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1
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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2
Geyer, Connie. "An exploration of change and 'borderline personality disorder (BPD)'." Thesis, Canterbury Christ Church University, 2013. http://create.canterbury.ac.uk/12456/.
Full textAbstract:
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.
3
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.
Full textAbstract:
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.
4
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.
6
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/.
Full textAbstract:
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.
7
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.
Full textAbstract:
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.
8
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.
9
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.
10
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.
11
Marchesani, Estee Simpkins. "Similarities and Differences in Borderline and Other Symptomology Among Women Survivors of Interpersonal Trauma with and Without Complex Ptsd." Thesis, University of North Texas, 2012. https://digital.library.unt.edu/ark:/67531/metadc177229/.
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Women interpersonal chronic trauma survivors are frequently misdiagnosed with borderline personality disorder (BPD) or post traumatic stress disorder (PTSD), which often results in mistreatment. Neither PTSD nor BPD adequately describes the unique character alterations observed among those exposed to prolonged early childhood trauma. Researchers suggest survivors of interpersonal and chronic trauma should be subsumed under complex PTSD (CPTSD)(MacLean & Gallop, 2003). The primary purpose of this study was to test the validity of complex PTSD as a construct. MANOVA, ANOVA, chi- Square, and independent samples t- Tests were utilized to test hypotheses. Results revealed that women who experienced higher frequencies of trauma met more CPTSD criteria and had higher mean base rate scores on the Major Depression, Depressive, Avoidant, Masochistic, Anxiety, PTSD, and Borderline scales of the MCMI- III than women who experienced fewer traumas. Additionally, findings suggest that the Major Depression, Depressive, Anxiety, PTSD, and Borderline scales may highlight differences among women interpersonal trauma survivors who meet five of six CPTSD criteria versus those who meet full CPTSD diagnostic criteria. Lastly, the mean Borderline scale score for women who met full CPTSD diagnostic criteria was below the cutoff for personality traits. Overall, these findings provide evidence and validation for the distinction of CPTSD from BPD and PTSD.
12
Dennick, Laura. "Borderline Personality Disorder : reviewing the experiences of providing therapy for BPD, and writing online blogs about living with BPD." Thesis, University of Birmingham, 2015. http://etheses.bham.ac.uk//id/eprint/6188/.
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The thesis consists of two volumes: Volume I This volume comprises three chapters. The first chapter is a literature review exploring the impact of working with clients diagnosed with BPD on therapists. The second chapter is the empirical paper, exploring writing online, specifically relating to people who blog about their mental health. The third chapter is the public domain briefing. Volume II Five Clinical Practice Reports (CPRs) are presented in this volume. The first report focuses on ‘Psychological Models’, formulating the experiences of Rose from both a Cognitive Behavioural, and a Systemic, perspective. The second report details a small scale service evaluation assessing how four Community Mental Health Teams (CMHTs) meet the needs of local black and ethnic minority (BME) populations. The third report details the case study of Rita, a 78 year old client detained under section 3 of the Mental Health Act. The report focuses on the assessment, formulation, and intervention regarding physical aggression (‘behaviour that challenges others’). The fourth report outlines the case of Alexa and her son, Callum, attending a child and adolescent mental health service (CAMHS) for support with tics. The intervention is evaluated as a single case experimental design. The fifth report is an abstract for a verbal case study presentation. The abstract introduces Anna, a 71 year old lady referred for psychoanalytic psychotherapy for support with past trauma. *All names and identifying features have been changed to maintain confidentiality.
13
Miller, Susannah Catherine. "Complex PTSD As a Less Pejorative Label: Is the Proposed Diagnosis Less Stigmatizing Than BPD?" Thesis, University of North Texas, 2014. https://digital.library.unt.edu/ark:/67531/metadc699965/.
Full textAbstract:
Clinicians’ attitudes and behaviors toward patients with borderline personality disorder (BPD) are affected by the label’s stigma. Complex posttraumatic stress disorder (CPTSD) was proposed as a comprehensive and less stigmatizing diagnostic category for clients with BPD and a history of complex trauma. Given considerable similarities across both disorders’ diagnostic criteria, the CPTSD framework holds promise as a means to improve therapists’ attitudes towards clients with BPD and a history of complex trauma. However, this quality of CPTSD had not yet been examined empirically. Using vignettes in a between-subjects experimental design, this study investigated whether CPTSD is a less stigmatizing label than BPD for trauma survivors. Participants were 322 practicing psychotherapists. Evidence of BPD stigma was found, as was an affinity for CPTSD. Results generally supported CPTSD as a less stigmatizing label than BPD; therapists presented with a CPTSD-labeled vignette were somewhat less likely to blame the client for her symptomatic behavior and expected slightly stronger working alliance with the client than therapists presented with the BPD-labeled vignette. However, therapists’ agreement with the BPD diagnosis and theoretical orientation were found to be more salient than diagnostic label in affecting concepts related to the stigmatization of BPD clients. Additionally, familiarity with CPTSD was related to more favorable attitudes toward the client and her course of treatment. Regardless of CPTSD’s recognition as a formal diagnosis, education about the construct is widely recommended for therapists.
14
Moses, Olivia. "Gender, Race, and Childhood Abuse as Predictors of Borderline Personality Disorder." Digital Commons @ East Tennessee State University, 2020. https://dc.etsu.edu/etd/3785.
Full textAbstract:
Borderline Personality Disorder (BPD) is a debilitating personality disorder that impacts anywhere between 1% to 5% of Americans. Studies claim that women are significantly more at risk than men to suffer from this disorder and may experience stronger symptoms. Previous research has found that victims of childhood abuse such as sexual abuse, physical abuse, and neglect are more at risk for developing Borderline Personality Disorder as adults, particularly when abuse is paired with genetic susceptibility. Some researchers claim that there are no detectable racial differences in Borderline Personality Disorder, but previous studies often have very small sample sizes taken from clinical patients. To examine the sociological patterns of BPD diagnosis with a representative population sample, data was analyzed from the National Epidemiologic Survey on Alcohol and Related Conditions to examine gender, race, and childhood abuse as predictors. Results show that racial minority status is actually a stronger predictor than gender. Examining intersectional effects shows that black women and Native American men have significantly elevated risks for BPD in adulthood. Overall, a history of sexual and emotional abuse are the most significant driving factors of BPD, regardless of race and gender.
15
Theunissen, Christopher. "A multidimensional developmental neuropsychological model of borderline personality disorder (BPD): examining evidence for impairments in 'executive function'." Thesis, Theunissen, Christopher (2005) A multidimensional developmental neuropsychological model of borderline personality disorder (BPD): examining evidence for impairments in 'executive function'. PhD thesis, Murdoch University, 2005. https://researchrepository.murdoch.edu.au/id/eprint/342/.
Full textAbstract:
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.
