Relevant bibliographies by topics / Borderline Personality Disorder (BPD)

Academic literature on the topic 'Borderline Personality Disorder (BPD)'

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Published: 4 June 2021
Last updated: 30 January 2023

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Journal articles on the topic "Borderline Personality Disorder (BPD)"

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Links, Paul S., M. Janice E. Mitton, and Meir Steiner. "Stability of Borderline Personality Disorder." Canadian Journal of Psychiatry 38, no. 4 (May 1993): 255–59. http://dx.doi.org/10.1177/070674379303800406.

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This study examines the course of illness and stability of borderline personality disorder (BPD) in a group of inpatients seen at a two-year follow-up. The diagnosis of borderline personality disorder, as established by the use of the Diagnostic Interview for Borderlines, did not change in 39 of the 65 subjects (60%) studied. Subjects who continued to show evidence of borderline psychopathology experienced more acute episodes of illness during the follow-up period and tended to be more involved in substance abuse. Impulsiveness and young age when first psychiatric care was received significantly predicted the presence of BPD features at follow-up.
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Rao, Sathya, and Jillian Broadbear. "Borderline personality disorder and depressive disorder." Australasian Psychiatry 27, no. 6 (October 1, 2019): 573–77. http://dx.doi.org/10.1177/1039856219878643.

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Objective: Borderline personality disorder (BPD) is frequently accompanied by low mood, the features of which may satisfy the diagnostic criteria for major depressive disorder (MDD). Treatment of depressive symptoms in the absence of BPD-appropriate treatment is less effective and may cause iatrogenic harm. This paper briefly reviews the co-occurrence of BPD and depressive disorder and suggests ways of differentiating these disorders and optimising treatment within the Australian Mental Health context. Conclusions: Depressive symptoms are present in the majority of people with BPD. To address the difficulty differentiating clinically distinct MDD from depressive symptoms that are integral to BPD psychopathology, it is suggested that depressive symptoms arising from a primary diagnosis of BPD (i) may exhibit transience and be stress reactive, (ii) lack a robust clinical response to antidepressant medication and/or electroconvulsive treatment and (iii) are responsive to BPD-appropriate psychotherapy.
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Hansenne, M., W. Pitchot, and M. Ansseau. "Serotonin, personality and borderline personality disorder." Acta Neuropsychiatrica 14, no. 2 (April 2002): 66–70. http://dx.doi.org/10.1034/j.1601-5215.2002.140203.x.

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Serotonin is one of the neurotransmitters implicated in normal personality. Many psychobiological models of personality include some dimensions related to serotonin. For instance, the harm avoidance dimension of the biosocial model developed by Cloninger is related to serotonergic activity. Higher scores on the harm avoidance dimension should theoretically reflect increased serotonergic activity. However, correlation studies related serotonin activity to harm avoidance dimension have not yielded consistent findings. These controversial results are probably related to the complexity of the neurotransmitter systems, and the different assessment techniques used in these studies. Finally, recent genetic studies have examined the association between personality dimensions and serotonergic receptor polymorphisms with mixed results. Serotonin is not only related to some dimensions of normal personality. Several psychopathological disorders are associated with serotonergic dysfunction. More particularly, borderline personality disorder (BPD) can be defined by many of the symptoms associated with serotonergic dysregulation, including affective lability, suicidal behaviours, impulsivity and loss of impulse control. Indeed, several reports have demonstrated the efficacy of selective serotonin re-uptake drugs in treating the depressive and impulsive symptoms of patients with BPD. Moreover, some challenge studies have reported a lower serotonergic activity in BPD. Because these challenges are not specific, we have assessed the serotonergic activity in BPD with the flesinoxan challenge. Preliminary results showed that the prolactine responses to flesinoxan were significantly lower in BPD patients compared to those observed in controls.
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Barker, V., L. Romaniuk, R. N. Cardinal, M. Pope, K. Nicol, and J. Hall. "Impulsivity in borderline personality disorder." Psychological Medicine 45, no. 9 (January 20, 2015): 1955–64. http://dx.doi.org/10.1017/s0033291714003079.

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BackgroundImpulsivity is a core feature of borderline personality disorder (BPD) and is most frequently measured using self-rating scales. There is a need to find objective, valid and reliable measures of impulsivity. This study aimed to examine performance of participants with BPD compared with healthy controls on delay and probabilistic discounting tasks and the stop-signal task (SST), which are objective measures of choice and motor impulsivity, respectively.MethodA total of 20 participants with BPD and 21 healthy control participants completed delay and probabilistic discounting tasks and the SST. They also completed the Barratt Impulsiveness Scale (BIS), a self-rating measure of impulsivity.ResultsParticipants with BPD showed significantly greater delay discounting than controls, manifest as a greater tendency to accept the immediately available lesser reward rather than waiting longer for a greater reward. Similarly they showed significantly greater discounting of rewards by the probability of payout, which correlated with past childhood trauma. Participants with BPD were found to choose the more certain and/or immediate rewards, irrespective of the value. On the SST the BPD and control groups did not differ significantly, demonstrating no difference in motor impulsivity. There was no significant difference between groups on self-reported impulsivity as measured by the BIS.ConclusionsMeasures of impulsivity show that while motor impulsivity was not significantly different in participants with BPD compared with controls, choice or reward-related impulsivity was significantly affected in those with BPD. This suggests that choice impulsivity but not motor impulsivity is a core feature of BPD.
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Beatson, Josephine. "Borderline personality disorder and auditory verbal hallucinations." Australasian Psychiatry 27, no. 6 (July 15, 2019): 548–51. http://dx.doi.org/10.1177/1039856219859290.

