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Borderline Personality Disorder: A Review

Year 2018, Volume: 3 Issue: 5, 11 - 20, 22.10.2018

Abstract

This study reviews the features of borderline personality disorder (BPD) and psychological, biological and social factors underlying its etiology are discussed. Despite earlier strong emphasis on the importance of early childhood trauma, it is not the only factor in BPD development and biosocial theory, as an interactive model, is more descriptive in understanding such a complex syndrome. Increased impulsivity in BPD has both interpersonal and social implications, and causes high rates of violence and crime. In order to decrease the incidence of BPD, It's important to increase awareness in the society about the risk factors of BPD starting from early childhood.

References

  • American Psychiatric Association (2013). Diagnostic and statistical manual disorders. Washington, DC: Author.
  • Anlı, İ., bahadır, G. (2012). Kendilik psikolojisine göre narsisistik ve sınır kişilik bozukluğu. Psikoloji Çalışmaları Dergisi, 27, 1-12.
  • Barros, D.M., Serafim, A.P. (2008). Association between personality disorder and violent behavior pattern. Forensic Sci Int, 179, 19-22.
  • Beck, A.T., Freeman, A. (1990). Cognitive therapy of personality disorders. New York: The Guilford Press.
  • Beck, J.S. (1995). Cognitive therapy basics and beyonds. New York: Guilford Press.
  • Bellivier, F., Chaste, P., Malafosse, A. (2004). Association between the TPH gene A218C and suicidal behavior. A meta-analysis. American Journal of Medical Genetics: PartB Neuropsychiatric Genetics, 124B, 87-91.
  • Bowlby, J. (1988). A Secure Base: Parent-Child Attachment and Healthy Human Development. New York: Basic Books.
  • Bradley, S.J. (1979). The relationship of early maternal separation to borderline personality in children and adolescents: A pilot study. Am J Psychiatry, 136, 424-426.
  • Comprehensive Psychiatry, 53(2), 176-180.
  • Courtney-Seidler, E.A., Klein, D., Miller, A.L. (2013). Borderline personality disorder in adolescents. Clin Psychol Sci Prac, 20, 425- 444.
  • Cristea, I.A., Gentili, C., Cotet, C.D. (2017). Efficacy of Psychotherapies for Borderline Personality Disorder- A Systematic Review and Meta-analysis. JAMA Psychiatry. 74(4), 319-328.
  • Crowell, S.E., Beauchaine, T.P., Linehan, M.M. (2009). A biosocial developmental model of borderli ne personality: Elaborating and extending Linehan's theory. Psychological Bulletin, 135, 495-510.
  • Edwards, D.W., Scott, C.L., Yarvis, R.M.,Paizis, C. L., Panizzon, M.S. (2003). Impulsiveness, impulsive aggression, personality disorder and spousal violence. Violence and Victims; New York Vol. 18, Iss. 1, : 3-14.
  • Freyd, J.J., DePrince, A.P., Gleaves, D.H. (2007). The state of betrayal trauma theory: reply to McNally-conceptual issues, and future directions. Memory, 15, 295-311.
  • Goldberg, R.L., Mann, L.S., Wise, T.N., Segall, E.A. (1985). Parental qualities as perceived by borderline personality disorders. Hillside J Clin Psychiatry, 7, 134-140.
  • Grant, B.F., Chou, S.P., Goldstein, R.B., Huang, B., Stinson F.S., Saha, T.D., Ruan, W.J. (2008). Prevalance, correlates, disability, and comorbidity of DSM-IV borderline personality disorder. Results from the wave 2 national epidemiologic survey on alcohol and related conditions. Journal of Clinical Psychiatry, 69(4), 533-545.
  • Graybar, S.R., Boutulier, L.R. (2002). Nontraumatic pathways to borderline personality disorder. Psychother Theory Res Pract Train, 39(2), 152-62.
  • Gunderson, JG. (1996). The borderline patien’s intolerance of aloneness: insecure attachments and therapist availability. Am J Psychiatr, 153, 752-758.
  • Herman, J.L., Perry, J.C., van der Kolk, B.A. (1989). Childhood trauma in borderline personality disorder. The American Journal of Psychiatry, 146, 490-495.
  • Kohut, H. (1971). Kendiliğin Çözümlenmesi. İsyanbul: Metis Yayınları.
  • Kring, A.M., Johnson, S.L., Davison, G., Neale, J. (2017). Anormal Psikolojisi/Psikopatoloji. İstanbul: Nobel Akademik Yayıncılık.
  • Linehan, M. M. (1993a). Cognitive -bahavioral treatment of borderline personality disorder. New York, NY: Guilford Press.
