Borderline Personality Disorder - Science topic

During my clinical life as MD, psychiatrically I deduced that "Almost 99 % of declared child-geniuses are due to both parents are rich & borderline/schizophrenic so their child(ren) is/are genious for them forcing these children even get masters and PhD degrees in unreliable way in unaccredited institutes while at teen ages." These borderline/schizophrenic parents must be seriously treated psychiatric clinics otherwise they can ruin not just their lives but also their children severely ! Prodigiousness in childhood in music or in arts are possible, I have no doubt in that at all, but not masters (MA/MS) &/or doctorates (PhD) at chilhood !

science fiction, fantacy, animation series and movies are watched by children and a specific group of adults. does it signify any relationship with the personality type/ personality of the adult watching it?

The manual of the inventory that is available from Google search and is provided by Fredrick Coolidge on his website, doesn't mention the item numbers of Narcissism scale. One of the earlier versions of the manual indicates that the scale has 26 items. Can anybody please tell me the item numbers of Narcissism scale in CATI ?

Currently preparing a study on the relationship between Substance Abuse relapses and personality disorders , I want theories about the relapses and cognition for people relapsing, 

I've found research that creates poems from data sets, but little research that seems to use poetry written by participants as data. I am looking at poetry by those with lived experience of carrying a label of "borderline personality disorder" and the effects said labelling has on them. I need help figuring out which methodological analysis to use. Does anyone have citations of work carried out in this way?

thanks

Louisa

I was thinking on using the Zanarini Rating Scale for Borderline Personality Disorder (ZAN-BPD) but the self-report version has only 9 items (with dimensions being addressed with only 2 or 3 items) which is probably not methodologically appropriate. Any suggestions?

I am looking for research on Borderline Personality Disorder. Something within the last 5 years as this disorder comes with a lot of different points. Does anyone have suggestions where to look for research on this certain topic? I find this disorder quite fascinating.

Hello everyone,

I'm studying the link between psychopathy and self-aggression/suicide. All variables are numeric.

IV is psychopathy: 4 levels.

DV is self-aggression.

I would like to test the contribution of gender, traumatic experiences and aggressiveness.

And control age and borderline personality disorder (BDP).

I'm considering these two options:

1. Multiple regression + post hoc: First I would do a multiple regression to test the 4 levels of the IV and then analyse the contribution (moderation / mediation) of gender, traumatic experiences and aggressiveness.

2. Multiple hierarchical regression : First I would do a multiple regression to test the 4 levels of the IV. Then first model would include age and BDP, second one gender, third traumatic experiences and fourth aggressiveness. I would do 4 regressions, one for each level of the IV (psychopathy).

If the difference of R2 between model 1 and 2, 3, 4 is significant then I can report ΔR2 as the additional variance explained, hence knowing if any of the variables have an impact on self-aggression.

Thanks in advance!

Specifically short style vignettes with a story line which portray the controversial/ misunderstood features of an individual living with BPD.

Dear investigators:

¿What is your opinion about to work with the new alternative proposal of DSM-5 for obtain a screening validated instrument for borderline personality disorder using the criteria A and B or only one group A or B?

I can find psychoanalytic literature on 'BPD' of course, and I can find some feminist writings, but I'm looking for any feminist psychoanalytic literature on the phenomenon of BPD.

Novel therapeutic strategies for patients with borderline personality disorders have emerged since the last quarter of the 20th century. However, it is difficult to find evidence of the long-term outcome of the various approaches, among them schematherapy (J.Young).

Who can help me to find systematic research on evidence in this field?

I am currently in early stages of qualitative research design in the areas of perceptions and exploration of older adults . I am looking at investigating older adults with personality disorders and their experiences with Schema therapies to learn how as therapists we may then correlate it to younger patients in the life span and in addition enhance older patients quality of life

I am look to incorporate Delphi technique, qualitative questionnaire , focus groups and discussion

your thoughts in an area that is not well developed are valuable to a proof of concept or initial paper on the area of enhancing therapy for older patients and of course applying it to younger patients .

regards

Gary Darbyshire

MMgmt , MstratMktng, GradDip-CouPsych

Does anyone have any experience om working with complex trauma by NET (Narrativ exposure therapy) with a patient who also has paranoid personality disorder and borderline personality disorder? I’m looking for advice, some literature or research that could be helpful?

