Ist die Borderline-Persönlichkeitsstörung eine komplexe posttraumatische Störung? Zum Stand der Forschung

Drießen, Martin; Beblo, Thomas; Reddemann, Luise; Rau, Heinrich; Lange, Wilhelm; Silva, A.; Berea, Ricardo; Wulff, H.; Ratzka, S.

doi:10.1007/s00115-002-1296-1

Cited by 62 publications

(25 citation statements)

References 76 publications

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“…With regard to a specific association between PTSD and BPD, the taxonomic hypothesis most commonly advocated by ‘trauma models' is that both pathologies are part of a general spectrum of pathologies related to traumatic experiences [11,64,65,66]. Although this is a tentative approach, empirical findings show that the prevalence of PTSD and traumatic events in childhood is not consistently higher in subjects with BPD than in patients with other personality disorders [16].…”

Section: Nosological Status Of Comorbidity Between Ptsd and Bpdmentioning

confidence: 96%

“…At present, the main difficulty in empirically validating this subtype of PTSD lies in determining its distinguishing clinical characteristics in comparison with subjects with BPD. This is the main focus of controversy in the working group on ‘trauma and stress-related disorders' for the future ICD-11 [64,67,69,70]. …”

Section: Nosological Status Of Comorbidity Between Ptsd and Bpdmentioning

confidence: 99%

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Comorbidity between Post-Traumatic Stress Disorder and Borderline Personality Disorder: A Review

Frías

Palma

2014

Psychopathology

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Background: Traditionally, the presence of post-traumatic stress disorder (PTSD) in subjects diagnosed with borderline personality disorder (BPD) has been the object of scant empirical research. The clarification of issues related to the different areas of study for this comorbidity is not only significant from a theoretical point of view but also relevant for clinical practice. The aim of this review is to describe the main theoretical findings and research conclusions about the comorbidity between PTSD and BPD. Methods: A literature review was carried out via PubMed and PsycINFO for the period between 1990 and September 2013. The descriptors used were ‘post-traumatic stress disorder', ‘borderline personality disorder', ‘PTSD', ‘complex PTSD' and ‘BPD'. Results: Epidemiological studies show that the risk of PTSD among BPD subjects is not regularly higher than in subjects with other personality disorders. Furthermore, there is no conclusive evidence about the main aetiopathogenic mechanism of this comorbidity, either of one disorder being a risk factor for the other one or of common underlying variables. Concerning comparative studies, several studies with PTSD-BPD subjects have found a higher severity of psychopathology and psychosocial impairment than in BPD subjects. With regard to nosological status, the main focus of controversy is the validation of ‘complex PTSD', a clinical entity which may comprise a subgroup of PTSD-BPD subjects. With regard to treatment, there are preliminary evidences for the efficient treatment of psychopathology in both PTSD and BPD. Conclusions: These findings are remarkable for furthering the understanding of the link between PTSD and BPD and their implications for treatment. The results of this review are discussed, including methodological constraints that hinder external validity and consistency of referred findings.

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Section: Nosological Status Of Comorbidity Between Ptsd and Bpdmentioning

confidence: 96%

Section: Nosological Status Of Comorbidity Between Ptsd and Bpdmentioning

confidence: 99%

Comorbidity between Post-Traumatic Stress Disorder and Borderline Personality Disorder: A Review

Frías

Palma

2014

Psychopathology

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“…In der ICD-10 wird man, treten die Symptome erst später auf, auf die Diagnose F62.0 verwiesen, die "Andauernde Persönlichkeitsveränderung nach extremer Belastung". Dieses Konzept ist bisher allerdings nur mangelhat empirisch überprüt (Driessen et al, 2002).…”

Section: Kritik An Den Diagnoseschlüsseln Der Gängigen Klassiikationsunclassified

“…Ob traumatischen Erfahrungen eine speziische pathogenetische Bedeutung für die Entwicklung einer emotional instabilen Persönlichkeitsstörung vom Borderline Typus zukommt bzw. das Störungsbild bei einer Untergruppe der Borderline-Patienten eher als traumaassoziierte Störung aufgefasst und entsprechend behandelt werden sollte, wird derzeit kontrovers diskutiert (Driessen et al 2002;Sachsse, 2002;Streeck-Fischer, 2006. Van der Kolk (2009) geht davon aus, dass sich durch die Einführung der Diagnose Developmental Trauma Disorder auch neue Erkenntnisse im Bezug auf die genannte Persön-lichkeitsstörung inden lassen würden, insofern als die DTD im Kindes-und Jugendalter eine Vorläuferstörung der emotional instabilen Persönlichkeitsstörung vom Borderline Typus im Erwachsenenalter darstellen könnte, womit die diagnostische Klut überwun-den und entwicklungsspeziische Aspekte berücksichtigt würden.…”

