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10 - Borderline Personality Disorder

from Part III - Individual Disorders and Clusters

Published online by Cambridge University Press:  24 February 2020

Carl W. Lejuez
Affiliation:
University of Kansas
Kim L. Gratz
Affiliation:
University of Toledo, Ohio
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Summary

Characterized by a combination of interpersonal, emotional, behavioral, and cognitive instability, borderline personality disorder (BPD) is a serious and often misunderstood condition. The prevalence of BPD is approximately 1.4 to 6%, with substantially higher estimates among psychiatric outpatients and inpatients. Beyond the personal costs of BPD in terms of suffering, BPD is strongly associated with functional impairment and high societal costs for mental healthcare. Clinical descriptions of BPD first appeared before the mid-twentieth century and have evolved to the present conceptualization of an overarching BPD construct represented by the key domains of emotion dysregulation, impulsivity, and interpersonal disturbance. BPD has a varying course, with many individuals achieving remission or recovery, but emotional and interpersonal vulnerabilities and functional impairments often persist for many years, even after structured treatment. The success of treatment for BPD over the past few decades, however, has countered common clinical lore that BPD patients are recalcitrant. Further, novel developments in research on the putative core vulnerabilities underlying BPD, as well as evidence that these vulnerabilities can be addressed in treatment, illuminate important future directions and hope for patients and loved ones affected by this disorder.

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Publisher: Cambridge University Press
Print publication year: 2020

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References

Amad, A., Ramoz, N., Thomas, P., Jardri, R., & Gorwood, P. (2014). Genetics of borderline personality disorder: Systematic review and proposal of an integrative modelNeuroscience & Biobehavioral Reviews40, 619.Google Scholar
American Psychiatric Association. (1980). Diagnostic and Statistical Manual of Mental Disorders (3rd ed.). Washington, DC: American Psychiatric Association.Google Scholar
American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.Google Scholar
Ansell, E. B., Sanislow, C. A., McGlashan, T. H., & 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, 329336.Google Scholar
Baczkowski, B. M., van Zutphen, L., Siep, N., Jacob, G. A., Domes, G., Maier, S., … Arntz, A. (2017). Deficient amygdala–prefrontal intrinsic connectivity after effortful emotion regulation in borderline personality disorder. European Archives of Psychiatry and Clinical Neuroscience, 267, 551565.CrossRefGoogle ScholarPubMed
Baker-Glenn, E., Steels, M., & Evans, C. (2010). Use of psychotropic medication among psychiatric out-patients with personality disorderThe Psychiatrist34(3), 8386.Google Scholar
Barlow, D. H., Allen, L. B., & Choate, M. L. (2004). Toward a unified treatment for emotional disorders. Behavior Therapy, 35(2), 205230.CrossRefGoogle Scholar
Barnicot, K., Katskou, C., Bhatti, N., Fearns, N., & Priebe, S. (2012). Factors predicting the outcome of psychotherapy for borderline personality disorder: A systematic review. Clinical Psychology Review, 32(5), 400412.Google Scholar
Baron, M., Gruen, R., Asnis, L., & Lord, S. (1985). Familial transmission of schizotypal and borderline personality disordersAmerican Journal of Psychiatry, 142(8), 927934.Google Scholar
Bateman, A., & Fonagy, P. (1999). Effectiveness of partial hospitalization in the treatment of borderline personality disorder: A randomized controlled trial. American Journal of Psychiatry, 156(10), 15631569.CrossRefGoogle ScholarPubMed
Bateman, A., & Fonagy, P. (2001). Treatment of borderline personality disorder with psychoanalytically oriented partial hospitalization: An 18-month follow-upAmerican Journal of Psychiatry158(1), 3642.Google Scholar
Bateman, A., & Fonagy, P. (2003). Health service utilization costs for borderline personality disorder patients treated with psychoanalytically oriented partial hospitalization versus general psychiatric care. American Journal of Psychiatry, 160(1), 169171.Google Scholar
Bateman, A., & Fonagy, P. (2006). Mentalization-Based Treatment for Borderline Personality Disorder: A Practical Guide. New York: Oxford University Press.CrossRefGoogle Scholar
Bateman, A., & Fonagy, P. (2008). Eight-year follow-up of patients treated for borderline personality disorder: Mentalization-based treatment versus treatment as usualAmerican Journal of Psychiatry165(5), 631638.CrossRefGoogle Scholar
Bateman, A., & Fonagy, P. (2009). Randomized controlled trial of outpatient mentalization-based treatment versus structured clinical management for borderline personality disorderAmerican Journal of Psychiatry166(12), 13551364.CrossRefGoogle ScholarPubMed