Currently completing a project as part of studies in Mental health of older patients at the Australian College of Applied Psychology in Sydney Australia

I am currently designing a research proposal and require to quickly secure my document for approval

Urgently looking for a minimum of 6 to 8 qualified therapists who have dealt with older patients diagnosed with borderline personality disorder for a qualitative interview and questionaiire

I need to move quickly so if you have had experience in as a therapist I would very interested in talking to you you I have a deadline to secure participants so if you are able to assist please reply as soon as possible

Your assistance in this research will benefit future therapy in the area of treating older patients who have this disorder.

And referrals welcome

My details

Ph 61 434028920

Kind Regards

Gary Darbyshire

What subtypes are present in Borderline Personality Disorder and how might they differentially impact treatment response?

Just some context - Ive read many research reports to try and determine an appropriate set of questions for my interviews but to no avail. Each set i have made however keeps getting knocked back from my supervisor. I would just like to know how i can go about finding public perception of Borderline personality disorder in a qualatative manner I.E I know what i want to ask its just finding the correct wording. Thankyou

The symptoms described by Freud were : episodic episodes of "psychosomatic" dyspnea, cough, afonia (without a medical explanation and then " conversion" symptoms ) but also : depression, " hysterical "

social withdrawal, and "taedium vitae" ( i.e. for the modern " emptiness" ? )

Dutch psychiatrist Henricus Cornelius Rumke defined a term "Praecox Gefuhl" meaning Praecox Feeling to indicate the phenomenological experience by the clinician in first few minutes of encounter with a schizophrenic patient, in order to reach a diagnosis. Though the topic is less considered in mainstream psychiatry currently, but many proponents of phenomenological approach favor the existence of such a feeling.

From the similar perspective, are there any other feelings that clinicians experience in encounters with other kinds of patients like personality disorders, or OCD or depression, or anxiety disorders? And for that matter, even childhood disorders too like autism or ADHD. I am looking for some relevant literature as well as personal experiences of clinicians, since I believe that such phenomena have not been reported often. Please share your own experiences too.

P.S. This question arose from a personal experience of a feeling of "being possessed" during the first few minutes of interviewing with a patient diagnosed with Narcissistic Personality Disorder having other Cluster B traits. I labeled this feeling, similar to Rumke's as "Gefuhl Besitz", which means "feeling possessed". I have experienced similar respective feelings with depressed/manic/OCD/Borderline personality and other patients too. There have been many repeated experiences of these feelings, quite often, which follow a pattern corresponding to similar diagnoses. That's why I am curious!!

In therapy of personality disorder , How far down in the super ego can we go to re initiate change in client therapy .What is the new divide in experiential therapy.

Please enlighten us ..

Please enlighten us .

Cheers

Gary Darbyshire MMgmt MstratMktng

Masters Student in Psychotherapy.

University of Southern Queensland ( USQ )

Key themes and identifiable areas of BPD That are unique to adults diagnosed as symptomatic of the disorder..

What is the missing link.

What more do we need to learn

I am interested to find subtle differences in presentation and other symptoms of older people with borderline personality disorder ( bpd )

As I continue my research and build my knowledge in this area I find it curious that not more work has been done in this area which would greatly assist the therapist whether they be a psychologist or counsellor in the areas of understanding the mind of an older person and therapies to assist the client more holistically in therapy

I am curious to understand if there is possible new presentations of BPD in older age , as was the case in myself as a patient the possibility symptoms that otherwise would not appear earlier .

Or are we to assume that older people have had BPD from a younger age ?

Interested in your thoughts in this area as I increase my knowledge my masters in Counselling ( Mental Health practices) at the University of Southern Queensland

Kind regards

Gary Darbyshire MMgmt MStratMktng ACA ( Australian Counselling Association) student member.

If there is any trial to more brief and treatment with reasonable cost,

I would like to get it's information. Because patients and their family are severely suffering with not so many proper specialists especially with proper cost to my knowledge.

I've been really taken with Michelle Schoenleber and Howard Berenbaum's paper on "Shame Regulation in Personality Pathology", and I'm developing a bit of a bias toward their 'solution'. But I am curious what other researchers make of the idea that dysfunctional shame processing in particular is a central or core problem for this population. What do you think (and why do you think it?)

