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https://www.readbyqxmd.com/read/29049100/models-of-borderline-personality-disorder-recent-advances-and-new-perspectives
#1
Alessandra D'Agostino, Mario Rossi Monti, Vladan Starcevic
PURPOSE OF REVIEW: The purpose of this article is to review the most relevant conceptual models of borderline personality disorder (BPD), with a focus on recent developments in this area. RECENT FINDINGS: Several conceptual models have been proposed with the aim of better understanding BPD: the borderline personality organization, emotion dysregulation, reflective (mentalization) dysfunction, interpersonal hypersensitivity and hyperbolic temperament models. These models have all been supported to some extent and their common components include disorganized attachment and traumatic early experiences, emotion dysregulation, interpersonal sensitivity and difficulties with social cognition...
October 18, 2017: Current Opinion in Psychiatry
https://www.readbyqxmd.com/read/29040324/the-centrality-of-affective-instability-and-identity-in-borderline-personality-disorder-evidence-from-network-analysis
#2
Juliette Richetin, Emanuele Preti, Giulio Costantini, Chiara De Panfilis
We argue that the series of traits characterizing Borderline Personality Disorder samples do not weigh equally. In this regard, we believe that network approaches employed recently in Personality and Psychopathology research to provide information about the differential relationships among symptoms would be useful to test our claim. To our knowledge, this approach has never been applied to personality disorders. We applied network analysis to the nine Borderline Personality Disorder traits to explore their relationships in two samples drawn from university students and clinical populations (N = 1317 and N = 96, respectively)...
2017: PloS One
https://www.readbyqxmd.com/read/29039227/the-violent-accounts-of-men-diagnosed-with-comorbid-antisocial-and-borderline-personality-disorders
#3
Craig Falcus, Darren Johnson
This study explored the violent offence accounts of life-sentenced prisoners diagnosed with comorbid antisocial personality disorder (ASPD) and borderline personality disorder (BPD). The aim of the current study was to gain needed clinical insight into the mechanisms involved in this specific group offenders' use of violence against others. Six adult male personality-disordered offenders were interviewed via a semistructured interview schedule to collate individual offence accounts. Interview transcripts were analyzed by the lead researcher (first author) using interpretative phenomenological analysis (IPA) who compared and contrasted findings to develop superordinate themes across the group...
October 1, 2017: International Journal of Offender Therapy and Comparative Criminology
https://www.readbyqxmd.com/read/29036358/divergent-effects-of-oxytocin-on-para-limbic-reactivity-to-emotional-and-neutral-scenes-in-females-with-and-without-borderline-personality-disorder
#4
Alexander Lischke, Sabine C Herpertz, Christoph Berger, Gregor Domes, Matthias Gamer
Borderline personality disorder (BPD) patients' hypersensitivity for emotionally relevant stimuli has been suggested be due to abnormal activity and connectivity in (para-)limbic and prefrontal brain regions during stimulus processing. The neuropeptide oxytocin has been shown to modulate activity and functional connectivity in these brain regions, thereby optimizing the processing of emotional and neutral stimuli. To investigate whether oxytocin would be capable of attenuating BPD patients' hypersensitivity for such stimuli, we recorded brain activity and gaze behavior during the processing of complex scenes in 51 females with and 48 without BPD after intranasal application of either oxytocin or placebo...
September 19, 2017: Social Cognitive and Affective Neuroscience
https://www.readbyqxmd.com/read/29034964/hemispheric-asymmetry-of-the-frontolimbic-cortex-in-young-adults-with-borderline-personality-disorder
#5
Q Zhou, M Zhong, S Yao, X Jin, Y Liu, C Tan, X Zhu, J Yi
OBJECTIVE: Although the frontolimbic cortex has been implicated in borderline personality disorder (BPD), information about possible asymmetries in this region in patients with BPD is limited. This study aimed to examine whether frontolimbic cortex asymmetries differ between patients with BPD and healthy individuals. METHODS: The brains of 30 young adult patients with BPD and 32 healthy control subjects were scanned with magnetic resonance imaging (MRI). The participants completed self-report scales assessing impulsivity, affect intensity and other psychological variables...