Bender, D. S., Skodol, A. E., Pagano, M. E., Dyck, I. R., Grilo, C. M., Shea, M. T., … Gunderson, J. G. (2006). Prospective assessment of treatment use by patients with personality disordersPsychiatric Services57, 254257.Google Scholar
Black, D. W., Blum, N., Pfohl, B., & Hale, N. (2004). Suicidal behavior in borderline personality disorder: Prevalence, risk factors, prediction, and preventionJournal of Personality Disorders, 18, 226239.CrossRefGoogle ScholarPubMed
Blum, N., St. John, D., Pfohl, B., Stuart, S., McCormick, B., Allen, J., … 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-upAmerican Journal of Psychiatry165, 468478.Google Scholar
Bos, E. H., van Wel, E. B., Appelo, M. T., & Verbraak, M. J. (2010). A randomized controlled trial of a Dutch version of systems training for emotional predictability and problem solving for borderline personality disorderJournal of Nervous and Mental Disease198(4), 299304.CrossRefGoogle ScholarPubMed
Brown, M. Z., Comtois, K. A., & Linehan, M. M. (2002). Reasons for suicide attempts and non-suicidal self-injury in women with borderline personality disorder. Journal of Abnormal Psychology, 111, 198202.Google Scholar
Chambless, D. L., & Hollon, S. D. (1998). Defining empirically supported therapiesJournal of Consulting and Clinical Psychology66, 718.Google Scholar
Chanen, A. M., Jackson, H. J., McGorry, P. D., Allot, K. A., Clarkson, V., & Yuen, H. P. (2004). Two-year stability of personality disorder in older adolescent outpatients. Journal of Personality Disorders, 18, 526541.Google Scholar
Chanen, A. M., Jovev, M., McCutcheon, L. K., Jackson, H. J., & McGorry, P. D. (2008). Borderline personality disorder in young people and the prospects for prevention and early intervention. Current Psychiatry Reviews, 4, 4857.Google Scholar
Chanen, A. M., & McCutcheon, L. (2013). Prevention and early intervention for borderline personality disorder: Current status and recent evidenceBritish Journal of Psychiatry202, 2429.CrossRefGoogle Scholar
Chapman, A. L. (2009). Borderline personality disorder. In Abramowitz, J. S., McKay, D., & Taylor, S. (Eds.), The Expanded Scope of Cognitive-Behavior Therapy: Lessons Learned from Refractory Cases (pp. 347367). Washington, DC: American Psychological Association.Google Scholar
Chapman, A. L. (2019a). Borderline personality disorder and emotion dysregulation. Development and Psychopathology, 31, 11431156.CrossRefGoogle ScholarPubMed
Chapman, A. L. (2019b). Phone Coaching in Dialectical Behavior Therapy. New York: Guilford Press.Google Scholar
Chapman, A. L., Dixon-Gordon, K. L., Layden, B. K., & Walters, K. N. (2010). Borderline personality features moderate the effect of a fear induction on impulsivityPersonality Disorders: Theory, Research, and Treatment1, 139152.CrossRefGoogle ScholarPubMed
Chapman, A. L., Dixon-Gordon, K. L., Walters, K. N., & Butler, S. M. (2015). Emotional reactivity to social rejection versus a frustration induction among persons with borderline personality featuresPersonality Disorders: Theory, Research, and Treatment6, 8896.CrossRefGoogle ScholarPubMed
Chapman, A. L., & Gratz, K. L. (2007). The Borderline Personality Disorder Survival Guide: Everything You Need to Know About Living with BPD. Oakland, CA: New Harbinger Publications.Google Scholar
Chapman, A. L., & Hope, N. H. (in press). Dialectical behaviour therapy and treatment of emotion dysregulation. In Beauchaine, T. & Crowell, S. (Eds.), The Oxford Handbook of Emotion Dysregulation.Google Scholar
Chapman, A. L., Walters, K. N., & Gordon, K. L. (2014). Emotional reactivity to social rejection and negative evaluation among persons with borderline personality featuresJournal of Personality Disorders28, 720733.Google Scholar
Choi-Kain, L. W., Finch, E. F., Masland, S. R., Jenkins, J. A., & Unruh, B. T. (2017). What works in the treatment of borderline personality disorderCurrent Behavioral Neuroscience Reports4, 2130.Google Scholar
Clarkin, J. F., Hull, J. W., & Hurt, S. W. (1993). Factor structure of borderline personality disorder criteriaJournal of Personality Disorders, 7(2), 137143.CrossRefGoogle Scholar
Clarkin, J. F., Levy, K. N., Lenzenweger, M. F., & Kernberg, O. F. (2007). Evaluating three treatments for borderline personality disorder: A multiwave studyAmerican Journal of Psychiatry164, 922928.Google Scholar
Cloitre, M., Garvert, D. W., Weiss, B., Carlson, E. B., & Bryant, R. A. (2014). Distinguishing PTSD, complex PTSD, and borderline personality disorder: A latent class analysisEuropean Journal of Psychotraumatology5, 10.CrossRefGoogle ScholarPubMed
Cohen, P., Crawford, T. N., Johnson, J. G., & Kasen, S. (2005). The Children in the Community study of developmental course of personality disorderJournal of Personality Disorders19, 466486.Google Scholar
Comtois, K. A., Elwood, L., Holdcraft, L. C., Smith, W. R., & Simpson, T. L. (2007). Effectiveness of dialectical behavior therapy in a community mental health centerCognitive and Behavioral Practice14, 406414.Google Scholar
Crowell, S. E., Beauchaine, T. P., & Linehan, M. M. (2009). A biosocial developmental model of borderline personality: Elaborating and extending Linehan’s theoryPsychological Bulletin135(3), 495510.Google Scholar
