Journal articles: 'Disturbo Borderline'

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Luci, Giuseppe. "Le due "L"." PSICOBIETTIVO, no. 3 (November 2011): 123–31. http://dx.doi.org/10.3280/psob2011-003007.

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Nel presente contributo presento il caso di una paziente con disturbo borderline di personalitŕ e disturbo ossessivo compulsivo di personalitŕ. Partendo da tale diagnosi ho esposto il suo funzionamento mentale, in particolari i disturbi metacognitivi, e proposto un trattamento in cui espongo le tecniche utilizzate e gli obiettivi perseguiti.

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Nigro, Nicoletta, and Michael Fanizza. "Il Trattamento DBT orientato del Disturbo Borderline di Personalità nei servizi di Salute Mentale di Modena." RIVISTA SPERIMENTALE DI FRENIATRIA, no. 3 (December 2021): 93–110. http://dx.doi.org/10.3280/rsf2021-003007.

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Il presente articolo descriverà Il Disturbo Borderline di Personalità (DBP) ed il suo trattamento nei Centri di Salute Mentale dei 7 Distretti territoriali Modenesi. Il Disturbo Borderline rappresenta, già normalmente una sfida importante per i Centri di Salute Mentale, sia per la criticità del trattamento sia per il benessere dei team curanti essendo un disturbo con forte componente drammatica che impone alle equipe curanti la gestione di aspetti controtransferali e la necessità di un intervento che implementi nel paziente l'integrazione di elementi frammentati e disregolati. In letteratura emerge che per rispondere a tali esigenze l'intervento deve prevedere una co-terapia; una espressione della co-terapia è rappresentata dal doppio setting, individuale e di gruppo. Un modello che risponde a tali requisiti è quello Dialettico- Comportamentale ideato da Marsha Linehan (DBT). La realtà modenese si mette in gioco nella presa in carico dei disturbi gravi della personalità secondo il Modello DBT adattando alla realtà territoriale ed alle esigenze dei Centri di salute Mentale tale intervento associando anche il trattamento gruppale psicoeducativo alle famiglie. In epoca pandemica i servizi territoriali rivolti alla Salute mentale hanno accettato la sfida di un trattamento DBT on line.

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Lepore, Marta. "Un caso di disturbo borderline di personalitŕ." PSICOBIETTIVO, no. 3 (February 2011): 109–17. http://dx.doi.org/10.3280/psob2010-003007.

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L'autore presenta un caso clinico di una paziente con diagnosi di disturbo borderline di personalitŕ. Nella prima parte viene inquadrato il caso dando rilievo all'anamnesi personale e familiare, allo stato mentale, ai motivi dello scompenso, ai meccanismi di mantenimento ed infine alla vulnerabilitŕ della paziente. In seguito viene descritto il trattamento finora effettuato nelle sue specifiche fasi, con particolare attenzione alla relazione terapeutica.

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Burla, Franco, Stefano Ferracuti, and Renato Lazzari. "Borderline Personality Disorder: Content and Formal Analysis of the Rorschach." Rorschachiana 22, no. 1 (January 1997): 149–62. http://dx.doi.org/10.1027/1192-5604.22.1.149.

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In questo studio sono stati confrontati venti pazienti con diagnosi DSM-III-R di disturbo borderline di personalitê, con un numero eguale di nevrotici (soggetti con disturbi somatoformi o ansiosi secondo il DSM-III-R) e di psicotici (pazienti con diangosi DSM-III-R di schizofrenia o disturbo delirante). I pazienti non-differivano in forma statisticamente significativa per etê media. Tutti i soggetti sono stati sottoposti al test di Rorschach, ed i protocolli sono stati valutati con il sistema di Exner per quanto concerne l’analisi strutturale e con analisi contenutistica. Per quanto riguarda quest’ultima sono state valutate le seguenti scale: scale di barriera e penetrazione di Fisher and Cleveland (1958) ; scala di ostilitê (Elizur, 1949); scala di ansietê (Elizur, 1949); scala di dipendenza ( De Vos, 1952 ); scala di depressione ( Endicott, 1972 ; Endicott & Jortner, 1966 ); scala di sospettositê ( Endicott, 1972 ; Endicott, Jortner, & Abramoff, 1969 ), scala delle difese di Lerner ( Lerner & Lerner, 1980 ). Per quanto concerne l’esame di realtê sono state prese in considerazione le confabulazioni e un grado di maggiore gravitê delle stesse. Quest’ultime sono state tipizzate come confabulazioni nelle quali era presente una iperelaborazione dello stimolo, con tematizzazione di una breve storia, abitualmente drammatica, e dove il contatto con realtê appariva completamente perso. L’analisi strutturale ha indicato che i pazienti con disturbo borderline di personalitê e i soggetti psicotici presentavano un numero maggiore di segni depressivi. L’indice SCZI ha differenziato esclusivamente il gruppo degli psicotici, il quale peraltro Åanche risultato come quello maggiormente compromesso per quanto concerne l’accuratezza percettiva. Le capacitê empatiche e di identificazione interpersonale sono risultate migliori nei pazienti borderline. L’analisi contenutistica ha indicato che i pazienti borderline erano differenziabili dagli altri due gruppi per una maggiore presenza di segni di dipendenza affettiva. Inoltre, rispetto agli psicotici, i pazienti borderline presentavano un maggior numero di segni di ostilitê, e utilizzavano in maggior grado rispetto ai nevrotici meccanismi difensivi di svalutazione ed identificazione proiettiva. I pazienti borderline presentavano anche un maggior numero di confabulazioni gravi rispetto ai nevrotici. I dati di questo studio suggeriscono la possibilitê che vi sia un discreto grado di sovrapposizione tra le categorie diagnostiche dei borderline con altre condizioni pre-psicotiche.

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Foggetti, Paola. "Come in una bolla. La complessità di un disturbo borderline." PSICOBIETTIVO, no. 1 (April 2013): 105–18. http://dx.doi.org/10.3280/psob2013-001008.

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Schroeter, Vincentia. "Revisione della struttura del carattere borderline." GROUNDING, no. 1 (June 2011): 57–74. http://dx.doi.org/10.3280/gro2011-001007.

