Borderline Kişilik Bozukluğunun Ergenlik Döneminde Belirlenmesine Dair Bir Değerlendirme

Haydeh Faraji

doi:10.26466/opus.898571

TR EN

Borderline Kişilik Bozukluğunun Ergenlik Döneminde Belirlenmesine Dair Bir Değerlendirme

Öz

Borderline kişilik bozukluğu; bireyin kimlik duygusu, ilişkileri, duygulanımı, davranışları ve bilişsel örüntüsünde, yaygın ve süreğen bir dengesizliğin hakim olduğu bir bozukluktur. Borderline kişilik bozukluğu yüksek düzeyde komorbiditeye sahip olup; risk alma davranışları, intihar ve kasıtlı kendine zarar vermenin sıklıkla görüldüğü, işlevsellikte düşüşün yaygın ve şiddetli olduğu bir bozukluk olarak yüksek düzeyde kamu maliyeti yaratmaktadır. Tanılamaya yönelik kategorik yaklaşımın kişilik bozuk-luğu tanısı için 18 yaş sınırı çizmesi ve “kişilik bozukluğu damgasının” önüne geçme kaygısı nedeni ile ergenlik döneminde borderline kişilik bozukluğu tanılaması tartışmalı bir konudur. Ancak bozukluk boyutsal olarak ele alındığında ergenlik döneminde de kendilikte, ilişkilerde, duygularda, davranışlarda ve bilişlerde normatif ergenlerden daha farklı biçimde düzensizlik gösteren ergenlerin varlığıyla karşılaşılmaktadır. Üstelik yoğun, yaygın ve esneklikten yoksun borderline kişilik özelliklerinin varlığı, ergenin erken yetişkinliğe geçerken önemli gelişimsel kilometre taşlarına ulaşma becerisini olumsuz etkileyebilmektedir. Hastalığın hem bireysel hem de kamusal maliyetinin önüne geçmek ve hastalığın yıkıcı sonuçlarına önlemek adına erken teşhis önem taşımaktadır. Bu derleme makalesinde ergenlik döneminde borderline kişilik bozukluğu teşhisinin tartışmalı doğası incelenmiştir.

Anahtar Kelimeler

Borderline Kişilik Bozukluğu , Ergenlik , Kasıtlı Kendine Zarar Verme , Risk Alma , Dürtüsellik

Evaluation of Determining Borderline Personality Disorder in Adolescence

Abstract

Borderline personality disorder; It is a disorder dominated by a common and chronic imbalance in the individual's sense of identity, relationships, affect, behaviors and cognitive patterns. Borderline personality disorder has a high level of comorbidity, risk-taking behaviors, suicide and deliberate self-harm is common, and the decline in functionality is common and severe, and creates high public costs. The diagnosis of borderline personality disorder in adolescence is a controversial issue, since the categorical approach to diagnosis sets an age limit of 18 for the diagnosis of personality disorder and prevents the "personality disorder stigma". However, when considered dimensio-nally, there are adolescents who show irregularities in self, relationships, emotions, behaviors and cognitions in a different way than normative adolescents. Moreover, the presence of severe border-line personality traits can negatively affect the adolescent's ability to reach important developmental milestones as they move into early adulthood. Early diagnosis is important in order to avoid both individual and public costs of the disease and the devastating consequences of the disease. This review article examines the controversial nature of the diagnosis of borderline personality disorder in adolescence.

Keywords

Borderline Personaality Disorder , Adolescence , Deliberate Self Harm , Risk Taking , İmpulsivity