  • Linehan, M. M., & Heard, H. L. (1999). Borderline personality disorder: Costs, course, and treatment outcomes. In N. E. Miller & K. M. Magruder (Eds.), Cost- effectiveness of psychotherapy: A guide for practitioners, researchers, and policymakers (pp. 291-305). New York: Oxford University Press.
  • Lynch, T. R., Rosenthal, M. Z., Kosson, D. S., Cheavens, J. S., Lejuez, C.W., & Blair, R.J.R. (2006). Heightened sensitivity to facial expressions of emotion in borderline personality disorder. Emotion, 6(4), 647-655.
  • Menon, P., Chaudhari, B., Saldanha, D., Devabhaktuni, S., Bhattacharya, L. (2016). Childhood sexual abuse in adult patients with borderline personality disorder. Industrial Psych Journal, 25, 101-106.
  • Oldham JM. (2006). Borderline personality disorder and suicidality. Am J Psychiatry, 163(1), 20-26.
  • Oruçluluar, Y. (2016). Sınırda kişilik bozukluğunun nedeni ve sonucu olarak kişiler arası travma: Gözden geçirmeye dayalı bir model önerisi. Türk Psikoloji Yazıları, 19(37), 76-88.
  • Paris, J. ((2009). The treatment of borderline personality disorder: Implications of research on diagnosis, etiology and outcome. Annual Review of Clinical Psychology, 5, 277-290.
  • Paris, J. (2002). Implications of long-term outcome research for the management of patients with borderline personality disorder. Harvard Review of Psychiatry, 10, 315-323.
  • Philipsen, A., Limberger, M.F., Lieb, K., Feige, B., Kleindienst, N., Ebner-Priemer, U., Barth, J., Schmahl, C., Bohus, M. (2008). Attention-deficit hyperactivity disorder as a potentially aggravating factor in borderline personality disorder. The British Journal of Psychiatry, 192(2), 118-123.
  • Pooley, E.C., Houston, K., Hawton, K., Harrison, P.J. (2003). Deliberate self-harm is associated with allelic variation in the tryptophan hydroxylase gene (TPHA779C), but not with polymorphisms in fve other serotonergic genes. Psychological Medicine, 33, 775-783. Sable, P. (2008). What is adult attachment? Clin Soc Work J, 36, 21-30.
  • Sansone, R.A., Lam, C., Wiederman, M.W. (2012). The relationship between illegal behaviors and borderline personality symptoms among internal medicine outpatients.
  • Sevinç, E., Şengül, C., Çakaloz, B., Herken, H. (2010). Psikiyatri polikliniğinde erişkin dikkat eksikliği hiperaktivite bozukluğu tanısı konan hastalarda eştanı. Nöropsikiatri Arşivi, 47(2), 139-143.
  • Sinnamon, G.C.B. (2014). Psychopathology and criminal behavior (chapter 11). In: Petherick W. Ed. Applied crime analysis: A social science approach to understanding crime, criminals and victims. 1st ed, Academic Press, 242-244.
  • Soloff, P.H., Meltzer, C.C., Becker, C. (2003). Impulsivity and prefrontal hypometabolism in borderline personality disorder. Psychiatry Research: Neuroimaging , 123(3), 153-163.
  • Stone, M. H. (1993). Abnormalities of personality: Within and beyond the realm of treatment. New York: W W Norton & Co. The tryptophan hydroxylase-1 A218C polymorphism is associated with diagnosis, but not suicidal behavior, in borderline personality disorder. American Journal of Medical Genetics, 150B, 202-208.
  • Trull, T.J., Solhan, M.B., Tragesser, S.L., Jahng, S., Wood, P.K., Piasecki, T.M., & Watson, D. (2008). Affective instability: Measuring a core feature of borderline personality disorder with ecological momentary assessment. Journal of Abnormal Psychology, 117(3), 647-661. Walsh, F. (1977). The family of the borderline patient. New York: Jason Aronson.
  • Wilson, S.T., Stanley, B., Brent, D.A., Oquendo, M.A., Huang, Y.Y., Mann, J.J. (2009).
  • Yazıcı, K., Yazıcı, A.E. (2010). Dürtüselliğin nöroanotomik ve nörokimyasal temelleri. Psikiyatride Güncel Yaklaşımlar, 2:254-280.
  • Yen, S., Shea, T., Pagano, M., Sanislow, C. A., Grilo, C. M., McGlashan, T. H., Morey, L. C. (2003). Axis I and Axis II disorders as predictors of prospective suicide attempts: Findings from the Collaborative Longitudinal Personality Disorders Study. Journal of Abnormal Psychology, 112(3), 375-381.
  • Young, J.E., Klosko, J.S., Weishaar M.E. (2017). Şema Terapi. İstanbul: Litera Yayıncılık.
  • Zanarini, M.C., Frankenburg, F.R., Dubo, E.D., Sickel, A.E., Trikha, A., Levin, A., Reynolds, V. (1998). Axis I comorbidity of borderline personality disorder. Am J Psychiatry. 155(12), 1733-1739.
  • Zanarini, M.C., Frankenburg, F.R., Hennen, J., Reich, D.B., Silk, K.R. (2006). Prediction of the 10-year course of borderline personality disorder. American Journal of Psychiatry, 163, 827-832.