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Nel rivisitare la personalitŕ borderline, l'autrice riporta il pensiero di vari teorici sulla dinamica e l'eziologia del disturbo borderline. Esamina le insufficienze nel materiale didattico dell'Iiba. Riconsidera alcuni aspetti incluso la dinamica genitore-figlio: gli aspetti corporei includendo una nuova teoria sul perché non ci sia un solo tipo caratteriale su cui convenire. L'etŕ della ferita borderline, includendo una nuova teoria sia sull'etŕ sia sui blocchi corporei principali. Adatta il borderline sullo schema evolutivo della Mahler e della Horner. Avvertenze per il trattamento del paziente borderline sono dare la prioritŕ al respiro, al grounding e all'energia. Cita una nuova ricerca che conferma alcuni tratti del Bpd cui seguono interventi specifici per affrontare gli aspetti relazionali nel trattamento da un punto di vista bioenergetico.

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McWilliams, Nancy. "La patologia borderline come livello di organizzazione di personalitŕ." RICERCA PSICOANALITICA, no. 2 (May 2012): 9–28. http://dx.doi.org/10.3280/rpr2012-002002.

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L'autrice passa in rassegna la storia del concetto di organizzazione borderline di personalitŕ, come si č sviluppata attraverso varie esperienze cliniche con i pazienti e nella valutazione diagnostica della personalitŕ. L'articolo mette bene in evidenza l'importanza di tenere a mente che i pazienti borderline lottano con interminabili problemi evolutivi. Critica la definizione ristretta di disturbo borderline di personalitŕ secondo la descrizione del DSM e sostiene che, sebbene questa etichetta fondata su un criteri dicotomici sia stata utile per i ricercatori, un costrutto piů dimensionale e meno categorico riveste un valore maggiore per chi pratica la psicoterapia. Inoltre, l'autrice delinea numerose funzioni mentali ed emotive mature che mancano o sono gravemente compromesse nelle personalitŕ borderline. Sono citati parecchi approcci recenti e degni di apprezzamento al trattamento dei pazienti borderline e vengono anche messe in evidenza diverse implicazioni terapeutiche che tutti hanno in comune.

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Di Benedetto, Serena, and Andrea Gragnani. "Giada: "la trappola dell'indegnità"" un caso di Tricotillomania in comorbidità con Disturbo ossessivo-compulsivo e Disturbo di personalità borderline." QUADERNI DI PSICOTERAPIA COGNITIVA, no. 49 (January 2022): 35–56. http://dx.doi.org/10.3280/qpc49-2021oa13212.

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Nel presente lavoro viene descritto il caso clinico di Giada, una ragazza di 19 anni che presenta una struttura di personalità borderline connotata da una pervasiva disregolazione emotiva. I due disturbi dello spettro ossessivo, la Tricotillomania e il DOC, si configurano come tentativi disfunzionali di gestione del senso di indegnità personale, accompagnata da un profondo disgusto di sé, e della colpa deontologica di peggiorare irrimediabilmente la propria persona, con un conseguente aumento del rischio di essere smascherata nella propria difettosità e dunque scansata e abbandonata dall'altro. I comportamenti ripetitivi focalizzati sul corpo, consistenti nello strappo di peli localizzati nelle zone del pube e delle gambe, da un lato vengono agiti in maniera premeditata e ritualizzata, attivati dalla sensazione di disgusto per se stessa e dalla necessità si sentirsi adeguata, dall'altro vengono agiti in maniera impulsiva, in seguito a un discontrollo emotivo, come tentativi di gestione degli stati emotivi e mentali dolorosi. La paziente inoltre presenta intensi vissuti di ansia a connotazione ossessiva con rituali di lavaggio, pensieri intrusivi, sensazione che le cose non siano come dovrebbero essere (NJRE). Il percorso terapeutico, all'interno del quale hanno rivestito un ruolo centrale gli interventi basati sulla Schema Therapy, ha coniugato tecniche di terapia cognitiva standard a tecniche di terza generazione (ACT, DBT, Mindfulness). Particolare attenzione è stata volta a offrire una cornice dialettica che alternasse costantemente un approccio volto all'accettazione radicale mantenendo un costante slancio al cambiamento. La relazione terapeutica è stata un imprescindibile strumento terapeutico servito spesso come contenitore dei vissuti emotivi legati all'indegnità del sé.

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Maria Furlan, Pier. "Presentazione del libro di Otto F. Kernberg. Sindromi marginali e narcisismo patologico (1978)." PSICOTERAPIA E SCIENZE UMANE, no. 1 (February 2022): 95–106. http://dx.doi.org/10.3280/pu2022-001012.

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Viene ripubblicata la Presentazione della edizione italiana del libro di Otto F. Kernberg Borderline Conditions and Pathological Narcissism (New York: Aronson, 1975): Sindromi marginali e narcisismo patologico (Torino: Boringhieri, 1978, pp. 9-21). Le innovazioni teoriche e tecniche proposte da Kernberg riguardo al disturbo borderline di personalità e al narcisismo patologico vengono discusse alla luce di alcune considerazioni sugli sviluppi della teoria psicoanalitica. Que-sta Presentazione è ripubblicata per ricordare Pier Maria Furlan, che è scomparso il 20 gennaio 2022 e che ha fatto parte della redazione di Psicoterapia e Scienze Umane dal 1978 al 1991.

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Sanza, Michele. "Il Limite e il Contratto Terapeutico nella cura del Disturbo Borderline di Personalità." RIVISTA SPERIMENTALE DI FRENIATRIA, no. 1 (March 2015): 91–97. http://dx.doi.org/10.3280/rsf2015-001007.

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Mircoli, Giuliana, Sara Bascioni, Chiara Lucarelli, and Cesario Bellantuono. "Antipsicotici atipici nel trattamento farmacologico del disturbo borderline di personalità: una revisione sistematica." Quaderni Italiani di Psichiatria 29, no. 2 (June 2010): 51–58. http://dx.doi.org/10.1016/j.quip.2009.11.005.

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Camillocci, Danilo Solfaroli. "Mito, segreto, mandato. Analisi di una storia familiare." RIVISTA DI PSICOTERAPIA RELAZIONALE, no. 32 (November 2010): 75–94. http://dx.doi.org/10.3280/pr2010-032005.

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In questo lavoro viene analizzata la storia di una famiglia con paziente affetto da disturbo borderline di personalitŕ e vengono messe in luce le complesse relazioni che uniscono alcuni importanti costrutti familiari: potere, mito familiare, segreto e mandato transgenerazionale. Si ipotizza che l'elusione della veritŕ che accomuna mito familiare e segreto possa risolversi in una collusione cui partecipa a diverso titolo ciascuno dei familiari e che sostiene un mandato familiare transgenerazionale totalizzante. Viene anche evidenziato il ruolo del contesto sociale nell'insorgere e nello stabilizzarsi di questa collusione.