Kaynakça

Aguirre, B. (2014). Borderline personality disorder in adolescence. Beverly: Fair Winds Press.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5®).
Ansell, E. B., Sanislow, C. A., McGlashan, T. H. ve Grilo, C. M. (2007). Psychosocial impairment and treatment utilization by patients with borderline personality disorder, other personality disorders, mood and anxiety disorders, and a healthy comparison group. Comprehensive Psychiatry, 48(4), 329-336.
Atak, İ.E. (2012). Sınır işleyiş kavramının sınırları: Rorschach Testi ile değerlendirme. Yansıtma Psikopatoloji ve Projektif Testler Dergisi, 18(1), 47-55.
Bateman, A. ve Fonagy, P. (1999). Effectiveness of partial hospitalization in the treatment of borderline personality disorder: A randomized controlled trial. American journal of Psychiatry, 156(10), 1563-1569.
Bateman, A. ve Fonagy, P. (2013). Mentalization-based treatment. Psychoanalytic inquiry, 33(6), 595-613.
Beauchaine, T. P., Neuhaus, E., Brenner, S. L. ve Gatzke-Kopp, L. (2008). Ten good reasons to consider biological processes in prevention and intervention research. Development and psychopathology, 20(3), 745-774.
Biskin, R. S., Paris, J., Renaud, J., Raz, A. ve Zelkowitz, P. (2011). Outcomes in women diagnosed with borderline personality disorder in adolescence. Journal of the Canadian Academy of Child and Adolescent Psychiatry, 20(3), 168-174.
Blum, N., St. John, D., Pfohl, B., Stuart, S., McCormick, B., Allen, J. ve Black, D. W. (2008). Systems Training for Emotional Predictability and Problem Solving (STEPPS) for outpatients with borderline personality disorder: a randomized controlled trial and 1-year follow-up. American Journal of Psychiatry, 165(4), 468-478.
Bondurant, H., Greenfield, B. ve Tse, S. M. (2004). Construct validity of the adolescent borderline personality disorder: A review. The Canadian child and adolescent psychiatry review, 13(3), 53-57.

