Articles

What we have changed our minds about: Part 1. Borderline personality disorder as a limitation of resilience

This paper sets out a recent transition in our thinking in relation to psychopathology associated with personality disorder, in an approach that integrates our thinking about attachment, mentalizing (understan...

Authors: Peter Fonagy, Patrick Luyten, Elizabeth Allison and Chloe Campbell

What we have changed our minds about: Part 2. Borderline personality disorder, epistemic trust and the developmental significance of social communication

In Part 1 of this paper, we discussed emerging evidence suggesting that a general psychopathology or ‘p’ factor underlying the various forms of psychopathology should be conceptualized in terms of the absence ...

Authors: Peter Fonagy, Patrick Luyten, Elizabeth Allison and Chloe Campbell

Evaluation of a psychoeducational group intervention for family and friends of youth with borderline personality disorder

Despite high levels of burden and distress among families with a member who has borderline personality disorder (BPD), only two BPD specific family psychoeducation groups have been empirically evaluated. Neith...

Authors: Jessie Pearce, Martina Jovev, Carol Hulbert, Ben McKechnie, Louise McCutcheon, Jennifer Betts and Andrew M. Chanen

Anger and aggression in borderline personality disorder and attention deficit hyperactivity disorder – does stress matter?

The impact of stress on anger and aggression in Borderline Personality Disorder (BPD) and Attention Deficit Hyperactivity Disorder (ADHD) has not been thoroughly investigated. The goal of this study was to inv...

Authors: Sylvia Cackowski, Annegret Krause-Utz, Julia Van Eijk, Katrin Klohr, Stephanie Daffner, Esther Sobanski and Gabriele Ende

Self-reported patterns of impairments in mentalization, attachment, and psychopathology among clinically referred adolescents with and without borderline personality pathology

Previous research, which primarily focused on adult samples, suggests that individuals with borderline personality disorder (BPD) display high levels of psychopathology, dysfunctional mentalization and problem...

Authors: Sune Bo and Mickey Kongerslev

Intersect between self-esteem and emotion regulation in narcissistic personality disorder - implications for alliance building and treatment

Building an alliance with patients with pathological narcissism or narcissistic personality disorder, NPD, can be challenging and include avoidance, negative reactivity and disruptions. A main contributing fac...

Authors: Elsa Ronningstam

Mental illness and violent behavior: the role of dissociation

The role of mental illness in violent crime is elusive, and there are harmful stereotypes that mentally ill people are frequently violent criminals. Studies find greater psychopathology among violent offenders...

Authors: Aliya R. Webermann and Bethany L. Brand

The specificity of emotion dysregulation in adolescents with borderline personality disorder: comparison with psychiatric and healthy controls

Research has supported the notion that emotion dysregulation is a core feature of BPD. However, given that this feature is typical of healthy adolescents as well as adolescents with other psychiatric disorders...

Authors: Marina Ibraheim, Allison Kalpakci and Carla Sharp

Affective instability and impulsivity predict nonsuicidal self-injury in the general population: a longitudinal analysis

Impulsivity and affective instability are related traits known to be associated with nonsuicidal self-injury, although few longitudinal studies have examined this relationship. The purpose of this study was to...

Authors: Evyn M. Peters, Marilyn Baetz, Steven Marwaha, Lloyd Balbuena and Rudy Bowen

“There is not much help for mothers like me”: Parenting Skills for Mothers with Borderline Personality Disorder – a newly developed group training program

Dysfunctional relationships and emotion dysregulation are hallmark features of borderline personality disorder (BPD). Women with BPD are, therefore, particularly challenged when raising a child. A group traini...

Authors: Babette Renneberg and Charlotte Rosenbach

Commentary to Nicastro et al. (2016), Borderline Personality Disorder and Emotion Dysregulation

Authors: Nader Perroud and Ueli Kramer

A systematic review on the relationship between antisocial, borderline and narcissistic personality disorder diagnostic traits and risk of violence to others in a clinical and forensic sample

Risk assessments identify the presence of a Personality Disorder diagnosis as relevant to future violence. At present, risk assessments focus on the presence of the disorder rather than identifying key traits ...

Authors: Joe Lowenstein, Charlotte Purvis and Katie Rose

Women with exposure to childhood interpersonal violence without psychiatric diagnoses show no signs of impairment in general functioning, quality of life and sexuality

Childhood interpersonal violence is a major risk factor for developing Posttraumatic Stress Disorder (PTSD), other axis-I disorders or Borderline Personality Disorder (BPD). Individuals with a history of child...

Authors: Sophie Rausch, Julia Herzog, Janine Thome, Petra Ludäscher, Meike Müller-Engelmann, Regina Steil, Kathlen Priebe, Thomas Fydrich and Nikolaus Kleindienst

Experiences of women in secure care who have been prescribed clozapine for borderline personality disorder

Clozapine is an atypical antipsychotic medicine which can cause significant side-effects. It is often prescribed off-license in severe cases of borderline personality disorder contrary to national treatment gu...