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Oasi, Osmano, and Sara Vecchi. "Ripensare l'abuso nel Disturbo Borderline di Personalità: il caso dell'interazione verbale nell'arco di vita della persona." MALTRATTAMENTO E ABUSO ALL'INFANZIA, no. 1 (May 2015): 119–34. http://dx.doi.org/10.3280/mal2015-001007.

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Berardi, Domenico, Bianca Bortolotti, Elena Lo Sterzo, Valentina Manzo, Francesco Martino, Marco Menchetti, Marco Monari, Anna Sasdelli, Paola Tedesco, and Cecilia Trevisani. "Il ruolo del criticismo percepito nelle strategie di regolazione emotiva e comportamentale del disturbo borderline di personalità." QUADERNI DI PSICOTERAPIA COGNITIVA, no. 36 (October 2015): 71–84. http://dx.doi.org/10.3280/qpc2015-036006.

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Westen, Drew, Jonathan Shedler, Bekh Bradley, and Jared A. DeFife. "Una tassonomia delle diagnosi di personalitŕ derivata empiricamente: colmare il divario tra scienza e clinica nella concettualizzazione della personalitŕ. Nota introduttiva di Vittorio Lingiardi e Francesco Gazzillo." PSICOTERAPIA E SCIENZE UMANE, no. 3 (September 2012): 327–58. http://dx.doi.org/10.3280/pu2012-003001.

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Viene presentato un sistema diagnostico della patologia di personalitŕ derivato empiricamente, clinicamente rilevante e di agevole uso quotidiano. Un campione randomizzato di 1.201 psichiatri e psicologi clinici statunitensi ha descritto un proprio paziente, selezionato in modo casuale e affetto da un disturbo della personalitŕ, utilizzando la Shedler-Westen Assessment Procedure-II (SWAP-II). L'analisi fattoriale ha prodotto 10 diagnosi di personalitŕ, clinicamente coerenti, organizzate in tre cluster sovraordinati: internalizzante, esternalizzante e borderline-disregolato. Le descrizioni col punteggio piů elevato sono state selezionate per costruire un prototipo di ogni sindrome di personalitŕ. In un secondo campione indipendente, i ricercatori e i clinici sono stati in grado di diagnosticare le sindromi di personalitŕ con un elevato accordo e un livello minimo di comorbilitŕ. Questi 10 prototipi diagnostici sono empiricamente fondati e clinicamente rilevanti.

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Muraccini, Renzo. "Come il sale, le azioni "fuori dall'ordinario" sono ingredienti indispensabili nel trattamento dei pazienti borderline." RIVISTA SPERIMENTALE DI FRENIATRIA, no. 1 (April 2011): 103–21. http://dx.doi.org/10.3280/rsf2011-001008.

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L'autore focalizza l'attenzione sulla particolare modalitŕ di presa in carico di pazienti con disturbo borderline di personalitŕ in un Centro di Salute Mentale. A partire da tre diverse storie cliniche viene sottolineata l'importanza di alcune "azioni" che spesso possono apparire come una "fuoriuscita dal setting istituzionale" ma che si rendono necessarie per la presa in carico di questi pazienti: portatori di storie "traumatiche" nelle loro relazioni primarie, instancabili, faticosi, in una parola "stabili nella loro instabilitŕ". Queste azioni costituiscono il sale - inteso come ingrediente necessario nella relazione terapeutica - e rispondono alla necessitŕ, insita nell'organizzazione borderline, di sperimentare sia in modo ambivalente e contradditorio la "presenza concreta e agita" del terapeuta e la "prova" della fiducia nei suoi confronti. Questa particolare modalitŕ di relazione richiama il concetto di "now moment" che Stern individua come "elementi" indispensabili di "svolta" nella relazione terapeutica, co-creati e co-vissuti e che aprono ad un nuovo orizzonte terapeutico perché contengono implicitamente l'esperienza della "fiducia" e della "comprensione empatica" da parte del terapeuta. Questa modalitŕ di presa in carico che pone al centro la "ricerca attiva di questo tipo di esperienza" si realizza non solo attraverso una relazione individuale ma richiede un Gruppo multidisciplinare che operi pur nelle diversi funzioni in modo analogo e condivida una idea comune del paziente e del modo di prenderlo in cura: il "sale" viene contenuto in ogni tipo di relazione e pone l'operatore e i servizi davanti al problema sia delle caratteristiche della sua persona che dell'organizzazione dei Servizi come elementi indispensabili per poter realizzare una siffatta presa in carico.

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Wood, Richard. "Financial Innovation and a Universally Applicable Distinction between Accruals and Realization Taxation." Intertax 39, Issue 8/9 (August 1, 2011): 396–403. http://dx.doi.org/10.54648/taxi2011044.

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Existing accruals/realization tax borderlines differ by jurisdiction and are generally incapable of dealing consistently with many innovative structured financial instruments, particularly hybrid instruments and those incorporating both fixed and contingent returns. This article develops a new analytical approach to defining the accruals/realization tax borderline, which does not disturb, and is consistent with, the existing realizations treatment of shares and the accruals treatment of bonds. The approach relies on a single, standard measure of risk, the annualized volatility of returns. The approach provides a unique solution for all innovative financial instruments and could have application in all jurisdictions.

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Jørgensen, Carsten René. "Disturbed Sense of Identity in Borderline Personality Disorder." Journal of Personality Disorders 20, no. 6 (December 2006): 618–44. http://dx.doi.org/10.1521/pedi.2006.20.6.618.

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Ardhana, I. ketut. "HISTORY EDUCATION IN BORDERLINE TERRITORY." Historia: Jurnal Pendidik dan Peneliti Sejarah 14, no. 1 (April 6, 2016): 23. http://dx.doi.org/10.17509/historia.v14i1.1907.

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Indonesian government policies that emphasize economic growth and national stability, characterized by authoritarian and centralized government in the past, inflict a disparity in regional growth. The control of central government to the region, seems to disturb the sense of justice and the welfare of the people on the borderline territory which are considered retarded, isolated, and marginalized. Moreover, the increasing of smuggling, human trafficking, and terrorism has been disturbing the sense of historical awareness in relation to the issue of nationality. It started from reform era followed by regional autonomy policy gives space to the region government to balance the local development. This article discussed, first: The importance of History education in borderline territory, Second: ethnic historical concept and regional studies in borderline territory, third: ethnical integration based on sociocultural aspect of national character reinforcement in borderline, and fourth: history education development to increase the competitiveness, which also expected to strengthen the nationalism in borderline territory.