October 16, 2017: Acta Psychiatrica Scandinavica
https://www.readbyqxmd.com/read/29034695/what-is-the-clinical-significance-of-chronic-emptiness-in-borderline-personality-disorder
#6
Daniel Elsner, Jillian H Broadbear, Sathya Rao
OBJECTIVE: The objective of this study was to review the clinical significance of the experience of chronic emptiness in borderline personality disorder (BPD). METHODS: A systematic search of the literature was conducted using MEDLINE and PubMed, employing search terms including 'emptiness', 'personality disorder' and 'borderline personality disorder'. The most relevant English-language articles and books were selected for this review. RESULTS: Published literature and clinical experience suggest that chronic emptiness represents a substantial component of the symptom burden experienced by people with BPD, contributes to functional impairment and may distinguish BPD from other disorders such as major depressive disorder...
October 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/29034599/process-and-impact-of-dialectical-behaviour-therapy-a-systematic-review-of-perceptions-of-clients-with-a-diagnosis-of-borderline-personality-disorder
#7
REVIEW
Hannah Little, Anna Tickle, Roshan das Nair
PURPOSE: To identify, appraise, and synthesize findings from qualitative studies of individuals diagnosed with borderline personality disorder who have experienced dialectical behaviour therapy, to gain further understanding of their perceptions of the process and impact of therapy. METHODS: We conducted a comprehensive systematic search of the literature from several online databases, and appraised them using an adapted version of the Critical Appraisal Skills Programme tool...
October 16, 2017: Psychology and Psychotherapy
https://www.readbyqxmd.com/read/29033100/oxytocin-receptors-oxtr-and-early-parental-care-an-interaction-that-modulates-psychiatric-disorders
#8
REVIEW
Ilaria Cataldo, Atiqah Azhari, Bruno Lepri, Gianluca Esposito
Oxytocin plays an important role in the modulation of social behavior in both typical and atypical contexts. Also, the quality of early parental care sets the foundation for long-term psychosocial development. Here, we review studies that investigated how oxytocin receptor (OXTR) interacts with early parental care experiences to influence the development of psychiatric disorders. Using Pubmed, Scopus and PsycInfo databases, we utilized the keyword "OXTR" before subsequently searching for specific OXTR single nucleotide polymorphisms (SNPs), generating a list of 598 studies in total...
October 12, 2017: Research in Developmental Disabilities
https://www.readbyqxmd.com/read/29032046/past-present-and-future-of-genetic-research-in-borderline-personality-disorder
#9
REVIEW
Anahita Bassir Nia, Matthew C Eveleth, Jonathan M Gabbay, Yonis J Hassan, Bosi Zhang, M Mercedes Perez-Rodriguez
Borderline Personality Disorder (BPD) is a major mental illness with a lifetime prevalence of approximately 1-3%, characterized by a persistent pattern of instability in relationships, mood, impulse regulation, and sense of self. This results in impulsive self-damaging behavior, high suicide rates, and severe functional impairment. BPD has a complex, multifactorial etiology, resulting from an interaction among genetic and environmental substrates, and has moderate to high heritability based on twin and family studies...
September 12, 2017: Current Opinion in Psychology
https://www.readbyqxmd.com/read/29030584/brain-activity-to-transitional-objects-in-patients-with-borderline-personality-disorder
#10
Markus Kiefer, Ute Neff, Markus M Schmid, Manfred Spitzer, Bernhard J Connemann, Carlos Schönfeldt-Lecuona
Adult patients with borderline personality disorders (BPD) frequently have attachments to inanimate transitional objects (TOs) such as stuffed animals. Using event-related potential (ERP) recordings, we determined in patients with BPD the neural correlates of the processing of these attachment-relevant objects and their functional significance. Sixteen female patients with BPD viewed pictures of their TOs, other familiar stuffed toys (familiar objects, FOs), and unfamiliar objects (UOs). ERPs in the patients were compared to those in 16 matched healthy controls who possessed a stuffed animal of comparably high familiarity...