Section: Selbstkonzeptunclassified

Folgen von Gewalterfahrungen

Herbst¹,

Jaeger²,

Leichsenring³

et al. 2009

Praxis der Kinderpsychologie und Kinderpsychiatrie

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Nutzungsbedingungen Folgen von GewalterfahrungenGesa Herbst, Ulrich Jaeger, Falk Leichsenring und Annette Streeck-Fischer SummaryEfects of Traumatic Stress he diagnosis PTSD does not adequately describe the impact of exposure to childhood trauma of the developing child. he objective of the study was to examine the prevalence of diferent interpersonal trauma types and to describe the long-term efects of maltreatment and neglect in a clinical sample of 34 adolescents. he majority (62 %) of the sample was exposed to two diferent types of trauma during childhood. Emotional abuse and emotional neglect have been the most common trauma types (59 %; 53 %). 71 % of the traumatized adolescents did not meet the criteria for PTSD. he most common diagnosis in the sample was Borderline Personality Disorder. All average scores at SCL-90-Symptom-Scale were clinical signiicant. Half of the sample reported suicide attempts and self destructive behavior. One third reported substance abuse and aggressive behavior against others respectively. None of the traumatized adolescents had a positive Self-concept. Altogether the results show that abused children and adolescents have a range of psychological sequelae that are not captured in the PTSD diagnostic criteria. herefore the results support the necessity for a new and more precise diagnosis for chronically traumatized children and adolescents.Prax. Kinderpsychol. Kinderpsychiat. 58/2009, 610-634 Keywords interpersonal trauma -long-term efects of traumatic stress -PTSD -Developmental Trauma Disorder (DTD) -Developmental Psychopathology ZusammenfassungDie langfristigen Folgen interpersoneller Traumatisierungen in der Entwicklung lassen sich durch die Diagnose einer Posttraumatischen Belastungsstörung (PTBS) nur unzureichend abbilden. In der vorliegenden Untersuchung wurden 34 traumatisierte Jugendliche, die im Rahmen einer stationären herapie behandelt wurden, mittels verschiedener Instrumente im Hinblick auf erlebte interpersonelle Traumatisierungen und auf ausgewählte Aspekte potentieller Traumafolgen befragt. Die Mehrheit der Befragten (62 %) gab an, zwei verschiedene

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“…It is to be hoped that research on the cross-cultural and intracultural variability between different psychiatric diagnostic groups (Sundbom, Jacobsson, Kullgren, & Penavo, 1998) will be further developed. c) However, the assumption of diathesis-stress model with traumatization as a necessary but etiologically insufficient condition seems justified (Driessen et al, 2002). The potential role of specific life events in BPD pathology should be assumed to result from the interplay between psychosocial adversities and a maladaptive structure of personality (Livesley, 2008).…”

Section: Remarks On Bpd Psychopathologymentioning

confidence: 99%

The Model of Sequential Brief-Adlerian Psychodynamic Psychotherapy (SB-APP): Specific Features in the Treatment of Borderline Personality Disorder

Ferrero

2012

ResPsy

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Abstract. Sequential Brief-Adlerian Psychodynamic Psychotherapy (SB-APP) is a timelimited (40 weekly sessions) psychotherapy for a wide range of psychic disorders, delivered in sequential and repeatable module (in each module a different therapist is involved). Its specific features in the treatment of Borderline Personality Disorder (BPD) are presented, concerning setting, technique and therapist's emotional attitude. Four Personality Functioning Levels (PFLs) are focused, in order to provide targeted interventions for more homogeneous subsets of BPD patients. PFLs are assessed by evaluating symptoms, quality of interpersonal relationships, overall social behaviours, cognitive and emotional patterns, and defense mechanisms. Two clinical vignettes describe how SB-APP strategies vary according to patient's PFLs, also with respect to the predetermined treatment end. Preliminary reports of SB-APP effectiveness in the treatment of BPD are summarized and discussed.

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Ist die Borderline-Persönlichkeitsstörung eine komplexe posttraumatische Störung? Zum Stand der Forschung

Cited by 62 publications

References 76 publications

Comorbidity between Post-Traumatic Stress Disorder and Borderline Personality Disorder: A Review

Comorbidity between Post-Traumatic Stress Disorder and Borderline Personality Disorder: A Review

Folgen von Gewalterfahrungen

The Model of Sequential Brief-Adlerian Psychodynamic Psychotherapy (SB-APP): Specific Features in the Treatment of Borderline Personality Disorder

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