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Objective: Auditory verbal hallucinations (AVH) frequently co-occur with borderline personality disorder (BPD) and can lead to misdiagnosis with schizophrenia (SCZ) or other primary psychotic disorders. Misdiagnosis is more common when AVH meet criteria for Schneiderian first rank symptoms (FRS). This paper’s objective is to improve diagnostic accuracy by outlining particular clinical features that can assist the distinction between BPD and psychotic disorders in these cases. Conclusion: The overall clinical presentation when AVH occur in BPD can assist in determining a primary diagnosis of BPD when frank psychotic disorder is absent. AVH in BPD cannot be distinguished phenomenologically from AVH in SCZ. Clinical experience and increasing research suggest that AVH in BPD are often dissociative in origin and highly correlated with the presence of FRS, elevated levels of dissociation and a history of childhood trauma. When AVH occur in BPD in the absence of co-occurring psychotic disorder, formal thought disorder is usually absent, negative symptoms minimal or absent, bizarre symptoms absent, affect reactive and the patient retains sociability. Psychotropic medication may be less effective for the AVH in these cases, while they may improve or remit during psychotherapy for BPD.
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Paris, Joel. "Suicidality in Borderline Personality Disorder." Medicina 55, no. 6 (May 28, 2019): 223. http://dx.doi.org/10.3390/medicina55060223.

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Borderline personality disorder (BPD) is associated with suicidal behaviors and self-harm. Up to 10% of BPD patients will die by suicide. However, no research data support the effectiveness of suicide prevention in this disorder, and hospitalization has not been shown to be useful. The most evidence-based treatment methods for BPD are specifically designed psychotherapies.
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Links, Paul S., Ronald Heslegrave, and Robert van Reekum. "Prospective Follow-up Study of Borderline Personality Disorder: Prognosis, Prediction of Outcome, and Axis II Comorbidity." Canadian Journal of Psychiatry 43, no. 3 (April 1998): 265–70. http://dx.doi.org/10.1177/070674379804300305.

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Objective: To examine the rate of persistence of borderline personality disorder (BPD), the existence of concomitant personality disorders on follow-up, and the predictors of outcome in patients who met criteria for BPD compared with patients with borderline features who failed to meet all of the criteria. Method: This prospective cohort study reassessed subjects for BPD diagnosis and cooccurring personality pathology at 7 years follow-up. Initial measures of borderline and comorbid personality psychopathology were used to predict levels of borderline or other personality disorder psychopathology at follow-up. Results: Of the 5 7 subjects who initially met the criteria for BPD, 30 (52.6%) were found to have remitted BPD, and 27 (47.4%) were characterized as having persistent BPD. The remitted group met significantly fewer comorbid personality disorder diagnoses than the persistent group (mean = 0.8, mean = 3.5 respectively; P < 0.05). Results also indicated that the initial level of borderline psychopathology was predictive of borderline psychopathology at follow-up, which explained 17% of the variance. Conclusions: This prospective follow-up study found that almost 50% of former inpatients with BPD continue to test positive for BPD at 7 years follow-up, and these persistent BPD patients also had significantly more comorbid personality psychopathology. Borderline psychopathology at follow-up was primarily predicted by the level of borderline psychopathology recorded at the initial assessment.
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Byrne, Sharyn, and Anne Jeffers. "The borderlines of bipolar affective disorder." Irish Journal of Psychological Medicine 26, no. 4 (December 2009): 202–5. http://dx.doi.org/10.1017/s0790966700000720.

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AbstractThis paper provides an overview of the major studies of bipolar affective disorder (BAD) and borderline personality disorder (BPD), and assesses whether the disorders might be better understood as variants of the same basic disorder. There is a shortage of research that delineates the features of both disorders within their representative samples. As a consequence the symptomatic overlap of the disorders, detected by categorical assessment instruments, is often misconstrued as an indication of the disorders' high rates of comorbidity (up to 81%).In paying particular attention to features of both disorders, eg. affective instability and impulsivity, the paper provides evidence that BPD attenuates bipolar disorder along the spectrum of affective disorders, from non-classical bipolar presentation through to severe BAD with borderline features. The paper cites clinical, research and pharmacologic support of the contention that BPD, rather than representing a distinct disorder, is merely an attenuation of Axis I disorders, most especially bipolar affective disorder. Borderline personality is evident across the bipolar spectrum and exacerbates symptomatology and leads to poorer recovery prognosis.
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Kjellander, Carole, Bruce Bongar, and Ashley King. "Suicidality in Borderline Personality Disorder." Crisis 19, no. 3 (May 1998): 125–35. http://dx.doi.org/10.1027/0227-5910.19.3.125.

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Recent research on the relationship between borderline personality disorder (BPD) and suicidal behavior is reviewed. Risk factors for attempted and completed suicide as well as the effect of the comorbidity of BPD with other Axis I and II disorders are considered. Explanations for suicidality in BPD are discussed. General assessment strategies are offered, along with treatment recommendations. Specifically, research has shown that borderline patients improve in the long-term, decreasing in suicidality, self-destructiveness, and interpersonal maladjustment, if survival is effectively managed during the turbulent years of youth. Clinical lore at times can lead clinicians to disregard the danger of suicide completion among chronically parasuicidal patients, which can prevent effective intervention during suicidal crises and result in unfortunate outcomes.
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Stein, Dan J. "Borderline Personality Disorder: Toward Integration." CNS Spectrums 14, no. 7 (July 2009): 352–56. http://dx.doi.org/10.1017/s1092852900022999.

