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"borderline personality disorder"

Ali Bani-Fatemi, Samia Tasmim, Ariel Graff-Guerrero, Philip Gerretsen, John Strauss, Nathan Kolla, Gianfranco Spalletta, Vincenzo De Luca
Brain imaging is a non-invasive and in vivo direct estimation of detailed brain structure, regional brain functioning and estimation of molecular processes in the brain. The main objective of this review was to analyze functional and structural neuroimaging studies of individuals at risk for suicide. We reviewed articles published between 2005 and 2018, indexed in PubMed and Medline, assessing structural and functional alterations of the brain of individuals at high risk for suicide and at low risk for suicide...
May 18, 2018: Psychiatry research. Neuroimaging
Haang Jeung, Stephan Walther, Christoph W Korn, Katja Bertsch, Sabine C Herpertz
Although emotional reactivity to social rejection has been examined in patients with borderline personality disorder (BPD) in several studies, the effects of other aspects of social feedback, such as evaluation of one's opinions that concern self-esteem, have not been addressed yet. The objective of this study was to examine emotional responses of BPD patients after exchanging personal opinions in a new, ecologically valid virtual peer interaction paradigm ("chatroom paradigm"). In this paradigm, 21 BPD patients and 21 healthy controls received peer feedback on their own statements and rated the intensity of their own emotional responses (happiness, sadness, anger, and shame) and the self or other affirmation in response to agreement, disagreement, and neutral statements...
June 21, 2018: Personality Disorders
Magnhild Singstad Høivik, Stian Lydersen, Ingunn Ranøyen, Turid Suzanne Berg-Nielsen
BACKGROUND: Research is scarce on how mothers' symptoms of personality disorders are linked to the mother-toddler relationship. In this study we have explored the extent to which these symptoms are associated with mutual mother-toddler interactions assessed 1 year after the initial assessment. METHODS: Mothers and their 0-24-month-old children (n = 112) were recruited by nurses at well-baby clinics due to either self-reported or observed mother-toddler interaction problems...
June 18, 2018: BMC Psychiatry
Sebastian Euler, Johannes Wrege, Mareike Busmann, Hannah J Lindenmeyer, Daniel Sollberger, Undine E Lang, Jens Gaab, Marc Walter
Interpersonal sensitivity, particularly threat of potential exclusion, is a critical condition in borderline personality disorder (BPD) which impairs patients' social adjustment. Current evidence-based treatments include group components, such as mentalization-based group therapy (MBT-G), in order to improve interpersonal functioning. These treatments additionally focus on the therapeutic alliance since it was discovered to be a robust predictor of treatment outcome. However, alliance is a multidimensional factor of group therapy, which includes the fellow patients, and may thus be negatively affected by the exclusion-proneness of BPD patients...
2018: Frontiers in Psychology
Nahid Momeni Safarabad, Ali-Asghar Asgharnejad Farid, Banafsheh Gharraee, Mojtaba Habibi
Objective: This study aimed at reporting the effect of the 3-phase model of eye movement desensitization and reprocessing in the treatment of a patient with borderline personality disorder. Method : A 33-year-old female, who met the DSM-IV-TR criteria for borderline personality disorder, received a 20-session therapy based on the 3-phase model of eye movement desensitization and reprocessing. Borderline Personality Disorder Checklist (BPD-Checklist), Dissociative Experience Scale (DES-II), Beck Depression Inventory-II-second edition (BDI-II), and Anxiety Inventory (BAI) were filled out by the patient at all treatment phases and at the 3- month follow- up...
January 2018: Iranian Journal of Psychiatry
J Löf, D Clinton, V Kaldo, G Rydén
BACKGROUND: Mentalisation-based treatment (MBT) in borderline personality disorder (BPD) has a growing evidence base, but there is a lack of effectiveness and moderator studies. The present study examined the effectiveness of MBT in a naturalistic setting and explored psychiatric and psychological moderators of outcome. METHOD: Borderline and general psychiatric symptoms, suicidality, self-harm, alexithymia and self-image were measured in a group of BPD patients (n = 75) receiving MBT; assessments were made at baseline, and subsequently after 6, 12 and 18 months (when treatment ended)...
June 11, 2018: BMC Psychiatry
(no author information available yet)
No abstract text is available yet for this article.
July 2018: Sexually Transmitted Diseases
J C Riedl, A Gericke, J Engelmann, U Vossmerbaeumer
Self-injurious behavior (nonsuicidal self-injury, NNSI) is a common phenomenon and occurs in Germany, especially in adolescence, with a lifetime prevalence of 25-35%. In adulthood autoaggressive behavior is usually associated with mental illness, such as borderline personality disorder, as in the presented case. Eye injuries are rare. The treating physician is faced with the difficulty of correctly classifying the injury and clarifying suicidal intentions. Patient care requires a lot of patience, empathy and time and has to include psychosocial aspects...
June 7, 2018: Der Ophthalmologe: Zeitschrift der Deutschen Ophthalmologischen Gesellschaft
Peter Tyrer, Roger Mulder
No abstract text is available yet for this article.
May 2018: Personality and Mental Health
Alvaro Frías
No abstract text is available yet for this article.
June 2018: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
Yonas Raru, Fuad Zeid
Valproic acid (VPA) is widely used for the treatment of epilepsy, migraine, and a variety of psychiatric symptoms, including bipolar disorder, borderline personality disorder, and alcohol withdrawal. Valproate is associated with severe idiosyncratic adverse effects, the most notable being valproate-induced hyperammonemic encephalopathy (VHE). Topiramate is also a broad-spectrum anticonvulsant that is also extensively used for migraine prophylaxis, as a mood stabilizer, and for alcohol dependency. There is increased occurrence of VHE when valproate is used with other medications like phenytoin, phenobarbital, and topiramate...
