Affect Dysregulation in Borderline Personality Disorder and Somatoform Disorder: Differentiating Under- and Over-Regulation

2010 ◽  
Vol 24 (3) ◽  
pp. 296-311 ◽  
Author(s):  
Annemiek van Dijke ◽  
Julian D. Ford ◽  
Onno van der Hart ◽  
Maarten van Son ◽  
Peter van der Heijden ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Somatoform Disorder ◽  
Borderline Personality ◽  
Affect Dysregulation

scholarly journals Childhood traumatization by primary caretaker and affect dysregulation in patients with borderline personality disorder and somatoform disorder

2011 ◽  
Vol 2 (1) ◽  
pp. 5628 ◽  
Author(s):  
Dijke Annemiek van ◽  
Ford Julian D ◽  
Hart Onno van der ◽  
Van Son Maarten J.M. ◽  
Van der Heijden Peter G.M. ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Somatoform Disorder ◽  
Borderline Personality ◽  
Affect Dysregulation ◽  
Primary Caretaker

Diagnosis of Borderline Personality Disorder

2017 ◽  
Author(s):  
Barbara Stanley ◽  
Tanya Singh
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Interpersonal Relationships ◽  
Affect Regulation ◽  
Borderline Personality ◽  
Affect Dysregulation ◽  
Affective Dysregulation ◽  
Mood Changes ◽  
Self Image ◽  
Persistent Pattern

The diagnosis of borderline personality disorder (BPD) can be devastating. BPD is characterized by instability on several domains: affect regulation, impulse control, interpersonal relationships, and self-image, and it affects about 1–2% of the general population—up to 10% of psychiatric outpatients, and 20% of inpatients. In addition to meeting the criteria set forth in DSM-5, BPD, like all personality disorders, is characterized by a pervasive and persistent pattern of behavior that begins in early childhood and is stable across contexts. Affective dysregulation (inappropriate, intense anger or difficulty controlling anger; affective instability due to a marked reactivity of mood), is one of the core domains associated with BPD and is characterized by erratic, easily aroused mood changes and disproportionate emotional responses. Affect dysregulation differs in BPD and mood disorders because in BPD it can shift rapidly and is affected by environmental triggers.

Eating Disorders and Borderline Personality Disorder

2017 ◽  
pp. 95-111
Author(s):  
Lucene Wisniewski ◽  
Leslie K. Anderson
Keyword(s):  
Eating Disorders ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Behavior Therapy ◽  
Dialectical Behavior Therapy ◽  
Clinical Picture ◽  
Eating Pathology ◽  
Borderline Personality ◽  
Affect Dysregulation ◽  
Destructive Behaviors

Individuals with eating disorders (EDs) tend to have elevated rates of comorbid borderline personality disorder (BPD). A number of studies have found that individuals with both ED and BPD present with a more complicated clinical picture compared to individuals with ED alone, both in terms of eating pathology and in terms of more severe problems with depression, anxiety, impulse control, and affect dysregulation. Therapists are often faced with clinical dilemmas with regard to limiting therapy-interfering behaviors and attending to health-threatening or self-destructive behaviors without reinforcing them while ensuring that these behaviors do not supersede the therapeutic focus on ED symptoms, potentially reinforcing self-destructive behaviors. This chapter offers guidelines for responding to therapy-interfering behaviors in this population from the perspective of dialectical behavior therapy, with a case example to illustrate these principles.

scholarly journals A developmental, mentalization-based approach to the understanding and treatment of borderline personality disorder

2009 ◽  
Vol 21 (4) ◽  
pp. 1355-1381 ◽  
Author(s):  
Peter Fonagy ◽  
Patrick Luyten
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Mental States ◽  
Borderline Personality ◽  
Affect Dysregulation ◽  
Self And Other ◽  
The Core ◽  
Empirically Supported ◽  
Low Threshold ◽  
Core Features

AbstractThe precise nature and etiopathogenesis of borderline personality disorder (BPD) continues to elude researchers and clinicians. Yet, increasing evidence from various strands of research converges to suggest that affect dysregulation, impulsivity, and unstable relationships constitute the core features of BPD. Over the last two decades, the mentalization-based approach to BPD has attempted to provide a theoretically consistent way of conceptualizing the interrelationship between these core features of BPD, with the aim of providing clinicians with a conceptually sound and empirically supported approach to BPD and its treatment. This paper presents an extended version of this approach to BPD based on recently accumulated data. In particular, we suggest that the core features of BPD reflect impairments in different facets of mentalization, each related to impairments in relatively distinct neural circuits underlying these facets. Hence, we provide a comprehensive account of BPD by showing how its core features are related to each other in theoretically meaningful ways. More specifically, we argue that BPD is primarily associated with a low threshold for the activation of the attachment system and deactivation of controlled mentalization, linked to impairments in the ability to differentiate mental states of self and other, which lead to hypersensitivity and increased susceptibility to contagion by other people's mental states, and poor integration of cognitive and affective aspects of mentalization. The combination of these impairments may explain BPD patients' propensity for vicious interpersonal cycles, and their high levels of affect dysregulation and impulsivity. Finally, the implications of this expanded mentalization-based approach to BPD for mentalization-based treatment and treatment of BPD more generally are discussed.

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