Distel, M. A., Middeldorp, C. M., Trull, T. J., Derom, C. A., Willemsen, G., & Boomsma, D. I. (2011). Life events and borderline personality features: The influence of gene–environment interaction and gene–environment correlationPsychological Medicine41(4), 849860.Google Scholar
Distel, M. A., Trull, T. J., Derom, C. A., Thiery, E. W., Grimmer, M. A., Martin, N. G., … Boomsma, D. I. (2008). Heritability of borderline personality disorder features is similar across three countriesPsychological Medicine38(9), 12191229.Google Scholar
Doering, S., Hörz, S., Rentrop, M., Fischer-Kern, M., Schuster, P., Benecke, C., … Buchheim, P. (2010). Transference-focused psychotherapy v. treatment by community psychotherapists for borderline personality disorder: Randomised controlled trialBritish Journal of Psychiatry196(5), 389395.Google Scholar
Donegan, N. H., Sanislow, C. A., Blumberg, H. P., Fulbright, R. K., Lacadie, C., Skudlarski, P., … Wexler, B. E. (2003). Amygdala hyperreactivity in borderline personality disorder: Implications for emotional dysregulationBiological Psychiatry54, 12841293.CrossRefGoogle ScholarPubMed
Ellison, N., Mason, O., & Scior, K. (2013). Bipolar disorder and stigma: A systematic review of the literatureJournal of Affective Disorders151(3), 805820.Google Scholar
Fairburn, C. G., Cooper, Z., & Shafran, R. (2003). Cognitive behaviour therapy for eating disorders: A “transdiagnostic” theory and treatment. Behavior Research and Therapy, 41, 509528.Google Scholar
Fonagy, P., Rossouw, T., Sharp, C., Bateman, A., Allison, L., & Farrar, C. (2014). Mentalization-based treatment for adolescents with borderline traits. In Sharp, C. & Tackett, J. (Eds.), Handbook of Borderline Personality Disorder in Children and Adolescents (pp. 313332). New York: Springer.Google Scholar
Ford, J. D., & Courtois, C. A. (2014). Complex PTSD, affect dysregulation, and borderline personality disorder. Borderline Personality Disorder and Emotion Dysregulation, 1(9).Google Scholar
Frankenburg, F. R., Fitzmaurice, G. M., & Zanarini, M. C. (2014). The use of prescription opioid medication by patients with borderline personality disorder and axis II comparison subjects: A 10-year follow-up studyJournal of Clinical Psychiatry75(4), 357361.Google Scholar
Friedel, R. O. (2004). Borderline Personality Disorder DemystifiedNew York: Marlowe & Company.Google Scholar
Gibbons, M. B. C., Crits-Christophe, P., Barber, J. P., Stirman, S. W., Gallop, R., Goldstein, L. A., … Ring-Kurtz, S. (2010). Unique and common mechanisms of change across cognitive and dynamic psychotherapies. Journal of Consulting and Clinical Psychology, 77, 801813.Google Scholar
Giesen-Bloo, J., Van Dyck, R., Spinhoven, P., Van Tilburg, W., Dirksen, C., Van Asselt, T., … Arntz, A. (2006). Outpatient psychotherapy for borderline personality disorder: Randomized trial of schema-focused therapy vs transference-focused psychotherapyArchives of General Psychiatry63, 649658.Google Scholar
Glenn, C. R., & Klonsky, E. D. (2009) Emotion dysregulation as a core feature of borderline personality disorder. Journal of Personality Disorders, 23, 2028.Google Scholar
Goodman, M., Carpenter, D., Tang, C. Y., Goldstein, K. E., Avedon, J., Fernandez, N., … Hazlett, E. A. (2014). Dialectical behavior therapy alters emotion regulation and amygdala activity in patients with borderline personality disorderJournal of Psychiatric Research57, 108116.CrossRefGoogle ScholarPubMed
Grant, B. F., Chou, S. P., Goldstein, R. B., Huang, B., Stinson, F. S., Saha, T. D., … Ruan, W. J. (2008). Prevalence, correlates, disability, and comorbidity of DSM-IV borderline personality disorder: Results from the Wave 2 National Epidemiologic Survey on Alcohol and Related ConditionsJournal of Clinical Psychiatry69(4), 533545.CrossRefGoogle ScholarPubMed
Gratz, K. L., & Gunderson, J. G. (2006). Preliminary data on an acceptance-based emotion regulation group intervention for deliberate self-harm among women with borderline personality disorderBehavior Therapy37(1), 2535.CrossRefGoogle Scholar
Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scaleJournal of Psychopathology and Behavioral Assessment26(1), 4154.Google Scholar
Gratz, K. L., & Tull, M. T. (2011). Extending research on the utility of an adjunctive emotion regulation group therapy for deliberate self-harm among women with borderline personality pathologyPersonality Disorders: Theory, Research, and Treatment2(4), 316326.Google Scholar
Gratz, K. L., Tull, M. T., & Levy, R. (2014). Randomized controlled trial and uncontrolled 9-month follow-up of an adjunctive emotion regulation group therapy for deliberate self-harm among women with borderline personality disorderPsychological Medicine44(10), 20992112.Google Scholar
Grinker, R., Werble, B., & Drye, R. (1968). The Borderline Syndrome. New York: Basic Books.Google Scholar
Gunderson, J. G. (2001). Borderline Personality Disorder: A Clinical Guide. Washington, DC: American Psychiatric Publishing.Google Scholar
Gunderson, J. G. (2007). Disturbed relationships as a phenotype for borderline personality disorder (commentary). American Journal of Psychiatry, 164, 16371640.Google Scholar