Borderline Kişilik Bozukluğu: Bir Gözden Geçirme

Year 2018, Volume: 3 Issue: 5, 11 - 20, 22.10.2018

Abstract

Bu çalışmada Borderline Kişilik Bozukluğunun (BKB) özellikleri incelenmiş, etiyolojisindeki psikolojik, biyolojik ve sosyal faktörler üzerinde durulmuştur. Çocukluk çağı travmalarının önemi uzun yıllar vurgulansa da, BKB gelişiminde tek başına ağırlık taşımadığı, daha etkileşimsel bir model olan biyososyal teorinin bu karmaşık sendromu anlamada daha açıklayıcı olduğu bilinmektedir. BKB’de artmış dürtüsellik kişiler arası olduğu kadar, toplumsal sorunlara da yol açmakta, şiddet ve suç oranlarının artmasına neden olmaktadır. BKB oranını azaltmak için, erken çocukluk döneminden itibaren, risk faktörleri üzerinde toplumun bilinçlenmesi önemlidir.

References

  • American Psychiatric Association (2013). Diagnostic and statistical manual disorders. Washington, DC: Author.
  • Anlı, İ., bahadır, G. (2012). Kendilik psikolojisine göre narsisistik ve sınır kişilik bozukluğu. Psikoloji Çalışmaları Dergisi, 27, 1-12.
  • Barros, D.M., Serafim, A.P. (2008). Association between personality disorder and violent behavior pattern. Forensic Sci Int, 179, 19-22.
  • Beck, A.T., Freeman, A. (1990). Cognitive therapy of personality disorders. New York: The Guilford Press.
  • Beck, J.S. (1995). Cognitive therapy basics and beyonds. New York: Guilford Press.
  • Bellivier, F., Chaste, P., Malafosse, A. (2004). Association between the TPH gene A218C and suicidal behavior. A meta-analysis. American Journal of Medical Genetics: PartB Neuropsychiatric Genetics, 124B, 87-91.
  • Bowlby, J. (1988). A Secure Base: Parent-Child Attachment and Healthy Human Development. New York: Basic Books.
  • Bradley, S.J. (1979). The relationship of early maternal separation to borderline personality in children and adolescents: A pilot study. Am J Psychiatry, 136, 424-426.
  • Comprehensive Psychiatry, 53(2), 176-180.
  • Courtney-Seidler, E.A., Klein, D., Miller, A.L. (2013). Borderline personality disorder in adolescents. Clin Psychol Sci Prac, 20, 425- 444.
  • Cristea, I.A., Gentili, C., Cotet, C.D. (2017). Efficacy of Psychotherapies for Borderline Personality Disorder- A Systematic Review and Meta-analysis. JAMA Psychiatry. 74(4), 319-328.
  • Crowell, S.E., Beauchaine, T.P., Linehan, M.M. (2009). A biosocial developmental model of borderli ne personality: Elaborating and extending Linehan's theory. Psychological Bulletin, 135, 495-510.
  • Edwards, D.W., Scott, C.L., Yarvis, R.M.,Paizis, C. L., Panizzon, M.S. (2003). Impulsiveness, impulsive aggression, personality disorder and spousal violence. Violence and Victims; New York Vol. 18, Iss. 1, : 3-14.
  • Freyd, J.J., DePrince, A.P., Gleaves, D.H. (2007). The state of betrayal trauma theory: reply to McNally-conceptual issues, and future directions. Memory, 15, 295-311.
  • Goldberg, R.L., Mann, L.S., Wise, T.N., Segall, E.A. (1985). Parental qualities as perceived by borderline personality disorders. Hillside J Clin Psychiatry, 7, 134-140.