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Gunderson, John G. "Disturbed Relationships as a Phenotype for Borderline Personality Disorder." American Journal of Psychiatry 164, no. 11 (November 2007): 1637–40. http://dx.doi.org/10.1176/appi.ajp.2007.07071125.

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Block, M. Judith, Drew Westen, Pamela Ludolph, Jean Wixom, and Anne Jackson. "Distinguishing Female Borderline Adolescents from Normal and Other Disturbed Female Adolescents." Psychiatry 54, no. 1 (February 1991): 89–103. http://dx.doi.org/10.1080/00332747.1991.11024535.

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Tebartz van Elst, L., P. Ludaescher, T. Thiel, M. Büchert, B. Hesslinger, M. Bohus, N. Rüsch, J. Hennig, D. Ebert, and K. Lieb. "Evidence of disturbed amygdalar energy metabolism in patients with borderline personality disorder." Neuroscience Letters 417, no. 1 (April 2007): 36–41. http://dx.doi.org/10.1016/j.neulet.2007.02.071.

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Bertsch, Katja, Karen Hillmann, and Sabine C. Herpertz. "Behavioral and Neurobiological Correlates of Disturbed Emotion Processing in Borderline Personality Disorder." Psychopathology 51, no. 2 (2018): 76–82. http://dx.doi.org/10.1159/000487363.

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Streeck-Fischer, Annette, Charline Logé, and Simone Salzer. "The Psychoanalytic-Interactional Method (PiM) for Adolescents with Borderline Personality Disorder." Adolescent Psychiatry 10, no. 3 (December 21, 2020): 172–81. http://dx.doi.org/10.2174/2210676610666200327164953.

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Background: Studies have shown the practicality of diagnosing borderline personality disorder (BPD) in children from the age of 12 years (cf. ICD-11, DSM-5). Research in the psychodynamic therapy of adolescents with BPD has been rare to date, however, there do exist some studies on the efficacy and effectiveness of psychodynamic therapy in adults with borderline personality disorder. Methods: We adapted the psychoanalytic-interactional method (PiM), originally developed in the treatment of severely disturbed adults, to the conditions of adolescents diagnosed with borderline personality disorder or structural deficits. Randomized controlled trial in an inpatient setting (Salzer et al., 2013; Salzer et al., 2014) showed that PIM is efficacious for adolescents with BPD symptoms. We describe the approach to treatment in detail. Results: The results of the therapeutic study and the short case vignette show that PiM is a useful method in both inpatient and outpatient treatment and meets the specific requirements of adolescent treatment.

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Fiorentini, Giuseppe, and Giovanni Foresti. ""No retreat, no surrender". La dimensione temporale dei conflitti psichici e sociali." GRUPPI, no. 2 (October 2010): 69–82. http://dx.doi.org/10.3280/gru2009-002008.

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Gli autori ipotizzano che esista una correlazione fra l'esperienza prevalente del tempo e alcuni disturbi del funzionamento psichico osservabili a livello individuale e sociale. La disorganizzazione dell'orizzonte cronologico dell'esistenza č intesa come una conseguenza delle grandi trasformazioni culturali avvenute nel corso degli anni '70 e '80. A loro volta, questi cambiamenti sono conseguenza di piů discrete modificazioni avvenute nelle relazioni familiari e nella struttura sociale. A livello individuale ciň ha prodotto un'epidemia di disturbi narcisistici che si esprimono in manifestazioni psicopatologiche in passato inesistenti o infrequenti (disturbi alimentari, condotte antisociali, diffuse appetenze patologiche e tossicofilie vecchie e nuove). Mentre nel campo delle dinamiche istituzionali č in aumento la conflittualitŕ esplicita e/o implicita (secondo il modello bioniano dell'attacco-e-fuga o della dipendenza passiva) che coesiste con il venir meno dei conflitti strutturali che strutturanti fra le classi e fra le generazioni. Questa tesi č argomentata attraverso due esempi clinici. Il primo tratto da un trattamento psicoanalitico individuale e il secondo da una supervisione all'équipe di una Comunitŕ Terapeutica, tenuta in scacco da una paziente gravemente borderline.

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De Jonge, L., S. Petrykiv, J. Fennema, and M. Arts. "Relationship between borderline personality disorder and migraine." European Psychiatry 41, S1 (April 2017): S490. http://dx.doi.org/10.1016/j.eurpsy.2017.01.596.

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IntroductionBorderline personality disorder (BPD) is characterized by pervasive instability in moods, impulsivity, intense and unstable or disturbed interpersonal relationships and self-image, and often self-destructive behaviour. BPD seems to be more common in patients suffering from migraine. However, typical migraine characteristics in this population remain partly unknown.Objectives & aimsTo present the specific clinical characteristics of migraine patients with BPD and to assess their response to migraine treatment.MethodsWe examined 10 patients with migraine and previously diagnosed with BPD (group 1), 10 patients with migraine and no history of BPD (group 2), and 10 patients with migraine and no history of BPD matched to group 1 for age, gender, and frequency of headache. Migraine was treated in group 1 and 3 and pharmacological treatment outcome was assessed after 6 months.ResultsThe group of migraine patients with coexisting PBD was associated with female gender, increased prevalence of medication overuse headache, higher rates of self-reported depression, increased migraine-related disability, and a decreased response to pharmacological migraine treatment.ConclusionPatients with migraine and previously diagnosed BPD can be regarded as a distinct population. They are more suffering from depressive symptoms, more disabled by their migraine, are more resistant to pharmacological treatment.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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Tienari, Pekka, Lyman C. Wynne, Juha Moring, Ilpo Lahti, Mikko Naarala, Anneli Sorri, Karl-Erik Wahlberg, et al. "The Finnish Adoptive Family Study of Schizophrenia." British Journal of Psychiatry 164, S23 (April 1994): 20–26. http://dx.doi.org/10.1192/s0007125000292696.