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ABSTRACTSeveral psychiatric disorders, including borderline personality disorder (BPD), are characterized by emotional dysregulation and impulse dyscontrol. More specifically, symptoms in patients with BPD often occur within the context of disruptions in attachment and related distortions in cognitive-affective processing of the self and others. From a neurocircuitry perspective, findings include prefrontal hypoactivity, amygdala hyperreactivity, and alterations in prefrontal-limbic interaction. Molecular pathways relevant to these circuits include the serotonergic, noradrenergic, and dopaminergic systems, and there is some evidence that pharmacotherapy with agents that act on these systems may be useful. Given the disruptions in attachment and schemas of the self and others in BPD, establishing a therapeutic alliance is crucial while psychotherapy remains the cornerstone of an integrated approach to management.
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Dissertations / Theses on the topic "Borderline Personality Disorder (BPD)"

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Stinson, Jill D., and Brittany V. Williams. "Redefining Borderline Personality Disorder: BPD, DSM-v, and Emotion Regulation Disorders." Digital Commons @ East Tennessee State University, 2013. https://dc.etsu.edu/etsu-works/7970.

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Geyer, Connie. "An exploration of change and 'borderline personality disorder (BPD)'." Thesis, Canterbury Christ Church University, 2013. http://create.canterbury.ac.uk/12456/.

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The objective of this study was to explore personal experiences of change of people diagnosed with borderline personality disorder (BPD) who had partaken in psychological therapy. The aim was to develop the first model of change grounded in service user experience so that this could inform recovery-oriented practice in relation to this client group. A constructivist grounded theory design was chosen. Eight people with a diagnosis of BPD who had completed group-based therapy programmes or were currently attending a peer support group were interviewed about their experiences of change using a semi-structured, open-ended format. An initial model was developed and refined through triangulation with three published accounts of experiences of change in the context of a BPD diagnosis. ‘Discovering “new ways of being” in interpersonal space’ was conceptualised as the core process underpinning pertinent activities and experiences relating to change in people diagnosed with BPD. This interactive, relational process was facilitated in environments that were felt to be both containing and open to conflict. It involved increasing levels of self-disclosure, information exchange, exploration of mental states, experimentation with new behaviours and the consolidation of new ways of being. The core process appeared to extend beyond the therapeutic setting if supported through a relationship with a secure base. Regardless of therapeutic allegiance, effective interventions for people diagnosed with BPD might share a common core change process. Further research is required into change processes in the context of individual psychological therapies and negative therapeutic experiences.
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Boggs, Christina Danielle. "Clinical overlap between Posttraumatic Stress Disorder and Borderline Personality Disorder in male veterans." Texas A&M University, 2005. http://hdl.handle.net/1969.1/4367.

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The associated features, high rates of comorbidity and chronicity of Posttraumatic Stress Disorder (PTSD) and Borderline Personality Disorder (BPD) raise questions regarding the distinctiveness of the two disorders. The present study expands upon previous literature by providing an investigation of clinical features across two groups: PTSD only and comorbid PTSD and BPD in a sample of male veterans (n=178). Results suggest that the two groups were distinct, with the comorbid group displaying higher levels of depression, hostility, alcohol use and general psychopathology. Groups did not differ on rates of personal trauma, adult sexual abuse, childhood sexual abuse, attack, accident or disaster. The two groups did differ significantly on rates of childhood violence.
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Theunissen, Chris. "A multidimensional developmental neuropsychological model of borderline personality disorder (BPD) : examining evidence for impairments in 'executive function' /." Access via Murdoch University Digital Theses Project, 2005. http://wwwlib.murdoch.edu.au/adt/browse/view/adt-MU20050602.162509.

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Perrin, Jennifer. "New mentalization-based therapy for borderline personality disorder." Thesis, University of Edinburgh, 2015. http://hdl.handle.net/1842/20945.

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Introduction: Borderline Personality Disorder (BPD) is characterised by deficits in affect and impulse regulation, along with interpersonal difficulties (Lieb et al., 2004). It is thought to develop through a complex relationship between adverse childhood events, such as childhood abuse and genetics. A recent developmental model of BPD and one that is gaining popularity focuses on mentalization. Following their exposition of the mentalizing model of BPD, Bateman and Fonagy developed the Mentalization Based Treatment (MBT) intervention for BPD (Bateman & Fonagy 2006). This intervention includes both group and individual therapy with the focus on the patient’s relationship with the therapist and other members of the group. Promising evidence that MBT interventions are effective for treating symptoms of BPD is beginning to emerge. Methods: First a systematic review examining the prevalence of childhood abuse in BPD patients was conducted. Second, an empirical study of the efficacy of a group-only adaptation of the MBT intervention for BPD, delivered in a routine health service setting. Finally, planned exploratory analyses were conducted in order to ascertain what factors might predict group completion. Results: The results of the systematic review suggested that that emotional abuse (mean prevalence 63%) and emotional neglect (mean prevalence 63.1%) are the most common forms of abuse reported by this population followed by physical neglect (mean prevalence 40.89%) , sexual abuse (mean prevalence 36.9%) and physical abuse (mean prevalence 32.49%). The results of the second study revealed that the HUB is an acceptable treatment to participants, with indicators of treatment efficacy in relation to reducing overall psychiatric symptoms along with specific symptoms including interpersonal sensitivities, depression, phobic anxiety and paranoid ideation. Finally, exploratory analyses suggested that patients who were older and with less histrionic symptoms (as defined by the Personality Disorder Questionnaire-4) were more likely to complete the HUB. Conclusions: These findings demonstrate that a group-only MBT intervention displays promising effectiveness in treating core symptoms of BPD and is acceptable to patients. Further it suggests that group-only MBT interventions are worth continued investigation both into their efficacies and the potential efficiencies associated a group-based intervention.
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Katsakou, C. "Processes of recovery from Borderline Personality Disorder (BPD) : a qualitative study." Thesis, University College London (University of London), 2016. http://discovery.ucl.ac.uk/1517662/.

