Early sea changes in borderline personality disorder

Current Psychiatry Reports (Impact Factor: 3.24). 03/2006; 8(1):1-4. DOI: 10.1007/s11920-996-0052-9
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Available from: Robert O Friedel, Dec 26, 2013
    • "The first BPD patients were presented in medical literature over 3000 years ago (Friedel, 2006); however, psychologist, Adolph Stern, created the first symptomology in 1938. Stern treated patients exhibiting two or three " borderline " mental illnesses (Stern, 1938). "
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    ABSTRACT: Identity disturbance is often described as a core sector of psychopathology in borderline personality disorder (BPD), a mental illness characterized by severe abandonment and interpersonal issues. The following study took this into account and had two objectives. The first was to determine if specific identity disturbances (suffering, internal badness, and painful sense of no identity) are more pronounced in BPD patients compared to axis II comparison participant s over the past decade and a half. The second was to determine whether the course of recovery in borderline patients (i.e., concurrent symptomatic remission and good psychosocial functioning) is influenced by a specific identity disturbance subtype: no identity, suffering, or internal badness. Identity disturbance was reassessed every two years using thirteen items from the using four items from the Dysphoric Affect Scale (DAS)— a self-report of 50 items that describes dysphonic inner states (affective and cognitive states) found to be common and/or discriminating for BPD. Both the BPD and axis II comparison group reported a 51% decrease in suffering identity over time. While all forms of identity disturbance predicted two-year recovery in bivariate analysis, only identity with a sense of badness predicted significantly slower time to two-year recovery. Taken together, the results suggest subtypes of identity disturbance exist among BPD patients, are endorsed more strongly in BPD patients than in axis II comparison participant s, and are associated with different courses of the disorder.
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    • "In addition, despite research suggesting that a diagnosis of BPD carries more hope than many other diagnoses of mental illness (Zanarini, 2002), many mental health professionals continue to believe that persons suffering BPD remain unresponsive to treatment (Friedel, 2006). "
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    ABSTRACT: The impact of borderline personality disorder on family members of persons with BPD is articulated best by family members themselves. Despite an increase in research demonstrating more hopeful outcomes for the diagnosis, many mental health professionals remain unaware of recent advances in BPD treatments and therapies. This lack of awareness has dramatic consequences not only for patients, but for their families as well. This chapter describes the personal experiences of 12 family members with relatives with BPD. Expressed in one-hour semi-structured interviews, the family members' individual accounts centered on five key areas of their lives with their ill relative: (1) difficulty accessing current evidence-based knowledge about BPD and treatments; (2) a stigmatizing health care system; (3) prolonged hopelessness; (4) shrinking social networks; and (5) financial burdens. To improve the quality of services available to family members affected by BPD, social workers must educate themselves about the availability of professionals trained in BPD, BPD-specific treatment options, and BPD information resources.
    Full-text · Article · Jan 2008 · Social Work in Mental Health
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    ABSTRACT: Although many of the largest and best known consumer and family mental health advocacy organizations do not restrict themselves to a single diagnosis, over the last few decades an increasing number of disease-specific mental health advocacy organizations have emerged. This column describes the development of a movement advocating for consumers and families affected by borderline personality disorder (BPD) as an example of two trends in the mental health advocacy field: closer ties between advocacy and professional groups and specialization to better address the different needs created by different diagnoses. (Journal of Psychiatric Practice 2014;20:68-70).
    No preview · Article · Jan 2014
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