scholarly journals ‘Still-face’ interactions between mothers with borderline personality disorder and their 2-month-old infants

2003 ◽  
Vol 183 (3) ◽  
pp. 239-247 ◽  
Author(s):  
Lisa E. Crandell ◽  
Matthew P. H. Patrick ◽  
R. Peter Hobson
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Psychiatric Disorder ◽  
Self Regulation ◽  
Borderline Personality ◽  
Diagnostic Group ◽  
Face To Face ◽  
Play Interactions ◽  
Developmental Significance

BackgroundThere is evidence that psychopathology in mothers may be associated with dysfunctional mother–infant interactions.AimsTo investigate mother–infant relations when mothers have borderline personality disorder.MethodEight mothers with borderline personality disorder and twelve mothers without psychiatric disorder were videotaped interacting with their 2-month-old infants in three successive phases of interaction: face-to-face play; an episode when the mother adopted a ‘still face’ and was unreactive; and a period when play interactions were resumed. The videotapes were rated by judges blind to the diagnostic group of the mother.ResultsThe mothers with borderline personality disorder were more intrusively insensitive towards their infants. During the still-face period, their infants showed increased looking away and dazed looks. Following this, mother–infant interactions were less satisfying and their infants showed dazed looks and lowering of affect.ConclusionsThe diagnosis of borderline personality disorder is associated with a particular pattern of mother–infant interaction. The infants' responses to the still-face challenge might suggest dysfunctional self-regulation, but the developmental significance remains to be assessed.

scholarly journals Deficits of Affect Mentalization in Patients with Drug Addiction: Theoretical and Clinical Aspects

2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Svetoslav Savov ◽  
Nikola Atanassov
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Drug Addiction ◽  
Self Regulation ◽  
Complex Form ◽  
Borderline Personality ◽  
Clinical Aspects ◽  
Empirical Testing ◽  
Affective States ◽  
Psychodynamically Oriented

Traditionally treated with wariness, drug addictions have provoked a serious interest in psychodynamically oriented clinicians in recent decades. This paper discusses the development of contemporary psychodynamic conceptualizations of addictions, focusing specifically on mentalization-based theories. The concept of mentalization refers to a complex form of self-regulation which includes attribution of psychological meaning to one’s own behavior and affective states, as well as those of the others. We hypothesize that drug-addicted patients have severe impairments in mentalizing, associated with developmental deficits, characteristic for the borderline personality disorder and psychosomatic conditions. Psychodynamic models of mentalization and their corresponding research operationalizations are reviewed, and implications for a contemporary understanding of drug addictions and psychotherapy are drawn. The authors propose that mentalization-oriented theories provide an adequate conceptualization, which is open to empirical testing and has clear and pragmatic guidelines for treatment.

scholarly journals Self-Regulation and Psychodynamics in Bioenergetic Analysis

2021 ◽  
Vol 31 (1) ◽  
pp. 59-78
Author(s):  
Jens Tasche
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Affect Regulation ◽  
Self Regulation ◽  
Borderline Personality ◽  
The Self ◽  
Structural Disorders ◽  
Bioenergetic Analysis ◽  
Polish Society ◽  
Theoretical Considerations

This article presents ten theses containing theoretical considerations for a postgraduate curriculum as currently tested by the Polish Society for Bioenergetic Analysis. The bioenergetic notion of the self, of affect regulation and of mental defense are modified in order to allow for psychodynamic conflict-, structureand trauma-pathological concepts to be integrated into Bioenergetic Analysis. Among other advantages, this approach facilitates the work with structural disorders (narcissism, borderline personality disorder) in Bioenergetic Analysis.

The Unified Protocol for Borderline Personality Disorder

2017 ◽  
pp. 200-214
Author(s):  
Shannon Sauer-Zavala ◽  
Kate H. Bentley ◽  
Julianne G. Wilner
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Emotional Disorders ◽  
Borderline Personality ◽  
Diagnostic Group ◽  
Emotional Disorder ◽  
Transdiagnostic Treatment ◽  
Unified Protocol ◽  
Maintenance Factors ◽  
Case Presentations

Borderline personality disorder (BPD) is a severe, difficult-to-treat psychiatric condition that represents a large proportion of treatment-seeking individuals. This disorder is characterized by high rates of co-occurrence with depressive and anxiety disorders, and recent explanations for this comorbidity suggest that these disorders share biological vulnerabilities and functional maintenance factors. Given the commonalities among BPD and other emotional disorders, the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders (UP) was clinically applied to five individuals who met criteria for BPD and at least one comorbid emotional disorder. This chapter will highlight the theoretical rationale for considering BPD an emotional disorder, underscoring the use of the UP with this population. In addition, detailed case presentations of two individuals with BPD treated with the UP will be presented to illustrate the ways in which UP skills can be flexibly applied within this diagnostic group.