I would like to examine the role of emotions regulation strategies for the context of stigma through subjective disease repressions and quality of life in patients with narcolepsy and cataplexy. For this purpose, I would like to use the questionnaire inventories to collect the subjectively perceived stigma caused by the disease narcolepsy and cataplexy.

I am interested in the hypotheses around the probable causes of bipolar for a personal reason

I'm working on a thesis about Borderline Personality Disorder and comoribidity with Drug Use Disorder. One purpose is to compare diagnosis made by SCID-II, SWAP-200 and PID-5. On literature I can't find how to scoring PID-5, or better, which result I have to consider pathological. For example, is it corret to consider 1-2 moderately pathological and 2-3 severely pathological? Or is the cut-off only 1.5?

We have found within our community specialist PD team there are a small number of service users who present with exceptionally high risk clinical problems, complexity and comorbidity that they cannot be safely contained and supported in community settings. Their needs are complex, and often require more intensive and in-depth assessment, reformulation and stabilisation work which cannot be safely done within a community setting or whilst on an acute inpatient ward. Such service users, when in the stage of severe chaos, self-harm or suicidality may find an acute ward too stressful and over stimulating for them, which can lead to their attempts at coping to get worse, rather than better. The tendency to regress and lose skills and abilities whilst in an acute hospital setting has been well known clinically (e.g. Paris, 2004; Bateman and Krawitz, 2013).

Current research evidence and guidance on the use of hospital admission is mostly based on expert opinion and a little empirical research. Expert opinion and guidance suggest that admissions should be avoided as far as possible, but where needed, they should be used for acute crisis management rather than chronic risks and be as brief as possible (NICE, 2009; Paris, 2004; Krawitz and Watson, 2008; Fagin, 2004). There is some evidence that brief planned admissions are no more harmful than standard treatments (Van Kessel et al, 2002). 

We are considering the development of a specialist unit where these focussed admissions may occur safely in order to stabilise service users so they are more abel to engage in evidence-based treatments in community settings.

I am looking for any empirical studies that have looked at the rate of change or symptom improvement in people with Borderline Personality Disorder, treated with Dialectical Behaviour Therapy. I am hoping there is something out there that suggests that treatment with DBT results in a faster pace of improvement in psychological symptoms, when compared to other psychotherapy or group program. TIA.

I am conducting in-depth interviews during the qualitative stage of a mixed methods scale development study. I have incorporated several elements of descriptive phenomenology; however, I am not sure which elements of context should be varied when utilizing imaginative variation, particularly when generating spontaneous probes during interviews. For instance, should I ask participants how their experiences of emptiness vary when people are present versus when participants are alone? What are the rules of thumb when choosing which elements to vary and how?

The effects of emotional invalidation & childhood abuse on BPD (leads to more primitive defense styles & endorsement of depressed mood).

I want to run a correlation between perceived history of abuse during childhood with the Defense Styles Questionnaire (DSQ) and a mood measurement (not sure which one yet) and another correlation between emotional invalidation and the DSQ and mood measurement. I want to conduct an experiment for the emotional invalidation variable. I was thinking of having participants read statements and telling them to think of their partner or someone they had strong feelings for in the past, and to imagine the statements were coming from them (if anyone has a better idea for what to tell participants please let me know). There would be 4 groups: (1) more negative "invalidating" comments than positive, (2), more positive than negative, (3) neutral comments, and (4) even distribution of positive and negative. My hypothesis is that the more emotional invalidation the participants (who will ideally be a clinical population with a diagnosis of BPD) are exposed to, their DSQ will reflect higher levels of primitive defenses and their mood assessment will reflect higher levels of negative affect than the other groups. And my second hypothesis is that higher levels of reported perceived childhood abuse will be associated with even higher levels of primitive defenses and negative affect than the participants who reported less childhood abuse. Does anyone have any opinions, thoughts, ideas?