Authors: Geoffrey L. Dickens, Catherine Frogley, Fiona Mason, Katina Anagnostakis and Marco M. Picchioni

Attention to emotional stimuli in borderline personality disorder – a review of the influence of dissociation, self-reference, and psychotherapeutic interventions

Interactions between attention and processing of emotional stimuli shed light on both sensitivity to emotional stimuli as well as emotion dysregulation. Both of the latter processes have been proposed as centr...

Authors: Dorina Winter

A new intervention for people with borderline personality disorder who are also parents: a pilot study of clinician acceptability

Engaging parents who have a personality disorder in interventions designed to protect children from the extremes of the disorder supports both parenting skills and healthy child development. In line with evide...

Authors: Kye L. McCarthy, Kate L. Lewis, Marianne E. Bourke and Brin F. S. Grenyer

Predicting dropout in outpatient dialectical behavior therapy with patients with borderline personality disorder receiving psychiatric disability

Rates of treatment dropout in outpatient Dialectical Behavior Therapy (DBT) in the community can be as high as 24 % to 58 %, making dropout a great concern. The primary purpose of this article was to examine p...

Authors: Sara J. Landes, Samantha A. Chalker and Katherine Anne Comtois

Exploration of emotion regulation experiences associated with borderline personality features in a non-clinical sample

Emotion dysregulation is a core feature associated with borderline personality features (BPF). Little research has explored how individuals with high levels of BPF regulate their emotions. This study aimed to ...

Authors: Carly M. Porter, Carol A. Ireland, Kathryn J. Gardner and Mike Eslea

The impact of posttraumatic stress disorder on the symptomatology of borderline personality disorder

Previous findings on the impact of co-occurring posttraumatic stress disorder (PTSD) in patients with borderline personality disorder (BPD) have revealed inconsistencies, which may have been related to small s...

Authors: Sylvia Cackowski, Tamar Neubauer and Nikolaus Kleindienst

Dialectical behavior therapy skills use and emotion dysregulation in personality disorders and psychopathy: a community self-report study

Emotion dysregulation is a critical transdiagnostic mental health problem that needs to be further examined in personality disorders (PDs). The current study examined dialectical behavior therapy (DBT) skills ...

Authors: Andrada D. Neacsiu and Mathew A. Tkachuck

Analyzing subcomponents of affective dysregulation in borderline personality disorder in comparison to other clinical groups using multiple e-diary datasets

Affective dysregulation is widely regarded as being the core problem in patients with borderline personality disorder (BPD). Moreover, BPD is the disorder mainly associated with affective dysregulation. Howeve...

Authors: P. S. Santangelo, M. F. Limberger, C. Stiglmayr, M. Houben, J. Coosemans, G. Verleysen, P. Kuppens, F. Tuerlinckx, W. Vanpaemel and U. W. Ebner-Priemer

Psychometric properties of the French borderline symptom list, short form (BSL-23)

The short form of the Borderline Symptom List (BSL-23) is a self-rating instrument used to assess specific symptoms of borderline personality disorder (BPD). The original German version has shown good psychome...

Authors: Rosetta Nicastro, Paco Prada, Anne-Lise Kung, Virginie Salamin, Alexandre Dayer, Jean-Michel Aubry, Florence Guenot and Nader Perroud

Difficulties in emotion regulation in patients with eating disorders

A defining characteristic of eating disorders (EDs) is difficulty with emotion regulation (ER). Previous research indicates that ED subtypes demonstrate differing ER difficulties. Specifically, individuals wit...

Authors: Catherine Ruscitti, Katrina Rufino, Natalie Goodwin and Rebecca Wagner

The specificity of mental pain in borderline personality disorder compared to depressive disorders and healthy controls

Individuals with Borderline Personality Disorder (BPD) may experience a qualitatively distinct depression which includes “mental pain.” Mental pain includes chronic, aversive emotions, negative self-concept, a...

Authors: Eric A. Fertuck, Esen Karan and Barbara Stanley

Effects of mindfulness training on different components of impulsivity in borderline personality disorder: results from a pilot randomized study

Impulsivity is considered a core characteristic of borderline personality disorder (BPD). Previous research on the effects of mindfulness training (MT) has shown that it might modify impulsivity-related aspect...

Authors: Joaquim Soler, Matilde Elices, Juan C. Pascual, Ana Martín-Blanco, Albert Feliu-Soler, Cristina Carmona and Maria J. Portella

Can’t stand the look in the mirror? Self-awareness avoidance in borderline personality disorder

Patients with Borderline Personality Disorder (BPD) expect and perceive social rejection stronger than healthy individuals. Shifting ones attention from oneself to others has been suggested as a mechanism to d...

