scholarly journals Alliance rupture and repair processes and therapeutic change in youth with borderline personality disorder

2016 ◽  
Vol 90 (1) ◽  
pp. 84-104 ◽  
Author(s):  
Elon Gersh ◽  
Carol A. Hulbert ◽  
Ben McKechnie ◽  
Reem Ramadan ◽  
Tamara Worotniuk ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Borderline Personality ◽  
Therapeutic Change ◽  
Alliance Rupture ◽  
Repair Processes

scholarly journals Atypical Neural Plasticity and Behavioral Effects of Trustworthiness Learning in High Vs. Low Borderline Personality Disorder Features: An Experimental Approach

2020 ◽  
Author(s):  
Eric Fertuck ◽  
Stephanie Fischer ◽  
Robert Melara
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Neural Plasticity ◽  
Experimental Approach ◽  
Borderline Personality ◽  
Therapeutic Change ◽  
Attentional Processes ◽  
New Information ◽  
The Face ◽  
Time Periods

Abstract Background: The ability to accurately decide who is trustworthy, and to, in the face of new information, adjust judgment of others’ trustworthiness accurately, flexibly, and efficiently is clinically impaired in Borderline Personality Disorder (BPD). Methods: A novel trust learning paradigm was administered to high (H-BPD) and low (L-BPD) in BPD features undergraduate participants. Neutral faces were paired with trust-relevant behaviors in each of four conditions: trustworthy, untrustworthy, mixed, and ambiguous. After training, participants rated faces on trustworthiness as electroencephalographic measures were recorded. Results: H-BPD rated neutral faces as significantly more untrustworthy than L-BPD at both time periods. Negative and ambiguous trustworthiness pairing conditions led to lower trustworthiness ratings, whereas trustworthy and mixed descriptors led to higher trustworthiness ratings. Training enhanced the amplitude of an early sensory ERP component (i.e., P1) for both groups. The slow wave ERP, an index of sustained attention, revealed greater focus after training to trustworthy descriptors in H-BPD and to untrustworthy descriptors in L-BPD. Conclusions: Social learning can modify an untrustworthiness bias in BPD at neural and behavioral levels. The results suggest that differential neural plasticity may account for the negative trustworthiness appraisal bias in BPD, and that interventions targeting frontal, attentional processes during trustworthiness learning may be a key mechanism of therapeutic change.

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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