10,248 results match your criteria Borderline Personality Disorder


Psychiatric and legal considerations in cases of Fetal Abduction by Maternal Evisceration.

J Forensic Sci 2021 Jun 22. Epub 2021 Jun 22.

The Forensic Panel, New York, NY, USA.

Fifteen cases of Fetal Abduction by Maternal Evisceration (FAMAE) reported to the National Center for Missing and Exploited Children during 1987-2011 outline the findings from a review of the forensic psychiatric considerations and legal course of each of the cases. Most offenders confessed to law enforcement within a short time of being placed under arrest in statements reflecting a continued effort to manage impressions and minimize culpability. Psychiatric assessment is invariably central to the legal disposition of FAMAE cases, as the defendant's goal is to diminish the perception of culpability/criminal responsibility and mitigate sentencing. Read More

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Individual participant data systematic reviews with meta-analyses of psychotherapies for borderline personality disorder.

BMJ Open 2021 Jun 21;11(6):e047416. Epub 2021 Jun 21.

Psychiatric Department, Region Zealand Psychiatry, Psychiatric Research Unit, Slagelse, Denmark.

Introduction: The heterogeneity in people with borderline personality disorder (BPD) and the range of specialised psychotherapies means that people with certain BPD characteristics might benefit more or less from different types of psychotherapy. Identifying moderating characteristics of individuals is a key to refine and tailor standard treatments so they match the specificities of the individual participant. The objective of this is to improve the quality of care and the individual outcomes. Read More

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Current Clinical Psychopharmacology in Borderline Personality Disorder.

Curr Neuropharmacol 2021 Jun 9. Epub 2021 Jun 9.

McGill University; SMBD-Jewish General Hospital; Institute of Community and Family Psychiatry, Montreal. Canada.

Background: Patients with Borderline Personality Disorder (BPD) manifest affective and behavioural symptoms causing personal distress, relationship difficulties, and reduced quality of life with global functioning impairment, mainly when the disease takes an unfavourable course. A substantial amount of healthcare costs is dedicated to addressing these issues. Many BPD patients receive medications, mostly those who do not respond to psychological interventions. Read More

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[Treatment of disorders of emotion regulation in the Adolescents Center at the Central Intitute of Mental Health].

Nervenarzt 2021 Jun 17. Epub 2021 Jun 17.

Klinik für Psychosomatik und Psychotherapeutische Medizin, Zentralinstitut für Seelische Gesundheit, Medizinische Fakultät Mannheim, Universität Heidelberg, J5, 68159, Mannheim, Deutschland.

Severe disorders of emotion regulation, e.g. in the context of mental illnesses, such as borderline disorders, attention deficit hyperactivity disorder (ADHD) and complex posttraumatic stress disorder (PTSD), often begin in childhood and adolescence and influence the psychosocial development of those affected, often into adulthood. Read More

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How do patients with borderline personality disorder experience Distress Tolerance Skills in the context of dialectical behavioral therapy?-A qualitative study.

PLoS One 2021 15;16(6):e0252403. Epub 2021 Jun 15.

Department of Psychiatry and Psychotherapy, University of Lübeck, Lübeck, Germany.

Distress Tolerance Skills (DTS) are an important component of Dialectical Behavioral Therapy (DBT), a therapy method frequently used for treating patients with Borderline Personality Disorder (BPD). However, little is known about how DTS-training is experienced by individuals with BPD. The aim of this study was to explore BPD patients' experiences with receiving DTS-training. Read More

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Schema therapy for violent PD offenders: a randomized clinical trial.

Psychol Med 2021 Jun 15:1-15. Epub 2021 Jun 15.

Department of Clinical Psychological Science, Maastricht University, Maastricht, the Netherlands.

Background: Violent criminal offenders with personality disorders (PD's) can cause immense harm, but are often deemed untreatable. This study aimed to conduct a randomized clinical trial to test the effectiveness of long-term psychotherapy for rehabilitating offenders with PDs.

Methods: We compared schema therapy (ST), an evidence-based psychotherapy for PDs, to treatment-as-usual (TAU) at eight high-security forensic hospitals in the Netherlands. Read More

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Catastrophizing, negative affectivity, and borderline personality disorder.

Personal Ment Health 2021 Jun 14. Epub 2021 Jun 14.

Department of Psychology, Oklahoma State University, Stillwater, Oklahoma, USA.

The core features of borderline personality disorder (BPD) include problematic interpersonal relationships, behavioral and affective dysregulation, identity problems, and cognitive dysregulation. Cognitive dysregulation, such as catastrophizing, rumination, and thought suppression, contributes to emotion dysregulation in BPD. Previous research suggested that thought suppression fully mediated the relationship between negative affect intensity/reactivity and BPD symptoms. Read More

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The Statistical Specificity of Emotion Dynamics in Borderline Personality Disorder.