Gunderson, J. G. (2009). Borderline personality disorder: Ontogeny of a diagnosis. American Journal of Psychiatry, 166, 530539.CrossRefGoogle ScholarPubMed
Gunderson, J. G. (2010). Revising the borderline diagnosis for DSM-V: An alternative proposalJournal of Personality Disorders24(6), 694708.CrossRefGoogle ScholarPubMed
Gunderson, J. G. (2014). Handbook of Good Psychiatric Management for Borderline Personality Disorder. Washington, DC: American Psychiatric Publishing.Google Scholar
Gunderson, J. G. (2016). The emergence of a generalist model to meet public health needs for patients with borderline personality disorderAmerican Journal of Psychiatry173, 452458.CrossRefGoogle ScholarPubMed
Gunderson, J. G., & Kolb, J. E. (1978). Discriminating features of borderline patients. American Journal of Psychiatry, 135, 792796.Google Scholar
Gunderson, J. G., & Phillips, K. A. (1991). A current view of the interface between borderline personality disorder and depression. American Journal of Psychiatry, 148, 967975.Google Scholar
Gunderson, J. G., & Singer, M. T. (1975). Defining borderline patients: An overview. American Journal of Psychiatry, 132, 110.Google Scholar
Helgeland, M. I., & Torgersen, S. (2004). Developmental antecedents of borderline personality disorderComprehensive Psychiatry45, 138147.Google Scholar
Herpertz, S. C., Dietrich, T. M., Wenning, B., Krings, T., Erberich, S. G., Willmes, K., … Sass, H. (2001). Evidence of abnormal amygdala functioning in borderline personality disorder: A functional MRI studyBiological Psychiatry50, 292298.Google Scholar
Hurt, S. W., Hyler, S. E., Frances, A., Clarkin, J. F., & Brent, R. (1989). Assessing borderline personality disorder with self-report, clinical interview, or semistructured interview. American Journal of Psychiatry, 141, 12281231.Google Scholar
Jackson, H. J., & Burgess, P. M. (2004). Personality disorders in the community: results from the Australian National Survey of Mental Health and Well-being Part III. Relationships between specific type of personality disorder, Axis I mental disorders and physical conditions with disability and health consultations. Social Psychiatry & Psychiatric Epidemiology, 39, 765776.Google Scholar
Jørgensen, C. R., Freund, C., Bøye, R., Jordet, H., Andersen, D., & Kjølbye, M. (2013). Outcome of mentalization‐based and supportive psychotherapy in patients with borderline personality disorder: A randomized trialActa Psychiatrica Scandinavica127, 305317.Google Scholar
Jørgensen, C. R., Kjølbye, M., Freund, C., Bøye, R., Jordet, H., & Andersen, D. (2009). Level of functioning in patients with borderline personality disorder: The Risskov-I studyNordic Psychology61, 4260.CrossRefGoogle Scholar
Kaess, M., Brunner, R., & Chanen, A. (2014). Borderline personality disorder in adolescence. Pediatrics, 134(4), 782793.Google Scholar
Kernberg, O. F. (1967). Borderline personality organization. Journal of the American Psychoanalytic Association, 15(3), 641685.Google Scholar
Kernberg, O. F. (1968). The treatment of patients with borderline personality organization. International Journal of Psychoanalysis, 49, 600619.Google Scholar
Kernberg, O. F. (1975). Borderline Conditions and Pathological Narcissism. New York: Jason Aronson.Google Scholar
Knappich, M., Hörz-Sagstetter, S., Schwerthöffer, D., Leucht, S., & Rentrop, M. (2014). Pharmacotherapy in the treatment of patients with borderline personality disorder: Results of a survey among psychiatrists in private practicesInternational Clinical Psychopharmacology29(4), 224228.CrossRefGoogle ScholarPubMed
Knight, R. P. (1953). Borderline states. Bulletin of the Menninger Clinic, 17(1), 112.Google ScholarPubMed
Koenigsberg, H. W., Fan, J., Ochsner, K. N., Liu, X., Guise, K. G., Pizzarello, S., … New, A. (2009). Neural correlates of the use of psychological distancing to regulate responses to negative social cues: A study of patients with borderline personality disorderBiological Psychiatry66(9), 854863.CrossRefGoogle ScholarPubMed
Koons, C. R., Chapman, A. L., Betts, B. B., O’Rourke, B., Morse, N., & Robins, C. J. (2006). Dialectical behavior therapy adapted for the vocational rehabilitation of significantly disabled mentally ill adultsCognitive and Behavioral Practice13, 146156.Google Scholar
Krause-Utz, A., Winter, D., Niedtfeld, I., & Schmahl, C. (2014). The latest neuroimaging findings in borderline personality disorderCurrent Psychiatry Reports16(3), 438450.Google Scholar
Larrivée, M.-P. (2013). Borderline personality disorder in adolescents: the He-who-must-not-be-named of psychiatryDialogues in Clinical Neuroscience15(2), 171179.CrossRefGoogle ScholarPubMed
Leichsenring, F., Leibing, E., Kruse, J., New, A. S., & Leweke, F. (2011). Borderline personality disorderThe Lancet377, 7484.CrossRefGoogle ScholarPubMed
Lenzenweger, M. F., Lane, M. C., Loranger, A. W., & Kessler, R. C. (2007). DSM-IV personality disorders in the National Comorbidity Survey replication. Biological Psychiatry, 62, 553564.Google Scholar