October 13, 2017: Scientific Reports
https://www.readbyqxmd.com/read/29029673/emotion-regulation-in-borderline-personality-disorder-an-experimental-investigation-of-the-effects-of-instructed-acceptance-and-suppression
#11
Katherine L Dixon-Gordon, Brianna J Turner, M Zachary Rosenthal, Alexander L Chapman
Difficulties with emotion regulation are central to borderline personality disorder (BPD). Recent research suggests that avoidance of emotions in general, and emotion suppression specifically, may be commonly used among those who meet criteria for the disorder. Contemporary behavioral interventions for BPD incorporate cognitive and behavioral skills to increase emotional experiencing and acceptance while decreasing behaviors that function to escape or avoid from emotions. Few studies, however, have experimentally examined the effects of instructed emotion suppression and acceptance in BPD...
November 2017: Behavior Therapy
https://www.readbyqxmd.com/read/29028643/pharmacotherapy-of-borderline-personality-disorder-replacing-confusion-with-prudent-pragmatism
#12
Vladan Starcevic, Aleksandar Janca
PURPOSE OF REVIEW: The article aims to examine trends in the pharmacological treatment of borderline personality disorder (BPD) and shed more light on the attendant controversies. RECENT FINDINGS: Although specialized, BPD-centred psychotherapy is considered first-line treatment for BPD and no psychotropic drug has been licensed for BPD, medications are frequently prescribed in the management of this condition. Various classes of psychopharmacological agents are used for BPD and there is a prominent polypharmacy...
October 11, 2017: Current Opinion in Psychiatry
https://www.readbyqxmd.com/read/29024891/mentalizing-and-interpersonal-problems-in-borderline-personality-disorder-the-mediating-role-of-identity-diffusion
#13
Celine De Meulemeester, Benedicte Lowyck, Rudi Vermote, Yannic Verhaest, Patrick Luyten
Individuals with borderline personality disorder (BPD) are characterized by problems in interpersonal functioning and their long-term social integration often remains problematic. Extant theories have linked identity diffusion to many of the interpersonal problems characteristic of BPD patients. Recent theoretical accounts have suggested that identity diffusion results from problems with mentalizing or reflective functioning, that is, the capacity to understand oneself and others in terms of intentional mental states...
September 28, 2017: Psychiatry Research
https://www.readbyqxmd.com/read/29024577/interpersonal-barriers-to-recovery-from-borderline-personality-disorder-a-qualitative-analysis-of-patient-perspectives
#14
Adam Carmel, Nicole I Torres, Samantha Chalker, Katherine Anne Comtois
Social-environmental factors have been found to be an integral part in the recovery process for individuals with psychiatric disabilities. There are few studies that have obtained patient perspectives of how their social and treatment environments help facilitate or impede the recovery process. The following study examined the self-reported interpersonal barriers to recovery among a sample of individuals (N = 31) with borderline personality disorder who were receiving dialectical behaviour therapy. The goal of study was to identify self-reported problematic behaviour that interferes with recovery goals and identify types of family, friend and/or provider behaviours that increased the likelihood of patients engaging in these problematic behaviours...
October 12, 2017: Personality and Mental Health
https://www.readbyqxmd.com/read/29024226/anger-and-depressive-ruminations-as-predictors-of-dysregulated-behaviours-in-borderline-personality-disorder
#15
Francesca Martino, Gabriele Caselli, Jessica Di Tommaso, Sandra Sassaroli, Marcantonio M Spada, Barbara Valenti, Domenico Berardi, Anna Sasdelli, Marco Menchetti
BACKGROUND: Anger and depressive ruminations have recently received empirical attention as processes related to borderline personality disorder (BPD). The Emotional Cascade Model (Selby, Anestis, & Joiner, 2008) suggests that negative affect (such as anger and sadness) may trigger rumination, which in turn may increase the duration and extent of negative affect, leading to dysregulated behaviours aimed at reducing such intense and unpleasant emotions. AIM: The aim of this study is to explore the relationships between emotional dysregulation, anger and depressive ruminations, and their role in predicting dysregulated behaviours (such as aggression and self-harm) in a clinical sample of patients with BPD...
