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The structure and development of borderline personality disorder: A proposed model

Published online by Cambridge University Press:  02 January 2018

Anthony Ryle
Anthony Ryle*
Affiliation:
CAT Office, The Munro Clinic, Guy's Hospital, London SEI 9RT
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Abstract

Background

The theory of cognitive analytic therapy is extended to offer an understanding of borderline personality disorder (BPD).

Method

A structural model (the multiple self states model) and a classification of different levels of developmental damage are proposed.

Results

The model offers an explanation of the phenomenology of BPD.

Conclusions

The multiple self states model provides insights that will be useful for clinicians involved in the psychotherapy and management of BPD patients.

Type
Papers
Information
The British Journal of Psychiatry , Volume 170 , Issue 1 , January 1997 , pp. 82 - 87
Copyright
Copyright © 1997 The Royal College of Psychiatrists 

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References

American Psychiatric Association (1987) Diagnostic and Statistical Manual of Mental Disorders(3rd edn, revised) (DSM-III-R). Washington. DC: APA.Google Scholar
American Psychiatric Association (1994) Diagnostic and Statistical Manual of Mental Disorders (4th edn) (DSM-IV). Washington DC: APA.Google Scholar
Berelowitz, M. & Tarnopolsky, A. (1993) The validity of borderline personality disorder: an updated review of recent research. In Personality Disorder Reviewed(eds Tyrer, P. & Stein, G.), pp. 90–112. London: Gaskell.Google Scholar
Crittenden, P. M. (1990) Internal representational models of attachment relationships. Infant Mental Health Journal, 11, 259–277.3.0.CO;2-J>CrossRefGoogle Scholar
Dolan, B., Evans, C. & Norton, K. (1995) Multiple axis II diagnoses of personality disorder. British Journal of Psychiatry 166, 107–112.Google Scholar
Gunderson, J. G. & Sabo, A. N. (1993) The phenomenological and conceptual interface between borderline personality disorder and PTSD. American Journal of Psychiatry 150, 19–27.Google Scholar
Higgitt, A. & Fonagy, P. (1992) Psychotherapy of narcissistic and borderline personality disorder British Journal of Psychiatry 167, 23–43.Google Scholar
Leiman, M. (1995) Early development. In Cognitive Analytic Therapy: Developments in Theory and Practice (ed. Ryle, A.) pp 103–120. Chichester: Wiley Google Scholar
Linehan, M. M. (1992) Cognitive-Behavioural Treatment for Borderline Personality Disorder: The Dialects of Effective Treatment. New York: Guilford.Google Scholar
Perris, C. (1994) Cognitive therapy in the treatment of patients with borderline personality disorders. Acta Psychiatrica Scandinavica. 89 (suppl. 379), 69–72.Google Scholar
Perry, J. C. & Hermans, J. L. (1993) Trauma and defence in the etiology of borderline personality disorder In Borderline Personality Disaxier: Etiology and Treatment(ed. Paris, J.), pp. 123 140. Washington. DC: APR Google Scholar
Pollock, P. H. (1996) Clinical issues in the cognitive analytic therapy of sexually abused women who commit violent offences against their partners. British Journal of Medical Psychology 69, 117–128.Google Scholar
Putnam, F. W. (1994) The switch process in nnultiple personality disorder and other state-change disorders. In Psychological Concepts and Dissociative Disorders(eds Klein, R. M. & Doane, B. K.). Hillsdale. NJ: Lawrence Erlbaum.Google Scholar
Ryle, A. (1992) Critique of a Kleinian case presentation. British Journal of Medical Psychology 65, 309–317.CrossRefGoogle ScholarPubMed
Ryle, A. (1993) Addiction to the death instinct? A critical review of JosepKs paper Addiction to near deatK British Journal of Psychotherapy 10, 88–92.CrossRefGoogle Scholar
Ryle, A. (ed.) (1995) Cognitive Analytic Therapy: Developments in Theory and Practice. Chichester: Wiley Google Scholar
Ryle, A. & Beard, H. (1993) The integrative effect of reformulation: cognitive analytic therapy in a patient with borderline personality disorder British Journal of Medical Psychology 66, 249–258.CrossRefGoogle Scholar
Ryle, A., Beard, H. & Marlowe, M. J. (1995) Cognitive analytic therapy of borderline personality disorder: theory, practice and the clinical and research uses of the self states sequential diagram. International Journal of Short-Term Psychotherapy 10, 21–34.Google Scholar
Szostack, C., Lister, R., Edcardt, M., et al (1994) Dissociative effects of mood on memory In Psychological Concepts and Dissociative Disorders(eds Klein, R. M. & Doane, B. K.). Hillsdale. NJ: Lawrence Erlbaum.Google Scholar
Tuiving, E. W. (1985) How many menrjory systems are there? American Psychologist. April 385–398.Google Scholar
van Reekum, R., Links, P. S. & Boiago, I. (1993) Constitutional factors in borderline personality disorder: genetics, brain dysfunction and biological markers. In Borderline Personality Disorder: Etiology and Treatment(ed. Paris, J.) pp. 13–38. Washington. DC: APP.Google Scholar
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