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A nationwide Finnish sample of schizophrenics' offspring given up for adoption was compared blindly with matched controls, who were adopted offspring of non-schizophrenic biological parents. The adoptive families were investigated thoroughly using joint and individual interviews and psychological tests. The biological parents were also interviewed and tested. Among the 155 index offspring, the percentage of both psychoses and other severe diagnoses (borderline syndrome and severe personality disorders) was significantly higher than in the 186 matched control adoptees. This supports a genetic hypothesis. However, notable differences between these two groups only emerged in the families which were rated as disturbed. Thus the genetic effect (i.e. the differences between high and low genetic propensity) was only manifested as a psychiatric disorder in the presence of a disturbed family environment. The impact of disturbed family relations was strongest in the presence of the appropriate genotype.

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Dwivedi, Kedar Nath, Elizabeth Brayne, and Stuart Lovett. "Group Work with Sexually Abused Adolescent Girls." Group Analysis 25, no. 4 (December 1992): 477–89. http://dx.doi.org/10.1177/0533316492254009.

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A disruptive and unruly atmosphere is characteristic of most groups of disturbed adolescents, especially those with a history of abuse. However, group treatment for sexually abused children and adolescents is seen as the cornerstone of an effective treatment programme for this condition. Difficulties in treatment are rather similar to those in cases of borderline syndrome. This article describes the experience of group work in Northampton as an attempt to confront some of these difficulties.

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Fedrizzi, Emanuela, Alice Marzadro, and Elena Bravi. "Un gruppo sui problemi interpersonali a tempo determinato in contesto ambulatoriale." GRUPPI, no. 2 (October 2021): 57–76. http://dx.doi.org/10.3280/gruoa2-2020oa12581.

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Si presenta uno studio clinico di un gruppo ambulatoriale a tempo limitato con focus sui problemi interpersonali realizzato utilizzando un modello sviluppato originariamente da MacKenzie che ha concettualizzato un gruppo psicoterapeutico chiuso per adattare interventi brevi e focali all'ambito della salute pubblica. L'articolo intende illustrare l'uso del gruppo sui problemi interpersonali, esemplificare come misure individuali e di gruppo di outcome possono essere un aiuto aggiuntivo della pratica clinica e mostrare come i sintomi ansiosi e depressivi che cadono nello spettro dei disturbi dell'umore possano essere trattati con un modello di gruppo che interviene focalmente sulle relazioni interpersonali attuali. Lo studio mette in evidenza come il gruppo sui problemi interpersonali che prevede solo pochi criteri di esclusione (disturbi della condotta, fase acuta per separazioni, lutti, suicidalità, significative caratteristiche di un disordine borderline di personalità) rappresenti una modalità di trattamento a cui indirizzare un'ampia e difficile popolazione di pazienti afferenti all'area della salute mentale pubblica. 

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Leichsenring, Falk. "The Influence of Color on Emotions in the Holtzman Inkblot Technique." European Journal of Psychological Assessment 20, no. 2 (January 2004): 116–23. http://dx.doi.org/10.1027/1015-5759.20.2.116.

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Abstract: In this study, the influence of chromatic and achromatic color on emotions in the Holtzman Inkblot Technique (HIT) was tested empirically. Samples of normals (n = 30), patients with neurotic disorders (n = 30), borderline patients (n = 30), and both acute (n = 25) and chronic schizophrenics (n = 25) were studied with the HIT. A computerized investigation of verbally expressed emotions was performed by means of the “Affective Dictionary Ulm” (ADU; Dahl, Hölzer, & Berry, 1992 ), which was applied to the responses in the HIT. The effect of color was tested separately for cards containing red vs. non-red colors. According to the results, normals, patients with neurotic disorders, and borderline patients expressed love and anger significantly more often in response to cards containing red colors. For the non-red color cards neither an effect on love and anger, nor on anxiety and depression could be demonstrated. Furthermore, the chromatic cards of the HIT elicited significantly more different words given in response to a card than the achromatic cards. Again, this was true for normals, patients with neurotic disorders, and borderline patients, but not for schizophrenics. Structural ambiguity of the HIT cards correlated significantly negatively with the number of emotion words given in response to a card, again with the exception of schizophrenics. The latter result is discussed referring to the “almost axiomatic rule” ( Gunderson & Singer, 1975, p. 6 ) that borderline patients function adequately on structured tests but appear more seriously disturbed on less structured tests.

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Winter, Dorina, Annegret Krause-Utz, Stefanie Lis, Chui-De Chiu, Ruth A. Lanius, Friederike Schriner, Martin Bohus, and Christian Schmahl. "Dissociation in borderline personality disorder: Disturbed cognitive and emotional inhibition and its neural correlates." Psychiatry Research: Neuroimaging 233, no. 3 (September 2015): 339–51. http://dx.doi.org/10.1016/j.pscychresns.2015.05.018.

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Vaslamatzis, Grigoris, Maria Coccossis, Christos Zervis, Victoria Panagiotopoulou, and Maria Chatziandreou. "A psychoanalytically oriented combined treatment approach for severely disturbed borderline patients: The Athens project." Bulletin of the Menninger Clinic 68, no. 4 (December 2004): 337–49. http://dx.doi.org/10.1521/bumc.68.4.337.56640.

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Schulze, Lars, Christian Schmahl, and Inga Niedtfeld. "Neural Correlates of Disturbed Emotion Processing in Borderline Personality Disorder: A Multimodal Meta-Analysis." Biological Psychiatry 79, no. 2 (January 2016): 97–106. http://dx.doi.org/10.1016/j.biopsych.2015.03.027.

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Chatziandreou, Maria, Haris Tsani, Nikos Lamnidis, Claire Synodinou, and Grigoris Vaslamatzis. "Psychoanalytic Psychotherapy for Severely Disturbed Borderline Patients: Observations on the Supervision Group of Psychotherapists." American Journal of Psychoanalysis 65, no. 2 (June 2005): 135–47. http://dx.doi.org/10.1007/s11231-005-3622-4.

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Marini, S., C. Ranalli, C. Di Gregorio, E. Cinosi, M. Corbo, M. Lupi, M. Carlucci, et al. "Borderline personality disorder and working memory: A systematic review." European Psychiatry 33, S1 (March 2016): S211—S212. http://dx.doi.org/10.1016/j.eurpsy.2016.01.509.