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The processes facilitating recovery in Borderline Personality Disorder (BPD) are poorly understood. This thesis aimed to explore how recovery is reached, focusing on service users’ perspectives. Part 1 is a qualitative meta-synthesis of findings from 14 qualitative studies exploring service users’ experiences of their treatment for BPD and their recovery journey. The findings highlighted areas of improvement that were important for service users, including developing self-acceptance and self-confidence, controlling difficult thoughts and emotions, practising new ways of relating to others, and making practical achievements. However, it was unclear how change in these areas was achieved. Part 2 is a qualitative study exploring how recovery in BPD is reached through routine or specialist treatment, as perceived mainly by service users, but also by therapists and relatives. Three central processes that constituted service users' recovery journey were identified: fighting ambivalence and committing to taking action; moving from shame to self-acceptance and compassion; and moving from distrust and defensiveness to opening up to others. Four therapeutic challenges needed to be successfully addressed to support this journey: balancing self exploration and finding solutions; balancing structure and flexibility; encouraging service users to confront interpersonal difficulties and practise new ways of relating; and balancing support and independence. Part 3 is a critical appraisal of the challenges encountered in the research process and the ways in which these were addressed. The concept of reflexivity was used as a framework for considering the main issues.
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au, chris theunissen@health wa gov, and Christopher Theunissen. "A Multidimensional Developmental Neuropsychological Model of Borderline Personality Disorder (BPD): Examining Evidence for Impairments in ‘Executive Function’." Murdoch University, 2005. http://wwwlib.murdoch.edu.au/adt/browse/view/adt-MU20050602.162509.

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Borderline Personality Disorder (BPD) is a serious psychiatric disorder characterised by turbulent interpersonal relationships, impaired self image, impulsivity, and a recurrent pattern of unstable affect which is usually evident by early adulthood. It has a community prevalence rate of two per cent, and approximately nine per cent of people diagnosed with BPD commit suicide. This suggests that BPD has one of the highest lethality rates of all psychiatric disorders. The course of the disorder shows a steady improvement over the course of early adulthood with the majority of cases remitting by middle age. This positive but incomplete long-term recovery is thought to be a naturalistic outcome that is independent of treatment effect. The reported study sought to test selected components of a multidimensional developmental neuropsychological model of executive functioning in BPD. The model proposed that BPD is characterised by impairments to four neuropsychological executive functions. These include working memory, response inhibition, affective-attentional bias, and problem-solving. The model further proposed that impaired executive functioning in BPD occurs as a result of the failure of ‘experience-dependent’ maturation of orbitofrontal structures. These structures are closely associated with the development of the ‘cognitive executive’. The study incorporated a cross-sectional design to analyse data from a BPD group, a Depressed Control Group, and a Medical Control Group. The overall findings of the study returned limited support for the original hypotheses. There was no evidence of deficits in working memory, response-inhibition, or problem-solving. In contrast, the BPD group returned some evidence of deficits in affective-attentional bias. Therefore, the results suggest that executive functioning remains largely intact in BPD. This also suggests that people with BPD have the working memory resources necessary to facilitate abstract cognition, have the capacity to effectively plan and execute future-oriented acts, and are able to perform appropriate problem-solving functions. These problem-solving returns are also particularly significant because a number of the tasks utilised in the study are known to be associated with so-called ‘frontal-executive’ function. These unremarkable findings challenge the view that people with BPD might experience some form of subtle neurological impairment associated with frontal-lobe compromise. The Stroop measure of affective-attentional bias provided the only supportive evidence for the proposed model, and these findings can be accounted for by at least two different explanations. The first suggests that BPD might be characterised by a hypervigilant attentional set. The specific cause of hypervigilance in BPD is unknown, but some candidate factors appear to be the often-reported abuse histories of borderlines, insecure attachment histories, and deficits in parental bonding. The second interpretation suggests that the Stroop findings reflect a form of ‘response conflict’ in which BPD participants experience difficulties overriding tasks that rely on the enunciation of automatic neural routines. As a result of these findings, further research on the role of arousal, priming, hypervigilance, and response-conflict in BPD is required. It is likely that the Stroop findings reflect a basic, ‘hard-wired’ attentional mechanism that consolidates by early adolescence at the latest. As a result, the Stroop findings have implications for both the prevention and treatment of BPD. A number of prevention strategies could be developed to address the attentional issues identified in the present study. These include assisting children to more effectively regulate arousal and affect, and assisting parents to communicate affectively with children in order to enhance self-regulation. The treatment implications suggest that interventions directed at affective-attentional processes are required, and further suggest the need for new pharmacotherapies and psychological treatments to modify dysfunctional attentional process. Affective neuroscience will have an increasingly important role to play in the understanding of BPD, and the next quarter century is likely to witness exciting advances in understanding this most problematic of disorders.
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Blackburn, Samantha. "Psychological well-being and future-directed thinking in borderline personality disorder." Thesis, Royal Holloway, University of London, 2014. http://digirep.rhul.ac.uk/items/8d731e40-bd56-7133-5511-27d95dea9e9a/1/.