October 11, 2017: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/28989706/standard-12-month-dialectical-behaviour-therapy-for-adults-with-borderline-personality-disorder-in-a-public-community-mental-health-setting
#16
Daniel Flynn, Mary Kells, Mary Joyce, Paul Corcoran, Conall Gillespie, Catalina Suarez, Mareike Weihrauch, Padraig Cotter
BACKGROUND: Dialectical behaviour therapy (DBT) is noted to be an intervention with a growing body of evidence that demonstrates its efficacy in treating individuals diagnosed with borderline personality disorder (BPD). Evidence for the effectiveness of DBT in publicly funded community mental health settings is lacking however. No study to our knowledge has been published on the effectiveness of a 12 month standard DBT programme without adaptations for individuals with BPD in a publicly funded community mental health setting and no study has included data across multiple time-points...
2017: Borderline Personality Disorder and Emotion Dysregulation
https://www.readbyqxmd.com/read/28985629/dsm-5-alternative-model-of-personality-disorder-testing-the-trait-perspective-captured-in-criterion-b
#17
REVIEW
Joshua D Miller, Chelsea Sleep, Donald R Lynam
We review the trait model (i.e., Criterion B) included as a central piece of the alternative model of personality disorder (PD) included in DSM-5. The pathological traits are organized into five domains with 25 facets that overlap substantially with basic personality models (e.g., five-factor model). These PD traits can be reliably assessed using a variety of measures; however, questions of poor discriminant validity have been raised. Concerns were raised that this model would result in the loss of clinically meaningful constructs (e...
September 23, 2017: Current Opinion in Psychology
https://www.readbyqxmd.com/read/28985628/a-mentalization-based-approach-to-common-factors-in-the-treatment-of-borderline-personality-disorder
#18
REVIEW
Anthony Bateman, Chloe Campbell, Patrick Luyten, Peter Fonagy
In this paper we conceptualize borderline personality disorder as a disorder of mentalizing, social cognition, and loss of resilience. Several treatment approaches are effective, and meta-analyses suggest that there are few substantive differences in effectiveness between them and between specialized and non-specialized approaches. We propose that these findings arise because of shared mechanisms of change, congruent with current thinking both about the existence of a general 'p' factor of psychopathology and a reconceptualization of personality disorders as involving a lack of resilience resulting from problems with epistemic trust and salutogenesis, the capacity to derive benefit from the social environment...
September 14, 2017: Current Opinion in Psychology
https://www.readbyqxmd.com/read/28985552/differential-symptomatology-and-functioning-in-borderline-personality-disorder-across-age-groups
#19
Álvaro Frías, Carol Palma, Laia Solves, Bárbara Martínez, Ana Salvador
There is increasing research aimed at addressing whether patients with borderline personality disorder (BPD) may exhibit variations in symptomatology and functioning according to their chronological age. The current study consisted of 169 outpatients diagnosed with BPD, who were divided into four age groups as follows: 16-25 years (n = 41), 26-35 years (n = 43), 36-45 years (n = 45), and 46 and more years (n = 40). Age groups were compared for symptomatology, normal personality traits, psychiatric comorbidities, functioning, and treatment-related features...
September 28, 2017: Psychiatry Research
https://www.readbyqxmd.com/read/28983149/characteristics-of-repetitive-thought-associated-with-borderline-personality-features-a-multimodal-investigation-of-ruminative-content-and-style
#20
Jessica R Peters, Tory A Eisenlohr-Moul, Brian T Upton, Nina A Talavera, Jacob J Folsom, Ruth A Baer
Increased ruminative style of thought has been well documented in borderline personality disorder (BPD); however, less is known about how the content of rumination relates to domains of BPD features. Relationships between forms of rumination and BPD features were examined in an undergraduate sample with a wide range of BPD features. Participants completed self-report measures of rumination and a free-writing task about their repetitive thought. Rumination on specific themes, including anger rumination, depressive brooding, rumination on interpersonal situations, anxious rumination, and stress-reactive rumination were significantly associated with most BPD features after controlling for general rumination...
September 2017: Journal of Psychopathology and Behavioral Assessment
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