J Pers Disord 2021 Jun 14:1-22. Epub 2021 Jun 14.

KU Leuven-University of Leuven, Leuven, Belgium.

Persons with borderline personality disorder (BPD) experience heightened emotional instability. Different components underlie instability, and the relation between instability and well-being could be confounded by average emotionality and within-person standard deviation across emotional states, reflecting variability. Therefore, the goal was to examine which pattern of emotion dynamics parsimoniously captures the emotional trajectories of persons with BPD. Read More

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Mental Health Workers' Attitudes Toward Individuals With a Diagnosis of Borderline Personality Disorder: A Systematic Literature Review.

J Pers Disord 2021 Jun 14:1-29. Epub 2021 Jun 14.

Oxford Institute of Clinical Psychology Training and Research, University of Oxford, Oxford, U.K.

The attitudes of mental health workers toward individuals with mental health conditions can impact the quality of care they provide. Negative attitudes among mental health workers seem particularly common in response to people diagnosed with borderline personality disorder (BPD). The current review aimed to identify and review the literature regarding mental health workers' attitudes toward individuals diagnosed with BPD, specifically focusing on studies comparing workers' attitudes toward BPD with attitudes toward other mental health diagnoses. Read More

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Attentional Tendencies That Impact Emotion Regulation Success Within a Borderline Personality Disorder Framework.

J Pers Disord 2021 Jun 14:1-14. Epub 2021 Jun 14.

Department of Psychology, Cleveland State University, Cleveland, Ohio.

Emotion regulation difficulties are key to borderline personality disorder (BPD) symptomatology. Literature indicates that attentional distraction, particularly within an interpersonal context, is common in BPD. Conversely, reappraisal tactics are less prevalent. Read More

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How Does It Feel to Have a Disturbed Identity? The Phenomenology of Identity Diffusion in Patients With Borderline Personality Disorder: A Qualitative Study.

J Pers Disord 2021 Jun 14:1-30. Epub 2021 Jun 14.

Clinic for Personality Disorders and Suicide Prevention, Aarhus University Hospital, Skejby, Denmark.

Identity diffusion is one of the defining characteristics of borderline personality disorder (BPD). Given its central importance in the formal diagnostic criteria for personality disorders, identity diffusion is remarkably under-researched. In particular, our knowledge of the phenomenology of identity diffusion needs to be improved. Read More

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Sleep in Young People with Features of Borderline Personality Disorder: A Scoping Review.

J Pers Disord 2021 Jun 14:1-19. Epub 2021 Jun 14.

Orygen, Parkville, Victoria, Australia.

Sleep disturbance is commonly reported in young people with features of borderline personality disorder (BPD). Examining sleep quality and sleep-wake patterns in young people with features of BPD is essential to inform the development of sleep-improvement interventions. A scoping review was conducted according to the Joanna Briggs Institute methodology. Read More

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Don't Make Me Angry: Frustration-Induced Anger and Its Link to Aggression in Women With Borderline Personality Disorder.

Front Psychiatry 2021 28;12:695062. Epub 2021 May 28.

Department of General Psychiatry, Medical Faculty, Center for Psychosocial Medicine, Heidelberg University, Heidelberg, Germany.

Aggression is a prominent interpersonal dysfunction of individuals with borderline personality disorder (BPD). In BPD aggression is predominantly reactive in nature, often triggered by frustration, provocation, or social threat and is associated with intense anger and an inability to regulate this strong, negative emotion. Building on previous research, we were interested in investigating negative emotionality in general and anger in particular in women with BPD before and after frustration induction. Read More

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Psychometric Properties of the Independent 36-Item PID5BF+M for ICD-11 in the Czech-Speaking Community Sample.

Front Psychiatry 2021 26;12:643270. Epub 2021 May 26.

Department of Addictology, General University Hospital in Prague and 1st Faculty of Medicine, Charles University, Prague, Czechia.

Empirical soundness and international robustness of the PID5BF+M, a shortened version of the PID-5 developed for simultaneous evaluation of maladaptive personality traits in the DSM-5 AMPD and ICD-11 models for personality disorders, was recently confirmed in 16 samples from different countries. Because the modified PID5BF+ scale (36 items) was extracted from the complete 220-item PID-5, an independent evaluation of psychometric properties of a stand-alone PID5BF+M is still missing. The present study evaluated the validity and reliability of the 36-item PID5BF+M in comparison with the extracted version from the original PID-5. Read More

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Resilience as a predictor of quality of life in participants with borderline personality disorder before and after treatment.

BMC Psychiatry 2021 Jun 12;21(1):305. Epub 2021 Jun 12.

Department of Personality, Evaluation and Psychological Treatment, University of Valencia, Av. Blasco Ibañez 21, 46010, Valencia, Spain.