16
Theunissen, Christopher. "A multidimensional developmental neuropsychological model of borderline personality disorder (BPD): examining evidence for impairments in 'executive function'." Theunissen, Christopher (2005) A multidimensional developmental neuropsychological model of borderline personality disorder (BPD): examining evidence for impairments in 'executive function'. PhD thesis, Murdoch University, 2005. http://researchrepository.murdoch.edu.au/342/.
Full textAbstract:
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.
17
Herbort, Maike. "Borderline Personality Disorder - Aspects of Anxiety, Impulsivity and a new Theory of Mind Stimulus Set." Doctoral thesis, Humboldt-Universität zu Berlin, 2017. http://dx.doi.org/10.18452/18390.
Full textAbstract:
Die Borderline-Persönlichkeitsstörung (BPS) ist eine schwere psychiatrische Störung, die durch tiefgreifende Probleme in Emotionsregulation und zwischenmenschlichen Beziehungen gekennzeichnet ist. In der vorliegenden Dissertation wurde die Beziehung zwischen Leitsymptomen der BPS und kognitiven Fähigkeiten, die für die Bewältigung eines gut funktionierenden Alltags notwendig sind (Aufmerksamkeit, adäquate Belohnungsverarbeitung), untersucht. Weiter wurde für zukünftige Untersuchungen der interpersonellen Instabilitäten und Empathiefähigkeit ein neues Stimulus Set zur Erforschung von sozialer Kognition im Alltag erstellt: die ToMenovela. Mittels fMRT-Untersuchungen konnte gezeigt werden, dass das Ausmaß an selbstberichteter Ängstlichkeit positiv mit der Verarbeitung von emotionalen, ablenkenden Reizen in konfliktbehafteten Bedingungen korreliert. Dies ist ein Hinweis darauf, dass Patientinnen möglicherweise eine erhöhte unbewusste Verarbeitung von irrelevanten Informationen haben, die emotional negativ besetzt sind. Weiter wurde gezeigt, dass das Ausmaß von selbstberichteter Impulsivität negativ mit der neuronalen Signatur der Erwartung von (vermeidbaren) aversiven Konsequenzen korreliert. Dieser Befund steht im Einklang mit dem bei BPD bekannten Phänomen von riskanten Entscheidungen oder selbstschädigendem Verhalten. Die dritte Studie stellt die ToMenovela vor, eine Sammlung von 190 emotional aufgeladenen Photographien mit hoher ökologischer Validität, die von einem fiktiven Freundeskreis handeln. Fragestellungen zur 1. und 3.-Person-Perspektive sowie affektiven und kognitiven Theory of Mind sind durch die Komposition der Fotos möglich. Die Bilder wurden von einer gesunden Kontrollgruppe nach emotionaler Valenz bezüglich der 6 Basis-Emotionen nach Ekman (Freude, Trauer, Wut, Angst, Überraschung, Ekel) bewertet, und stehen nun für den experimentellen Einsatz in der Empathie- und Emotionsforschung, auch über das BPS-Klientel, hinaus zur Verfügung.Borderline personality disorder (BPD) is a severe mental health disorder characterized by severe problems in emotion regulation and interpersonal relationships. In this dissertation, the relation between core symptoms of BPD and two cognitive abilities that are necessary for a well-functioning daily life, attention and adequate reward processing, were investigated. Furthermore, a new stimulus set for the investigation of social cognition in daily life that is suitable for future research on relational instabilities and trait empathy was generated: the ToMenovela. Using fMRI, it could be shown that self-reported trait anxiety and neural BOLD-response correlated positively during conflict processing in an experimental flanker task with emotional distractors. These results indicate that patients might exhibit more pronounced implicit processing of irrelevant negative emotional information. In a second study, using a reward paradigm, a negative relationship was observed between self-reported impulsivity and neural signature of loss anticipation. This result is in line with recent findings on BPD patients’ tendency towards disadvantageous, risky choices or self-harming decisions. The third publication introduces the ToMenovela, a new stimulus set for the assessment of social interaction in daily life. The ToMenovela presents a set of 190 emotionally charged pictures of a fictitious circle of friends with high ecological validity. The stimulus set is suitable for experimental designs on 1st and 3rd person perspectives, as well as for affective and cognitive Theory of Mind tasks. The stimulus set was rated by healthy control subjects according to emotional valence with respect to Ekman’s basic emotions (happiness, sadness, anger, fear, surprise and disgust) and is available for further use in experiments on empathy and emotions within and beyond the context of research on BPD.
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Noble, Julia. "How do individuals who self-identify as having Borderline Personality Disorder (BPD) symptomatology perceive interventions to prevent self-harm?" Thesis, University of Manchester, 2016. https://www.research.manchester.ac.uk/portal/en/theses/how-do-individuals-who-selfidentify-as-having-borderline-personality-disorder-bpd-symptomatology-perceive-interventions-to-prevent-selfharm(fabb86de-7c64-47cb-a564-33bd817add2e).html.
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Background: Individuals with Borderline Personality Disorder [BPD] symptomatology have high rates of self-harm (50-80%). Limited information exists on the most appropriate interventions to prevent recurrent self-harm in this population. Recent reviews on BPD interventions have suggested more research needs to be conducted looking at how individuals experience interventions with the aim of identifying the effective components of interventions. Objectives: The aim of the present study was to examine how individuals with BPD symptomatology experience interventions to prevent self-harm using a qualitative methodology. Methodology: Twelve individuals with BPD symptomatology and past or current self-harm were recruited through therapeutic services, and took part in a semi-structured interview. The interviews were analysed using a grounded theory approach. Findings: The grounded theory identified a core category, an alternative path to self-harm, and two sub-categories, established beliefs and causal factors, and the time course of self-harm. The results were presented using a process model which was indicative of the participants' experiences of interventions. Conclusions: The findings suggest individuals with BPD symptomatology perceive interventions as helping to reduce self-harm when interventions are long-term, consistent, and instant, and the intervention's outcome matches the purpose for the self-harm. The use of interventions appears to be context dependent, specifically being affected by the individual's level of emotional tension, and their cognitive processing during the decision to seek help. For long-term self-harm prevention, multiple interventions are required, and individuals need to be actively maintaining and evaluating these alternative strategies. It is suggested adoption of such a holistic approach could be one avenue for developing collaborative and effective self-harm interventions in clinical practice.
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Dunne, Emma Catherine. "A repertory grid study investigating factors associated with treating people diagnosed with Borderline Personality Disorder (BPD) : the construct of illness and the therapeutic relationship." Thesis, University of Hertfordshire, 2016. http://hdl.handle.net/2299/17180.