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The aim of the present study was to further understand psychological well-being (PWB) and future-directed thinking in individuals with a diagnosis of Borderline Personality Disorder (BPD). A cross-sectional mixed design was used with 24 individuals with a diagnosis of BPD and 24 community participants (Controls). Participants were measured on PWB and a measure of future-directed thinking. Future-thoughts provided by participants were also content analysed, and it was hypothesised the BPD Group would have particularly marked deficits within interpersonal future thoughts. Consistent with previous findings (MacLeod et al., 2004), BPD participants had fewer positive future-directed thoughts compared to Controls, in the absence of any differences in negative future-directed thoughts. The BPD Group had significantly lower PWB scores on all six of the Ryff Psychological Well-being dimensions. The Control Group generated significantly more positive future-directed thoughts related to Relations with Others and Recreational activities, as well as more thoughts related to Having/Raising Children than the BPD Group. The findings extend the understanding of BPD individuals by profiling their well-being and describing in more detail their future-directed thinking.
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O'Grady, Clare. "Improving outcomes for adolescents and adults with traits of borderline personality disorder (BPD)." Thesis, University of Birmingham, 2017. http://etheses.bham.ac.uk//id/eprint/7897/.

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There are two papers contained within Volume I of the thesis. The first is a systematic review which aimed to assess the efficacy of psychological interventions with adolescents with traits of Borderline Personality Disorder (BPD). A systematic search of three databases resulted in 12 papers, which were assessed against a quality framework. As there were limited papers which were of high quality and a paucity of evidence within each of the interventions assessed, it was difficult to draw conclusive results from the review. The second paper is a research study which sought to understand the experiences of females with BPD traits who had frequently been admitted to psychiatric inpatient services. Seven participants were interviewed using Interpretative Phenomenological Analysis. Four super-ordinate themes were identified: ‘BPD diagnosis is shorthand for untreatable and exclusion from services’; ‘Care-shaped gaps in services’; ‘Hospital as an illusion of escape, protection, safety, respite’ The importance of responsive and therapeutic relationships with clinicians was highlighted throughout the results as being fundamental to helping to develop better long term outcomes. A supportive transition from inpatient services to community, with a clear plan of support to empower the individual, was posited to be of utmost importance.
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Tallon, Doris. "The under-recognition of trauma in the diagnosis of Borderline Personality Disorder (BPD)." Thesis, Oxford Brookes University, 2015. https://radar.brookes.ac.uk/radar/items/fa410a82-9abe-4069-b57f-3dea322f98fa/1/.

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BPD is a complex condition presenting with a wide array of features, making it difficult to diagnose and treat. Controversially, there is also concern about BPD misdiagnosis due to under-recognition of trauma and PTSD/CPTSD (Complex PTSD) because of common aetiology. PTSD/CPTSD has a better track record of successful treatment; as typically BPD treatment focuses more on symptoms, while PTSD/CPTSD treats underlying traumatic causes. Aim: The research objective is to assess if early screening for traumatic exposure and PTSD/CPTSD symptoms will enhance BPD diagnosis, and lead to improved treatment. Methodology: Following clinical and academic reviews, two stages were completed. Stage 1: Initially medical records of BPD (N=60) patients in three UK Mental Health Hospitals were examined for evidence of BPD, trauma, PTSD and CPTSD. Stage 2: Separate BPD outpatients (N=40) were screened for trauma, PTSD/CPTSD using a new simple ‘BPD Trauma Exposure and Reactions Screen’ (BTERS). Reliability and validity was then assessed using recommended reference instruments (CAPS and SIDES). Results: Trauma was recorded in 47% of the stage 1 medical records, 100% in stage 2, 92.5% trauma in childhood. Sixty percent of stage 2 patients suffered distressing non-life-threatening trauma consistent with Adjustment Disorder. High trauma percentages in BPD are explained by a combination of life-threatening trauma, requiring specialist PTSD/CPTSD treatment, and non-life-threatening, which is treatable using similar techniques by BPD clinicians without specialist training. Conclusions: Although insufficient evidence for BPD misdiagnosis was found, an under-diagnosis of comorbid PTSD/CPTSD was confirmed. Without initial screening (BTERS) of BPD patients, clinicians are missing PTSD/CPTSD diagnoses, and hence are losing the opportunity for early treatment for a significant percentage of BPD patients, which could be critical to improved recovery and reduced suicide rates.
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Books on the topic "Borderline Personality Disorder (BPD)"

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Friedel, Robert O. Borderline Personality Disorder Demystified: An Essential Guide for Understanding and Living with BPD. New York, USA: Marlowe & Company, 2004.

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Chapman, Alexander L. The borderline personality disorder survival guide: Everything you need to know about living with BPD. Oakland, CA: New Harbinger Publications, 2007.

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Chapman, Alexander L. The borderline personality disorder survival guide: Everything you need to know about living with BPD. Oakland, CA: New Harbinger Publications, 2007.

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Stanley, Barbara, and Antonia New, eds. Borderline Personality Disorder. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199997510.001.0001.

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Until recently, borderline personality disorder (BPD) has been the stepchild of psychiatric disorders. Many researchers even questioned its existence. Clinicians have been reluctant to reveal the diagnosis to patients because of the stigma attached to it. But individuals with BPD suffer terribly and a significant proportion die by suicide and engage in nonsuicidal self-injury. The aim of this primer on BPD is to fill this void and provide clinicians with an accessible, easy-to-use, clinically oriented, evidenced-based guide for early-stage BPD. We present the most up to date data about BPD by leading experts in the field in a format accessible to trainees and professionals working with individuals with BPD and their family members. The volume is comprehensive and covers the etiology of BPD, its clinical presentation and comorbid disorders, genetics and neurobiology of BPD, effective treatment approaches to BPD, the role of advocacy, and the treatment of special subpopulations (e.g., forensic) in the clinical management of BPD.
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Bateman, Anthony W., and Roy Krawitz. Borderline personality disorder. Oxford University Press, 2015. http://dx.doi.org/10.1093/med:psych/9780199644209.003.0001.