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Purpose of the studyThe purpose of this study was to investigate cognitive functioning in Borderline Personality Disorder subjects, with particular reference to the Working Memory functioning. The Working Memory seems to be relate to core features of the disturb. The final aim was to better understand the disorder and to implement a cognitive training to improve the deficits.MethodsA literature search was conducted in April 2015. Pubmed and Scopus databases were used to find studies to include in the systematic review. The keywords used for the literature search were: “borderline personality disorder”, “borderline personality”, “working memory”, “executive functioning”. In each search, the keywords were used together with the logical operator “and”.SummaryThree studies were included in this systematic review (Table 1). In each study, the working memory was investigated using N-back test. In two of those studies significantly differences were found between patients and healthy group in N-back task. In the third study, which used more tests to investigate working memory domain, no differences were found between the two groups.ConclusionsBorderline personality disorder patients performed significantly worse on the N-back test compared to healthy controls and the impairment increased with increasing working memory load. In the third study the working memory domain was investigated using four different tests and single scores were not included therefore it was impossible to compare N-back data.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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Holmes, Jeremy. "Borderline Personality Disorder and the Search for Meaning: An Attachment Perspective." Australian & New Zealand Journal of Psychiatry 37, no. 5 (October 2003): 524–31. http://dx.doi.org/10.1046/j.1440-1614.2003.01232.x.

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Objective: To explore the links between the attachment theory-derived concept of disorganized attachment, and the psychiatric diagnosis of borderline personality disorder (BPD). Method: Literature search for characteristics of disorganized attachment. Clinical case material from psychotherapeutic work with patients suffering from BPD. Results: Disorganized attachment can be understood in terms of an approach-avoidance dilemma for infants for whom stressed or traumatized/traumatizing caregivers are simultaneously a source of threat and a secure base. Interpersonal relationships in BPD including those with caregivers is similarly seen in terms of an approach-avoidance dilemma, which manifests itself in disturbed transference/countertransference interactions between therapists and BPD sufferers. Borderline personality disorder sufferers lack meaning in their lives because they are unable to play ‘language games’ with their potential intimates, resorting to actions rather than words to express feelings. Conclusions: Possible ways of handling these phenomena are suggested, based on Main's (1995) notion of ‘meta-cognitive monitoring’, in the hope of re-instating meaning and more stable self-structures, in these patients’ lives.

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Quek, Jeremy, Glenn A. Melvin, Clair Bennett, Michael S. Gordon, Naysun Saeedi, and Louise K. Newman. "Mentalization in Adolescents With Borderline Personality Disorder: A Comparison With Healthy Controls." Journal of Personality Disorders 33, no. 2 (April 2019): 145–63. http://dx.doi.org/10.1521/pedi_2018_32_336.

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Mentalization is proposed to underlie the disturbed interpersonal relatedness that is a hallmark of borderline personality disorder (BPD). Despite growing evidence of BPD in adolescents, studies examining mentalization in relation to adolescent BPD have remained limited. Given contradictory findings of this relationship, particularly with adults, further research of mentalization in adolescents with BPD is warranted. The current study further clarifies the nature of mentalizing impairments, related to BPD, by examining different aspects of mentalization between adolescents with BPD (n = 26) and a group of healthy controls (n = 25). Findings support studies that suggest that mentalization may be an important treatment target, influencing BPD symptoms and interpersonal functioning in adolescents with BPD. They also support the importance of examining mentalizing abilities in relation to varying levels of complexity, interpersonal contexts, and levels of arousal. Limitations and further research are discussed.

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Staebler, K., B. Renneberg, M. Stopsack, P. Fiedler, M. Weiler, and S. Roepke. "Facial emotional expression in reaction to social exclusion in borderline personality disorder." Psychological Medicine 41, no. 9 (February 9, 2011): 1929–38. http://dx.doi.org/10.1017/s0033291711000080.

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BackgroundDisturbances in social interaction are a defining feature of patients with borderline personality disorder (BPD). In this study, facial emotional expressions, which are crucial for adaptive interactions in social contexts, were assessed in patients with BPD in response to social exclusion.MethodWe examined facial emotional reactions of 35 patients with BPD and 33 healthy controls when playing Cyberball, a virtual ball-tossing game that reliably induces social exclusion. Besides self-reported emotional responses, facial emotional expressions were analyzed by applying the Emotional Facial Action Coding System (EMFACS).ResultsPatients with BPD showed a biased perception of participation. They more readily reported feeling excluded compared to controls even when they were included. In BPD, social exclusion led to an increase in self-reported other-focused negative emotions. Overall, EMFACS analyses revealed that BPD patients reacted with fewer positive expressions and with significantly more mixed emotional expressions (two emotional facial expressions at the same time) compared to the healthy control group when excluded.ConclusionsBesides a negative bias for perceived social participation, ambiguous facial emotional expressions may play an important role in the disturbed relatedness in patients with BPD.

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Mahtab, Edris A. F., Adriana C. Gittenberger-de Groot, Rebecca Vicente-Steijn, Heleen Lie-Venema, Marry E. B. Rijlaarsdam, Mark G. Hazekamp, and Margot M. Bartelings. "Disturbed myocardial connexin 43 and N-cadherin expressions in hypoplastic left heart syndrome and borderline left ventricle." Journal of Thoracic and Cardiovascular Surgery 144, no. 6 (December 2012): 1315–22. http://dx.doi.org/10.1016/j.jtcvs.2012.02.011.

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Saunders, Elisabeth, George A. Awad, and Georgina White. "Male Adolescent Sexual Offenders: The Offender and the Offense." Canadian Journal of Psychiatry 31, no. 6 (August 1986): 542–49. http://dx.doi.org/10.1177/070674378603100612.

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A group of male adolescent sexual offenders were divided into three groups: Courtship Disorders (Exhibitionism, Toucherism and Obscene Phone Calls), Sexual Assaults, and Pedophilic Offenses. Group I offenders tended to come from a less disorganized family background, were better adjusted to school and in the community and were seen by clinicians as less seriously disturbed than the adolescents in the other two groups. In addition, these adolescents did not experience the offense as a sexual act. Group II offenders (Sexual Assaulters) came from a more disturbed family background characterized by a high rate of long-term parent-child separations, committed more violent offenses and had a higher frequency of intellectual functioning in the Borderline Range of Intelligence. Group III offenders (Pedophilic Offenses) were Canadian born, had witnessed physical violence between their parents, were described as having been infants who did not enjoy being cuddled and had siblings who were truant. This study suggests that classifying adolescent sexual offenders along the line suggested in adult literature seems to be justified.