2018: Respiratory Medicine Case Reports
Sabrina Paterniti, Jean-Claude Bisserbe
BACKGROUND: Identifying bipolar patients in the first phases of the illness is essential to establish adequate treatment. The goal of this study was to examine the discriminant ability of the Mood Disorders Questionnaire (MDQ) in recognizing bipolar patients referred to a tertiary care structure. METHODS: Between 2006 and 2012, we assessed 843 individuals referred to the Mood Disorders Program by family physicians in the community. The Structured Clinical Interview for DSM-IV-TR (SCID) was used to assess diagnoses...
May 29, 2018: Journal of Affective Disorders
Tory A Eisenlohr-Moul, Katja M Schmalenberger, Sarah A Owens, Jessica R Peters, Danyelle N Dawson, Susan S Girdler
No abstract text is available yet for this article.
June 4, 2018: Psychological Medicine
Benedetta Vai, Laura Sforzini, Raffaele Visintini, Martina Riberto, Chiara Bulgarelli, Davide Ghiglino, Elisa Melloni, Irene Bollettini, Sara Poletti, Cesare Maffei, Francesco Benedetti
The interaction between biological and environmental factors (especially adverse childhood experiences, ACEs) plays a crucial role in the development and maintenance of borderline personality disorder (BPD). These factors act influencing BPD core features such as pervasive instability in affect regulation, impulse control, social cognition, and interpersonal relationships. In line with this perspective, abnormalities in social cognition and related neurobiological underpinnings could mediate the relationship between ACEs and psychopathological manifestations in adulthood...
June 1, 2018: Neuropsychobiology
Adriana Pastore, Grazia Pierri, Giada Fabio, Silvia Ferramosca, Angelo Gigante, Maria Superbo, Roberta Pellicciari, Francesco Margari
Purpose: Typically, the diagnosis of conversion motor disorder (CMD) is achieved by the exclusion of a wide range of organic illnesses rather than by applying positive criteria. New diagnostic criteria are highly needed in this scenario. The main aim of this study was to explore the use of behavioral features as an inclusion criterion for CMD, taking into account the relationship of the patients with physicians, and comparing the results with those from patients affected by organic dystonia (OD)...
2018: Neuropsychiatric Disease and Treatment
Hila Z Gvirts, Yael D Lewis, Shira Dvora, Kfir Feffer, Uriel Nitzan, Ziv Carmel, Yechiel Levkovitz, Hagai Maoz
Impaired decision making in patients with borderline personality disorder (BPD) has been reported in several studies. Although methylphenidate (MPH) is known to ameliorate impaired decision making in patients with attention-deficit/hyperactivity disorder (ADHD), it has not yet been examined in patients with BPD. We therefore assessed the efficacy of a single dose of MPH on cognitive functions and decision making in patients with BPD. Twenty-two patients diagnosed with BPD participated in the study. The study was a randomized, double-blind placebo-controlled, random block order cross-over trial...
July 2018: International Clinical Psychopharmacology
Joel Bernanke, Benjamin McCommon
Given many competing demands, psychotherapy training to competency is difficult during psychiatric residency. Good Psychiatric Management for borderline personality disorder (GPM) offers an evidence-based, simplified, psychodynamically informed framework for the outpatient management of patients with borderline personality disorder, one of the most challenging disorders psychiatric residents must learn to treat. In this article, we provide an overview of GPM, and show that training in GPM meets a requirement for training in supportive psychotherapy; builds on psychodynamic psychotherapy training; and applies to other severe personality disorders, especially narcissistic personality disorder...
2018: Psychodynamic Psychiatry
Peter A Olsson
Psychiatric clinicians are faced with the challenge of remaining flexible and psychotherapeutically relevant to the broadening scope of patients with severe narcissistic and borderline personality disorders. Diagnostic sophistication among mental health professionals, increased availability of psychotherapy services, and economic pressures combine to cause the public to expect cost-effective, successful, and shorter duration of treatments. These treatment challenges are particularly poignant with the treatment of those narcissistic and borderline patients who have meager capacity for insight and limited verbal skills...
2018: Psychodynamic Psychiatry
Tory A Eisenlohr-Moul, Katja M Schmalenberger, Sarah A Owens, Jessica R Peters, Danyelle N Dawson, Susan S Girdler
BACKGROUND: Individuals with a borderline personality disorder (BPD) suffer from a constellation of rapidly shifting emotional, interpersonal, and behavioral symptoms. The menstrual cycle may contribute to symptom instability among females with this disorder. METHODS: Fifteen healthy, unmedicated females with BPD and without dysmenorrhea reported daily symptoms across 35 days. Urine luteinizing hormone and salivary progesterone (P4) were used to confirm ovulation and cycle phase...
May 28, 2018: Psychological Medicine
Hannah Knafo, Anne Murphy, Howard Steele, Miriam Steele
This paper describes the treatment of a mother and child who demonstrated disorganized attachment behaviors in their interactions with one another. The mother, who was diagnosed with Borderline Personality Disorder, felt incapable of managing her aggressive toddler and his emotional needs. The dyad was referred for therapy due to concerns about his developmental progress, evident delays having been mainly attributed to the problems observed within the parent-child relationship. The primary intervention applied to working with the dyad was the Group Attachment-Based Intervention (GABI©), developed by Anne Murphy in collaboration with Miriam Steele and Howard Steele...
May 24, 2018: Journal of Clinical Psychology
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