A suicide threat has been defined as "a verbal statement or behavioral act that may indicate serious intent to kill oneself" (see link to Wedig et al., 2013). In the case of borderline personality disorder suicide threats may also be made without any intent to take one's life (see J. Paris, Half in Love with Death, 2006). Suicide threats may be contingent ("If I'm not admitted I will...") or non-contingent ("I'm going to shoot myself!") (See Lambert, M., Seven-Year Outcome of Patients Evaluated for Suicidality, Psychiatric Services, 2002, 55,1, 92-94). Threats may or may not reference a plan. Suicide threats, of any type, would seem to be the second most common forms of suicidal behavior after suicidal ideation. The overwhelming majority of threats heard daily by emergency responders, crisis centers, hot lines, rehabs, and ERs, are conditional with more intent of personal gain or manipulation than personal demise. Nonetheless, many excellent discussions of "suicidal behavior" do not address suicide threats (e.g., Nock et al., Suicide and Suicidal Behavior, Epidemiology Rev., 30,1, 133-154). There appears to be relatively little research explicitly focusing on threats as suicidal behavior

There are several treatments that are most often used to manage BPD.

Borderline personality disorder (BPD) is a serious mental illness marked by unstable moods, behavior, and relationships. In 1980, the Diagnostic and Statistical Manual for Mental Disorders, Third Edition (DSM-III) listed BPD as a diagnosable illness for the first time. Most psychiatrists and other mental health professionals use the DSM to diagnose mental illnesses.

Looking to do some research on this; any papers would be greatly appreciated. Would be preferable if they had a healthy comparison control group.

What is the key to guide patients to healing in shorter periods?

I'm looking for some articles on the level of insight individuals with personality disorders have.

Borderline Personality Disorder is very difficult to treat;working on reducing its predisposing factor may help preventing its occurrence.Since,childhood trauma has been associated with multiple psychiatric conditions, including anti-social personality disorder, my research question would be to find its association with Borderline Personality Disorder.

I have found very little research examining chronic emptiness and I have not found any information about effective treatments for alleviating it. 

If you know of any papers, specifically examining this symptom, please let me know. 

I am looking for US graduate programs and I beginning my search by finding potential research mentors. My research interests specifically encompass identity and interpersonal problems associated with borderline personality disorder.  

Are there only ten items in The Zanarini Rating Scale for Borderline Personality Disorder (ZAN-BPD)? If not, can someone tell me where I can find the full version, or send it to me? I would like to use it for my future research projects. Thank you!

I'm searching for a brief questionnaire that assesses for BPD traits or even BPD.  I'm not so interested in a dialogue about the philosophical or clinical merits of this diagnosis, however. 

I'm writing a paper on the role of the fronto-limbic network in Borderline Personality Disorder (BPD).  In line with my stereotyped notion of BPD behavior, most of the literature seems to correlate BPD with an overactive amygdala-- during various cognitive and emotional tasks, as well as in resting states.  The physiology involved is also closely linked with unprocessed trauma.

A compelling 2013 study observed fronto-limbic activity during an emotional processing task in BPD, Bipolar, and healthy control groups.  Neuro-images captured the BPD and Bipolar groups diverging from healthy controls as they got more dysregulated: they both used less of the left dl-PFC and more of the right vl-PFC.

In the Bipolar set, this activated the dm-PFC, whose limbic connections soothed the amygdala. Behaviorally, I think this means they became aware of feeling dysregulated; they consciously attended, self-soothed, and gained perspective.  In the BPD group, this didn't happen.  This makes sense, since structures along the dm-PFC pathway are implicated in the "sense of self" known to be lacking in BPD.  What they did find was that somehow, for BPD, activity in the amygdala was already diminished... suggesting a disordered bottom-up process.

I can't seem to understand this; I'm unsure of the timeline, whether there's a causal relationship between the lower left-brain activity and higher right-brain activity; and I don't understand it in the context of the vast majority of BPD/limbic literature, which seems contrasting.  However, I am curious whether perhaps even BPD amygdala activity is highly circumstantial.  Details such as where in the amygdala, which hemisphere, and what type of activity/connection, are not included here, neither are they usually specified in the literature.  I believe there may be a subtype of BPD who shows reduced amygdala function not due to co-morbidity with another PD or psychopathy, but in response to pain, and that this could be linked to developing NSSI as a coping skill.  Can anyone tell me more about this, or correct me?  Is it related to dissociation? Is it related to this article?  :)

I would really appreciate any explanations or information available about this!  Most people would probably just leave that article out of the paper, :) but somehow I feel like without it, I'm missing a crucial piece.  I've attached it for anyone willing to read-- it's very brief.  Thank you SO MUCH!

People with borderline personality disorder suffer from problems to regulate emotions and thoughts, have unstable relationships with others etc.