Lieb, K., Völlm, B., Rücker, G., Timmer, A., & Stoffers, J. M. (2010). Pharmacotherapy for borderline personality disorder: Cochrane systematic review of randomised trialsBritish Journal of Psychiatry196(1), 412.Google Scholar
Lieb, K., Zanarini, M. C., Schmahl, C., Linehan, M. M., & Bohus, (2004). Borderline personality disorder. Lancet, 364, 453461.CrossRefGoogle ScholarPubMed
Linehan, M. M. (1993a). Cognitive-Behavioral Treatment of Borderline Personality Disorder. New York: Guilford Press.Google Scholar
Linehan, M. M. (1993b). Skills Training Manual for Treating Borderline Personality Disorder. New York: Guilford Press.Google Scholar
Linehan, M. M. (2014). DBT Skills Training Manual. New York: Guilford Press.Google Scholar
Linehan, M. M., Armstrong, H. E., Suarez, A., Allmon, D., & Heard, H. (1991). Cognitive behavioral treatment of chronically parasuicidal borderline patients. Archives of General Psychiatry, 48 , 10601064.Google Scholar
Linehan, M. M., & Heard, H. L. (1999). Borderline personality disorder: Costs, course, and treatment outcomes. In Miller, N. & Magruder, K. (Eds). The Cost-Effectiveness of Psychotherapy: A Guide for Practitioners, Researchers and Policy Makers (pp. 291305). New York: Oxford University Press.Google Scholar
Links, P.S., Heslegrave, R., & van Reekum, R. (1999). Impulsivity: Core aspect of borderline personality disorder. Journal of Personality Disorders, 12, 19.Google Scholar
Links, P. S., Steiner, M., & Huxley, G. (1988). The occurrence of borderline personality disorder in the families of borderline patientsJournal of Personality Disorders2(1), 1420.Google Scholar
Loranger, A. W., Oldham, J. M., & Tulis, E. H. (1982). Familial transmission of DSM-III borderline personality disorderArchives of General Psychiatry39(7), 795799.CrossRefGoogle ScholarPubMed
Manning, S. (2011). Loving Someone with Borderline Personality Disorder. New York: Guilford Press.Google Scholar
Masterson, J. (1972). Treatment of the Borderline Adolescent: A Developmental Approach. New York: John Wiley & Sons.Google Scholar
McCloskey, M. S., New, A. S., Siever, L. J., Goodman, M., Koenigsberg, H. W., Flory, J. D., & Coccaro, E. F. (2009). Evaluation of behavioral impulsivity and aggression tasks as endophenotypes for borderline personality disorderJournal of Psychiatric Research43(12), 10361048.CrossRefGoogle ScholarPubMed
McMain, S. F., Guimond, T., Barnhart, R., Habinski, L., & Streiner, D. L. (2017). A randomized trial of brief dialectical behaviour therapy skills training in suicidal patients suffering from borderline disorderActa Psychiatrica Scandinavica135, 138148.Google Scholar
McMain, S. F., Links, P. S., Gnam, W. H., Guimond, T., Cardish, R. J., Korman, L., & Streiner, D. L. (2009). A randomized trial of dialectical behavior therapy versus general psychiatric management for borderline personality disorderAmerican Journal of Psychiatry166, 13651374.Google Scholar
McMain, S., & Pos, A. E. (2007). Advances in psychotherapy of personality disorders: A research updateCurrent Psychiatry Reports9(1), 4652.Google Scholar
Mehlum, L., Tørmoen, A. J., Ramberg, M., Haga, E., Diep, L. M., Laberg, S., … Grøholt, B. (2014). Dialectical behavior therapy for adolescents with repeated suicidal and self-harming behavior: A randomized trialJournal of the American Academy of Child & Adolescent Psychiatry53, 10821091.Google Scholar
Miller, A. L., Muehlenkamp, J. J., & Jacobson, C. M. (2008). Fact or fiction: Diagnosing borderline personality disorder in adolescents. Clinical Psychology Review, 28(6), 969981.CrossRefGoogle ScholarPubMed
Millon, T., Grossman, S., & Meagher, S. E. (2004). Masters of the Mind: Exploring the Story of Mental Illness from Ancient Times to the New MillenniumNew York: John Wiley & Sons.Google Scholar
Minzenberg, M. J., Fan, J., New, A. S., Tang, C. Y., & Siever, L. J. (2007). Fronto-limbic dysfunction in response to facial emotion in borderline personality disorder: An event-related fMRI studyPsychiatry Research: Neuroimaging155(3), 231243.CrossRefGoogle ScholarPubMed
Morey, L. C., Warner, M. B., Shea, M. T., Gunderson, J. G., Sanislow, C. A., Grilo, C., … McGlashan, T. H. (2003). The representation of four personality disorders by the schedule for nonadaptive and adaptive personality dimensional model of personalityPsychological Assessment15(3), 326332.Google Scholar
National Collaborating Centre for Mental Health (NICE). (2009). Borderline Personality Disorder: Treatment and Management. London: The British Psychological Society and The Royal College of Psychiatrists.Google Scholar
National Health and Medical Research Council (NHMRC). (2012). Clinical Practice Guideline for the Management of Borderline Personality Disorder. Melbourne: National Health and Medical Research Council.Google Scholar
Neacsiu, A. D., Eberle, J. W., Kramer, R., Wiesmann, T., & Linehan, M. M. (2014). Dialectical behavior therapy skills for transdiagnostic emotion dysregulation: A pilot randomized controlled trialBehaviour Research and Therapy59, 4051.Google Scholar
Neacsiu, A. D., Rizvi, S. L., & Linehan, M. M. (2010). Dialectical behavior therapy skills use as a mediator and outcome of treatment for borderline personality disorderBehaviour Research and Therapy48(9), 832839.Google Scholar
