Abstract
Ms K was a 32-year-old primary school teacher who sought psychotherapy for recurrent depression. She was currently employed, having lost several jobs previously because of friction with colleagues. In her present job she was highly critical of her immediate manager, and was on probation in her employment because she had taken so much time off from work. She reported severe stress related to angry confrontation with other staff. She had had several sexual relationships with men, which seemed to have broken down because of her increasing demands for their attention, and her feeling that they pushed her away when she was emotionally distressed. She had been treated intermittently for depression with antidepressants by her general practitioner throughout her adult life, and twice in the previous 5 years had been seen in an emergency department following an overdose of prescribed medication.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Key references
Bateman A, Fonagy P, editors. Mentalisation-based Treatment for Borderline Personality Disorder. A practical guide. Oxford: Oxford University Press; 2006.
Oldham J. Borderline personality disorder and suicidality. American Journal of Psychiatry 2006; 163: 20–6.
References
Main T. The ailment. British Journal of Medical Psychology 1957; 30 (3): 129–45.
Bender DS, Dolan RT, Skodol AE, Sanislow CA, Dyck IR, McGlashan TH, Shea MT, Zanarini MC, Oldham JM, Gunderson JG. Treatment utilisation by patients with personality disorders. American Journal of Psychiatry 2001; 158 (2): 295–302.
Van Asselt ADI, Dirksen CD, Arntz A, Severens JL. The cost of borderline personality disorder: societal costs in BPD-patients. European Psychiatry 2007; 22 (6): 354–61.
Spitzer RL, Endicott J, Gibbon M. Crossing the border into borderline personality and borderline schizophrenia: the development of criteria. Archives of General Psychiatry 1979; 36: 17–24.
Skodol AE, Gunderson JG, Pfohl B, Widiger TA, Livesley WJ, Siever LJ (2002) The borderline diagnosis: 1. Psychopathology, comorbidity and personality and personality structure. Biological Psychiatry 2002; 51 (12): 936–50.
Johnson JG, Cohen P, Brown J, Smailes EM, Bernstein DP. Childhood maltreatment increases risk for personality disorders during early adulthood. Archives of General Psychiatry 1999; 56: 600–606.
Fonagy P, Bateman AW. Mechanisms of change in mentalisation-based treatment of BPD. Journal of Clinical Psychology 2006; 62 (4): 411–30.
Teicher MH, Tomoda A, Andersen SL. Neurobiological consequences of early stress and childhood maltreatment: are results from human and animal studies comparable? Annals of the New York Academy of Science 2006; 1071: 313–323.
Capsi A, McClay J, Moffitt TE et al. Role of genotype in the cycle of violence in maltreated children. Science 2002; 297: 851–4.
Bennett AJ, Lesch KP, Heils A et al. Early experience and serotonin transporter gene variation interact to influence primate CNS function. Molecular Psychiatry 2002; 7: 118–22.
Lis E, Greenfield B, Henry M, Guile JM, Dougherty G. Neuroimaging and genetics of borderline personality disorder: a review. Journal of Psychiatry and Neuroscience 2007; 32 (3): 162–73.
Gunderson JG. Borderline Personality Disorder: a clinical guide. Washington DC: American Psychiatric Press; 2001.
Torgersen S. (2005). Epidemiology. In: Oldham, JM, skodol AE, Bender DS, editors. The American Psychiatric Publishing Textbook of Personality Disorders. Washington, DC: American Psychiatric Publishing, Inc; 2005, p. 129–41.
Zanarini MC, Frankenburg FR, Hennen J, Silk KR. The longitudinal course of borderline psychopathology: 6-year prospective follow-up of the phenomenology of borderline personality disorder. American Journal of Psychiatry 2003; 160: 274–83.
Shea MT, Stout RL, Yen S et al. Associations in the course of personality disorders and axis I disorders over time. Journal of Abnormal Psychology 2004; 113: 499–508.
Bateman A, Fonagy P. Mentalization-based Treatment for Borderline Personality Disorder: a practical guide. Oxford: Oxford University Press; 2006.
Soloff P. (2005) Pharmacotherapy in borderline personality disorder. In: Gurderson JG, Hoffman PD, editors. Understanding and Treating Borderline Personality Disorder. Washington DC: American Psychiatric Publishing; 2005, p. 65–82.
Ryle A, Golynkina K. Effectiveness of time-limited cognitive analytic therapy of borderline personality disorder: factors associated with outcome. British Journal of Medical Psychology 2000; 73: 197–210.
Menzies D, Dolan BM, Norton K. Are short term savings worth long term costs? Funding treatment for personality disorders. Psychiatric Bulletin 1993; 17: 517–19.
Linehan MM, Armstrong HE, Suarez A, Allmon D, Heard H. Cognitive-behaviour treatment of chronically parasuicidal borderline patients. Archives of General Psychiatry, 1991; 48: 1060–4.
Young JE. Cognitive Therapy for Personality Disorders: a schema focused approach. Sarasota: Professional Resource Press; 1994.
Giesen-Bloo J, van Dyck R, Spinhoven P et al. Outpatient psychotherapy for borderline personality disorder: a randomized trial of schema focused therapy versus transference focused therapy. Archives of General Psychiatry 2006; 63 (6): 649–58.
Clarkin JF, Yeomans FE, Kernberg OF. Psychotherapy for Borderline Personality. New York: J Wiley and Sons; 1999.
Bateman AW, Fonagy P. (1999) The effectiveness of partial hospitalisation in the treatment of borderline personality disorder: a randomised controlled trial. American Journal of Psychiatry 1999; 156: 1563–9.
Bateman AW, Fonagy P. Treatment of borderline personality disorder with psychoanalytically oriented partial hospitalization: an 18-month follow-up. American Journal of Psychiatry 2001; 158: 36–42.
Editor information
Editors and Affiliations
Copyright information
© 2012 Daniel C. Riordan and Pat Hughes
About this chapter
Cite this chapter
Riordan, D.C., Hughes, P. (2012). Borderline Personality Disorder: Causal Factors, Diagnosis and Treatment. In: Agrawal, N., Bolton, J., Gaind, R. (eds) Current Themes in Psychiatry in Theory and Practice. Palgrave Macmillan, London. https://doi.org/10.1057/9780230317062_13
Download citation
DOI: https://doi.org/10.1057/9780230317062_13
Publisher Name: Palgrave Macmillan, London
Print ISBN: 978-1-349-35827-4
Online ISBN: 978-0-230-31706-2
eBook Packages: Palgrave Social Sciences CollectionSocial Sciences (R0)