Self-Mutilation and the Borderline Personality

Schaffer, Charles B.; Carroll, Jacqueline; Abramowitz, Stephen I.

doi:10.1097/00005053-198208000-00005

Cited by 89 publications

(28 citation statements)

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“…For example, among the nine diagnostic criteria for BPD in DSM-IV (American Psychiatric Association, 1994), two entail self-harm (i.e., self-damaging impulsivity, suicidal behavior or gestures) while among the remaining DSM-IV personality disorders, only antisocial personality disorder has a criterion for self-harm (i.e., physical fights or assaults). Numerous authors have highlighted the importance of self-harm behavior in relation to BPD (Gunderson & Singer, 1975;Kernberg, Selzer, Koenigsberg, Carr, & Applebaum, 1989;Linehan, 1987;Schaffer, Carroll, & Abramowitz, 1982;Simeon, Stanley, Frances, Mann, Winchel, & Stanley, 1992;Walsh & Rosen, 1988). Mack (1975) described self-harm behavior as the behavioral specialty of those with BPD and other authors perceive this feature as a means to distinguish individuals with BPD from other severely disturbed individuals (Gunderson & Kolb, 1978;Gunderson, Kolb, & Austin, 1981;Perry & Klerman, 1980;Spitzer & Endicott, 1979).…”

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confidence: 99%

The Relationships Among Childhood Abuse, Borderline Personality, and Self-Harm Behavior in Psychiatric Inpatients

Sansone¹,

Gaither²,

Songer³

2002

Violence Vict

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The current study was undertaken to explore the relationships among childhood abuse subtypes (sexual, physical, and emotional abuse; witnessing violence), three diagnostic screenings for borderline personality disorder (BPD), and self-harm behavior. Psychiatric inpatients (N = 77) were evaluated for childhood abuse histories through a survey. Participants also underwent assessment for BPD using a self-report measure, clinical diagnosis, and a DSM-IV checklist. Finally, each was assessed for self-harm behavior using the 22-item Self-Harm Inventory (SHI). Compared with non-abused participants, those with abuse histories (with the exception of witnessing violence) had a significantly greater number of BPD confirmations (i.e., self-report, clinical diagnosis, DSM-IV checklist) as well as self-harm behaviors. When examining the total number of endorsed abuse subtypes, there was a significant correlation with the number of self-harm behaviors, but not the number of BPD diagnoses. Among psychiatric inpatients, childhood abuse demonstrates a complex relationship to BPD diagnoses and self-harm behavior.

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mentioning

confidence: 99%

The Relationships Among Childhood Abuse, Borderline Personality, and Self-Harm Behavior in Psychiatric Inpatients

Sansone¹,

Gaither²,

Songer³

2002

Violence Vict

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“…These individuals were more likely to experience anxiety, engage in fights with other inmates, and shift blame for their circumstances. Similarly, Schaffer, Carroll, and Abramowitz (1982) demonstrated the presence of inmates who self-injure as a pathological criterion of borderline personality disorder (BPD). Such inmates Downloaded by [Flinders University of South Australia] at 07:39 28 December 2014 were likely to exhibit impulsiveness and anger, particularly when troubled by feelings of emptiness or boredom.…”

Section: Prison Stressors and The Manifestation Of Self-injurious Behmentioning

confidence: 99%

Self-Injurious Behaviors in Corrections: Informal Social Control and Institutional Responses in a State Prison System

Doty

Smith

Rojek

2011

Victims & Offenders

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Self-injurious behavior among inmates remains a significant problem facing correctional institutions despite a lack of research on the topic. This study employs a content analysis of 352 incidents of self-injurious behavior documented by the South Carolina Department of Corrections over a 30 month period. The results from our analysis indicate that self-injury disproportionately occurs when social controls are absent. Self-injury was primarily associated with stressors both inside and outside of prison, followed by a subset of inmates who self-injure as a form of rebellion. Comorbidity due to mental illness was also a factor that contributed to self-injury, though we found that severely mentally ill inmates often alerted officials of their imminent need to self-injure. Institutional responses favored punitive strategies over therapeutic responses, with the utilization of suicide protocols (i.e., crisis intervention) being substantial. The use of force during self-injury events typically involved verbal commands and inmate compliance; however, some noncompliant inmates required an escalation of force to control. Policy implications are provided with direction for future research needed for the development of clear institutional responses to inmate self-injury.

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“…A possible explanation for the partial comorbidity between suicidal and self-mutilation may be that they can both be conceptualized as physically self-injurious acts which are the expression of a heritable trait-like predisposition to both externally and self-directed impulsive aggression [3]. Furthermore, like for suicidal behavior, self-mutilation has been linked to a cluster of moderately heritable personality features, specifically borderline personality disorder [15,16,17], obsessionality [18,19], introversion, neuroticism/anxiety-related traits, and antisocial behavior [17,20]. …”

Section: Introductionmentioning

confidence: 99%

Temperamental and Genetic Predictors of Suicide Attempt and Self-Mutilation

et al. 2013

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Background and Aims: Literature findings mainly support the notion that suicide attempts (SA) and self-mutilating behavior (SMB) are distinct behaviors, although they may share common psychopathological features. In the present paper we aimed to identify behavioral phenotypes in patients with SA, SMB, or both (SAM) and to analyze the association with candidate genes. Methods: One hundred forty-two inpatients with a history of SA (n = 86), SMB (n = 22), and SAM (n = 39) were included in this study. Subjects were evaluated using the Tridimensional Personality Questionnaire (TPQ) and the Buss-Durkee Hostility Inventory (BDHI). Polymorphisms within serotonin transporter (SLC6A4, HTTLPR), catechol-O-methyl transferase (COMT, Val158Met), and tryptophan hydroxylase (TPH, 218C>A) were also analyzed. Results: Principal component factor analysis including the BDHI and TPQ produced 3 factors that could classify the 3 groups of patients with good sensitivity. However, only the ‘pure suicidal' factor had a sufficient positive predictive value. This factor was characterized by high levels of persistence (PS) and, to a lower extent, reward dependence. The distribution of genotypes was not different across patient groups for all polymorphisms, but the SS genotype of HTTLPR was significantly associated with the ‘self-mutilation' factor, characterized by high levels of hostile traits, novelty seeking, and harm avoidance. Conclusion: The results of the present study suggest that different and overlapping temperamental traits in suicidal and self-mutilating patients are present, although only high levels of PS could predict SA repetition. Finally, HTTLPR may mediate the risk for SMB through modulation of some temperamental traits.

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Self-Mutilation and the Borderline Personality

Cited by 89 publications

References 0 publications

The Relationships Among Childhood Abuse, Borderline Personality, and Self-Harm Behavior in Psychiatric Inpatients

The Relationships Among Childhood Abuse, Borderline Personality, and Self-Harm Behavior in Psychiatric Inpatients

Self-Injurious Behaviors in Corrections: Informal Social Control and Institutional Responses in a State Prison System

Temperamental and Genetic Predictors of Suicide Attempt and Self-Mutilation

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