  • Grant, B.F., Chou, S.P., Goldstein, R.B., Huang, B., Stinson F.S., Saha, T.D., Ruan, W.J. (2008). Prevalance, correlates, disability, and comorbidity of DSM-IV borderline personality disorder. Results from the wave 2 national epidemiologic survey on alcohol and related conditions. Journal of Clinical Psychiatry, 69(4), 533-545.
  • Graybar, S.R., Boutulier, L.R. (2002). Nontraumatic pathways to borderline personality disorder. Psychother Theory Res Pract Train, 39(2), 152-62.
  • Gunderson, JG. (1996). The borderline patien’s intolerance of aloneness: insecure attachments and therapist availability. Am J Psychiatr, 153, 752-758.
  • Herman, J.L., Perry, J.C., van der Kolk, B.A. (1989). Childhood trauma in borderline personality disorder. The American Journal of Psychiatry, 146, 490-495.
  • Kohut, H. (1971). Kendiliğin Çözümlenmesi. İsyanbul: Metis Yayınları.
  • Kring, A.M., Johnson, S.L., Davison, G., Neale, J. (2017). Anormal Psikolojisi/Psikopatoloji. İstanbul: Nobel Akademik Yayıncılık.
  • Linehan, M. M. (1993a). Cognitive -bahavioral treatment of borderline personality disorder. New York, NY: Guilford Press.
  • Linehan, M. M., & Heard, H. L. (1999). Borderline personality disorder: Costs, course, and treatment outcomes. In N. E. Miller & K. M. Magruder (Eds.), Cost- effectiveness of psychotherapy: A guide for practitioners, researchers, and policymakers (pp. 291-305). New York: Oxford University Press.
  • Lynch, T. R., Rosenthal, M. Z., Kosson, D. S., Cheavens, J. S., Lejuez, C.W., & Blair, R.J.R. (2006). Heightened sensitivity to facial expressions of emotion in borderline personality disorder. Emotion, 6(4), 647-655.
  • Menon, P., Chaudhari, B., Saldanha, D., Devabhaktuni, S., Bhattacharya, L. (2016). Childhood sexual abuse in adult patients with borderline personality disorder. Industrial Psych Journal, 25, 101-106.
  • Oldham JM. (2006). Borderline personality disorder and suicidality. Am J Psychiatry, 163(1), 20-26.
  • Oruçluluar, Y. (2016). Sınırda kişilik bozukluğunun nedeni ve sonucu olarak kişiler arası travma: Gözden geçirmeye dayalı bir model önerisi. Türk Psikoloji Yazıları, 19(37), 76-88.
  • Paris, J. ((2009). The treatment of borderline personality disorder: Implications of research on diagnosis, etiology and outcome. Annual Review of Clinical Psychology, 5, 277-290.
  • Paris, J. (2002). Implications of long-term outcome research for the management of patients with borderline personality disorder. Harvard Review of Psychiatry, 10, 315-323.
  • Philipsen, A., Limberger, M.F., Lieb, K., Feige, B., Kleindienst, N., Ebner-Priemer, U., Barth, J., Schmahl, C., Bohus, M. (2008). Attention-deficit hyperactivity disorder as a potentially aggravating factor in borderline personality disorder. The British Journal of Psychiatry, 192(2), 118-123.
  • Pooley, E.C., Houston, K., Hawton, K., Harrison, P.J. (2003). Deliberate self-harm is associated with allelic variation in the tryptophan hydroxylase gene (TPHA779C), but not with polymorphisms in fve other serotonergic genes. Psychological Medicine, 33, 775-783. Sable, P. (2008). What is adult attachment? Clin Soc Work J, 36, 21-30.