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Chapter 1 outlines borderline personality disorder (BPD), the history of BPD, its epidemiology, diagnosis and a thorough discussion of the elements of the DSM-IV-TR diagnostic criteria for BPD, and explores individual factors to help understand a person’s BPD (biological vulnerability theory, emotional sensitivity, mentalizing vulnerability, Beck’s core schemas, dichotomous (all or nothing) thinking, fluctuating competence, active passivity), and co-occurring conditions (depression, bipolar disorder, psychotic symptoms, dissociation, personality disorders). The chapter also discusses etiology (biological factors, psychological factors, nature and nurture, sociocultural factors), self-harm, prognosis, and psychosocial treatment outcome studies.
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Fertuck, Eric A., Megan S. Chesin, and Brian Johnston. Borderline Personality Disorder and Mood Disorders. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199997510.003.0011.

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Borderline personality disorder (BPD) and mood disorder (MD) can be difficult to differentiate from each other due to several overlapping clinical features. Among BPD symptoms, chronic dysphoria can be mistaken for major depression, while affective instability may be confused with the depressed and elevated mood episodes of bipolar disorder (BD). Conversely, in those with BPD, co-occurring MDs can be difficult to rigorously assess and treat. Even though there is moderate to high co-occurrence between these conditions, BPD and MDs have distinct facets of impulsivity, affective instability, and mood symptoms. Furthermore, BPD, MD, and their co-occurrence predict courses of illness, prognosis, treatment outcomes, and suicide risk. Consequently, thorough assessment and differential diagnosis of these conditions should inform treatment planning and clinical management in both BPD and MD.
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Chen, Eunice. Eating Disorders in Borderline Personality Disorder. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199997510.003.0010.

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Eating disorders (EDs) often arise from a complex interplay of biological, psychological, and social processes in which there is a dialectical tension between the overabundance of food and an obsession with thinness. The DSM-5 recognizes three specific types of EDs that are common in borderline personality disorder (BPD): anorexia nervosa (AN), bulimia nervosa (BN), and binge eating disorder (BED). The impulsive, self-destructive tendencies of those with BPD may also make them particularly vulnerable to developing an ED. Recent advances in neuroscience have resulted in great understanding of the brain mechanisms and processes that control behavior associated with EDs and BPD. Research has supported the idea that the co-occurrence of both disorders may be caused by an inability to tolerate and skillfully manage negative or unpleasant emotions. Other possible commonalities between EDs and BPD involve shared risk factors, such as a history of childhood trauma.
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Stanley, Barbara, and Tanya Singh. Diagnosis of Borderline Personality Disorder. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199997510.003.0002.

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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.
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Brodsky, Beth S., and Linda Dimeff. Substance Use Disorder in Borderline Personality Disorder. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199997510.003.0009.

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This chapter presents what is currently known about the comorbidity of substance use disorders (SUDs) and borderline personality disorder (BPD), outlines the ways in which substance use and SUDs have a unique clinical presentation within the context of BPD, and describes how the distinct features of SUDs in BPD inform conceptualization and the treatment approach. The high comorbidity of SUD in individuals diagnosed with BPD adds to the complexity of clinical presentation, symptom severity, and obstacles to treatment engagement and effectiveness. Dialectical behavior therapy (DBT), when modified for individuals with BPD, can be effective. This chapter reviews the increased risks, challenges, and obstacles to treatment presented by SUD-BPD comorbidity and describes efforts to adapt DBT to this population that have resulted in new interventions for treatment engagement, behavioral goal setting, and expansion of the standard frame of conducting psychotherapy that more directly target the specific challenges of treating SUD-BPD.
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Krause-Utz, Annegret, Inga Niedtfeld, Julia Knauber, and Christian Schmahl. Neurobiology of Borderline Personality Disorder. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199997510.003.0006.

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In this chapter, neuroimaging findings in BPD are discussed referring to the three core domains of BPD psychopathology: disturbed emotion processing and emotion dysregulation (including dissociation and altered pain processing), behavioral dysregulation and impulsivity, and interpersonal disturbances. Experimental approaches investigating BPD psychopathology on the subjective, behavioral, and neurobiological levels have become increasingly important for an improved understanding of BPD. Over the past decades, neuroimaging has become one of the most important tools in clinical neurobiology. Neuroimaging includes a broad spectrum of methods such as positron emission tomography (PET), structural and functional magnetic resonance imaging (fMRI), MR spectroscopy, and diffusion tensor imaging (DTI).
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Book chapters on the topic "Borderline Personality Disorder (BPD)"

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Morris, Nicky. "BPD." In Dramatherapy for Borderline Personality Disorder, 10–26. Abingdon, Oxon; New York, NY: Routledge, 2018. | Series: Dramatherapy: Routledge, 2018. http://dx.doi.org/10.4324/9781315210926-2.

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Morris, Nicky. "Psychological Treatments for BPD." In Dramatherapy for Borderline Personality Disorder, 27–53. Abingdon, Oxon; New York, NY: Routledge, 2018. | Series: Dramatherapy: Routledge, 2018. http://dx.doi.org/10.4324/9781315210926-3.

