Level of functioning in patients with borderline personality disorder. The Risskov-I study

Jørgensen, Carsten René; Kjølbye, Morten; Freund, Charlotte; Bøye, Rikke; Jordet, Henning; Andersen, Diane

doi:10.1027/1901-2276.61.1.42

Cited by 17 publications

(14 citation statements)

References 55 publications

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“…Of the 86 patients administered with the IPDE, 17 (19.8%) were coded as “probable” and 53 (61.6%) were coded as “definite” for the identity disturbance criterion, consistent with the finding by Jørgensen et al. [4].…”

Section: Methodssupporting

confidence: 80%

“…The IPDE-BPD module consists of nine symptom domains, including one on identity disturbance (uncertainty about "what kind of person [4].…”

Section: Participantsmentioning

confidence: 99%

“…One diagnostic criterion for BPD pertains to a disturbance in “identity”[2,3]. Indeed, Jørgensen [2] has argued that identity disturbance, along with unstable relationships, are at the core of “borderline pathology.” In one study, 86% of BPD patients met the criterion for an identity disturbance at a baseline assessment [4]. In DSM‐III [5], identity disturbance was operationalized as an “uncertainty about several issues .…”

Section: Introductionmentioning

confidence: 99%

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Gender Identity and Sexual Orientation in Women with Borderline Personality Disorder

Singh

McMain

Zucker

2011

The Journal of Sexual Medicine

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Introduction In the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, text revision (DSM-IV-TR) (and earlier editions), a disturbance in “identity” is one of the defining features of borderline personality disorder (BPD). Gender identity, a person’s sense of self as a male or a female, constitutes an important aspect of identity formation, but this construct has rarely been examined in patients with BPD. Aims In the present study, the presence of gender identity disorder or confusion was examined in women diagnosed with BPD. Main Outcome Measures We used a validated dimensional measure of gender dysphoria. Recalled gender identity and gender role behavior from childhood was also assessed with a validated dimensional measure, and current sexual orientation was assessed by two self-report measures. Methods A consecutive series of 100 clinic-referred women (mean age, 34 years) with BPD participated in the study. The women were diagnosed with BPD using the International Personality Disorder Exam-BPD Section. Results None of the women with BPD met the criterion for caseness on the dimensional measure of gender dysphoria. Women who self-reported either a bisexual or a homosexual sexual orientation had a significantly higher score on the dimensional measure of gender dysphoria than the women who self-reported a heterosexual sexual orientation, and they also recalled significantly more cross-gender behavior during childhood. Results were compared with a previous study on a diagnostically heterogeneous group of women with other clinical problems. Conclusion The importance of psychosexual assessment in the clinical evaluation of patients with BPD is discussed.

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Section: Methodssupporting

confidence: 80%

“…The IPDE-BPD module consists of nine symptom domains, including one on identity disturbance (uncertainty about "what kind of person [4].…”

Section: Participantsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Gender Identity and Sexual Orientation in Women with Borderline Personality Disorder

Singh

McMain

Zucker

2011

The Journal of Sexual Medicine

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“…For example, if the patient also perceives his/her therapist as powerless and as a person with thwarted communion needs it may be difficult to genuinely trust the therapist and the treatment. This could lead to dropout, which is a serious problem among BPD patients (see Jørgensen, Kjølbye, Freund, Bøye, Jordet & Andersen, ).…”

Section: Discussionmentioning

confidence: 99%

Personal and parents’ life stories in patients with borderline personality disorder

Lind

Thomsen

Bøye

et al. 2019

Scandinavian J Psychology

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2019). Personal and parents' life stories in patients with borderline personality disorder. Scandinavian Journal of Psychology, 60, 231-242.Patients with borderline personality disorder (BPD) display disturbances in understanding self and others. We examined whether these disturbances extended to how patients described their personal and parents' life stories and to measures of identity, alexithymia, empathy, and emotional intelligence. Thirty BPD patients and 30 matched control participants described personal and parents' life stories and completed measures of identity disturbance, alexithymia, empathy, and emotional intelligence. Compared to the controls, patients with BPD described their personal and their parents' life stories more negatively and with fewer themes of agency and communion fulfillment. Patients and controls showed equally complex reasoning about their personal life stories, but patients displayed less complexity and more self-other confusion, when reasoning about their parents' stories. Patients also differed from controls on identity disturbance, alexithymia, and empathy. The results suggest that patients' storied understanding of themselves and others are disturbed and should be taken into account to better understand BPD.

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“…self-injurious behavior) to regulate negative affective states [34]; (2) identity disturbance was found in half of the patients with personality disorders [35], and substantially higher incidences were found (e.g. 86% in the Risskov-I-study [36]); (3) in comparison with normal controls, contrasting attributes were identified more often in the self-description of patients with BPD [37]; (4) patients with BPD and severe identity disturbance showed a less favorable psychotherapeutic treatment outcome compared to those with less severe identity disturbance [17], and (5) in a factor analysis to ascertain whether identity disturbance is a unitary construct, Wilkinson-Ryan and Westen [38] distinguished 4 identity disturbance factors: role absorption, painful incoherence, inconsistency, and lack of commitment. All 4 factors, but particularly painful incoherence, distinguish patients with BPD from patients with a history of sexual abuse without BPD diagnosis.…”

Section: Introductionmentioning

confidence: 99%

Associations between Identity Diffusion, Axis II Disorder, and Psychopathology in Inpatients with Borderline Personality Disorder

et al. 2011

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Background: Patients with borderline personality disorder (BPD) suffer from instability in their relationships, their affectivity, and their identity. However, the associations between these dimensions are not clear. The purpose of the present study was to investigate the relation between identity diffusion and psychopathology in BPD. Methods: In the second week of inpatient treatment, 52 patients with BPD were assessed with the Inventory of Personality Organization (IPO) and questionnaires measuring general psychiatric symptoms, mood states, and negative affects (SCL-90-R, BDI, STAI, and STAXI). A median split was examined to differentiate BPD patients with high identity diffusion from those with low identity diffusion. Results: BPD patients with high identity diffusion did not differ in their social data from BPD patients with low identity diffusion. However, BPD patients with high identity diffusion showed significantly higher levels of psychiatric symptoms, as well as higher anxiety, anger, and depression scores (p < 0.01). Moreover, they suffered more frequently from concurrent personality disorders (p < 0.05). Conclusions: These findings indicate an association of identity diffusion with psychopathological symptoms and features of personality disorder and emphasize the clinical significance of identity diffusion for patients with BPD.

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Level of functioning in patients with borderline personality disorder. The Risskov-I study

Abstract: Demographic and clinical variables in a cohort of patients with borderline personality disorder (n=108) from an ongoing randomized outcome study -'The Risskov-I-Study' -at

Cited by 17 publications

References 55 publications

Gender Identity and Sexual Orientation in Women with Borderline Personality Disorder

Gender Identity and Sexual Orientation in Women with Borderline Personality Disorder

Personal and parents’ life stories in patients with borderline personality disorder

Associations between Identity Diffusion, Axis II Disorder, and Psychopathology in Inpatients with Borderline Personality Disorder

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