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People diagnosed with Borderline Personality Disorder (BPD) have been subjected to stigma and told that their difficulties are untreatable. Although recovery is now understood to be possible for this client group, much controversy exists around whether BPD is, in fact, an illness. The implications of this belief have not yet been explored from the perspective of the client. Furthermore, little research has attempted to deconstruct what constitutes the therapeutic alliance for people diagnosed with BPD and their clinicians from a Personal Construct Psychology (PCP) perspective. The present research study therefore aimed to explore what impacts on the recovery of people diagnosed with BPD. This included investigating the impact of the construct of illness and the therapeutic relationship. The research employed a correlational and non-randomised design, using a cross-sectional approach. The Repertory Grid technique was used among a sample of 20 clients diagnosed with BPD and their clinicians. Relevant questionnaires were also administered to ascertain BPD symptomatology and the perceived quality of the therapeutic relationship. Among findings, a statistically significant correlation is presented for the association between a poor therapeutic relationship and increased BPD symptoms. Evidence (in the form of a borderline significant correlation) is also revealed to suggest that clients diagnosed with BPD construe fewer benefits from psychological therapy when they consider the well-ill construct to be more important (i.e. superordinate). The results provide new information with regard to the treatment of people diagnosed with BPD.
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Wirten, Sjöholm Felicia. "ATT LEVA MED BORDERLINE PERSONLIGHETSSTÖRNING." Thesis, Malmö högskola, Fakulteten för hälsa och samhälle (HS), 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-25516.
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Bakgrund: Borderline personlighetsstörning (BPS) har en bred symtombild som främst karaktäriseras av en känslomässig instabilitet hos individen. Flertalet förklaringar till uppkomsten finns men de allra flesta grundar sig i en otrygg uppväxt. Inom patientgruppen är det vanligt med suicidala handlingar samt ett aktivt självskadebeteende utan avsikt att avlida. Syfte: Denna studie siktade till en ökad insyn och förståelse för hur patientgruppen upplevde det att leva med diagnosen BPS samt hur de upplevde att de blir bemötta inom vården.Metod: Litteraturstudien genomfördes med en kvalitativ ansats. Åtta stycken vetenskapliga artiklar svarade mot underliggande studies syfte. Resultat: Analysen resulterade i följande kategorier: Att få diagnosen BPS, ett liv i utanförskap, att sträva efter hälsa och värdighet, att ha städig kontakt med vården, att uppleva sig stämplad, att ha relationer till specifika andra samt att önska sig specialiserad vård, delaktighet, tid, tillgång och kontinuitet. Slutsats: För att kunna ge patientgruppen adekvat vård samt bygga goda vårdrelationer är det av yttersta vikt att vårdpersonalen har kunskap kring patientgruppens livsvärld. Genom en ökad kunskap och förståelse är förhoppningen att minska missförstånd, bristande kommunikation samt känslan av maktlöshet i relationen mellan vårdpersonalen samt patientgruppen, vilket i sin tur kan reducera patientgruppens upplevelse av att vara stämplad.Background: Borderline personality disorder (BPD) has a broad symptomatology mainly characterized by emotional instability. There is several explanations for the rise but the vast majority are based in an insecure upbringing. Within the patient group it is common with suicidal acts and active self-injury without the intent to die.Objective: This study aimed to greater transparency and understanding of how the patient group experienced it to live with a diagnosis of BPD and how they felt that they were treated within the care system.Method: The literature review was conducted with a qualitative approach. Eight scientific papers responded to the underlying studies purpose.Results: The analysis resulted in the following categories: Getting diagnosed with BPD, a life of alienation, to strive for health and dignity, to have steady contact with health care, to experience themselves as stamped, to have relationships with specific others and also to wish for specialized care, participation, time, availability and continuity.Conclusion: In order to give the patient group adequate care and build good relationships it is of the utmost importance that health professionals have knowledge of the patient groups life world. Through increased knowledge and understanding, the hope is to reduce misunderstandings, lack of communication and the sense of powerlessness in the relationship between the nursing staff and the patient group, which in turn may reduce the patient group experience of being stamped.
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Villar, Rafael. "Att möta en virvelvind : Sjuksköterskors attityder och upplevelser av att vårda patienter som lider av Borderline Personlighetsstörning." Thesis, Högskolan i Borås, Institutionen för Vårdvetenskap, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-20395.
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Borderline Personlighetstörning är en psykiatrisk diagnos som definieras genom symtom som bristande impulskontroll, relationsproblem och självskadeproblem.Flera av dessa symtom är av den karaktären att de förorsakar beteenden som gör att möjligheten till att ge en god omvårdnad försvåras. Syftet med litteraturstudien var att beskriva sjuksköterskors attityder och upplevelser av att vårda patienter som lider av diagnosen BPS.Resultatet analyserades utifrån Evans (2003) modell. Studien har visat vilka utmaningar sjuksköterskan upplever i mötet med patienter med BPS när det gäller relation och omvårdnad.Sjuksköterskorna beskriver negativa attityder och upplevelser i arbetet med patienter med BPS. . Vidare har det framkommit att sjuksköterskorna har föreställningar om egenskaper av farlighet och manipulation när det gäller patienter med BPS. Ett sätt att hantera de svårigheter som finns i omvårdnadsarbetet med patientgruppen har varit att använda sig av avståndstagande från sjuksköterskornas sida, visar studien. Resultatet pekar även på att sjuksköterskorna anser att patienter med BPS har större ansvar för sitt beteende jämfört med andra patientgrupper.Sjuksköterskorna känner dock professionellt ansvar för patientgruppen och upplever en viss optimism när de gäller denna utmanande patientgrupp.För att kunna ge god omvårdnad till patienter med BPS bör sjuksköterskan ha stöd i sin professionalitet i form av behöver ett sammansvetsat och stödjande team, realistiska och tydliga mål, adekvat utbildning och fortlöpande handledning.Program: Sjuksköterskeutbildning
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Winchester, Andrea Nicole. "Emotion Dysregulation as a Mediator of the Relationship between Symptoms of Borderline Personality Disorder and Implicit Suicidality." Xavier University / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=xavier1430430830.
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Carr, Steven, and steven carr@rmit edu au. "Retrospective Reporting of Childhood Experiences and Borderline Personality Disorder Features in a Non-Clinical Sample: A Cognitive-Behavioural Perspective." RMIT University. Health Sciences, 2006. http://adt.lib.rmit.edu.au/adt/public/adt-VIT20080205.101748.