Brodsky, B.S., Malone, K.M., Ellis, S.P., Dulit, R.A. ve Mann, J.J. (1997). Characteristics of borderline personality disorder associated with suicidal behavior. American Journal of Psychiatry, 154(12), 1715–1719.
Brunner, R., Kaess, M., Parzer, P., Fischer, G., Carli, V., Hoven, C. W. ve Wasserman, D. (2014). Life‐time prevalence and psychosocial correlates of adolescent direct self‐injurious behavior: A comparative study of findings in 11 European countries. Journal of Child Psychology and Psychiatry, 55(4), 337-348.
Carli, V., Hoven, C.W., Wasserman, C., Chiesa, F., Guffanti, G., Sarchiapone, M., et al (2014). A newly identified group of adolescents at “invisible” risk for psychopathology and suicidal behavior: Findings from the SEYLE study. World Psychiatry, 13(1), 78–86.
Cerutti, R., Manca, M., Presaghi, F. ve Gratz, K.L. (2011). Prevalence and clinical correlates of deliberate self-harm among a community sample of Italian adolescents. J. Adolesc., 34(2), 337–347.
Chabrol, H., Montovany, A., Chouicha, K., Callahan, S. ve Mullet, E. (2001). Frequency of borderline personality disorder in a sample of French high school students. The Canadian Journal of Psychiatry, 46(9), 847-849.
Chanen, A. M., Jovev, M., McCutcheon, L.K., Jackson, H.J. ve McGorry, P.D. (2008). Borderline personality disorder in young people and the prospects for prevention and early intervention. Current Psychiatry Reviews, 4(1), 48-57.
Chanen, A.M. ve Kaess, M. (2012). Developmental pathways to borderline personality disorder. Current psychiatry reports, 14(1), 45-53.
Chanen, A.M. ve McCutcheon, L. (2013). Prevention and early intervention for borderline personality disorder: Current status and recent evidence. The British Journal of Psychiatry, 202(54), 24-29.
Chanen, A.M., Jackson, H.J., McGorry, P. D., Allot, K.A., Clarkson, V. ve Yuen, H. P. (2004). Two-year stability of personality disorder in older adolescent outpatients. Journal of personality disorders, 18(6), 526-541.
Chanen, A.M., Jovev, M. ve Jackson, H.J. (2007). Adaptive functioning and psychiatric symptoms in adolescents with borderline personality disorder. Journal of Clinical Psychiatry, 68(2), 297-306.
Chanen, A.M. ve McCutcheon, L.K. (2008). Personality disorder in adolescence: The diagnosis that dare not speak its name. Pers Ment Health. 2(1), 35–41
Chanen, A.M., Nicol, K., Betts, J.K. ve Thompson, K.N. (2020). Diagnosis and treatment of borderline personality disorder in young people. Curr. Psychiatry Rep., 22(25), 1-8.
Deschamps, P. K. ve Vreugdenhil, C. (2008). Stability of borderline personality disorder from childhood to adulthood: A literature review. Tijdschrift voor Psychiatrie, 50(1), 33-41.
Englebert, J. (2017). Ubiquité et situation: Pour une considération topologique de la limite. Le Cercle Herméneutique, 28, 107-113.
Evren, C., Cinar, O., Evren, B. ve Celik, S. (2012). Relationship of self-mutilative behaviours with severity of borderline personality, childhood trauma and impulsivity in male substance-dependent inpatients. Psychiatry Research, 200(1), 20-25.
Faraji, H ve Tezcan, A.E. (2021). Ergen. Ankara: Eğiten Kitap.
Faraji, H. (2020). Borderline kişilik bozuklukluğunda duygu düzenleme güçlüğü ve ruhsal işleyişin rorschach testindeki görünümü. Doğuş Üniversitesi Lisansüstü Enstitüsü, İstanbul.
Fein, G., Price, M. ve Cardenas, V.A. (2018). Borderline personality disorder symptoms in treatment-naive actively drinking alcoholics. Alcohol, 68(3), 81-89.
Freud, A. ( 1958). Adolescence. Psychoanalytic Study of the Child, 13, 255-278.
Goodman, M., New, A. S., Triebwasser, J., Collins, K. A. ve Siever, L. (2010). Phenotype, endophenotype, and genotype comparisons between borderline personality disorder and major depressive disorder. Journal of personality disorders, 24(1), 38-59.
Greenfield, B., Henry, M., Lis, E., Slatkoff, J., Guilé, J.-M., Dougherty, G., Zhang, X., Raz, A., Eugene Arnold, L., Daniel, L., et al., (2015). Correlates, stability and predictors of borderline personality disorder among previously suicidal youth. Eur. Child Adolesc. Psychiatry, 24(4), 397–406.