O’Toole, S. K., Diddy, E., & Kent, M. (2011). Mindfulness and emotional well-being in women with borderline personality disorder. Mindfulness, 3, 117123.Google Scholar
Paris, J. (1998). Does childhood trauma cause personality disorders in adults?  Canadian Journal of Psychiatry43(2), 148153.Google Scholar
Paris, J. (2002). Commentary on the American Psychiatric Association guidelines for the treatment of borderline personality disorder: Evidence-based psychiatry and the quality of evidenceJournal of Personality Disorders16(2), 130134.Google Scholar
Paris, J., & Zweig-Frank, H. (2001). A 27-year follow-up of patients with borderline personality disorder. Comprehensive Psychiatry, 42(6), 482487.CrossRefGoogle ScholarPubMed
Paris, J., Zweig-Frank, H., & Guzder, J. (1994). Psychological risk factors for borderline personality disorder in female patientsComprehensive Psychiatry35(4), 301305.Google Scholar
Perepletchikova, F., Nathanson, D., Axelrod, S. R., Merrill, C., Walker, A., Grossman, M., … Walkup, J. (2017). Randomized clinical trial of dialectical behavior therapy for preadolescent children with disruptive mood dysregulation disorder: Feasibility and outcomesJournal of the American Academy of Child & Adolescent Psychiatry56, 832840.Google Scholar
Perroud, N., Uher, R., Dieben, K., Nicastro, R., & Huguelet, P. (2010). Predictors of response and drop-out during intensive dialectical behavior therapy. Journal of Personality Disorders, 24(5), 634650.Google Scholar
Perry, J. C., Herman, J. L., Van Der Kolk, B. A., & Hoke, L. A. (1990). Psychotherapy and psychological trauma in borderline personality disorderPsychiatric Annals20(1), 3343.Google Scholar
Pope, H. G., Jonas, J. M., Hudson, J. I., Cohen, B. M., & Gunderson, J. G. (1983). The validity of DSM-III borderline personality disorder: A phenomenologic, family history, treatment response, and long-term followup study. Archives of General Psychiatry, 40, 2330.CrossRefGoogle Scholar
Rosenthal, M. Z., Gratz, K. L., Kosson, D. S., Cheavens, J. S., Lejuez, C. W., & Lynch, T. R. (2008). Borderline personality disorder and emotional responding: A review of the research literature. Clinical Psychology Review, 28, 7591.Google Scholar
Rossouw, T. I., & Fonagy, P. (2012). Mentalization-based treatment for self-harm in adolescents: A randomized controlled trialJournal of the American Academy of Child & Adolescent Psychiatry51, 13041313.Google Scholar
Rottman, B. M., Ahn, W. K., Sanislow, C. A., & Kim, N. S. (2009). Can clinicians recognize DSM-IV personality disorders from five-factor model descriptions of patient cases? American Journal of Psychiatry166(4), 427433.Google Scholar
Rottman, B. M., Kim, N. S., Ahn, W. K., & Sanislow, C. A. (2011). Can personality disorder experts recognize DSM-IV personality disorders from five-factor model descriptions of patient cases?  Journal of Clinical Psychiatry72(5), 630639.CrossRefGoogle ScholarPubMed
Rudge, S., Feigenbaum, J. D., & Fonagy, P. (2017). Mechanisms of change in dialectical behaviour therapy and cognitive behaviour therapy for borderline personality disorder: A critical review of the literature. Journal of Mental Health. doi:10.1080/09638237.2017.1322185Google Scholar
Sahlin, H., Bjureberg, J., Gratz, K. L., Tull, M. T., Hedman, E., Bjärehed, J., … Hellner, C. (2017). Emotion regulation group therapy for deliberate self-harm: A multi-site evaluation in routine care using an uncontrolled open trial designBMJ Open7, e016220. doi: 10.1136/bmjopen-2017-016220CrossRefGoogle ScholarPubMed
Samuel, D. B., Sanislow, C. A., Hopwood, C. J., Shea, M. T., Skodol, A. E., Morey, L. C., … Grilo, C. M. (2013). Convergent and incremental predictive validity of clinician, self-report, and structured interview diagnoses for personality disorders over 5 yearsJournal of Consulting and Clinical Psychology81(4), 650659.Google Scholar
Sanislow, C. A., Grilo, C. M., & McGlashan, T. H. (2000). Factor analysis of the DSM-III-R borderline personality disorder criteria in psychiatric inpatients. American Journal of Psychiatry, 157, 16291633.Google Scholar
Sanislow, C. A., Grilo, C. M., Morey, L. C., Bender, D. S., Skodol, A. E., Gunderson, J. G., … McGlashan, T. H. (2002). Confirmatory factor analysis of DSM-IV criteria for borderline personality disorder: Findings from the collaborative longitudinal personality disorders studyAmerican Journal of Psychiatry159(2), 284290.Google Scholar
Sansone, R. A., Farukhi, S., & Wiederman, M. W. (2011). Utilization of primary care physicians in borderline personality. General Hospital Psychiatry, 33(4), 343346.CrossRefGoogle ScholarPubMed
Sar, V., Akyuz, G., Kugu, N., Ozturk, E., & Ertem-Vehid, H. (2006). Axis I dissociative disorder comorbidity in borderline personality disorder and reports of childhood trauma. Journal of Clinical Psychiatry, 67, 15831590.Google Scholar
Schmahl, C. G., Vermetten, E., Elzinga, B. M., & Bremner, J. D. (2003). Magnetic resonance imaging of hippocampal and amygdala volume in women with childhood abuse and borderline personality disorderPsychiatry Research: Neuroimaging122(3), 193198.CrossRefGoogle ScholarPubMed