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Kastner, Ted, Debra L. Friedman, Alice T. Plummer, Marilyn Q. Ruiz, and Dana Henning. "Valproic Acid for the Treatment of Children With Mental Retardation and Mood Symptomatology." Pediatrics 86, no. 3 (September 1, 1990): 467–72. http://dx.doi.org/10.1542/peds.86.3.467.

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Most researchers agree that there is a high incidence of psychiatric illness among children with mental retardation. Menolascino1,2 found diagnosable psychiatric disorders in 31 of 616 children who were suspected of being mentally retarded. Of this sample, 24.5% were noted to be "emotionally disturbed." Phillips and Williams3 described the results of 100 psychiatric evaluations of children with mental retardation and assigned the following diagnoses: psychotic symptoms, 38%; neuroses, 5%; personality disorders and other nonpsychiatric disorders, 16%; behavior disorders, 26%; transient situational disorders, 2%; and no psychiatric disorder, 13%. Chess4 and Hassibi5 described behavior disorders in a group of 52 children living with their middle class families who were mildly and borderline mentally retarded.

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Giacomin, M. "To value the model of psychiatric hospital admission, from 2013 to 2017 in local health service in a 240.000 people area of northern Italy." European Psychiatry 64, S1 (April 2021): S370—S371. http://dx.doi.org/10.1192/j.eurpsy.2021.993.

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IntroductionPsychiatric Patients Admissions in Mental health Service of Treviso (Italy) were compared from 2013 to 2017. Trends of Admissions take onto consideration, the presence of Menthal Health Service for Outpatients Care.ObjectivesTo point out the distribution of Diagnosis made in Different Years for different patients ages.MethodsFor every patient has been considered the following date : Sex, Age, Marital State, Profession, Psychiatric Diagnosis, Days of Admission, Geografic Origin and KInd of Admission (Voluntary / Involuntay).ResultsIt is noticeable the different percentage of Psychiatric Diagnosis in 2013 rather than in 2017. In 2017 it happened a more amount of Psychiatric Admission of Subjects with Substance Addiction Related Disturbs (Alcool included) and Atypical Depression Sindrome and Borderline and Cluster B Perrsonalòity Disorders. Lower amount instead was verified for Diagnosis of Schizofernia, Neurosis and Oligofrenia. Beside it was noticed, an earlier onset of Psychotic Sindrome in Young people often related with Substance Abuse. In the 2017 besides was lower the amount of Involuntary Admission (T.S.O. in Italy) compared with 2013.ConclusionsDifferent distribution of Diagnosis is explained by the Evolution Diagnosis Orientation (from D.S.M. IV to I.C.D. 10) About the increased Diagnosis of Substance Addiction Disturbs and Younger age of same subjescts seems caused by a different treatment’s Strategy with brief selective Admissions. Furthermore lesser Involonary Admission seems due to best knowledge of every patients. The most of Theese were indeed already known by Ambulatory Outpatient Mental Health Service.

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Abdelkarim, A., and A. Radwan. "Attitude of mental health care professionals toward borderline personality disorder sufferers in Egypt." European Psychiatry 65, S1 (June 2022): S668—S669. http://dx.doi.org/10.1192/j.eurpsy.2022.1719.

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Introduction Awareness and knowledge about borderline personality disorder (BPD) is growing during the last decade in Egypt. Yet little is known about the attitude of mental health care providers toward BPD sufferers. Stigma and judgments among health care providers will affect the quality of services provided to these group of patients. Determining those judgments and pointing to the stigma between health care providers will help improving the quality of care to BPD sufferers. Objectives Our objective was to study the attitude of mental health care providers in Egypt toward patients with borderline personality disorder. Methods 62 mental health care providers, with a majority of psychiatrists, working in Egypt completed the attitude to personality disorder questionnaire “APDQ” designed by Bowers et al. (1998). The questionnaire was disturbed through an online form and knowledge of English was mandatory as it was the language of the questionnaire. Results The 62 partcipants of which 74.2% were psychiatrists and 68.7% had more than 5 years experince had a total mean score of APDQ of 138.76. The total mean score of 47 psychiatrists was 137.21 which was significantly lower than the mean score of 15 clinical psychologists and counsellors which scored 146.87. Conclusions Whereas mental health care professionals in Egypt had generally positive attitude towards BPD patients, clinical psychologists and counsellors had significantly higher scores in comparison to psychiatrists. Disclosure No significant relationships.

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Meyer, Frank A. H., Dominik Kraus, Alexander Glassmann, Nadine Veit, Jochen Winter, and Rainer Probstmeier. "The Presence of Yin-Yang Effects in the Migration Pattern of Staurosporine-Treated Single versus Collective Breast Carcinoma Cells." International Journal of Molecular Sciences 22, no. 21 (November 4, 2021): 11961. http://dx.doi.org/10.3390/ijms222111961.

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Background: Staurosporine-dependent single and collective cell migration patterns of breast carcinoma cells MDA-MB-231, MCF-7, and SK-BR-3 were analysed to characterise the presence of drug-dependent migration promoting and inhibiting yin-yang effects. Methods: Migration patterns of various breast cancer cells after staurosporine treatment were investigated using Western blot, cell toxicity assays, single and collective cell migration assays, and video time-lapse. Statistical analyses were performed with Kruskal–Wallis and Fligner–Killeen tests. Results: Application of staurosporine induced the migration of single MCF-7 cells but inhibited collective cell migration. With the exception of low-density SK-BR-3 cells, staurosporine induced the generation of immobile flattened giant cells. Video time-lapse analysis revealed that within the borderline of cell collectives, staurosporine reduced the velocity of individual MDA-MB-231 and SK-BR-3, but not of MCF-7 cells. In individual MCF-7 cells, mainly the directionality of migration became disturbed, which led to an increased migration rate parallel to the borderline, and hereby to an inhibition of the migration of the cell collective as a total. Moreover, the application of staurosporine led to a transient activation of ERK1/2 in all cell lines. Conclusion: Dependent on the context (single versus collective cells), a drug may induce opposite effects in the same cell line.

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Holl, Ute. "Klang-Objekte zwischen Ding und Kreatur." ZMK Zeitschrift für Medien- und Kulturforschung 2/1/2011: Offene Objekte 2, no. 1 (2011): 159–76. http://dx.doi.org/10.28937/1000107529.