Background: Studies have suggested that psychotherapy improves the Quality of Life (QoL) of participants with Borderline Personality Disorder (BPD). However, there are no studies on the differential efficacy of treatments on the QoL of participants with BPD. Moreover, the relationship between QoL and resilience has rarely been studied in participants with BPD. Read More

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Schema modes and their associations with emotion regulation, mindfulness, and self-compassion among patients with personality disorders.

Borderline Personal Disord Emot Dysregul 2021 Jun 10;8(1):19. Epub 2021 Jun 10.

Department of Psychiatry and Psychotherapy, Semmelweis University, Budapest, Hungary.

Background: The current study's goal was to examine the multivariate patterns of associations between schema modes and emotion regulation mechanisms in personality disorders. Schema modes are either integrated or dissociative states of mind, including intense emotional states, efforts to regulate emotions, or self-reflective evaluative thought processes. Exploring the multivariate patterns of a shared relationship between schema modes and emotion regulation strategies may lead to a better understanding of their associations and a deeper understanding of the latent personality profiles that organize their associations in a mixed personality disorder sample. Read More

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Is personality the key in cognitive-behavioural therapy for eating disorders? A review.

Clin Psychol Psychother 2021 Jun 10. Epub 2021 Jun 10.

Faculty of Psychology, Catholic University of Milan, Milan, Italy.

The efficacy of individual cognitive-behavioural therapy (CBT) for eating disorders can be assessed by investigating the potential predictors, mediators and moderators of treatment. The present review focused on personality since its crucial role has been emphasized both by research and practice. Sixteen studies were collected, and data were extracted through a highly operationalized coding system. Read More

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Mentalization-Based Treatment in a Naturalistic Setting in Ireland: A Cohort Study.

Psychiatr Serv 2021 Jun 9:appips202000810. Epub 2021 Jun 9.

East Blanchardstown Mental Health Service, Dublin (Tong); Department of Psychiatry, University Hospital Galway, Galway, Ireland (Costello, McCabe); School of Medicine, University College Dublin, and Liaison Psychiatry, Mater Misericordiae University Hospital, Dublin (Doherty).

Objective: This study evaluated the real-world effectiveness of mentalization-based treatment by assessing the clinical status of patients before and after completing the treatment program, which was nested within a general adult community mental health service, and by comparing these patients with a treatment-as-usual group.

Methods: In this retrospective longitudinal naturalistic study, patients with a primary diagnosis of borderline personality disorder received either mentalization-based treatment (N=34) or treatment as usual (N=51). Data were collected from clinical charts and hospital databases. Read More

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[What do we know about borderline personality disorder? Current aspects of etiology, diagnostics and treatment].

Nervenarzt 2021 Jun 8. Epub 2021 Jun 8.

Institut für Psychiatrische und Psychosomatische Psychotherapie, Lehrstuhl für Psychosomatische Medizin und Psychotherapie, Medizinische Fakultät Mannheim, Universität Heidelberg, Zentralinstitut für Seelische Gesundheit Mannheim, J 5, 68159, Mannheim, Deutschland.

Background: Borderline personality disorder (BPS) is considered as a severe mental disorder with a high burden for patients, family members and the healthcare system. Recent years have brought significant advances in understanding and treating BP, leading to an earlier diagnosis and better treatment outcomes.

Objective: This article outlines the current state of knowledge on the epidemiology, diagnostics, psychopathology and treatment of BPD and identifies open questions. Read More

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Domestic Mass Shooters: The Association With Unmedicated and Untreated Psychiatric Illness.

J Clin Psychopharmacol 2021 Jun 7. Epub 2021 Jun 7.

From the Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, CA Department of Psychiatry, The Icahn School of Medicine at Mount Sinai Hospital, New York, NY Adjunct Clinical Faculty, Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine Law Office of Michael Laurence, San Francisco, CA.

Background: Given the relative lack of psychiatric information and data on the perpetrators of US mass shootings, the aim of our study was to understand who these "mass shooters" were and whether they had a psychiatric illness. If so, were they competently diagnosed, and if so, were they treated with appropriate medication for their diagnoses before the violence?

Methods: Because a prospective study of diagnosis and treatment could not, for obvious reasons, be carried out, we designed a retrospective, observational study of mass shooters, defined as those who killed 4 or more people with firearms between 1982 and 2012 or who killed 3 or more people with firearms between 2013 and 2019 in the United States. We used the Mother Jones database-a database of 115 persons identified as committing a mass shooting in the United States between January 1982 and September 2019. Read More

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Narrative coherence of autobiographical memories in women with borderline personality disorder and associations with childhood adversity.

Borderline Personal Disord Emot Dysregul 2021 Jun 7;8(1):18. Epub 2021 Jun 7.

Psychiatric Research Unit, Psychiatry Region Zealand, Slagelse, Denmark.