Groschwitz, R.C., Plener, P.L., Kaess, M., Schumacher, T., Stoehr, R. ve Boege, I. (2015). The situation of former adolescent self-injurers as young adults: a follow-up study. BMC Psychiatry,15(1), 1-9.
Guilé, J.M., Boissel, L., Alaux-Cantin, S. ve de La Rivière, S.G. (2018). Borderline personality disorder in adolescents: prevalence, diagnosis, and treatment strategies. Adolesc. Health Med. Ther., 9, 199–210.
Guile, J.M. ve Greenfield, B.G. (2004). Introduction personality disorders in childhood and adolescence. Can Child Adolesc Psychiatry Rev,13(3), 51-2.
Gunderson, J. G., Bender, D., Sanislow, C., Yen, S., Rettew, J. B., Dolan-Sewell, R. ve Skodol, A.E. (2003). Plausibility and possible determinants of sudden “remissions” in borderline patients. Psychiatry: Interpersonal and Biological Processes, 66(2), 111-119.
Johnson, J.G., Cohen, P., Kasen, S., Skodol, A.E. ve Oldham, J.M. (2008). Cumulative prevalence of personality disorders between adolescence and adulthood. Acta Psychiatr Scand., 118(5), 410–413. Kaess, M., Brunner, R. ve Chanen, A. (2014). Borderline personality disorder in adolescence. Pediatrics, 134(4), 782-793.
Kaess, M., Brunner, R., Parzer, P., Carli, V., Apter, A., Balazs, J.A., et al., (2014)b. Riskbehaviour screening for identifying adolescents with mental health problems in Europe. Eur. Child Adolesc. Psychiatry, 23(7), 611–620.
Kaess, M., von Ceumern-Lindenstjerna, I.A., Parzer, P., Chanen, A., Mundt, C., Resch, F. ve Brunner, R. (2013)a. Axis I and II comorbidity and psychosocial functioning in female adolescents with borderline personality disorder. Psychopathology, 46(1), 55-62.
Kahraman, H. (2018). Klinik bir olgu olarak yalnızlık: Yalnızlık ve psikolojik bozukluklar. AYNA Klinik Psikoloji Dergisi, 5(2) 1-24.
Kernberg, P. F. ve Shapiro, T. (1990). Resolved: Borderline personality exists in children under twelve. Journal of the American Academy of Child and Adolescent Psychiatry, 29(3), 478-483.
King, R.A., Schwab-Stone, M., Flisher, A.J., Greenwald, S., Kramer, R.A., Goodman, S.H.,et al., 2001. Psychosocial and risk behavior correlates of youth suicide attempts and suicidal ideation. Journal of the American Academy of Child and Adolescent Psychiatry, 40(7), 837–846.
Leather, N.C. (2009). Risk-taking behaviour in adolescence: A literature review. Journal of Child Health Care, 13(3), 295-304.
Leichsenring, F., Leibing, E., Kruse, J., New, A. S. ve Leweke, F. (2011). Borderline personality disorder. The Lancet, 377(9759), 74-84.
Lenzenweger, M.F. (2008). Epidemiology of personality disorders. Psychiatric Clinics of North America, 31(3), 395–403.
Levenson, J.C., Frank, E. (2014). Kişilerarası psikoterapi (G. Akkaya, Çeviri Ed.). İstanbul: Okyanus Yayınları.
Lieb, K., Zanarini, M.C., Schmahl, C., Linehan, M.M. ve Bohus, M. (2004). Borderline personality disorder. The Lancet, 364(9432), 453-461.
Miller, A.L., Muehlenkamp, J.J. ve Jacobson, C.M. (2008). Fact or fiction: Diagnosing borderline personality disorder in adolescents. Clinical psychology review, 28(6), 969-981.
Miller, A.L., Neft, D. ve Golombeck, N. (2008) Borderline personality disorder and adolescence. Social Work in Mental Health, 6(1-2), 85-98.
Monte, F. L. ve Englebert, J. (2018). Borderline personality disorder and lived time. L'Évolution Psychiatrique, 83(4), 37-45.
Monti, M.R. ve D’Agostino, A. (2016). Abnormal bodily experience in borderline personality disorder: Clinical issues and psychopathological perspectives. Clin Neuropsychiatry, 13(3), 37–42.
Moran, P., Coffey, C., Romaniuk, H., Degenhardt, L., Borschmann, R. ve Patton, G.C. (2015). Substance use in adulthood following adolescent self-harm: A population-based cohort study. Acta Psychiatr. Scand., 131(1), 61–68.
Moran, P., Coffey, C., Romaniuk, H., Olsson, C., Borschmann, R., Carlin, J.B. ve Patton, G.C. (2012). The natural history of self-harm from adolescence to young adulthood: a population-based cohort study. Lancet, 379(9812), 236–243.