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Sadek, Joseph. "ADHD and Borderline Personality Disorder (BPD)." In Clinician’s Guide to Adult ADHD Comorbidities, 1–10. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-39794-8_1.

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Sadek, Joseph. "ADHD and Borderline Personality Disorder (BPD) in Adolescence." In Clinician’s Guide to ADHD Comorbidities in Children and Adolescents, 9–21. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-45635-5_2.

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Arntz, Arnoud. "A Systematic Review of Schema Therapy For BPD." In Group Schema Therapy for Borderline Personality Disorder, 286–94. Chichester, UK: John Wiley & Sons, Ltd, 2012. http://dx.doi.org/10.1002/9781119943167.ch12.

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Bornovalova, Marina A., Brittany Jordan-Arthur, and Anahi Collado-Rodriguez. "Behavior Genetic Approaches to BPD." In Handbook of Borderline Personality Disorder in Children and Adolescents, 129–42. New York, NY: Springer New York, 2014. http://dx.doi.org/10.1007/978-1-4939-0591-1_10.

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Sellbom, Martin, and Matthew A. Jarrett. "Conceptualizing Youth BPD Within an MMPI-A Framework." In Handbook of Borderline Personality Disorder in Children and Adolescents, 65–79. New York, NY: Springer New York, 2014. http://dx.doi.org/10.1007/978-1-4939-0591-1_6.

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Crowell, Sheila E., Erin A. Kaufman, and Theodore P. Beauchaine. "A Biosocial Model of BPD: Theory and Empirical Evidence." In Handbook of Borderline Personality Disorder in Children and Adolescents, 143–57. New York, NY: Springer New York, 2014. http://dx.doi.org/10.1007/978-1-4939-0591-1_11.

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Sharp, Carla. "The Social–Cognitive Basis of BPD: A Theory of Hypermentalizing." In Handbook of Borderline Personality Disorder in Children and Adolescents, 211–25. New York, NY: Springer New York, 2014. http://dx.doi.org/10.1007/978-1-4939-0591-1_15.

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Aguirre, Blaise, Janna Hobbs, and Michael Hollander. "Working with the Parents of Children and Adolescents with BPD." In Handbook of Borderline Personality Disorder in Children and Adolescents, 403–14. New York, NY: Springer New York, 2014. http://dx.doi.org/10.1007/978-1-4939-0591-1_25.

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Conference papers on the topic "Borderline Personality Disorder (BPD)"

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Widuch, Kaja. "‘I AM NOT A MONSTER': THE LINGUISTIC STIGMA OF BORDERLINE PERSONALITY DISORDER." In International Psychological Applications Conference and Trends. inScience Press, 2021. http://dx.doi.org/10.36315/2021inpact085.

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"Borderline Personality Disorder is arguably the most distressing disorder amongst the DSM diagnoses for all involved. Although psychiatric labelling can be validating it is often stigmatising. Due to the nature of BPD, people living with the disorder (PBPD) tend to be marginalized and discriminated against. A quick and random review of the World Wide Web (including a selection of popular social media platforms) reveals a common linguistic theme in describing BPD. PBPD are ‘toxic’, ‘difficult’ and ‘manipulative. Other labels, more diagnostically - oriented see PBPD as the ‘PDs’ or ‘the borderlines’. These also carry negative connotations of the inner and outer groups - ‘us’ vs ‘them’. Given the nature of the labels, recovery for PBPD is often dubious. One might think - ‘I am a monster anyway’, a classic example of cognitive dissonance. The language used in clinical practice as well as out of it is a powerful weapon. Some might poetically describe BPD as a lethal cocktail of blended psychopathologies with the ingredients including chronic suicidality, abandonment and intermittent lucidity to name a few. Of note, externalising such pathologies in an adaptive way is almost a fantasy for the therapy team. A more user friendly descriptive diagnosis is ‘difficulty in emotion regulation’. However, probably the most accurate ‘label’ of BPD for PBPD is ‘living in acute pain’. The current climate and the uncertainty surrounded the ongoing COVID-19 pandemic has meant a significantly increased risk not only in symptoms remission but also in the increase in cyber-bullying and suicidality rate. The pandemic has also put a halt to the Participant and Public Involvement in the evidence based practice. Linguistic shift in reducing stigma is essential and of immediate need."
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Hunter, Esther. "MUSIC AS A TREATMENT FOR BORDERLINE PERSONALITY DISORDER SUFFERERS WHO HAVE DEVELOPED CARDIOMETABOLIC SYNDROME." In International Psychological Applications Conference and Trends. inScience Press, 2021. http://dx.doi.org/10.36315/2021inpact084.

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"Research demonstrating the ability of music to reach the older parts of the brain responsible for emotional processing make a case for utilising specific musical compositions to deliver treatment to people with Borderline Personality Disorder. BPD has been linked to an increased risk of Cardiometabolic Syndrome (CMS), as traumatic experiences in childhood predict adverse mental and physical health in adulthood including Personality Disorders. BPD sufferers who develop CMS as a result of impulsive lifestyle choices may have their recovery inhibited by the effects of CMS. Dieting may be particularly difficult for people with BPD as food serves as a way to soothe emotional pain and depression. Emotional pain leads to making choices which increase the chances of developing health conditions which research has shown negatively affect mood and memory function. Remission of BPD requires maintaining a reduction in impulsive lifestyle choices. Traditional treatments such as CBT require the patient to utilise their own degree of cognitive abilities (willpower), which may not be functioning well due to poor health. A direct line to brain areas such as the amygdala could circumnavigate the necessity to use slower cortical areas when reprogramming the patient towards healthier decision-making. This presentation will provide suggestions for how to integrate therapy into tailored songs."
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"PV-017 - DUAL PATHOLOGY AND PERSONALITY DISORDERS: FORTUITY OR CAUSALITY?" In 24 CONGRESO DE LA SOCIEDAD ESPAÑOLA DE PATOLOGÍA DUAL. SEPD, 2022. http://dx.doi.org/10.17579/abstractbooksepd2022.pv017.