Background: People suffering from Borderline Personality Disorder (BPD) seem to have incoherent autobiographical narratives. Tentative evidence suggests that reduced narrative coherence of autobiographical memories is associated with insecure attachment. However, it remains unknown whether incoherent autobiographical narratives in people with BPD are coupled to experiences of childhood trauma, which is highly prevalent in BPD. Read More

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Assessing the efficacy of a stepped-care group treatment programme for borderline personality disorder: study protocol for a pragmatic trial.

Trials 2021 Jun 7;22(1):383. Epub 2021 Jun 7.

School of Psychology, University of Wollongong, Wollongong, Australia.

Background: Borderline personality disorder (BPD) is a high prevalence and serious mental health disorder that has historically challenged the finite resources of health services. Despite empirical evidence supporting structured psychological therapy as the first line of treatment, there remains significant barriers in providing timely access to evidence-based treatment for this population. The primary aim of this study is to evaluate the effectiveness of providing a stepped-care structured psychological group treatment to individuals with BPD within local mental health services. Read More

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Self-referential processing and perspective taking in patients with a borderline personality disorder.

J Psychiatr Res 2021 May 28;140:87-94. Epub 2021 May 28.

Institute of Medical Psychology and Medical Sociology, University Hospital of the RWTH Aachen University, Aachen, Germany.

Divergent self- and other-referential processes play a particular role in the development and maintenance of borderline personality disorder (BPD). This study investigated self-referential processes in patients with BPD and age-matched controls. Participants performed a trait-judgment task, taking their own and the perspective of a close other person. Read More

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[Disease burden of borderline personality disorder: cost of illness, somatic comorbidity and mortality].

Nervenarzt 2021 Jun 7. Epub 2021 Jun 7.

Klinik für Allgemeine Psychiatrie, Universitätsklinikum Heidelberg, Zentrum für Psychosoziale Medizin, Heidelberg, Deutschland.

Background: Severe mental illnesses (SMI) are characterized by high psychosocial impairment as well as by increased somatic morbidity and mortality. The term SMI commonly includes psychotic, bipolar and severe unipolar depressive disorders but borderline personality disorder (BPD) also shows severe sequelae of the disease.

Material And Methods: Published reviews and studies since 2010 examining disease burden of BPD, in terms of direct and indirect costs of illness, somatic comorbidity, and mortality were included. Read More

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The roles of discrimination and social support in the associations between outness and mental health outcomes among sexual minorities.

Am J Orthopsychiatry 2021 Jun 3. Epub 2021 Jun 3.

Department of Psychology.

Compared to heterosexual individuals, sexual minorities exhibit elevated risk for depression and borderline personality disorder (BPD). One psychosocial factor relevant to sexual minority mental health is outness, or the degree to which an individual discloses or conceals their sexual orientation. Previous findings are mixed regarding whether outness is associated with better or worse mental health, likely because outness can have positive consequences (e. Read More

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Personality in Autism Spectrum Disorder: Associations With Face Memory Deficit and Theory of Mind.

Cogn Behav Neurol 2021 Jun 2;34(2):117-128. Epub 2021 Jun 2.

Division of Cognitive Neurology, Department of Neurology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.

Objective: To examine the personality profiles of adults with autism spectrum disorder (ASD) using a standard personality assessment and to investigate the association between personality, ASD-related face memory deficit (FMD), and theory of mind (ToM). In a broader context, to examine whether there are distinct clinical phenotypes in the ASD population that have implications for personality development and treatment.

Method: Fifty-five adults with ASD and 22 neurotypical (NT) adults underwent a battery of neuropsychological tests, including measures of personality, face memory, and ToM. Read More

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A Qualitative Evaluation of Young People's, Parents' and Carers' Experiences of a National and Specialist CAMHS Dialectical Behaviour Therapy Outpatient Service.

Int J Environ Res Public Health 2021 May 31;18(11). Epub 2021 May 31.

National and Specialist CAMHS DBT Service, South London & Maudsley NHS Foundation Trust, London SE5 8AZ, UK.

(1) Background: Dialectical Behaviour Therapy (DBT) is the recommended treatment for Borderline Personality Disorder (BPD) symptoms in adults, however, research investigating the effectiveness of DBT for adolescents is limited. The present study explores the experiences of young people and their parents/carers of a DBT service using qualitative methodology. (2) Methods: Young people and their parents/carers, who completed DBT within the National and Specialist Child and Adolescent Mental Health DBT Service based at the Maudsley Hospital in London, were asked questions regarding their experience of the service. Read More

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Transference-Focused Psychotherapy for Pathological Narcissism and Narcissistic Personality Disorder (TFP-N).

Psychodyn Psychiatry 2021 ;49(2):244-272

Weill Medical College of Cornell University, New York.

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. Read More

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January 2021