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Der Ruf des Esels als offenes Klangobjekt in Robert Bressons Film Au hazard Balthazar (F 1966), der die Bild-Montage insistierend stört, wird in diesem Beitrag in den Kontext der Bioakustik gestellt. Am JA des Esels differenzieren sich Geräusche medial so aus, dass die Grenze zwischen Ding und Kreatur durchlässig wird. Bressons Passion erweist sich damit als Experiment, die akustischen Kanäle der Kommunikation als Transformatoren von Lebewesen, Räumen und jener Übertragung wahrzunehmen, die kybernetisch informierten Tierforschern Sprache heißt. </br></br>The paper presents the donkey's bray in Robert Bresson's film (F 1966) that disturbs the montage insistently as an open sound object and puts it in the context of bioacoustics. The donkey's hee-haw diversifies noise in such a way that the borderline between object and creature becomes permeable. Bresson's passion proves to be an experiment to perceive the acoustic channels of communication as transformers of animals, spaces and that kind of transmission that researchers informed by cybernetics call »language«.

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Castelli Gattinara, Paola, and Antonio Onofri. "L'EMDR nel trattamento del trauma complesso." QUADERNI DI PSICOTERAPIA COGNITIVA, no. 44 (June 2019): 106–31. http://dx.doi.org/10.3280/qpc44-2019oa8152.

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Questo lavoro affronta il trattamento del trauma complesso utilizzando il modello di rielaborazione adattiva dell'informazione (AIP). Tale modello, che è alla base dell'approccio EMDR, un approccio evidence based, per il trattamento del PTSD, si è recentemente arricchito integrando sia la teoria dell'attaccamento sia il modello della dissociazione strutturale proposto da Van der Hart (2006). Questa articolazione ha permesso di trattare le memorie traumatiche connesse a quadri psicopatologici molto più complessi come i disturbi dissociativi, quelli borderline di personalità e, più in generale, alla sintomatologia collegata auno sviluppo traumatico.Attraverso esemplificazioni cliniche, verranno illustrate alcune procedure specifiche per affrontare le difese collegate al trauma che mantengono la dissociazione come la fobia dell'attaccamento e del rifiuto, in particolare per quanto riguarda il terapeuta, la fobia delle proprie esperienze interne basata su intense emozioni di vergogna, paura o disgusto, la fobia delle parti dissociative della personalità ecc.

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Evans, Marcus. "BEING DRIVEN MAD: TOWARDS UNDERSTANDING BORDERLINE AND OTHER DISTURBED STATES OF MIND THROUGH THE USE OF THE COUNTER‐TRANSFERENCE." Psychoanalytic Psychotherapy 21, no. 3 (September 2007): 216–32. http://dx.doi.org/10.1080/02668730701535578.

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Schmitz, Marius, Laura E. Müller, André Schulz, Nikolaus Kleindienst, Sabine C. Herpertz, and Katja Bertsch. "Heart and brain: Cortical representation of cardiac signals is disturbed in borderline personality disorder, but unaffected by oxytocin administration." Journal of Affective Disorders 264 (March 2020): 24–28. http://dx.doi.org/10.1016/j.jad.2019.11.139.

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Diamond, Diana, Frank Yeomans, and John R. Keefe. "Transference-Focused Psychotherapy for Pathological Narcissism and Narcissistic Personality Disorder (TFP-N)." Psychodynamic Psychiatry 49, no. 2 (June 2021): 244–72. http://dx.doi.org/10.1521/pdps.2021.49.2.244.

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In this article, we provide an overview of transference-focused psychotherapy for patients with pathological narcissism and narcissistic personality disorder (TFP-N). In TFP-N we have modified and refined the tactics and techniques of TFP, an evidence-based treatment for borderline personality disorder, to meet the specific challenges of working with patients with narcissistic personality pathology whose retreat from reality into an illusory grandiosity makes them particularly difficult to engage in treatment. We first describe a model of narcissistic pathology based on considerations of psychological structure stemming from object relations theory. This model provides a unifying understanding of the core structure of narcissistic pathology, the pathological grandiose self, that underlies the impairments in self and interpersonal functioning of those with narcissistic pathology across the levels of personality organization (from high functioning to borderline to malignant). We then delineate the clinical process of working with patients with pathological narcissism and narcissistic personality disorder. Starting with the assessment process, using a detailed clinical example, we guide the reader through the progression of TFP-N as it helps the patient move from the distorted, unintegrated sense of self underlying the narcissistic presentation to the more integrated, realistic sense of self that characterizes healthier personality functioning. In TFP-N the focus on the disturbed interpersonal patterns of relating in the here and now of the therapeutic interaction is the vehicle to diminish grandiosity and improve relatedness, thereby effecting enduring changes in mental representation and real-world functioning.

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Pirkalani, K. K., and Z. Talaee Rad. "Reciprocal interaction between sexuality and personality: parallel assessment of patients with QSAF- 2009 and MCMI-III." European Psychiatry 26, S2 (March 2011): 1552. http://dx.doi.org/10.1016/s0924-9338(11)73256-4.

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ObjectiveTo evaluate mutual interaction between sexuality and personality we tried to study 111 patients with QSAF 2009 and MCMI-III.MethodsHundred and eleven consecutive patients with sexual problems (76) or personality disorders (35) were examined with two tests. Only volunteer personality disorder patients were enrolled to this trial. The results were compared with 325 examinees evaluated with QSAF and 1600 patients evaluated with MCMI-III.ResultsAll patients with sexual problems showed at least two scores higher than 72 in their MCMI-III. This was more prominent in sexual deviations than dysfunctions. Homosexuals had higher scores in schizoid and schizotypal, pedophiles in schizoid and antisocial, voyeurs in schizoid and avoidant, masochists in dependent and self defeating personality scales …. Sexually deviated persons remain clinically latent and show themselves as alien, aloof and eccentric. Almost all deviated persons show high scores in personality disorder scales. On the contrary, only a minority of personality disorder patients show prominent sexual problems in the form of deviation. They predominantly have disturbed sexual self image, show inhibited sexual desire problems (dependent, schizoid and avoidant) personality, dyspareunia and vaginism (avoidant and schizotypal personality), spouse abuse (borderline and antisocial personality) postcoital disorders (borderline, dependent and narcissistic personality) and extramarital relationship in a series of disorders including histrionic personality …. as studied by the QSAF 2009 which evaluates 64 sexual scales.ConclusionEvaluation of personality disordered patients in regard to sexuality and vice versa is essential for better understanding the pathogenesis of each disease and helps in smoother treatments.

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Journal articles on the topic 'Disturbo Borderline'

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