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The purpose of the current study was to investigate the relationship between Borderline Personality Disorder (BPD) symptoms and childhood experiences, and to explore the role of Early Maladaptive Schemas and core beliefs as variables possibly mediating this relationship. Previous research with clinical samples has established a strong link between childhood maltreatment and adult BPD (& other PD) symptoms in clinical samples. However, difficulties with these studies limit the specificity of results. For example, BPD has been shown to be highly comorbid with other axis I and axis II psychiatric conditions. Given that studies examining the relationship between BPD and childhood maltreatment generally fail to control for these comorbid conditions, the specificity of their results must be questioned. Furthermore, it has been well established that childhood familial environment is strongly related to childhood maltreatment. Again studies examining the relationship between BPD and childhood maltreatment have generally failed to concurrently assess childhood familial environments, hence opening the possibility that the relationship between BPD and childhood maltreatment may be due to family functioning rather than childhood maltreatment per se. Finally, studies linking childhood maltreatment with adult BPD have primarily utilized clinical samples. However, the primary use of clinical samples to examine the aetiology of disorders in this context ignores the vast literature showing adequate psychological functio ning for the majority of individuals exposed to childhood maltreatment. Hence, the primary aim of the current study was to examine the relationship between childhood maltreatment and adult BPD symptoms in a primarily non-clinical sample whilst statistically controlling for commonly comorbid axis I and axis II symptomatology and concurrently measuring childhood familial functioning. It was a secondary aim of the current study to examine the mediating effects of beliefs on the relationship between childhood factors (i.e., childhood maltreatment & childhood familial functioning) and adult BPD symptomatology. That is, cognitive-behavioural theorists argue that personality disorders may be triggered by adverse childhood experiences leading to maladaptive beliefs (or schemas) related to the self, others, and the world, and it is these beliefs which lead to the behavioural disturbances evident in personality disorders. One hundred and eighty-five primarily non-clinical participants completed questionnaires measuring a variety of axis I and axis II symptoms, early maladaptive schemas and core beliefs, as well as retrospective reports of family functioning and childhood maltreatment. Results showed a significant relationship between childhood factors and adult BPD symptomatology. For example, the largest correlation between BPD symptoms and a childhood factor was .27 (for childhood emotional abuse). Furthermore, early maladaptive schemas and core beliefs were found to mediate the relationship between childhood factors and adult BPD symptomatology thus supporting cognitive-behavioural theories of personality disorders. However, early maladaptive schemas and core beliefs were also found to mediate the relationship between childhood factors and other Axis I and Axis II symptoms. Hence, it was concluded that while there was some support for a cognitive mediation hypothesis for BPD symptoms, future research is needed in exploring the specificity of the cognitive mediation hypothesis for BPD.
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Walter, Marc, Hendrik Berth, Joseph Selinger, Urs Gerhard, Joachim Küchenhoff, Jörg Frommer, and Gerhard Dammann. "The Lack of Negative Affects as an Indicator for Identity Disturbance in Borderline Personality Disorder: A Preliminary Report." Saechsische Landesbibliothek- Staats- und Universitaetsbibliothek Dresden, 2014. http://nbn-resolving.de/urn:nbn:de:bsz:14-qucosa-134446.
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Background: Patients with borderline personality disorder (BPD) suffer from instability of their relationships, their affectivity and their identity. The purpose of the study was to investigate negative affects and identity disturbance in patients with BPD and in patients without personality disorder using questionnaire data and interview data. Sampling and Methods: Twelve patients with BPD and 12 patients with major depressive disorder without any personality disorder were assessed with the Structured Interview of Personality Organization (STIPO) and questionnaires (Inventory of Personality Organization, Beck Depression Inventory, State-Trait Anxiety Inventory). They were compared with respect to the frequency of negative affective verbal expressions using computerized content analysis methods. Results: BPD patients showed higher levels of anxiety, depression and identity diffusion in the questionnaires than major depressive disorder patients without personality disorder. However, they did not report more negative affective expressions in the interview. Patients with identity disturbance of both groups showed higher values of negative mood in the questionnaires, but less anger, less anxiety and less affective intensity in the interview. Conclusion: The preliminary findings indicate that patients with identity disturbance show high levels of negative affects in questionnaires but only few negative affects in the interview situation. More studies are needed to enhance the understanding of negative affects and identity disturbance in BPDDieser Beitrag ist mit Zustimmung des Rechteinhabers aufgrund einer (DFG-geförderten) Allianz- bzw. Nationallizenz frei zugänglich
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Walter, Marc, Hendrik Berth, Joseph Selinger, Urs Gerhard, Joachim Küchenhoff, Jörg Frommer, and Gerhard Dammann. "The Lack of Negative Affects as an Indicator for Identity Disturbance in Borderline Personality Disorder: A Preliminary Report." Karger, 2009. https://tud.qucosa.de/id/qucosa%3A27569.
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Background: Patients with borderline personality disorder (BPD) suffer from instability of their relationships, their affectivity and their identity. The purpose of the study was to investigate negative affects and identity disturbance in patients with BPD and in patients without personality disorder using questionnaire data and interview data.
Sampling and Methods: Twelve patients with BPD and 12 patients with major depressive disorder without any personality disorder were assessed with the Structured Interview of Personality Organization (STIPO) and questionnaires (Inventory of Personality Organization, Beck Depression Inventory, State-Trait Anxiety Inventory). They were compared with respect to the frequency of negative affective verbal expressions using computerized content analysis methods.
Results: BPD patients showed higher levels of anxiety, depression and identity diffusion in the questionnaires than major depressive disorder patients without personality disorder. However, they did not report more negative affective expressions in the interview. Patients with identity disturbance of both groups showed higher values of negative mood in the questionnaires, but less anger, less anxiety and less affective intensity in the interview.
Conclusion: The preliminary findings indicate that patients with identity disturbance show high levels of negative affects in questionnaires but only few negative affects in the interview situation. More studies are needed to enhance the understanding of negative affects and identity disturbance in BPD.Dieser Beitrag ist mit Zustimmung des Rechteinhabers aufgrund einer (DFG-geförderten) Allianz- bzw. Nationallizenz frei zugänglich.
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Benitez, Cinthia. "An Experimental Manipulation of Validating and Invalidating Responses: Impact on Social Problem-Solving." The Ohio State University, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=osu1417185959.
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Simpson, Phillip Richard. "Emotional regulation in borderline personality disorder." Thesis, University of Hull, 2008. http://hydra.hull.ac.uk/resources/hull:1364.
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This paper reviews the theoretical, conceptual and empirical literature relating to emotional regulation in borderline personality disorder. A number of issues relating to the disorder are discussed, including problems with the categorical system of diagnosis and potential co-morbidity. The prominent models of treatment are reviewed along with the evidence for their effectiveness. The concept of a core dysregulation of emotion in the disorder is considered and the psychological models of emotion explored. A systematic review is then described that identified twenty-one experimental studies that investigated aspects of emotional dysregulation in the disorder. The results of this review are categorised into subgroups on the basis of the experimental methods used, and discussed within this context. The results provide limited support for the concept of emotional sensitivity, with empirical evidence for increased attention to emotional stimuli but no evidence of a lower threshold of emotional response. Increased emotional intensity has been demonstrated with self-report and time-sampling data, however results from physiological measures are inconsistent. The limitations of the current literature are discussed, and the implications for future research and clinical practice are considered.