New, A.S. ve Siever, S.L. (2002). Neurobiology and genetics of borderline personality disorder. Psychiatric Annals, 32(6), 329–336.
Nichols, N.P. (2013). Aile terapisi kavramlar ve yöntemler (O. Gündüz, Çeviri Ed.).İstanbul: Kaknüs Yayınları.
Paris, J. (2002). Chronic suicidality among patients with borderline personality disorder. Psychiatric services, 53(6), 738-742.
Paris, J., (2004). Personality disorders over time: Implications for psychotherapy. Am. J. Psychother, 58(4), 420–429.
Rafaeli, E., Young, J.E. ve Bernstein, D.P. (2013). Şema terapi. İstanbul: Psikonet Yayınları.
Ryle, A. ve Low, J. (1993). Cognitive analytic therapy. In Comprehensive handbook of psychotherapy integration. Boston, MA: Springer.
Sansone, R.A., Gaither, G.A. ve Songer, D.A. (2002). The relationships among childhood abuse, borderline personality, and self-harm behavior in psychiatric inpatients. Violenceand Victims, 17(1), 49.
Tomko, R. L., Trull, T. J., Wood, P. K. ve Sher, K. J. (2014). Characteristics of borderline personality disorder in a community sample: Comorbidity, treatment utilization, and general functioning. Journal of personality disorders, 28(5), 734-750.
Tomko, R.L., Trull, T.J., Wood, PK. ve Sher, K.J. (2014). Characteristics of borderline personality disorder in a community sample: Comorbidity, treatment utilization, and generals functioning. Journal of Personality Disorders, 28, 734–750.
Türkçapar, H. (2018). Bilişsel davranışçı terapi- temel ilkeler ve uygulama. İstanbul: Epsilon Yayınevi.
Tyrer, P., Crawford, M., Mulder, R. ve The ICD-11 Working Group for the Revision of Classification of Personality Disorders. (2011). Reclassifying personality disorders. The Lancet, 377(9780), 1814–1815.
Vega, D., Torrubia, R., Soto, À., Ribas, J., Soler, J., Pascual, J.C., et al. (2017). Exploring the relationship between non suicidal self-injury and borderline personality traits in young adults. Psychiatry Res., 256, 403–411.
Welch, S. S. ve Linehan, M. M. (2002). High-risk situations associated with parasuicide and drug use in borderline personality disorder. Journal of personality disorders, 16(6), 561-569.
White, C. N., Gunderson, J. G., Zanarini, M. C. ve Hudson, J. I. (2003). Family studies of borderline personality disorder: A review. Harvard Review of Psychiatry, 11(1), 8-19.
Winograd, G., Cohen, P. ve Chen, H. (2008). Adolescent borderline symptoms in the community: prognosis for functioning over 20 years. Journal of Child Psychology and Psychiatry, 49(9), 933-941.
Winston A., Rosenthal R.N., Pinsker H. (2004). Amaçlar ve etki şekli. Güleç G. (Ed.), içinde Destekleyici Psikoterapiye Giriş. (13-25). Ankara: Tuna Matbaacılık.
Zanarini, M. C., Frankenburg, F. R., Hennen, J. ve Silk, K. R. (2003). The longitudinal course of borderline psychopathology: 6-year prospective follow-up of the phenomenology of borderline personality disorder. American Journal of Psychiatry, 160(2), 274-283.
Zanarini, M. C., Frankenburg, F. R., Hennen, J., Reich, D. B. ve Silk, K. R. (2005). Psychosocial functioning of borderline patients and axis II comparison subjects followed prospectively for six years. Journal of Personality Disorders, 19(1), 19-29.
Zanarini, M. C., Frankenburg, F. R., Hennen, J., Reich, D. B. ve Silk, K. R. (2006). Prediction of the 10-year course of borderline personality disorder. American Journal of Psychiatry, 163(5), 827-832.
Zanarini, M.C., Frankenburg, F.R., Reich, D.B., Silk, K. R., Hudson, J. I. ve McSweeney, L.B. (2007). The subsyndromal phenomenology of borderline personality disorder: A 10-year follow-up study. American Journal of Psychiatry, 164(6), 929-935.
Zimmermann, M. ve Mattia, J. I. (1999). Axis I diagnostic comorbidity and borderline personality disorder. Comprehensive Psychiatry, 40(4), 245–252.
Zittel, Conklin, C. ve Westen, D. (2005). Borderline personality disorder in clinical practice. American Journal of Psychiatry, 162(5), 867-875.