Authors: Dorina Winter, Katrin Koplin and Stefanie Lis

Personality disorders and violence: what is the link?

Despite a well-documented association between personality disorders (PDs) and violence, the relationship between them is complicated by the high comorbidity of mental disorders, the heterogeneity of violence (...

Authors: Richard Howard

The comorbidity of borderline personality disorder and posttraumatic stress disorder: revisiting the prevalence and associations in a general population sample

The comorbidity of borderline personality disorder (BPD) and posttraumatic stress disorder (PTSD) is frequent, yet not well understood. The influence of childhood sexual abuse (CSA) in the development of this ...

Authors: Emily M. Scheiderer, Phillip K. Wood and Timothy J. Trull

Emotion recognition in borderline personality disorder: effects of emotional information on negative bias

Borderline Personality Disorder (BPD) is characterized by severe deficits in social interactions, which might be linked to deficits in emotion recognition. Research on emotion recognition abilities in BPD reve...

Authors: Sabrina Fenske, Stefanie Lis, Lisa Liebke, Inga Niedtfeld, Peter Kirsch and Daniela Mier

Stigma towards borderline personality disorder: effectiveness and generalizability of an anti-stigma program for healthcare providers using a pre-post randomized design

Stigmatization among healthcare providers towards mental illnesses can present obstacles to effective caregiving. This may be especially the case for borderline personality disorder (BPD). Our study measured t...

Authors: Stephanie Knaak, Andrew CH Szeto, Kathryn Fitch, Geeta Modgill and Scott Patten

New-born females show higher stress- and genotype-independent methylation of SLC6A4 than males

Research has demonstrated an association between exposure to early life stress and an increased risk of psychiatric disorders in later life, in particular depression. However, the mechanism through which early...

Authors: Helene Dukal, Josef Frank, Maren Lang, Jens Treutlein, Maria Gilles, Isabell AC Wolf, Bertram Krumm, Renaud Massart, Moshe Szyf, Manfred Laucht, Michael Deuschle, Marcella Rietschel and Stephanie H Witt

Gender differences in aggression of borderline personality disorder

Aggression is a core feature of borderline personality disorder (BPD). Well-replicated results from the general population indicate that men engage in aggression more frequently than women. This article addres...

Authors: Falk Mancke, Katja Bertsch and Sabine C Herpertz

Adult attachment and emotion dysregulation in borderline personality and somatoform disorders

Borderline personality disorder (BPD) and somatoform disorders (SoD) involve significant problems in relationships and emotion regulation, but the similarities and differences between these disorders in these ...

Authors: Annemiek van Dijke and Julian D Ford

Erratum to: intensive inpatient treatment improves emotion-regulation capacities among adults with severe mental illness

Authors: J Christopher Fowler, Jon G Allen, John M Hart, Hannah Szlyk, Thomas E Ellis, B Christopher Frueh and John M Oldham

Rejection sensitivity and symptom severity in patients with borderline personality disorder: effects of childhood maltreatment and self-esteem

Interpersonal dysfunction in Borderline Personality Disorder (BPD) is characterized by an ‘anxious preoccupation with real or imagined abandonment’ (DSM-5). This symptom description bears a close resemblance t...

Authors: Melanie Bungert, Lisa Liebke, Janine Thome, Katrin Haeussler, Martin Bohus and Stefanie Lis

Nightmares affect the experience of sleep quality but not sleep architecture: an ambulatory polysomnographic study

Nightmares and bad dreams are common in people with emotional disturbances. For example, nightmares are a core symptom in posttraumatic stress disorder and about 50% of borderline personality disorder patients...

Authors: Franc Paul, Michael Schredl and Georg W Alpers

The longitudinal course of non-suicidal self-injury and deliberate self-harm: a systematic review of the literature

Non-suicidal self-injury (NSSI) has been proposed as diagnostic entity and was added to the section 3 of the DSM 5. Nevertheless, little is known about the long-term course of this disorder and many studies ha...

Authors: Paul L Plener, Teresa S Schumacher, Lara M Munz and Rebecca C Groschwitz

Consistency and coherence in treatment outcome measures for borderline personality disorder

There is little consensus regarding outcomes assessment in borderline personality disorder treatment trials, making comparisons of results and meta-analytic studies difficult and far less generalizable. The cu...

Authors: Alok Madan and J Christopher Fowler

Effectiveness of dialectic behavioral therapy in routine outpatient care: the Berlin Borderline Study

Dialectical behavior therapy (DBT) has been proven to be an efficacious treatment for borderline personality disorder (BPD) in several randomized controlled trials (RCTs). However, generalizability of this out...