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Kim, Nami. "Decision-making, impulsivity, and borderline personality disorder." access full-text online access from Digital Dissertation Consortium, 2006. http://libweb.cityu.edu.hk/cgi-bin/er/db/ddcdiss.pl?3215400.
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Walton, Laura Carol. "Attachment and metacognition in borderline personality disorder." Thesis, University of Edinburgh, 2010. http://hdl.handle.net/1842/7591.
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Background: Borderline personality disorder (BPD) is a psychiatric diagnosis characterized by emotional and behavioural instability, and impaired ability to maintain relationships. Previous research has demonstrated an association between BPD and insecure attachment style. It has been argued that BPD is a disorder of attachment, with insecure attachment being associated with inadequate capacity to represent mental states, or to “mentalize”. There is evidence that people with BPD are impaired in their capacity to mentalize in the context of attachment relationships. The term “mentalization” encompasses a broad range of processes including metacognition. There is a theoretical basis for metacognitive deficits in BPD. However, there is a lack of empirical evidence regarding the role of metacognition in BPD and its relationship to adult attachment style. Method: Participants with BPD were recruited from Community Mental Health Teams, Clinical Psychology and a Dialectal Behaviour Therapy (DBT) service within NHS Highland. A comparison group of participants without BPD were recruited from the Clinical Psychology service, having been referred for symptoms of depression. Both groups were administered the Relationship Scales Questionnaire (RSQ)(a self-report measure of attachment); and a short version of the Metacognitions Questionnaire (MCQ-30). Severity of clinical symptoms and current mood was assessed using the Clinical Outcomes in Routine Evaluation (CORE) and the Hospital Anxiety and Depression Scale (HADS). Results: Participants with BPD scored significantly higher than those without BPD on the attachment-anxiety and attachment-avoidance dimensions of the RSQ. The BPD group also endorsed MCQ-30 items more than the comparison group. There was a significant difference between the groups on the MCQ-30 total score and four of the five subscale scores. There were significant positive correlations between attachment dimension scores and metacognition subscales. The strongest associations were between attachmentanxiety and “uncontrollability and danger” and “need to control thoughts” subscales of the MCQ-30. Only metacognition was predictive of current mood and distress levels. Conclusions: The results of this study show that people with BPD report high attachment-avoidance and attachment-anxiety in their relationships, relative to a non-BPD, depressed comparison group. These findings are consistent with the existing literature regarding the profile of attachment in BPD. This study also found that people with BPD also have more maladaptive metacognitions than people with symptoms of depression. An association between self-reported adult attachment style and maladaptive metacognitiion was demonstrated in the present study. Maladaptive metacognitive strategies and beliefs potentially contribute to maintenance of depressed and anxious mood, as well as broader symptoms of distress.
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Reid, Norman. "Interpersonal relationship difficulties in borderline personality disorder." Thesis, University of Southampton, 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.264651.
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Intili, Rita. "Borderline personality disorder and emotion information processing." Thesis, University of Birmingham, 2012. http://etheses.bham.ac.uk//id/eprint/3513/.
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Interpersonal difficulties, including problems in forming and maintaining relationships, figure prominently in Borderline Personality Disorder (BPD). This paper addresses whether vulnerability to troubled interpersonal relationships in BPD may be related to biases in processing emotionally salient information. It considers the predictions that prominent models of BPD would make in terms of processing emotional information and it surveys the literature to establish whether BPD individuals are characterised by an attention bias, an interpretation bias, a memory bias, or all three. Taken together, the evidence suggests that BPD individuals preferentially attend to emotionally threatening information, but whether this is the result of hypervigilance towards threat, difficulty shifting attention away from threat, or both, is unclear since there is some ambiguity surrounding the methods employed. The range of studies examining an interpretation bias suggests that BPD individuals tend to appraise and interpret others as rejecting when the emotional information is ambiguous. Research on memory bias is still young and the findings too inconsistent to draw conclusions. The methodological limitations across the studies are considered and suggestions for further lines of enquiry are made. Establishing whether processing biases are associated with BPD is important as it may lead to a better understanding of what fuels unstable interpersonal relations. Cognitive biases may also provide clues that refine assessment and treatment.
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White, Lauren. "Borderline personality disorder : a personal construct approach." Thesis, University of Hertfordshire, 2014. http://hdl.handle.net/2299/14439.
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In 2003, Winter, Watson, Gillman-Smith, Gilbert and Acton criticised the DSM-IV’s psychiatric conceptualisation of BPD, proposing a set of alternative descriptions based on Kelly’s (1955) Personal Construct Psychology (PCP) and diagnostic constructs. According to Winter et al. (2003), PCP offers not only a less “pre-emptive” stance towards BPD but is more clinically useful given its intrinsic implications for treatment. This correlational research study aimed to determine whether BPD symptomatology is associated with these proposed characteristics of construing. In addition, it was hypothesised that those with a belief that BPD was a part of their identity and untreatable would display higher levels of hopelessness. Ten participants with an existing diagnosis of BPD completed the following measures: a) Personal Construct Inventory (PCI; Chambers & O’Day, 1984); b) Millon Clinical Multiaxial Inventory, Third Edition, (MCMI-III, Millon, 1994); and c) Beck Hopelessness Scale (BHS; Beck & Steer, 1988). Participants were also asked to complete a repertory grid and a Likert Scale indicating the extent of their belief that: a) BPD is an intrinsic part of them; and b) BPD is a treatable condition. Two of the participants are presented as case examples. The most significant finding related to the hypothesis that greater BPD symptomatology would be associated with a higher degree of change in self-construction over time (‘slot-rattling’). Contrary to our prediction, similarity of construing of the elements ‘Me Now’ and ‘Me in the Past’ was correlated with greater BPD symptomatology. This may indicate a belief among participants that they are unable to change or may represent Kellian hostility. Construing one’s mother and father similarly to one’s therapist was associated with greater BPD symptomatology, as was construing one’s father and partner similarly, suggesting, as hypothesised, that those diagnosed with BPD tend to construe current relationships in the same terms as early relationships. Pre-emptive construing and poorly elaborated self-construction were also found to be associated with increased BPD symptoms as predicted. Content analyses performed on elicited constructs revealed that emotion regulation is the most salient area for participants. While the majority of participants considered that BPD was a part of their identity, most were uncertain as to whether BPD is treatable although these findings were not significantly correlated with levels of hopelessness. Participants’ feedback about their experiences of being diagnosed with BPD raises important ethical questions. Further hypotheses are generated based on the study findings and suggestions are made for a revision of the way in which psychological distress is conceptualized, with a particular emphasis on the utility of the PCP approach towards BPD. Clinical implications, limitations of the study and possibilities for further research are discussed.