Ayrıntılar

Birincil Dil

Türkçe

Konular

Psikoloji

Bölüm

Derleme

Yazarlar

Haydeh Faraji ^*
0000-0001-5306-6546
Türkiye

Yayımlanma Tarihi

7 Kasım 2021

Gönderilme Tarihi

17 Mart 2021

Kabul Tarihi

8 Eylül 2021

Yayımlandığı Sayı

Yıl 2021 Cilt: 18 Sayı: 43

DOI

https://doi.org/10.26466/opus.898571

IZ

https://izlik.org/JA64SJ52WD

APA

Faraji, H. (2021). Borderline Kişilik Bozukluğunun Ergenlik Döneminde Belirlenmesine Dair Bir Değerlendirme. OPUS International Journal of Society Researches, 18(43), 7139-7166. https://doi.org/10.26466/opus.898571

Cited By

COVİD-19 PANDEMİ DÖNEMİNİN KİŞİLİK BOZUKLUĞU OLAN BİREYLERDEKİ OLASI ETKİLERİNE DAİR BİR DEĞERLENDİRME

Uluslararası Anadolu Sosyal Bilimler Dergisi

https://doi.org/10.47525/ulasbid.1053922

THE RELATIONSHIP BETWEEN EARLY MALADAPTIVE SCHEMAS, SEPARATION ANXIETY AND EMERGING ADULT INDIVIDUATION LEVEL

Toros Üniversitesi İİSBF Sosyal Bilimler Dergisi

https://doi.org/10.54709/iisbf.1176829

Determination of First Object Relations and Emotion Regulation Difficulties in Borderline Personality Disorder with Objective and Projective Methods

Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychiatry

https://doi.org/10.18863/pgy.1165387

Kendiliknesnesi Aktarımları ile Borderline Kişilik Özellikleri Arasında Özerk Benlik Yönetiminin Aracı Rolü

Anemon Muş Alparslan Üniversitesi Sosyal Bilimler Dergisi

https://doi.org/10.18506/anemon.1128019

BORDERLİNE KİŞİLİK BOZUKLUĞUNDA EMPATİ

Erciyes Akademi

https://doi.org/10.48070/erciyesakademi.1097395

The Mediator Role of Borderline Personality Features and Separation Anxiety in the Relationship between Childhood Traumas and Exposure to Abuse in Romantic Relationships

Current Research in Social Sciences

https://doi.org/10.30613/curesosc.1168755

Dream themes and rejection sensitivity of individuals with and without borderline personality disorder: a comparative study

The European Research Journal

https://doi.org/10.18621/eurj.1357324

Investigation of the relationship between borderline personality organization and perceived abuse experiences in romantic relationships: moderating role of rejection sensitivity

Journal of Health Sciences and Medicine

https://doi.org/10.32322/jhsm.1452696

Mediating role of rejection sensitivity between borderline personality features and self-silencing, body image coping strategies

Klinik Psikoloji Dergisi

https://doi.org/10.57127/kpd.26024438.1471639

Borderline Kişilik Bozukluğunun Ergenlik Döneminde Belirlenmesine Dair Bir Değerlendirme

Borderline Kişilik Bozukluğunun Ergenlik Döneminde Belirlenmesine Dair Bir Değerlendirme

Öz

Anahtar Kelimeler

Evaluation of Determining Borderline Personality Disorder in Adolescence

Abstract

Keywords

Kaynakça

Ayrıntılar

Birincil Dil

Konular

Bölüm

Yazarlar

Yayımlanma Tarihi

Gönderilme Tarihi

Kabul Tarihi

Yayımlandığı Sayı

DOI

IZ

Kaynak Göster

Cited By

COVİD-19 PANDEMİ DÖNEMİNİN KİŞİLİK BOZUKLUĞU OLAN BİREYLERDEKİ OLASI ETKİLERİNE DAİR BİR DEĞERLENDİRME

THE RELATIONSHIP BETWEEN EARLY MALADAPTIVE SCHEMAS, SEPARATION ANXIETY AND EMERGING ADULT INDIVIDUATION LEVEL

Determination of First Object Relations and Emotion Regulation Difficulties in Borderline Personality Disorder with Objective and Projective Methods

Kendiliknesnesi Aktarımları ile Borderline Kişilik Özellikleri Arasında Özerk Benlik Yönetiminin Aracı Rolü

BORDERLİNE KİŞİLİK BOZUKLUĞUNDA EMPATİ

The Mediator Role of Borderline Personality Features and Separation Anxiety in the Relationship between Childhood Traumas and Exposure to Abuse in Romantic Relationships

Dream themes and rejection sensitivity of individuals with and without borderline personality disorder: a comparative study

Investigation of the relationship between borderline personality organization and perceived abuse experiences in romantic relationships: moderating role of rejection sensitivity

INVESTIGATION OF THE RELATIONSHIP BETWEEN BORDERLINE PERSONALITY TRAITS, SHYNESS AND ANGER

BORDERLİNE KİŞİLİK ÖZELLİKLERİ, HARCAMA DAVRANIŞI VE OLUMSUZ DEĞERLENDİRİLME KORKUSU ARASINDAKİ İLİŞKİNİN BELİRLENMESİ

Investigation of the Relationship Between Borderline Personality Features and Metacognition and State-Trait Anxiety

Mediating role of rejection sensitivity between borderline personality features and self-silencing, body image coping strategies