Social domain dysfunction and disorganization in borderline personality disorder.
Jonathan Hill,Paul A. Pilkonis,Jennifer Q. Morse,Ulrike Feske,Sarah K. Reynolds,Holly Hope,C. Charest,Nichaela Broyden +7 more
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TLDR
A focus on the inherently interpersonal properties of personality disorders suggests specific mechanisms (within and across interpersonal domains) that may help to account for the origins and maintenance of some disorders.Abstract:
BackgroundSocial dysfunction in personality disorder is commonly ascribed to abnormal temperamental traits but may also reflect deficits in social processing. In this study, we examined whether borderline and avoidant personality disorders (BPD, APD) may be differentiated by deficits in different social domains and whether disorganization of social domain functioning uniquely characterizes BPD.MethodPatients were recruited from psychiatric clinics in Pittsburgh, USA, to provide a sample with BPD, APD and a no-personality disorder (no-PD) comparison group. Standardized assessments of Axis I and Axis II disorders and social domain dysfunction were conducted, including a new scale of ‘domain disorganization’ (DD).ResultsPervasive social dysfunction was associated with a 16-fold increase in the odds of an Axis II disorder. Both APD and BPD were associated with elevated social dysfunction. Romantic relationship dysfunction was associated specifically with BPD symptoms and diagnosis. DD was associated specifically with a categorical BPD diagnosis and with a dimensional BPD symptom count.ConclusionsA focus on the inherently interpersonal properties of personality disorders suggests specific mechanisms (within and across interpersonal domains) that may help to account for the origins and maintenance of some disorders. In particular, BPD reflects disturbances in romantic relationships, consistent with a role for attachment processes, and in the organization of functioning across social domains.read more
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A developmental, mentalization-based approach to the understanding and treatment of borderline personality disorder.
Peter Fonagy,Patrick Luyten +1 more
TL;DR: It is argued that BPD is primarily associated with a low threshold for the activation of the attachment system and deactivation of controlled mentalization, linked to impairments in the ability to differentiate mental states of self and other, which lead to hypersensitivity and increased susceptibility to contagion by other people's mental states.
Journal ArticleDOI
Social Cognition in Borderline Personality Disorder: Evidence for Disturbed Recognition of the Emotions, Thoughts, and Intentions of others
TL;DR: Assessment of social cognitive abilities in borderline personality disorder suggests impairment in social cognition abilities, especially for comorbid PTSD, intrusive symptoms, and history of sexual trauma predicted poor outcomes on social cognition tasks.
Journal ArticleDOI
Borderline personality disorder, mentalization, and the neurobiology of attachment
TL;DR: The neural and neurobiological underpinnings of the core features of borderline personality disorder (BPD), including emotion dysregulation, impulsivity, disturbed interpersonal functioning, identity diffusion, and feelings of inner pain are discussed.
Journal ArticleDOI
Treatment completion in psychotherapy for borderline personality disorder – a systematic review and meta-analysis
TL;DR: Treatment completion in psychotherapy for borderline personality disorder – a systematic review and meta‐analysis and a meta-analysis are published.
Journal ArticleDOI
Social cognition in borderline personality disorder.
TL;DR: A history of childhood trauma and co-morbid PTSD seem to be strong additional predictors for cognitive empathy deficits, and the deficits in mental state attribution might contribute to behavioral problems in BPD.
References
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Book
Cognitive-Behavioral Treatment of Borderline Personality Disorder
TL;DR: The treatment of Borderline personality disorder (BPD) has been studied extensively in the literature as discussed by the authors, with a focus on the treatment of the behavioral patterns of patients with BPD.
Book
Structured clinical interview for DSM-IV axis I disorders : SCID-I : clinical version : scoresheet
TL;DR: The SCID-I is an efficient, user-friendly instrument that covers those DSM-IV diagnoses most commonly seen by clinicians and includes the diagnostic criteria for these disorders with corresponding interview questions and provides extensive documentation of the diagnostic process.
Book
Structured clinical interview for DSM-IV axis II personality disorders : SCID-II
TL;DR: The Structured Clinical Interview for DSM-IV Axis II personality disorders (SCID-II) as mentioned in this paper is an efficient, user-friendly instrument that will help researchers and clinicians make standardized, reliable, and accurate diagnoses of the 10 DSM-III personality disorders as well as depressive personality disorder, passive-aggressive personality disorder and personality disorder not otherwise specified.
Book
Structured Clinical Interview for DSM-IV Axis I Disorders
Abstract: The reusable Administration Booklet contains interview questions and DSM-IV diagnostic criteria. It is designed to be used with the Scoresheet during a 45- to 90-minute session and is tabbed to help the clinician move from one section to another.