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White, Elliott P. "Social cognition skills in borderline personality disorder." Thesis, Canterbury Christ Church University, 2014. http://create.canterbury.ac.uk/12836/.
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Section A reviewed 18 empirical behavioural studies on empathy and mental state inference (MSI) skills in those meeting Borderline Personality Disorder (BPD) criteria. The review was situated within Mentalization theory (MBT), which posits a central link between such skills and complex needs presentation. Firm conclusions about BPD mentalization skills are difficult as deficits, enhanced abilities and no differences from non-patients are reported. None of the reviewed papers stimulated attachment system arousal, as warranted by mentalization theory. Economic game research was highlighted as offering value in assessing self-directed mentalization, an under-researched area. Section B sought to test MBT and other model’s claim that empathy and Mental State inference (MSI) skills are differentially degraded in Borderline Personality Disorder (BPD). 27 people meeting BPD criteria and a matched non-patient group had empathy assessed with the Reading the Mind in the Eyes Task and MSI assessed with a modified economic game. This was done before and after a novel attachment system intervention. Empathy skills were less accurate in the BPD group. Other findings including game behaviour, fairness ratings and a social cue selective prioritisation in non-patients only are discussed. The theoretical links and suggestions for clinical innovation and research development are provided.
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Sinclair, H. E. "Trait emotional intelligence and borderline personality disorder." Thesis, University College London (University of London), 2010. http://discovery.ucl.ac.uk/855096/.
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Part 1: The Literature Review explores the association between Trait Emotional Intelligence (TEl) and emotion regulation (ER). Twenty-four studies met the review's inclusion criteria and their contributions to the TEl and ER literature are discussed. The studies suggest that high TEl is linked with a greater sensitivity to emotional information and enhanced ER ability. The review concludes that TEl may be an interesting and important concept for further investigation, especially in populations with ER difficulties. Part 2: The Empirical Paper explores the associations between TEl, ER difficulties, and mindfulness ability in those with and without a diagnosis of Borderline Personality Disorder (BPD). TEl, ER difficulty, and mindfulness scores were found to be correlated for the entire sample. Individuals with a diagnosis of BPD reported statistically significantly lower TEl, greater difficulties in ER and reduced mindfulness skills compared to the Non-Clinical sample. The research and clinical implications of the study, along with its limitations, are discussed. Part 3: The Critical Appraisal reflects on the personal motivations for the research. In addition, process issues which arose from the research are discussed. Finally, in reference to the clinical implications of the study, further areas for investigation are considered and recommendations made.
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Rizvi, Shireen L. "Treatment of shame in borderline personality disorder /." Thesis, Connect to this title online; UW restricted, 2004. http://hdl.handle.net/1773/9125.
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Davis, Jeffrey Jay 1955. "Borderline personality disorder and Jungian psychological types." Thesis, The University of Arizona, 1991. http://hdl.handle.net/10150/278029.
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Twenty-one individuals diagnosed as having borderline personality disorder were studied to determine Jungian psychological type. All respondents were recruited through therapists working in the Tucson, Arizona area. Therapists were employed in both private and public mental health care sectors. The respondents were largely female (N = 19) white, and non-married. Due to the large percentage of females, only the female portion of the sample was used for comparison with other, all female populations. The Myers-Briggs Type Indicator, Form F was used to determine psychological type. Respondents showed a higher incidence of introverted and intuitive types when compared to groups representing the general population. Compared to groups representing inpatient psychiatric populations, the study sample showed a larger incidence of intuitive types.
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Engen, Lene. "Co-occuriring borderline personality disorder and substance abuse." Thesis, Norges teknisk-naturvitenskapelige universitet, Psykologisk institutt, 2011. http://urn.kb.se/resolve?urn=urn:nbn:no:ntnu:diva-15865.
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Hennigar, Sandra Ann. "Experiences of women living with borderline personality disorder." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk2/tape17/PQDD_0002/MQ36466.pdf.
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Solhan, Marika. "Affective instability and impulsivity in borderline personality disorder." Diss., Columbia, Mo. : University of Missouri-Columbia, 2006. http://hdl.handle.net/10355/4605.
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Thesis (M.A.) University of Missouri-Columbia, 2006.The entire dissertation/thesis text is included in the research.pdf file; the official abstract appears in the short.pdf file (which also appears in the research.pdf); a non-technical general description, or public abstract, appears in the public.pdf file. Title from title screen of research.pdf file (viewed on August 28, 2007) Includes bibliographical references.
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Berlin, Heather. "Impulsivity, the orbitofrontal cortex and borderline personality disorder." Thesis, University of Oxford, 2003. http://ora.ox.ac.uk/objects/uuid:df454308-aea1-448a-9237-83735452947f.
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Damage to the orbitofrontal cortex (OFC) has been associated with disinhibited or socially inappropriate behaviour and emotional irregularities in both humans and monkeys. Prominent characteristics of several personality disorder syndromes, in particular Borderline Personality Disorder (BPD), are impulsivity and affective instability. This investigation aimed to determine if certain aspects of the Borderline Personality syndrome, in particular impulsivity, are associated with OFC dysfunction. Basic questionnaires of personality, emotion, and impulsivity together with tasks sensitive to frontal lobe dysfunction that assess possible factors related to impulsivity, including time perception, sensitivity to reinforcers, and spatial working memory (SWM), were administered to OFC lesion, BPD, non-OFC prefrontal cortex lesion control, and normal control participants. OFC and BPD patients performed similarly, in that they were more impulsive, reported more inappropriate behaviours, BPD traits, anger, and less happiness than both control groups. They were also less open to experience and had a faster perception of time (in terms of time production) than normal controls. They performed differently on other tasks: BPD patients were less extraverted and conscientious and more neurotic and emotional than all other groups. OFC patients had more severe deficits in reversing stimulus-reinforcer associations compared to all other groups and had a faster perception of time (in terms of time estimation) than normal controls. Both OFC and non-OFC lesion patients had mixed lesions that included dorsolateral prefrontal cortex (DLFC) damage. Accordingly, they both had SWM deficits, a task used to control for DLFC damage, compared to normal and BPD participants. Since BPD participants were not impaired on this task and non-OFC patients did not perform poorly on the same tests that OFC patients did, the neuropsychological deficits of BPD and OFC patients could not be attributed to SWM deficits or DLFC dysfunction. The findings suggest that some of the cognitive/behavioural deficits commonly found in BPD patients are related to OFC dysfunction while others are unrelated and are perhaps related to other brain systems. The possibility of amygdala dysfunction is discussed. The similarities and dissociations found between BPD and OFC patients on certain tasks may lead to a better understanding of the aetiology of BPD and the functions of the OFC. Theoretical and therapeutic implications of the findings are discussed.
