provide a selective review of the co-occurrence of borderline personality disorder (BPD) and violence, a much less explored aspect of aggression with this cohort. Conclusions: Violence in BPD patients is expressed particularly towards intimate partners and known persons, usually in the homes of perpetrators. Anger, impulsivity and avoiding abandonment are traits associated with violence while suicidal behaviour, identity disturbance and affective instability are not. These patients are disproportionately found in higher levels of secure care although most violence occurs in the community. In males it is more likely driven by substance use, often at transition from adolescence to adulthood, while more severe borderline pathology is implicated in women. Early identification of an at-risk cohort is recommended with development of collaborative safety plans with patients that include identification of a ‘risk signature’ that guides risk management. A multi-modal approach using risk management protocols with availability of contingency plans within a multi-agency forum in a local context is recommended.

scholarly journals The Lack of Negative Affects as an Indicator for Identity Disturbance in Borderline Personality Disorder: A Preliminary Report

2009 ◽  
Vol 42 (6) ◽  
pp. 399-404 ◽  
Author(s):  
Marc Walter ◽  
Hendrik Berth ◽  
Joseph Selinger ◽  
Urs Gerhard ◽  
Joachim Küchenhoff ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Preliminary Report ◽  
Borderline Personality ◽  
Identity Disturbance ◽  
Negative Affects

Identity Disturbance and Substance- Dependency in Patients with Borderline Personality Disorder

2011 ◽  
Vol 26 (S2) ◽  
pp. 1029-1029
Author(s):  
A. Kheradmand ◽  
A. Ghaffari Nejad ◽  
K. Toofani
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Data Gathering ◽  
Borderline Personality ◽  
Case Group ◽  
Related Factors ◽  
Identity Disturbance ◽  
Significant Difference ◽  
Lack Of Commitment

IntroductionIdentity disturbance is one of the DSM- IV criteria for borderline personality disorder, but there has been little attention to its nature. Four subset of identity disturbance (role absorption, painful incoherence, inconsistency, lack of commitment) have been assessed.AimsAssess the role of these subsets in patients with borderline personality disorder and examine the relation between identity disturbances with substance- dependency.BackgroundThis case- control study was conducted on 40 patients with borderline personality disorder referring to Beheshti Hospital in Kerman during 2007-2008; and 40 healthy people who were matched with case group in term of gender, and educational level. Data gathering was done with three questionnaire including a demographic- related questionnaire, disturbance questionnaire (included 35 items), and a questionnaire related to substance- dependency and its related factors. Data analysis was performed using SPSS software (version 11) by mean calculation and t-test and ANOVA.MethodsMean score of 33 items of identity disturbance questionnaire were greater with significant difference in case group (p < 0.05). Means differences in two groups in all subsets were statistically significant except for role absorption (p < 0.05). Means differences in all subsets in substance- dependent subjects and substance- independent people in both groups were not statistically significant.FindingsIdentity disturbance is one of the major criteria for borderline personality disorder, but in different societies the role of its subsets are different. Assessing subsets of identity disturbance has no value in assessing substance- dependency in patients with borderline personality disorder.

scholarly journals Features of borderline personality disorder as a mediator of the relation between childhood traumatic experiences and psychosis-like experiences in patients with mood disorder

2018 ◽  
Vol 49 ◽  
pp. 9-15 ◽  
Author(s):  
Ilya Baryshnikov ◽  
Kari Aaltonen ◽  
Jaana Suvisaari ◽  
Maaria Koivisto ◽  
Martti Heikkinen ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Mood Disorders ◽  
Psychotic Disorders ◽  
Cognitive Biases ◽  
Borderline Personality ◽  
Traumatic Experiences ◽  
Identity Disturbance ◽  
Dissociative Symptoms ◽  
Distress Scale

AbstractBackgroundPsychosis-like experiences (PEs) are common in patients with non-psychotic disorders. Several factors predict reporting of PEs in mood disorders, including mood-associated cognitive biases, anxiety and features of borderline personality disorder (BPD). Childhood traumatic experiences (CEs), often reported by patients with BPD, are an important risk factor for mental disorders. We hypothesized that features of BPD may mediate the relationship between CEs and PEs. In this study, we investigated the relationships between self-reported PEs, CEs and features of BPD in patients with mood disorders.MethodsAs part of the Helsinki University Psychiatric Consortium study, McLean Screening Instrument (MSI), Community Assessment of Psychic Experiences (CAPE-42) and Trauma and Distress Scale (TADS) were filled in by patients with mood disorders (n = 282) in psychiatric care. Correlation coefficients between total scores of scales and their dimensions were estimated, multiple regression and mediation analyses were conducted.ResultsTotal scores of MSI correlated strongly with scores of the CAPE-42 dimension “frequency of positive symptoms” (rho = 0.56; p ≤ 0.001) and moderately with scores of TADS (rho = 0.4; p ≤ 0.001). Total score of MSI and its dimension “cognitive symptoms”, including identity disturbance, distrustfulness and dissociative symptoms, fully mediated the relation between TADS and CAPE-42. Each cognitive symptom showed a partial mediating role (dissociative symptoms 43% (CI = 25–74%); identity disturbance 40% (CI = 30-73%); distrustfulness 18% (CI = 12-50%)).ConclusionsSelf-reported cognitive-perceptual symptoms of BPD fully mediate, while affective, behavioural and interpersonal symptoms only partially mediate the relationships between CEs and PEs. Recognition of co-morbid features of BPD in patients with mood disorders reporting PEs is essential.

scholarly journals Representations of the caregiver–child relationship and of the self, and emotion regulation in the narratives of young children whose mothers have borderline personality disorder

2009 ◽  
Vol 21 (3) ◽  
pp. 993-1011 ◽  
Author(s):  
Jenny Macfie ◽  
Scott A. Swan
Keyword(s):  
Emotion Regulation ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Borderline Personality ◽  
Role Reversal ◽  
The Self ◽  
Maternal Identity ◽  
Identity Disturbance ◽  
Child Relationship ◽  
Self Harm

AbstractBorderline personality disorder (BPD) represents a severe distortion in the development of attachment, self, and emotion regulation. Study of children at high risk of developing BPD may inform precursors to BPD. In a low socioeconomic status sample of 30 children aged 4–7 whose mothers have BPD and 30 normative comparisons, representations of the caregiver–child relationship and of the self, and emotion regulation were assessed with a story-stem completion measure. In contrast to comparisons and controlling for major depressive disorder, children whose mothers have BPD told stories with the following: (a) more parent–child role reversal, more fear of abandonment, and more negative mother–child and father–child relationship expectations; (b) more incongruent and shameful representations of the self; and (c) poorer emotion regulation indicated by more confusion of boundaries between fantasy and reality and between self and fantasy, more fantasy proneness, less narrative coherence, and marginally more intrusion of traumatic themes. In the sample as a whole, (a) a maladaptive caregiver–child relationship composite was associated with maternal identity disturbance and self-harm; (b) a maladaptive self-composite was associated with maternal self-harm; and (c) a maladaptive emotion regulation composite was associated with maternal identity disturbance, negative relationships, and self-harm. Results are discussed in terms of putative precursors to BPD and preventive interventions.

Sign in / Sign up

Export Citation Format

Share Document