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Introduction and objectives: Alcohol Use Disorder (AUD) is prevalent in patients with Borderline Personality Disorder (BPD) however, the prevalence of AUD in Cluster A personality disorders is not so often discussed. The aims of this communication are to describe a clinical case of AUD in a patient with Cluster A Personality disorder and to review the literature regarding the prevalence of AUD in patients with personality disorders (PD) and to identify if there is a statistically significant association between both diagnoses. Materials and methods: Relevant data from the patient’s medical record was collected. Pubmed database was searched using the terms “dual pathology”, “personality disorders” and “alcohol use disorder”. Results: 47-year-old woman, with a history of long-time alcohol consumption and first depressive episode in adolescence. Additionally, she presented with personality traits of permanent suspicion and difficulty in developing trustworthy relationships, leading to familial, social and workplace isolation and difficulties maintaining jobs. She was admitted to our inpatient unit following increase in alcohol consumption to nearly 165 grams of alcohol per day and recurrence of depressive symptoms following an adverse life event. In day 10 of hospitalisation she disrespected the hospital rules and adopted a defiant and manipulative attitude, promoting splitting between healthcare professionals and instrumentalising other patients, which resulted in disciplinary discharge. On the Pubmed database 4 articles relevant to this topic, all from 2017 onwards, were collected. Conclusions: AUD rates are significantly higher in borderline, antisocial and paranoid PD and this association is statistically significant, with around 50% of patients diagnosed with a PD experiencing a period of AUD during their lifetime. Meanwhile, the estimated prevalence of Cluster A PD in patients with AUD is around 11%, rising to 50% if we take into account all PD. In general, there seems to be a bidirectional relationship between AUD and PD.
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Li, Haoru, Yubin Tian, and Jiewen Zheng. "A Review of Borderline Personality Disorder." In 2021 2nd International Conference on Mental Health and Humanities Education（ICMHHE 2021）. Paris, France: Atlantis Press, 2021. http://dx.doi.org/10.2991/assehr.k.210617.158.

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Deb, Koushik, Hemangee De, Seshadri Sekhar Chatterjee, and Anjan Pal. "Studying Borderline Personality Disorder Using Machine Learning." In 2022 16th International Conference on Ubiquitous Information Management and Communication (IMCOM). IEEE, 2022. http://dx.doi.org/10.1109/imcom53663.2022.9721800.

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Li, Yufei, Kun Wang, and Yumeng Wang. "Emotional Processing and Regulation in Borderline Personality Disorder." In 2021 5th International Seminar on Education, Management and Social Sciences (ISEMSS 2021). Paris, France: Atlantis Press, 2021. http://dx.doi.org/10.2991/assehr.k.210806.119.

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Fritzsche, Klaus H., Romuald Brunner, Romy Henze, Hans-Peter Meinzer, and Bram Stieltjes. "Exploration of microstructural abnormalities in borderline personality disorder." In SPIE Medical Imaging. SPIE, 2012. http://dx.doi.org/10.1117/12.911929.

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Yao, Xu. "Research on the Borderline Personality Disorder and Treatment." In 2021 International Conference on Public Health and Data Science (ICPHDS). IEEE, 2021. http://dx.doi.org/10.1109/icphds53608.2021.00057.

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Khazbak, Mohamed, Zeyad Wael, Zahwa Ehab, Maria Gerorge, and Essam Eliwa. "MindTime: Deep Learning Approach for Borderline Personality Disorder Detection." In 2021 International Mobile, Intelligent, and Ubiquitous Computing Conference (MIUCC). IEEE, 2021. http://dx.doi.org/10.1109/miucc52538.2021.9447620.

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Schmidt, U. "Pharmacotherapy of psychotrauma spectrum disorders including borderline personality disorder." In Abstracts of the 30th Symposium of the AGNP. Georg Thieme Verlag KG, 2017. http://dx.doi.org/10.1055/s-0037-1606392.

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Reports on the topic "Borderline Personality Disorder (BPD)"

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Feagan, Jeananne. SCL-90 characteristics of the borderline personality disorder in a day treatment setting. Portland State University Library, January 2000. http://dx.doi.org/10.15760/etd.3252.

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A machine learning approach identifies unique predictors of borderline personality disorder. ACAMH, October 2020. http://dx.doi.org/10.13056/acamh.13539.

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Researchers in the USA have identified critical predictors of borderline personality disorder (BPD) in late adolescence, using a machine learning approach. Joseph Beeney and colleagues harnessed data from a large, prospective, longitudinal dataset of >2,400 girls who were evaluated yearly for various clinical, psychosocial and demographic factors.
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Presenting as ‘in control’ may mask risk for alcohol misuse in adolescents with symptoms of BPD. ACAMH, June 2020. http://dx.doi.org/10.13056/acamh.12318.

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An association between borderline personality disorder (BPD) and alcohol and/or drug misuse is widely acknowledged in adults. However, not much data exists to explain the factors underlying such an association in adolescents.
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Lamotrigine is not effective for the treatment of borderline personality disorder. National Institute for Health Research, July 2018. http://dx.doi.org/10.3310/signal-000617.

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