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Sadie, C. "Childhood experiences of men with borderline personality disorder." Thesis, University College London (University of London), 2005. http://discovery.ucl.ac.uk/1446805/.
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Borderline personality disorder is a severe, psychologically and socially debilitating condition that tends to develop in people who have experienced multiple forms of adversity in their early lives. For a variety of reasons, most research into the aetiology of the disorder has focused on women. This research seeks to explore potential aetiological factors among men. There is evidence that known risk factors for BPD differ in incidence between men and women, and that responses to and interpretations of such experiences may also differ by gender. It is possible, then, that BPD may develop along different pathways for men and women, or may act on different vulnerabilities. These differences may be clinically significant, and could influence the way in which therapeutic interventions are conceptualised and delivered. The first section, a review paper, describes and critiques the existing research into risk factors for BPD, including aspects of childhood maltreatment and neurobiological markers of the disorder. It examines the literature on gender and BPD, exploring explanations for the apparent rarity of men in research and clinical settings. The review then evaluates the existing research specifically regarding men with BPD, and makes a case for a more inclusive programme of research, incorporating a consideration of gender-specific risk factors. The second section, an empirical paper, presents an analysis of the responses of 30 men, 19 meeting criteria for BPD and 11 forming a psychiatric control group, to questions exploring their childhood experiences of abuse, neglect and adversity, and their current symptomatology. Characteristics of the BPD group were described, and hypotheses regarding the nature and severity of experiences of maltreatment between the BPD and non-BPD group were tested. Then, the findings of this study were compared with those of two recent similar studies. Finally, the paper discusses the theoretical and clinical implications of the results, appraises their validity, and makes suggestions for further investigation. Third, a critical appraisal reflects on several salient issues in some depth. It examines criteria for BPD in the light of gender differences and patterns of responding in this study, and explores the validity of the diagnosis for men. Methodological debates regarding the use of retrospective data collection are detailed and the decisions made in the current study discussed. Finally, some observations are made regarding the research process, noting challenges endemic in research in this area, and specific points of learning.
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Nicol, Katie. "Social and emotional processing in borderline personality disorder." Thesis, University of Edinburgh, 2015. http://hdl.handle.net/1842/19537.
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Objective Borderline Personality Disorder (BPD) is a common and serious mental illness, associated with severe emotional dysregulation, a high risk of suicide and self-harm. Those with a diagnosis of BPD often display difficulties with social interaction, making daily life problematic, and sufferers can struggle to form and maintain interpersonal relationships. Childhood trauma is believed to contribute to the development of BPD, however the mechanism by which childhood trauma increases risk for specific symptoms of the disorder is not well understood. Here, we investigate the ability of participants with a diagnosis of BPD to make social judgements and recognise emotions from facial stimuli. We also explore the relationship between childhood trauma, brain structure, and brain activation in response to emotional stimuli. Methods Individuals with a diagnosis of borderline personality disorder, as well as matched healthy controls, were recruited to take part in a neuropsychology study of emotion recognition and social judgement from faces. Participants also underwent a magnetic resonance imaging (MRI) scan, during which data was collected for analysis of brain structure, and brain function in response to emotional faces. In addition, all participants completed a structured clinical interview and the Childhood Trauma Questionnaire (CTQ). Results Individuals with a diagnosis of BPD were less well able to correctly identify facial emotions than healthy control participants (p < 0.001), with a particular deficit in the recognition of disgust (p = 0.001). Those with BPD also had difficulty making appropriate social judgements about others from their faces, and between group differences were greatest for judgements of approachability (p = 0.004) and trustworthiness (p = 0.014). Significant correlations were identified between CTQ scores and performance on both tasks in the BPD group. Although no structural brain differences were noted between the BPD group and healthy controls, we found that brain activation correlated to childhood trauma in midbrain, pulvinar and medial frontal gyrus to fearful (versus neutral) faces. There was a significant association between incidence of abuse in childhood and psychotic symptoms in adulthood. In addition, there was a significant correlation between midbrain activation and reported psychotic symptoms in the BPD group, suggesting a potential relationship between childhood trauma, midbrain activity and the development of psychotic symptoms in those with a diagnosis of BPD. Conclusion Abuse in childhood is associated with impaired social and emotional function, as well as increased activation of a network of brain regions in response to emotional stimuli in BPD. Brain abnormalities in BPD appear to be confined to functional activation changes, rather than structural changes, in regions associated with emotional and social information processing. In addition, childhood trauma is correlated with increased psychotic symptoms in adulthood. These results provide striking evidence for the involvement of childhood adversity in the development of symptoms of BPD, and suggest a possible mechanism by which psychotic symptoms may occur.
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Pizarro-Campagna, Elizabeth. "Socioemotional functioning in youth with borderline personality disorder." Thesis, Australian Catholic University, 2019. https://acuresearchbank.acu.edu.au/download/af0ba03c5924497d67026f4989923e109291eb65dec285af558dafd646538ea7/8874463/Socioemotional_functioning_in_youth_with_borderline_personality_d_1.pdf.
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This thesis makes an original contribution to our understanding of socioemotional functioning in borderline personality disorder (BPD) by critically examining social cognition and emotion regulation BPD research from a developmental perspective. It also extends on previous research, making a novel and important contribution to our understanding of sociocognitive functioning and emotion regulation ability in youth with first presentation BPD. This was achieved via two critical narrative reviews of the existing literature and two empirical studies, which examined aspects of social cognition and emotion regulation considered key to interpersonal functioning in BPD. The empirical studies assessed, 1) unconscious simulation processes, a key aspect of affective empathy, and 2) the application of two emotion regulation strategies, expressive suppression and cognitive reappraisal, in the regulation of negative and positive affect, in a standard laboratory context, as well as in the context of social rejection. The reviews demonstrated that despite their shared diagnosis, important differences between young people and adults with BPD, in terms of their sociocognitive functioning and emotion regulation abilities, are evident. Future research and reviews should avoid conflating developmental age and stage of disorder. Instead, these processes, which are central to interpersonal functioning, need to be better understood over the course of BPD, especially early in its course. The empirical studies demonstrated that socioemotional functioning in youth with first presentation BPD is not uniformly affected. Specifically, rapid facial mimicry was unimpaired, contradicting predictions that heightened unconscious motor mimicry leads to heightened emotional contagion, and associated emotion regulation difficulties. Future research is needed to determine whether this finding also holds true for adults and young people later in the course of the disorder. Future research should also explore other factors that might lead to heightened emotional contagion and associated emotion regulation difficulties in BPD. Emotion regulation ability was largely preserved in youth with first presentation BPD, and functioning was mostly similar to that of typically developing young people. Specifically, for the most part, they could apply expressive suppression and cognitive reappraisal, to regulate both positive and negative affect (felt subjectively and expressed behaviourally), in a standard laboratory context and in the context of social rejection, with similar effectiveness to that of healthy youth. However, youth with first presentation BPD were not only unable to apply cognitive reappraisal to regulate the behavioural expression of negative emotions in the context of social rejection, but its application in this context intensified their facial expression of negative affect. They also demonstrated a pattern of pervasively blunted positive affect, relative to healthy youth, across indices and contexts. Further research is needed to better understand whether the effectiveness of cognitive reappraisal can be improved in this context, or whether it is contraindicated. Given that social rejection is commonly experienced by this group, and given the common application of cognitive strategies in therapy, future research is clearly needed to better understand the effectiveness and consequences of this, and alternative strategies, for use in the context of social rejection by youth with first presentation BPD. Finally, while positive affect has often been neglected in BPD research, the evident pervasive blunting clearly needs greater research and clinical attention in this group.