Authors: Christian Stiglmayr, Julia Stecher-Mohr, Till Wagner, Jeannette Meiβner, Doreen Spretz, Christiane Steffens, Stefan Roepke, Thomas Fydrich, Harriet Salbach-Andrae, Julian Schulze and Babette Renneberg

Intensive inpatient treatment improves emotion-regulation capacities among adults with severe mental illness

Impaired capacity for emotion regulation is associated with a broad spectrum of psychiatric disturbances; however, little is known about treatment response in emotion regulation functioning among patients with...

Authors: J Christopher Fowler, Jon G Allen, John M Hart, Hanna Szlykh, Thomas E Ellis, B Christopher Frueh and John M Oldham

The impact of childhood temperament on the development of borderline personality disorder symptoms over the course of adolescence

The purpose of this study was to characterize the development of BPD symptoms across adolescence by evaluating the fit of several latent variable growth models to annual assessments of symptoms obtained from g...

Authors: Stephanie D Stepp, Kate Keenan, Alison E Hipwell and Robert F Krueger

Altered connectivity within the salience network during direct eye gaze in PTSD

Posttraumatic stress (PTSD) disorder has been associated with heightened threat sensitivity. Evidence suggests that direct eye gaze leads to sustained activation of the superior colliculus/periaqueductal grey ...

Authors: Janine Thome, Paul Frewen, Judith K Daniels, Maria Densmore and Ruth A Lanius

Psychotherapy for suicidal patients with borderline personality disorder: an expert consensus review of common factors across five therapies

The objective was to review established literature on approaches to the psychotherapy of borderline personality disorder with specfic reference to suicide in order to determine if there were common factors acr...

Authors: William Sledge, Eric M Plakun, Stephen Bauer, Beth Brodsky, Eve Caligor, Norman A Clemens, Serina Deen, Jerald Kay, Susan Lazar, Lisa A Mellman, Michael Myers, John Oldham and Frank Yeomans

Early experience, structural dissociation, and emotional dysregulation in borderline personality disorder: the role of insecure and disorganized attachment

Persistent problems in emotional regulation and interpersonal relationships in borderline patients can be understood as developing from difficulties in early dyadic regulation with primary caregivers. Early at...

Authors: Dolores Mosquera, Anabel Gonzalez and Andrew M Leeds

Chronic complex dissociative disorders and borderline personality disorder: disorders of emotion dysregulation?

Emotion dysregulation is a core feature of chronic complex dissociative disorders (DD), as it is for borderline personality disorder (BPD). Chronic complex DD include dissociative identity disorder (DID) and t...

Authors: Bethany L Brand and Ruth A Lanius

Mechanisms of disturbed emotion processing and social interaction in borderline personality disorder: state of knowledge and research agenda of the German Clinical Research Unit

The last two decades have seen a strong rise in empirical research in the mechanisms of emotion dysregulation in borderline personality disorder. Major findings comprise structural as well as functional altera...

Authors: Christian Schmahl, Sabine C Herpertz, Katja Bertsch, Gabriele Ende, Herta Flor, Peter Kirsch, Stefanie Lis, Andreas Meyer-Lindenberg, Marcella Rietschel, Miriam Schneider, Rainer Spanagel, Rolf-Detlef Treede and Martin Bohus

The relationship between non-suicidal self-injury and borderline personality disorder symptoms in a college sample

Non-suicidal self-injury (NSSI) is a major concern in both clinical and non-clinical populations. It has been approximated that 65-80% of individuals with borderline personality disorder (BPD) engage in some f...

Authors: Lauren J Brickman, Brooke A Ammerman, Amy E Look, Mitchell E Berman and Michael S McCloskey

Beliefs about unmet interpersonal needs mediate the relation between conflictual family relations and borderline personality features in young adult females

Central to most theories of borderline personality disorder (BPD) is the notion that the family environment interacts with genetically-based vulnerabilities to influence the development of BPD, with particular...

Authors: Allison Kalpakci, Amanda Venta and Carla Sharp

Standardized mirror confrontation: Body-related emotions, cognitions and level of dissociation in patients with Posttraumatic Stress Disorder after childhood sexual abuse

A criterion for Posttraumatic Stress Disorder (PTSD) is the avoidance of trauma-associated stimuli that trigger emotional suffering. First studies on body image of patients with PTSD after childhood sexual abu...

Authors: Elisabeth Borgmann, Nikolaus Kleindienst, Silja Vocks and Anne Sibilla Dyer

Complex PTSD, affect dysregulation, and borderline personality disorder

Complex PTSD (cPTSD) was formulated to include, in addition to the core PTSD symptoms, dysregulation in three psychobiological areas: (1) emotion processing, (2) self-organization (including bodily integrity),...

Authors: Julian D Ford and Christine A Courtois