The history of BPD can be traced back to 1938 when Adolph Stern first described the symptoms of the disorder as neither being psychotic nor psychoneurotic; hence, the term ‘borderline’ was introduced (National Collaborating Centre for Mental Health, 2009, p. 15). Then in 1960, Otto Kernberg coined the term ‘borderline personality organization’ to describe persistent patterns of behavior and functioning consisting of instability, and distressed psychological self-organization (National Collaborating Centre for Mental Health, 2009, p. 15). Research on BPD was first published by Roy Grinker and his colleges in 1968, which was then followed by a major article on the disorder; written by John Gunderson and Margaret Singer in 1975; their article listed the various characteristics of BPD (Ogrodniczuk & Hernandez, 2010). The article was also a stepping stone in introducing BPD as a valid disorder. In 1980, BPD had finally been recorded in the third edition of the Diagnostic and Statistical Manual of Mental Disorders (Ogrodniczuk & Hernandez, 2010). Now in the fifth edition, the Diagnostic and Statistical Manual of Mental Disorders lists BPD among the fifteen types of personality disorders (5th ed.; DSM–5; American Psychiatric Association, 2013). BPD is a complex disorder in a sense that the symptoms such as depression, anxiety and substance abuse may cause a misdiagnosis thus overlooking BPD completely (Biskin & Paris, 2013). This personality disorder has also been known to occur simultaneously with anxiety disorders, eating disorders and bipolar mood disorders (Butcher, Mineka & Hooley, 2014). In addition, the prevalence of BPD decreases in older individuals (American Psychiatric Association, 2013). The symptoms of BPD are listed... ... middle of paper ... ...A. (2013). Chronic Sleep Disturbances and Borderline Personality Disorder Symptoms. Journal of Consulting and Clinical Psychology, 81 (5), 941–947. doi: 10.1037/a0033201 Soloff, P., Nutche, J., Goradia, D., & Diwadkar, V. (2008). Structural brain abnormalities in borderline personality disorder: A voxel-based morphometry study. Psychiatry Res, 164 (3), 223–236. doi:10.1016/j.pscychresns.2008.02.003. What is Child Abuse. (n.d.). Retrieved from http://www.childhelp.org/pages/what-is-child-abuse What is Schema Therapy. (n.d.). Retrieved from http://www.schematherapy-nola.com/what-is-schema-therapy Wolke, D., Schreier, A., Zanarini, M. C., & Winsper, C. (2012). Bullied by peers in childhood and borderline personality symptoms at 11 years of age: A prospective study. Journal of Child Psychology and Psychiatry, 53 (8), 846-855. doi: 10.1111/j.1469-7610.2012.02542.x
People with Borderline Personality Disorder tend to view the world as simple as possible. People who view the world like this, confuse the actions of others. (Hoermann et al, 2005) Recurrent thoughts about their relationships with others, lead them to experience extreme emotional reactions, great agony which they have a hard time controlling, which would result in engaging in self-destructive behaviors. Diagnosing a patient with this disorder can be challenging which is why is it is labeled as one of the difficult ones to diagnose. (Hoermann et al, 2005)
Kaplan, H. I., Sadock, B. J., & Grebb, J. A. (1994). Synopsis of psychiatry: behavioral sciences,
Kernberg, O. F., & Michels, R. (2009). Borderline personality disorder. The American Journal of Psychiatry, 166, 5, 505-8.
particular group of people whose symptoms are indicative of personality disorders, and are between neuroses and psychoses (Manning, 2011, p. 12). Personality disorders are extremely pervasive because they effect a person’s “mood, actions, and relationships” (Manning,
Borderline Personality Disorder (BPD) has been a disability surrounded by stigma and confusion for a long time, and the time to bring awareness and public understanding to this disability is long overdue. The disability itself often gets misdiagnosed as an other disability since the symptoms overlap with many other disabilities (NIMH, n.d, para 16), or worse case scenario, a medical professional refuses to diagnose or treat the disability due to the belief that these people are untreatable because of a negative schema about the disability and clinical controversies on whether BPD is a legitimate diagnosis (Hoffman, 2007) . However, after nearly three decades of research, it has come to light that BPD does indeed exist, does have a good prognosis for remission with treatment (BPD Overview, n.d, para 3), and that there are many treatment options available such as three different types of psychotherapy (Dialectical Behavior Therapy, Cognitive Behavioral Therapy, and Schema-focused therapy), omega-3 fatty acid supplements, and/or medications (NIMH, n.d, para 29, 30, 31, and 39, 41). Even though the disability started as a psychoanalytic colloquialism for untreatable neurotics (Gunderson, 2009), BPD is very treatable and doesn’t deserve the stigma it currently carries throughout society.