  • Sansone, R.A., Lam, C., Wiederman, M.W. (2012). The relationship between illegal behaviors and borderline personality symptoms among internal medicine outpatients.
  • Sevinç, E., Şengül, C., Çakaloz, B., Herken, H. (2010). Psikiyatri polikliniğinde erişkin dikkat eksikliği hiperaktivite bozukluğu tanısı konan hastalarda eştanı. Nöropsikiatri Arşivi, 47(2), 139-143.
  • Sinnamon, G.C.B. (2014). Psychopathology and criminal behavior (chapter 11). In: Petherick W. Ed. Applied crime analysis: A social science approach to understanding crime, criminals and victims. 1st ed, Academic Press, 242-244.
  • Soloff, P.H., Meltzer, C.C., Becker, C. (2003). Impulsivity and prefrontal hypometabolism in borderline personality disorder. Psychiatry Research: Neuroimaging , 123(3), 153-163.
  • Stone, M. H. (1993). Abnormalities of personality: Within and beyond the realm of treatment. New York: W W Norton & Co. The tryptophan hydroxylase-1 A218C polymorphism is associated with diagnosis, but not suicidal behavior, in borderline personality disorder. American Journal of Medical Genetics, 150B, 202-208.
  • Trull, T.J., Solhan, M.B., Tragesser, S.L., Jahng, S., Wood, P.K., Piasecki, T.M., & Watson, D. (2008). Affective instability: Measuring a core feature of borderline personality disorder with ecological momentary assessment. Journal of Abnormal Psychology, 117(3), 647-661. Walsh, F. (1977). The family of the borderline patient. New York: Jason Aronson.
  • Wilson, S.T., Stanley, B., Brent, D.A., Oquendo, M.A., Huang, Y.Y., Mann, J.J. (2009).
  • Yazıcı, K., Yazıcı, A.E. (2010). Dürtüselliğin nöroanotomik ve nörokimyasal temelleri. Psikiyatride Güncel Yaklaşımlar, 2:254-280.
  • Yen, S., Shea, T., Pagano, M., Sanislow, C. A., Grilo, C. M., McGlashan, T. H., Morey, L. C. (2003). Axis I and Axis II disorders as predictors of prospective suicide attempts: Findings from the Collaborative Longitudinal Personality Disorders Study. Journal of Abnormal Psychology, 112(3), 375-381.
  • Young, J.E., Klosko, J.S., Weishaar M.E. (2017). Şema Terapi. İstanbul: Litera Yayıncılık.
  • Zanarini, M.C., Frankenburg, F.R., Dubo, E.D., Sickel, A.E., Trikha, A., Levin, A., Reynolds, V. (1998). Axis I comorbidity of borderline personality disorder. Am J Psychiatry. 155(12), 1733-1739.
  • Zanarini, M.C., Frankenburg, F.R., Hennen, J., Reich, D.B., Silk, K.R. (2006). Prediction of the 10-year course of borderline personality disorder. American Journal of Psychiatry, 163, 827-832.
There are 43 citations in total.

Details

Primary Language Turkish
Subjects Political Science
Journal Section Articles
Authors

Mine Algaç Kutlu This is me

Publication Date October 22, 2018
Published in Issue Year 2018 Volume: 3 Issue: 5

Cite

APA Algaç Kutlu, M. (2018). Borderline Kişilik Bozukluğu: Bir Gözden Geçirme. Medeniyet Araştırmaları Dergisi, 3(5), 11-20.

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