My question is: is it possible that a person who has a self-destructive behavior, such as substance abuse, have a depression of any range due to an emotional abandonment?

Can anyone point me to the paper or papers that demonstrated that patients diagnosed with borderline personality disorder also score highly on self-report rating scales for depression and psychosis.

A commonly noted factor causing BPD is reported to be environmental stress.  How much of a contributor is stress from the patient's immediate family in initially triggering the onset of the disease,  Until diagnosed and treated, would immediate family conflicts and tensions from reactions to the emerging behaviour symptoms further aggravate the patient's conditions ? Finally, can the patient's immediate family positively contribute to the diagnosis, treatment, recovery and rehabilitation phases.

I have two alternative hypotheses. (1) The client improves when exposed to current events, because he or she faces the reality of those events.  For example, the newspaper mentions the President of the United States. It would refute that the client suffering a delusion of grandeur would realize that they were not the President of the United States. (2) The client improves when exposed to current events, because the cleitn feels that he or she is connected to the larger world aroung him or her versus being stuck in the isolative nature.

Most therapists, mental health agencies, consider BPD untreatable.  I choose to believe that all things are possible.  Can anyone lead me to research in this area?

I am interested in knowing more about the endurance of anhedonia in BPD patients after they have suffered a depression. I can't find relevant literature on this topic, so perhaps someone here can help me out?

I work in acute mental health services and would like to do some research surrounding personality disorder and domestic violence. 

Patient type: Females aged 16+

Diagnosis: Borderline Personality Disorder preferred however all personality disorders are of interest. Suspected personality disorder are also of interest. 

Patients must have experienced some form of domestic violence (physical, sexual, financial or emotional) past or current. 

Thank you in advance, your help is greatly appreciated. 

I’m currently involved with an experimental drug protocol for treatment-resistant depression that excludes participants that have borderline personality disorder.  I was inquiring if there is a short assessment tool that helps objectively diagnose a patient with BPD? I understand that diagnosing BPD is a difficult and long process. However, for a research protocol that is time sensitive especially for screening a potential participant, does a valid test exist for BPD?

Looking for research results or clinical experiences regarding the intensive day hospital treatment of BPD patients.

My main interest would be towards psychotherapeutic approaches.

Borderline Personality Disorder (BPD) is a disorder which causes emotional instability, such as frequent anger etc.

I once got a friend who suffers BPD and shows abrupt of anger many times without sufficient reason. After reading some materials, I found that there is possible link between BPD and lack of sleep, that is the function of brain in BPD looks similar with people which have lack of sleep. I hypothesize that perhaps the serotonin level in BPD is also affected by lack of sleep.

And recently I found a paper in J. Clin. Sleep Med. 2008 which seems to support the connection between BPD and lack of quality sleep, see http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2576314/.

Does it mean that BPD can be associated with lack of sleep? Does it mean that a person who suffers BPD should increase their sleep time and also get sleep medication? Your comments are welcome.

Borderline Personality Disorder is not a diagnostic label usually used by primary care physicians in Spain. I'm not sure if this is a shortcoming or appropriate. Will more knowledge and use of the label BPD lead to better clinical management of BPD patients in primary care?

Paranoid schizophrenia is often misdiagnosed. Many times it is confused with nonspecific recurrent psychotic episodes occurring in patients with borderline or antisocial personality. This mistake involves important damage for patients diagnosed like that.

Difficulties in emotional dysregulation or relationship difficulties in BPD could diminish the capacity for the client to get involved in his (her) treatment for AD. But anxiety on the other hand could fuel distress. It is often difficult to choose priorities for treatment : AD first, then BPD (ex: DBT), or combined treatment. Any insights on that matter?

This is not an area of expertise for me, so any suggestions would be helpful.

I will use SCID II interview for borderline disorder (just borderline section), however, I need to have one or two questionnaires to give me an account of the comorbid axis I and II disorders as well.

The best data would be older data for easier IRB. I want to research in this area. I have some help but definitely need data connection. Mental hospital statistics?

Because I am not a clinician, I want to know the real case. They have a fact to often cause a problem action, in society. And they can not keep good relationship with others. For these patients, I think that person centered approach, PCA,(counseling) is effective. Also treatment is difficult in my country, and almost they depends to medication prescription.

I want to hear the real case and the the good idea of the treatment for your BPD patient.