Borderline Personality Disorder (BPD) affects about 4% of the general population, and at least 20% of the clinical psychiatric population. (Kernberg and Michels, 2009) In the clinical psychiatric population, about 75% of those with the disorder are women. BPD is also significantly heritable, with 42-68% of the variance associated with genetic factors, similar to that of hypertension. BPD can also develop due to environmental factors such as childhood neglect and/or trauma, insecure attachment, and exposure to marital, family, and psychiatric issues. (Gunderson, 2011)
In the past, BPD was believed to be a set of symptoms between problems associated with mood and schizophrenia. These symptoms were believed to be comprised of distortions of reality and mood problems. A closer look at this disorder has resulted in the realization that even though the symptoms of this disorder reveal emotional complexity, this disorder is more closer to other personality disorders, on the basis of the manner in which it develops and occurs in families, than to schizophrenia (Hoffman, Fruzzetti, Buteau &ump; Neiditch, 2005). The use of the term borderline has however, resulted in a heated controversy between the health care fraternity and patients. Patients argue that this term appears to be somehow discriminatory and that it should be removed and the disorder renamed. Patients point out that an alternative name, such as emotionally unstable personality disorder, should be adopted instead of borderline personality disorder. Clinicians, on the other hand, argue that there is nothing wrong with the use of the term borderline. Opponents of this term argue that the terms used to describe persons suffering from this disorder, such as demanding, treatment resistant, and difficult among others, are discriminatory. These terms may create a negative feeling of health professionals towards patients, an aspect that may lead to adoption of negative responses that may trigger self-destructive behavior (Giesen-Bloo et al, 2006). The fact however, is that the term borderline has been misunderstood and misused so much that any attempt to redefine it is pointless leaving scrapping the term as the only option.
DBT was originally developed to focus on individuals suffering from Borderline Personality Disorder (BPD). As described by the National Institute of Mental Health, the criteria an individual must meet to be diagnosed with BPD are some of the following: extreme emotional reactions, a pattern of intense and stormy relationships with family, distorted and unstable self-image or sense of self, impulsive and dangerous behaviours, recurring suicidal/self-harming behaviours, intense and highly changeable moods, chronic feelings of emptiness/boredom, inappropriate and intense anger, and having stress-related paranoid thoughts or severe dissociative symptoms (n.d.). To meet the needs of these complex symptoms, a four module skills training group was developed to known as “DBT skills”, 1) mindfulness, 2) interpersonal effectiveness, 3) emotion regulation, and 4) distress tolerance (Feigenbaum, 2008). The model of DBT assumes that individuals with BPD lack in the areas of interpersonal, self-regulation, and distress tolerance skills, and recognize that an individual’s personal and environment factors are influenti...
Borderline Personality disorder is a commonly misdiagnosed mental illness. The symptoms of borderline personality disorder are so closely related to other mental illnesses, that it is most often under diagnosed or misdiagnosed altogether. This illness can be completely debilitating to effected person. They do not understand that it is their mental illness that is making them feel the way that they do. They feel hopeless, like their lives will never improve from this point. Which is a major factor into why borderline personality disorder has one of the highest rates of suicidal ideation and suicide attempts.
During their 30s and 40s, the majority of individuals with this disorder attain greater stability in their relationships and vocational functioning” (para. 5). Follow up studies show that after 10 years of going through outpatient mental health clinics about 50% of individuals no longer show behavior of BPD (LeMon, 2012).
An estimated 1.6%-5.9% of the adult population in the United States has BPD, with nearly 75% of the people who are diagnosed being women. Symptoms of Borderline Personality Disorder include Frantic efforts to avoid being abandoned by friends and family, Unstable personal relationships that alternate between idealizations, Distorted and unstable self-image, Impulsive behaviors that can have dangerous outcomes, Suicidal and self-harming behavior, Periods of intense depressed mood, irritability or anxiety lasting a couple hours/days, Chronic feelings of boredom or emptiness, Inappropriate, intense or uncontrollable anger - often followed by shame and guilt, and Dissociative feelings. The three main factors that could cause this mental illness are Genetics, Environmental factors, and Brain function. This illness can only be diagnosed by a mental health professional after a series of interviews with the patient and family/friends of the patient. The patient must also have at least five of the nine symptoms of this illness in order to be diagnosed. The most common treatment for this illness is some form of psychotherapy. Some other treatment options are to prescribe medications and if needed a short-term
In most cases Borderline Personality Disorder develops with comorbidity. Often times people cope or self medicate with alcohol, drugs, and food. Eating Disorders, Alcoholism, and other similar mental health issues develop in coax with BPD alo...
People with BPD often have rapid changes of themselves because they have an unstable sense of who they are. They see themselves in a negative view of being bad or do not feel like they exist. With an unstable self- image it can lead to a recurrent change in friendships, values, goals, and gender identity (Flavin,
Everyone has been bullied or encountered someone being bullied at some point of their life. Whether it would be physically or verbally both can be exceedingly traumatizing and can have a long-term psychological influence on children’s development. Majority people may define bullying in a more physical term; nevertheless that’s not always the case. The act of bullying can occur in several ways and in reality affect the individual in the same way. Bullying is generally defined as repeated, negative, and harmful actions focused at target throughout a course of time, exhibiting a sense of power difference between the bully and the victim (Olweus, 1993; Limber & Mihalic, 1999 as cited from Douglas J. Boyle, 2005). A survey was conducted in the United States estimating that over six million children, about 30% in grade six through ten have experienced frequent bullying in a school environment (Nansel, 2001 as cited from Douglas J. Boyle, 2005). Many people might debate that bullying is something that every child goes through and is simply a part of growing up, although there are several damaging consequences that happens to the child’s brain. Bullying causes the child to feel upset, isolated, frightened, anxious, and depressed. They feel like they reason they are being picked on is because there is something wrong with them and may even lose their confidence feel unsafe going to school (Frenette, 2013 as cited from Douglas J. Boyle, 2005) Anthropologically, sociologically, or psychologically, bullying can be analyzed through different perspectives and several questions can be asked based on the topic:
Swaminathan, Nikhil. "Can a Lack of Sleep Cause Psychiatric Disorders?" Scientific American. N.p., n.d. Web. 03 May 2016.