Treatment of borderline personality disorder

Reducing self-aggression
  • Donna E. Hurdle


Borderline Personality Disorder (BPD) is considered by mental health professionals to be one of the most difficult psychiatric disorders to treat. The particular constellation of symptoms and associated behaviors that are known as BPD include affective dysfunction, poor impulse control, and frequent suicidal and aggressive behavior. Persons with this disorder typically have impaired interpersonal relationships; these dynamics extend into the therapeutic relationship as well. As a result, these clients frequently become angry, leave treatment settings and decompensate before re-entering treatment in either in-patient or outpatient settings. A group-based treatment program implemented by a team of mental health professionals interrupts this dynamic; when clients are angry with one provider, there is another provider with whom they are still connected to process their feelings. Working with peers in groups also provides role models of other ways to manage emotions and behaviors. Both treatment methods significantly reduce self-harm in clients with BPD.


Borderline Personality Disorder Mental Health Professional Antisocial Personality Disorder Dialectical Behavior Therapy Community Mental Health Center 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    American Psychiatric Association. 1994, Diagnostic and Statistical Manual of Mental Disorders ( 4th ed. ), Washington, DC.Google Scholar
  2. 2.
    Benjamin, L., 1993, Interpersonal diagnosis and treatment of personal disorders. Guilford Press, New York.Google Scholar
  3. 3.
    Oldham, J. M., Skoldol, A. E., Gallaher, P. E., and Kroll, M., 1996, Relationship of borderline symptoms to histories of abuse and neglect: A pilot study. Psychiatric Quarterly, 67 (4), 287–295.PubMedCrossRefGoogle Scholar
  4. 4.
    Linehan, M., 1993, Cognitive-behavioral Treatment of Borderline Personality Disorder, Guilford Press, New York.Google Scholar
  5. 5.
    Simpson, E., Pistorello, J., Begin, A. Costello, E., Levinson, J., Mulberry, S., Pearlstein, T., Rosen, K., and Stevens, M., 1998, Use of Dialectical Behavior Therapy in a Partial Hospital Program for Women with Borderline Personality Disorder. Psychiatric Services 49: 669–673.Google Scholar

Copyright information

© Springer Science+Business Media New York 2001

Authors and Affiliations

  • Donna E. Hurdle
    • 1
  1. 1.School of Social WorkArizona State UniversityTempeUSA

Personalised recommendations