Family Images of Borderline Adolescents

Young, Delton W.; Gunderson, John G.

doi:10.1080/00332747.1995.11024723

Cited by 14 publications

(8 citation statements)

References 11 publications

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“…A more recent summary of the literature (Levy, 2005) estimates separation and loss at 37 -64% but identifies 4 studies that failed to confirm these findings. Whilst it does not confirm the assumption that all borderline patients have a borderline parent, and whilst we should not exclude the possibility of child-to-parent effects or genetic rather than environmental mediation, there is consistent evidence of problematic parenting and parental bonding with BPD (Frank & Hoffman, 1986;Johnson et al, 2001;Paris, 2003;Paris & Frank, 1989;Russ, Heim, & Westen, 2003;Soloff & Millward, 1983;Young & Gunderson, 1995). Low family cohesion and high instability characterizes families of BPD patients (Feldman et al, 1995).…”

Section: Histories Of Hostile and Violent Attachments In Bpdmentioning

confidence: 86%

Mentalizing and borderline personality disorder

Fonagy¹,

Bateman²

2007

Journal of Mental Health

167

106

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Background: Mentalization-based treatment is a model of psychodynamic therapy rooted in attachment theory that aims to enhance the individual's capacity to represent thoughts, feelings, wishes, beliefs and desires in themselves and in others in the context of attachment relationships. \ud \ud Aims: To describe the normal development of mentalization as well as anomalies in mentalization that can arise and can ultimately lead to the development of personality disorder. \ud \ud Method: Description of the basic principles of mentalization-based treatment as well as the rationale for use of these techniques. \ud \ud Results: Summaries of randomized controlled trial and a description of an ongoing RCT for the outpatient treatment of BPD. \ud \ud Conclusion: MBT is a generic psychotherapeutic treatment which shares many features with other psychotherapeutic approaches but is unique in focusing on enhancing the patient's capacity to think about and regulate mental states. \ud \u

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Section: Histories Of Hostile and Violent Attachments In Bpdmentioning

confidence: 86%

Mentalizing and borderline personality disorder

Fonagy¹,

Bateman²

2007

Journal of Mental Health

167

106

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“…In addition, there is growing evidence on the validity and reliability of BPD diagnosis under 18 years of age [27,30]. Patients with BPD under 18 years had a high suicide rate [50], and early diagnosis of BPD is associated to greater use of mental health care resources and to higher treatment costs [5,9,26]. Finally, early detection and intervention could play a major role in improving prognosis in the adulthood [6,7] and reduce the overall costs of this disorder.…”

Section: Discussionmentioning

confidence: 99%

Cost of borderline personality disorder in Catalonia (Spain)

et al. 2014

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An under-reporting of BPD was identified by the experts in all health databases and official registries. Most of the BPD costs were not related to mental health care. Amongst the direct cost categories, pharmacotherapy had the largest proportion despite the lack of specificity for BPD. This distribution of costs reinforces the idea of BPD complexity related to an inadequate and inefficient use of health resources.

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“…Early separations are also reported as part of this caregiving constellation (Bandelow et al, 2005;Reich & Zanarini, 2001). On the other hand, when parents are also asked to assess their families, they are often less damning (Young & Gunderson, 1995;Gunderson & Lyoo, 1997), and, indeed, siblings frequently can have much better adjustments. In any event, the retrospective accounts by borderline patients cannot be discounted, though they need to be accepted with caution.…”

Section: Retrospective Reportsmentioning

confidence: 99%

BPD's Interpersonal Hypersensitivity Phenotype: A Gene-Environment-Developmental Model

Gunderson

Lyons‐Ruth

2008

Journal of Personality Disorders

Self Cite

427

315

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This paper explores the development of BPD as it might emerge in the child's early interpersonal reactions and how such reactions might evolve into the interpersonal pattern that typifies BPD. It begins to bridge the relevant bodies of clinical literature on the borderline's prototypic interpersonal problems with the concurrently expanding relevant literature on early child development. We will start by considering how a psychobiological disposition to BPD is likely to include a constitutional diathesis for relational reactivity, that is, for hypersensitivity to interpersonal stressors. Data relevant to this disposition's manifestations in adult clinical samples and to its heritability and neurobiology will be reviewed. We then consider how such a psychobiological disposition for interpersonal reactivity might contribute to the development of a disorganized-ambivalent form of attachment, noting especially the likely contributions of both the predisposed child and of parents who are themselves predisposed to maladaptive responses, leading to an escalation of problematic transactions. Evidence concerning both the genetics and the developmental pathways associated with disorganized attachments will be considered. Emerging links between such developmental pathways and adult BPD will be described, in particular the potential appearance by early- to middle-childhood of controlling-caregiving or controlling-punitive interpersonal strategies. Some implications from this gene-environment interactional theory for a better developmental understanding of BPD's etiology are discussed.

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Family Images of Borderline Adolescents

Cited by 14 publications

References 11 publications

Mentalizing and borderline personality disorder

Mentalizing and borderline personality disorder

Cost of borderline personality disorder in Catalonia (Spain)

BPD's Interpersonal Hypersensitivity Phenotype: A Gene-Environment-Developmental Model

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