Schmahl, C. G., Vermetten, E., Elzinga, B. M., & Bremner, J. D. (2004). A positron emission tomography study of memories of childhood abuse in borderline personality disorderBiological Psychiatry55(7), 759765.CrossRefGoogle ScholarPubMed
Schmitt, R., Winter, D., Niedtfeld, I., Herpertz, S. C., & Schmahl, C. (2016). Effects of psychotherapy on neuronal correlates of reappraisal in female patients with borderline personality disorder. Biological Psychiatry: Cognitive Neuroscience and Neuroimaging, 1, 548557.Google Scholar
Schulze, L., Schmahl, C., & Niedtfeld, I. (2016). Neural correlates of disturbed emotion processing in borderline personality disorder: A multimodal meta-analysis. Biological Psychiatry, 79, 97106.Google Scholar
Sebastian, A., Pohl, M. F., Klöppel, S., Feige, B., Lange, T., Stahl, C., … Tüscher, O. (2013). Disentangling common and specific neural subprocesses of response inhibition. NeuroImage, 24, 601615.Google Scholar
Siever, L. J., Torgersen, S., Gunderson, J. G., Livesley, W. J., & Kendler, K. S. (2002). The borderline diagnosis III: Identifying endophenotypes for genetic studiesBiological Psychiatry51(12), 964968.Google Scholar
Silk, K. R., Eisner, W., Allport, C., Demars, C., Miller, C., Justice, R. W., & Lewis, M. (1994). Focused time-limited inpatient treatment of borderline personality disorder. Journal of Personality Disorders, 8, 268278.Google Scholar
Silvers, J. A., Hubbard, A. D., Biggs, E., Shu, J., Fertuck, E., Chaudhury, S., … Brodsky, B. S. (2016). Affective lability and difficulties with regulation are differentially associated with amygdala and prefrontal response in women with borderline personality disorderPsychiatry Research: Neuroimaging254, 7482.Google Scholar
Skodol, A. E., Buckley, P., & Charles, E. (1983). Is there a characteristic pattern to the treatment history of clinic outpatients with borderline personality? Journal of Nervous and Mental Disease, 171, 405410.CrossRefGoogle Scholar
Skodol, A. E., Siever, L. J., Livesley, W. J., Gunderson, J. G., Pfohl, B., & Widiger, T. A. (2002). The borderline diagnosis II: Biology, genetics and clinical course. Society of Biological Psychiatry, 51, 951963.Google Scholar
Soloff, P. H., & Chiappetta, L. (2017). Suicidal behavior and psychosocial outcome in borderline personality disorder at 8-year follow-upJournal of Personality Disorders31(6), 774789.Google Scholar
Stepp, S. D., Burke, J. D., Hipwell, A. E., & Loeber, R. (2012). Trajectories of attention deficit hyperactivity disorder and oppositional defiant disorder symptoms as precursors of borderline personality disorder symptoms in adolescent girlsJournal of Abnormal Child Psychology40(1), 720.Google Scholar
Stepp, S. D., Epler, A. J., Jahng, S., & Trull, T. J. (2008). The effect of dialectical behavior therapy skills use on borderline personality disorder featuresJournal of Personality Disorders22(6), 549563.Google Scholar
Stepp, S. D., & Pilkonis, P. A. (2008). Age-related differences in individual DSM criteria for borderline personality disorderJournal of Personality Disorders22(4), 427432.CrossRefGoogle ScholarPubMed
Stern, A. (1938) Psychoanalytic investigation of and therapy in the borderline group of neurosesThe Psychoanalytic Quarterly, 7467489.Google Scholar
Stoffers, J. M., & Lieb, K. (2015). Pharmacotherapy for borderline personality disorder: Current evidence and recent trendsCurrent Psychiatry Reports17(534) 111.Google Scholar
Stoffers, J. M., Voellm, B. A., Rücker, G., Timmer, A., Huband, N., & Lieb, K. (2012). Psychological therapies for people with borderline personality disorder. The Cochrane Library. doi: 10.1002/14651858.CD005652.pub2Google Scholar
Stone, M. H. (1993). Long-term outcome in personality disordersBritish Journal of Psychiatry162(3), 299313.Google Scholar
Thomsen, M. S., Ruocco, A. C., Uliaszek, A. A., Mathiesen, B. B., & Simonsen, E. (2017). Changes in neurocognitive functioning after 6 months of mentalization-based treatment for borderline personality disorderJournal of Personality Disorders31(3), 306324.Google Scholar
Torgersen, S., Lygren, S., Øien, P. A., Skre, I., Onstad, S., Edvardsen, J., … Kringlen, E. (2000). A twin study of personality disordersComprehensive Psychiatry41(6), 416425.Google Scholar
Trippany, R. L., Helm, H. M., & Simpson, L. (2006). Trauma reenactment: Rethinking borderline personality disorder when diagnosing sexual abuse survivors. Journal of Mental Health Counseling, 28(2), 95110.Google Scholar
Trull, T. J. (2001). Structural relations between borderline personality disorder features and putative etiological correlatesJournal of Abnormal Psychology110(3), 471481.Google Scholar
Trull, T. J., Distel, M. A., & Carpenter, R. W. (2011). DSM-5 borderline personality disorder: At the border between a dimensional and a categorical view. Current Psychiatry Reports, 13(1), 4349.Google Scholar
Turner, B. J., Austin, S. B., & Chapman, A. L. (2014). Treating nonsuicidal self-injury: A systematic review of psychological and pharmacological interventionsCanadian Journal of Psychiatry59, 576585.Google Scholar