Metacognition of daily self-regulation processes and personality traits in borderline personality disorder

2020 ◽  
Vol 267 ◽  
pp. 243-250 ◽  
Author(s):  
Daniel Vega ◽  
Rafael Torrubia ◽  
Josep Marco-Pallarés ◽  
Angel Soto ◽  
Antoni Rodriguez-Fornells
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Personality Traits ◽  
Self Regulation ◽  
Borderline Personality

scholarly journals A Schema Therapy–Based eHealth Program for Patients with Borderline Personality Disorder (priovi): Naturalistic Single-Arm Observational Study (Preprint)

2018 ◽  
Author(s):  
Gitta Anne Jacob ◽  
Andrea Hauer ◽  
Sandra Köhne ◽  
Nele Assmann ◽  
Anja Schaich ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Dialectical Behavior Therapy ◽  
Qualitative Interviews ◽  
Borderline Personality ◽  
Controlled Study ◽  
Schema Therapy ◽  
Face To Face ◽  
Psychological Conditions ◽  
Therapeutic Exercises

BACKGROUND Electronic health (eHealth) programs have been found to be effective in treating many psychological conditions. However, regarding borderline personality disorder (BPD), only a few eHealth programs have been tested, involving small interventions based on the dialectical behavior therapy treatment approach. We investigated priovi, a program based on the schema therapy (ST) approach. priovi is considerably more comprehensive than prior programs, offering broad psychoeducation content and many therapeutic exercises. OBJECTIVE We tested the acceptability and feasibility of priovi in 14 patients with BPD as an add-on to individual face-to-face ST. METHODS Patients received weekly individual ST and used priovi over a period of 12 months. We assessed BPD symptom severity using self-reported and interview-based measures. Qualitative interviews were conducted with both patients and therapists to assess their experiences with priovi. RESULTS BPD symptoms improved significantly (Cohen d=1.0). Overall, qualitative data showed that priovi was positively received by both patients and therapists. Some exercises provoked mild anxiety; however, no serious threat to safety was detected. CONCLUSIONS riovi is a potentially helpful and safe tool that could support individual ST. It needs to be further tested in a randomized controlled study. CLINICALTRIAL German Clinical Trials Register DRKS00011538; https://www.drks.de/drks_web/navigate.do? navigationId=trial.HTML&TRIAL_ID=DRKS00011538

scholarly journals A Schema Therapy–Based eHealth Program for Patients with Borderline Personality Disorder (priovi): Naturalistic Single-Arm Observational Study

10.2196/10983 ◽  
2018 ◽  
Vol 5 (4) ◽  
pp. e10983 ◽  
Author(s):  
Gitta Anne Jacob ◽  
Andrea Hauer ◽  
Sandra Köhne ◽  
Nele Assmann ◽  
Anja Schaich ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Dialectical Behavior Therapy ◽  
Qualitative Interviews ◽  
Borderline Personality ◽  
Controlled Study ◽  
Schema Therapy ◽  
Face To Face ◽  
Psychological Conditions ◽  
Therapeutic Exercises

Background Electronic health (eHealth) programs have been found to be effective in treating many psychological conditions. However, regarding borderline personality disorder (BPD), only a few eHealth programs have been tested, involving small interventions based on the dialectical behavior therapy treatment approach. We investigated priovi, a program based on the schema therapy (ST) approach. priovi is considerably more comprehensive than prior programs, offering broad psychoeducation content and many therapeutic exercises. Objective We tested the acceptability and feasibility of priovi in 14 patients with BPD as an add-on to individual face-to-face ST. Methods Patients received weekly individual ST and used priovi over a period of 12 months. We assessed BPD symptom severity using self-reported and interview-based measures. Qualitative interviews were conducted with both patients and therapists to assess their experiences with priovi. Results BPD symptoms improved significantly (Cohen d=1.0). Overall, qualitative data showed that priovi was positively received by both patients and therapists. Some exercises provoked mild anxiety; however, no serious threat to safety was detected. Conclusions priovi is a potentially helpful and safe tool that could support individual ST. It needs to be further tested in a randomized controlled study. Trial Registration German Clinical Trials Register DRKS00011538; https://www.drks.de/drks_web/navigate.do? navigationId=trial.HTML&TRIAL_ID=DRKS00011538 (Archived by WebCite at http://www.webcitation.org/74jb0AgV8)

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