scholarly journals Facial Affective Behavior in Borderline Personality Disorder Indicating Two Different Clusters and Their Influence on Inpatient Treatment Outcome: A Preliminary Study

2020 ◽  
Vol 11 ◽  
Author(s):  
Gerhard Dammann ◽  
Myriam Rudaz ◽  
Cord Benecke ◽  
Anke Riemenschneider ◽  
Marc Walter ◽  
...  
Keyword(s):  
Treatment Outcome ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Inpatient Treatment ◽  
Borderline Personality ◽  
Affective Behavior ◽  
Preliminary Study

scholarly journals Pharmacotherapy of borderline personality disorder: what has changed over two decades? A retrospective evaluation of clinical practice

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Charles Timäus ◽  
Miriam Meiser ◽  
Borwin Bandelow ◽  
Kirsten R. Engel ◽  
Anne M. Paschke ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Psychotropic Drug ◽  
Inpatient Treatment ◽  
Medical Center ◽  
Borderline Personality ◽  
Mood Stabilizers ◽  
Main Diagnosis ◽  
Tetracyclic Antidepressants ◽  
Prescription Rates

Abstract Background The purpose of this study was to assess the pharmacological treatment strategies of inpatients with borderline personality disorder between 2008 and 2012. Additionally, we compared pharmacotherapy during this period to a previous one (1996 to 2004). Methods Charts of 87 patients with the main diagnosis of borderline personality disorder receiving inpatient treatment in the University Medical Center of Goettingen, Germany, between 2008 and 2012 were evaluated retrospectively. For each inpatient treatment, psychotropic drug therapy including admission and discharge medication was documented. We compared the prescription rates of the interval 2008–2012 with the interval 1996–2004. Results 94% of all inpatients of the interval 2008–2012 were treated with at least one psychotropic drug at time of discharge. All classes of psychotropic drugs were applied. We found high prescription rates of naltrexone (35.6%), quetiapine (19.5%), mirtazapine (18.4%), sertraline (12.6%), and escitalopram (11.5%). Compared to 1996–2004, rates of low-potency antipsychotics, tri−/tetracyclic antidepressants and mood stabilizers significantly decreased while usage of naltrexone significantly increased. Conclusions In inpatient settings, pharmacotherapy is still highly prevalent in the management of BPD. Prescription strategies changed between 1996 and 2012. Quetiapine was preferred, older antidepressants and low-potency antipsychotics were avoided. Opioid antagonists are increasingly used and should be considered for further investigation.

Borderline Personality and Victims of Incest

1985 ◽  
Vol 57 (3) ◽  
pp. 715-718 ◽  
Author(s):  
Charles P. Barnard ◽  
Cynthia Hirsch
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Borderline Personality ◽  
Related Literature ◽  
Apparent Relationship ◽  
Apparent Correlation ◽  
Preliminary Study

This article explored the apparent relationship between the diagnosis of borderline personality disorder and the victims' experience of incest. While a review of the related literature is discussed to identify the apparent correlation, results of a preliminary study are consistent with the association. Recognizing the limitations inherent in the study, some tentative conclusions are offered.

Inpatient treatment of borderline personality disorder in adults with intellectual disability: reflections on practice

2019 ◽  
Vol 13 (2) ◽  
pp. 67-75
Author(s):  
Trine Elisabeth Iversen ◽  
Kristin Horndalsveen ◽  
Espen Matre ◽  
Tine Finstad Henriksen ◽  
Sarah Fusche ◽  
...  
Keyword(s):  
Mental Health ◽  
Intellectual Disability ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Inpatient Treatment ◽  
Borderline Personality ◽  
Behaviour Problems ◽  
Mental Health Symptoms ◽  
Health Symptoms ◽  
Content Type

Purpose There are few publications on personality disorder in adults with intellectual disability (ID), and on borderline personality disorder (BPD) specifically. Publications concerning treatment are sparse, despite the high symptom burden in these patients. This paper aims to discuss these issues. Design/methodology/approach Six patients with BPD and ID were recruited from the same inpatient unit. Behaviour problems and mental health symptoms were scored on admission and discharge. Information about treatment, length of stay, etc. was taken from case files. Findings Both mental health symptoms measured by the SCL-90-R, and behaviour problems measured by the Aberrant Behaviour Checklist were significantly reduced on discharge. In the active treatment period, the two main aspects of treatment were validation and practicing new solutions when emotional and behavioural problems occur, i.e. skills training. Research limitations/implications The limitations related to this study are that the study is conducted in one milieu only. Another limitation is that the patients were admitted over a five-year period, where, some changes were made in the treatment approach. Practical implications Inpatient treatment of this patient group seems to be effective if individually adjusted to the patient’s psychopathology, ID and communication style. Close co-operation between the individual therapist and milieu therapists is essential. Originality/value There is a need for intervention studies on BPD in ID. This study may be a valuable contribution.

An Affective Syndrome in Psychopaths with Borderline Personality Disorder?

1993 ◽  
Vol 162 (5) ◽  
pp. 641-650 ◽  
Author(s):  
Jeremy W. Coid
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Borderline Personality ◽  
Behavioural Disorders ◽  
Symptom Profile ◽  
Affective Symptoms ◽  
Preliminary Study ◽  
Components Analysis ◽  
Affective Disturbances ◽  
Considerable Complexity

A preliminary study of the repetitive mood swings of 72 female psychopaths with a DSM-III diagnosis of borderline personality disorder demonstrated considerable complexity and specificity in what has been previously considered a criterion of personality disorder. A principal-components analysis of the symptom profile for these affective disturbances revealed four factors (anxiety, anger, depression, and tension) which showed individual patterns of association with additional lifetime diagnoses of major mental illness and other personality disorders. The women also had multiple mood-related behavioural disorders, enacted with a feeling of compulsion, which appeared to relieve the original affective symptoms. It is hypothesised that these women could have a distinct affective syndrome that has not previously been described in the literature.

Family Psychoeducation Approaches for Borderline Personality Disorder

2017 ◽  
Author(s):  
Valerie Porr
Keyword(s):  
Social Support ◽  
Treatment Outcome ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Family Members ◽  
Borderline Personality ◽  
Family Psychoeducation ◽  
Improve Treatment ◽  
Improve Treatment Outcome ◽  
The Family

This chapter provides a rationale for training family members of individuals with borderline personality disorder (BPD) to help them develop into therapeutic allies and treatment adjuncts. It also describes the experiences of family members in finding help for their loved ones with BPD and the family psychoeducation programs currently available for BPD and other disorders. By default, families often are the only alternative available to handle crisis situations since some individuals with BPD refuse to participate in therapy, have dropped out of therapy, or appropriate BPD services are not available in their communities. With an understanding of BPD, social support, and appropriate training, families can potentially develop as adjuncts and that can help improve treatment outcome

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