Tyrer, P., & Bateman, A. W. (2004). Drug treatment for personality disordersAdvances in Psychiatric Treatment10(5), 389398.Google Scholar
Tyrer, P., Crawford, M., Mulder, R., & the ICD-11 Working Group for the Revision of Classification of Personality Disorders (2011). Reclassifying personality disorders. Lancet, 377, 18141815.Google Scholar
Van Busschbach, J (2012). Health economics and borderline personality disorders: Methods, arguments and perspectives. Paper presented at The 2nd International congress on Borderline Personality Disorder and Allied Disorders, Amsterdam, Netherlands.Google Scholar
van der Kolk, B. A., Pelcovitz, D., Roth, S., & Mandel, F. S. (1996). Dissociation, somatization, and affect dysregulation: The complexity of adaption to trauma. American Journal of Psychiatry, 153, 8393.Google Scholar
van Elst, L. T., Hesslinger, B., Thiel, T., Geiger, E., Haegele, K., Lemieux, L., … Ebert, D. (2003). Frontolimbic brain abnormalities in patients with borderline personality disorder: A volumetric magnetic resonance imaging studyBiological Psychiatry54(2), 163171.Google Scholar
Westen, D., Ludolph, P., Misle, B., Ruffins, S., & Block, J. (1990). Physical and sexual abuse in adolescent girls with borderline personality disorder. American Journal of Orthopsychiatry, 60(1), 5566.Google Scholar
White, C. N., Gunderson, J. G., Zanarini, M. C., & Hudson, J. I. (2003). Family studies of borderline personality disorder: A reviewHarvard Review of Psychiatry11(1), 819.Google Scholar
Winograd, G., Cohen, P., & Chen, H. (2008). Adolescent borderline symptoms in the community: Prognosis for functioning over 20 years. Journal of Child Psychology & Psychiatry, 49, 933941.Google Scholar
World Health Organization [WHO]. (2016). International Statistical Classification of Diseases and Related Health Problems (10th rev.). Geneva: WHO Press.Google Scholar
World Health Organization [WHO]. (2018). International Statistical Classification of Diseases and Related Health Problems (11th rev.). Geneva: WHO Press.Google Scholar
Yen, S., Shea, M. T., Battle, C. L., Johnson, D. M., Zlotnick, C., Dolan-Sewell, R., … Zanarini, M. C. (2002). Traumatic exposure and posttraumatic stress disorder in borderline, schizotypal, avoidant, and obsessive-compulsive personality disorders: Findings from the Collaborative Longitudinal Personality Disorders studyJournal of Nervous and Mental Disease190(8), 510518.Google Scholar
Zanarini, M. C., & Frankenburg, F. R. (1997). Pathways to the development of borderline personality disorderJournal of Personality Disorders11, 93104.Google Scholar
Zanarini, M. C., Frankenburg, F. R., Hennen, J., Reich, D. B., & Silk, K. R. (2005). The McLean Study of Adult Development (MSAD): Overview and implications of the first six years of prospective follow-upJournal of Personality Disorders19(5), 505523.Google Scholar
Zanarini, M. C., Frankenburg, F. R., Hennen, J., & Silk, K. R. (2004). Mental health service utilization by borderline personality disorder patients and Axis II comparison subjects followed prospectively for 6 yearsJournal of Clinical Psychiatry, 65, 2836.Google Scholar
Zanarini, M. C., Frankenburg, F. R., Khera, G. S., & Bleichmar, J. (2001). Treatment histories of borderline inpatientsComprehensive Psychiatry42(2), 144150.Google Scholar
Zanarini, M. C., Frankenburg, F. R., Reich, D. B., & Fitzmuarice, G. (2010). Time to attainment of recovery from borderline personality disorder and stability of recovery: A 10-year prospective follow-up study. American Journal of Psychiatry, 167(6), 663667.Google Scholar
Zanarini, M. C., Frankenburg, F. R., Reich, D. B., & Fitzmuarice, G. (2012). Attainment and stability of sustained symptomatic remission and recovery among patients with borderline personality disorder and Axis II comparison subjects: A 16-year prospective follow-up study. American Journal of Psychiatry, 169(5), 476483.Google Scholar
Zanarini, M. C., Gunderson, J. G., Marino, M. F., Schwartz, E. O., & Frankenburg, F. R. (1988). DSM-III disorders in the families of borderline outpatientsJournal of Personality Disorders2(4), 292302.Google Scholar
Zanarini, M. C., Jacoby, R. J., Frankenburg, F. R., Reich, D. B., & Fitzmaurice, G. (2009). The 10-year course of social security disability income reported by patients with borderline personality disorder and axis II comparison subjectsJournal of Personality Disorders23(4), 346356.Google Scholar
Zanarini, M. C., Williams, A. A., Lewis, R. E., & Reich, R. B. (1997). Reported pathological childhood experiences associated with the development of borderline personality disorderAmerican Journal of Psychiatry154(8), 11011106.Google Scholar
Zanarini, M. C., Yong, L., Frankenburg, F. R., Hennen, J., Reich, D. B., Marino, M. F., & Vujanovic, A. A. (2002). Severity of reported childhood sexual abuse and its relationship to severity of borderline psychopathology and psychosocial impairment among borderline inpatientsJournal of Nervous and Mental Disease190(6), 381387.Google Scholar

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