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Jones, Rebecca. "Borderline personality disorder : clinical outcomes and personal recovery." Thesis, University of Liverpool, 2014. http://livrepository.liverpool.ac.uk/2005900/.
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This thesis focuses on outcomes and recovery from a diagnosis of borderline personality disorder (BPD). It comprises two distinct journal papers, namely a systematic literature review and an empirical paper.
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Thompson, E. "Exploring empathy and attachment in Borderline Personality Disorder." Thesis, University College London (University of London), 2014. http://discovery.ucl.ac.uk/1448855/.
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Aim: The aim of the present literature review was to explore whether empathy can be reliably measured in adults. After a review of current empathy measures, the focus was on the strengths and weaknesses of two empathy measures in particular; the Interpersonal Reactivity Index (IRI) and the Empathy Quotient (EQ). They were analysed in regards to validity, reliability, and clinical administration. Method A literature search was conducted focusing on measures of empathy, specifically the use of the IRI and the EQ, within adult populations. Additional literature limitations included a focus on articles from the years 1980 to 2014, within peer-reviewed journals, and focusing on tests and measures. Results An initial 198 references were identified. After an abstract search, 29 references were considered possible candidates for review. After a quality appraisal of the articles, 14 references were finalised for review. Conclusions The analyses of the psychometrics of the EQ and IRI were explored, and both have evidence of good validity, reliability and ease of utility. The IRI has less evidence of validity within clinical populations, whereas the EQ was designed for this purpose and shows strong construct, discriminant and convergent validity, and strong test-retest reliability among various cultures and clinical populations.
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Wolfendale-Smith, Philippa. "Views of the borderline personality disorder diagnosis : service-users' and professionals' views of the borderline personality disorder diagnosis : a Q-methodological study." Thesis, Staffordshire University, 2016. http://eprints.staffs.ac.uk/2638/.
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Borderline Personality Disorder (BPD) is a contentious diagnosis due in part to the abstract nature of personality, as well as the controversies surrounding the current classification systems. Individuals with this diagnosis make up a significant proportion of mental health services, but what the label means to people is unclear. The first paper is a literature review about recovery from BPD, distinct from the process of remission. Ten papers were included, and the range of themes synthesised into an overview about recovery. The second, empirical, paper examined service-users’ and professionals’ perspectives of the BPD diagnosis. Q methodology was selected to gather an appreciation and objective understanding of subjective beliefs about recovery, treatment and stigma. This will identify the key factors underpinning these perspectives. The following factors were found: ‘Stigma, Internalisation and Social Construction’; ‘Essentialism, Acceptance and Compassion’; and, ‘Change, Externalisation and Shared Understandings.’ The personal meanings attributed to the BPD diagnosis are important and, to respect the subjectivity and idiosyncrasies of people who may meet the criteria for this diagnosis, should be explored before the diagnosis is made. The third paper is a reflective piece about the overall research process.
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Taha, Ai Yun. "Exploring functional connectivity across borderline personality disorder, post traumatic stress disorder and dissociative disorder." Thesis, University College London (University of London), 2015. http://discovery.ucl.ac.uk/1471093/.
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The overall focus of this thesis relates to resting state functional connectivity (RSFC) of the default mode network (DMN) in borderline personality disorder (BPD), post traumatic stress disorder (PTSD) and dissociative disorders. Part one of the thesis systematically reviewed 19 studies investigating RSFC of the DMN in PTSD, BPD and dissociative disorders to establish the value of DMN in understanding the three psychopathology. Current research suggests that RSFC of the DMN is distinct when comparing participants with PTSD, participants with PTSD co-morbid with MDD, and healthy controls. In addition, studies also showed that RSFC of the DMN was associated with PTSD severity and trauma experiences. In terms of BPD, findings seem to indicate the presence of aberrant RSFC of the DMN when compared to healthy controls and bipolar disorder. However, in order to interpret these results, it is essential to consider the potential influence of co-morbid MDD. As there was only one research investigating dissociative disorder, it is premature to conclude if RSFC of the DMN is atypical in this disorder. Overall, the reviewed studies seems to indicate that the value of the DMN in understanding psychopathology is strongest in PTSD but lacking in BPD and dissociative disorder. Part one concludes by addressing current limitations and implications for future research. Part two presents an empirical study investigating RSFC of the DMN in participants with BPD and healthy controls. In order to further elucidate the associations with indices of core symptomatology, self-reports measures pertaining to dissociation, trauma, emotional dysregulation, general clinical symptomatology and personality psychopathology were also administered. The findings suggest that BPD participants display higher RSFC between core brain regions. However, as only one of the obtained finding remained significant after correcting for multiple comparisons, the results should be interpreted cautiously. Additionally, higher RSFC in BPD participants were also associated with higher self-reported trauma experiences, dissociation and general clinical symptomatology. Similarly, these results did not survive correction for multiple comparisons and hence should be further investigated in future studies. This section concluded by discussing implications of these findings and limitations of the current study. Part three provided a critical appraisal of the entire research process. Firstly, it considers the implications of the current study, namely the influence on therapeutic approaches, our understanding of BPD, PTSD and dissociation, reflections on the wider issues in neuroimaging studies and in BPD research. This is then followed by a discussion of the challenges and opportunities in research investigating multiple constructs. Lastly, whilst acknowledging the limitations of neuroimaging, the critical appraisal also put forth suggestions aimed at maximizing clinical utility of neuroimaging findings.
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Kirkpatrick, Timothy. "The neuropsychology of borderline personality disorder in serious offenders." Thesis, University of Oxford, 2014. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.669751.
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Bosch, Louisa Maria Clementina van den. "Borderline personality disorder, substance abuse, and dialectical behavior therapy." [Lisse : Amsterdam : Swets & Zeitlinger] ; Universiteit van Amsterdam [Host], 2003. http://dare.uva.nl/document/67403.
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Searle, Yvonne. "Multi-impulsive bulimia : a variant of borderline personality disorder?" Thesis, University of East Anglia, 1995. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.297044.
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