Examining the inventory of interpersonal problems as a tool for conducting analogue studies of mechanisms underlying Borderline Personality Disorder (original) (raw)
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Journal of Interpersonal Violence, 2012
This study examined the prospective relationships among borderline per sonality disorder (BPD) symptoms, interpersonal problems, and types of aggressive behaviors (i.e., experiencing psychological and physical victimiza tion and perpetrating psychological and physical aggression) in a psychi atric sample (N = 139) over the course of 2 years. We controlled for other PD symptoms and demographic variables. BPD symptoms at baseline were associated with interpersonal sensitivity, interpersonal ambivalence, inter personal aggression, need for social approval, and lack of sociability 6 months later. In turn, interpersonal sensitivity predicted not experiencing physi cal aggression, interpersonal aggression predicted experiencing physical aggression and perpetrating both psychological and physical aggression, need for social approval predicted experiencing both psychological and physical aggression, and lack of sociability predicted perpetrating physical aggression 2 years later. Results demonstrated that interpersonal problems mediated the Article 104 Journal of Interpersonal Violence 27 relationship between BPD and later violent behaviors. Our findings suggest the importance of distinguishing between these groups of aggressive behav iors in terms of etiological pathways, maintenance processes, and treatment interventions.
Archives of Psychiatry and Psychotherapy
Dysfunctional interpersonal patterns are a defining feature of Borderline Personality Disorder (BPD). A number of studies have aimed to determine if there are specific patterns in the interpersonal functioning of patients with BPD. The vast majority of these studies have used a widely-used rating system called the Core Conflictual Relationship Theme method [1]. To date, three main models of interpersonal functioning of patients with BPD have been developed using the CCRT [2, 3] including one model developed by our team . The aim of this study was to examine to what extent these three empirically-derived models of interpersonal functioning in patients with BPD overlap. borderline personality disorder / core conflictual relationship theme / CCrT / BPd / personality disorders / Interpersonal Functioning
2010
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Exploring the clinical validity of borderline personality disorder components
Comprehensive Psychiatry, 2013
Borderline personality disorder (BPD) is recognized as a complex syndrome, resulting in a heterogeneous diagnostic category. Besides the characteristics of the disorder itself, comorbid disorders play an important role in this complexity. The aim of the study is to analyze the clinical validity of 3 components for BPD Diagnostic and Statistical Manual of Mental Disorders criteria-called affective dysregulation, behavioral dysregulation, and disturbed relatedness-investigating differences in patterns of comorbidity. For this purpose, 365 patients with suspected BPD were included in the study. To test our hypothesis, patients were classified into 5 clusters using a K-cluster analysis to study the clinical validity of the 3 components based on the 3-factor model of BPD. Differences in comorbidity, previous suicide attempts, and self-harm behaviors among the defined clusters were analyzed. Between-cluster differences were observed for Axis I and Axis II disorders as well as in the frequency of suicide attempts and in self-harm behaviors. The study of BPD based on the 3 components seems to be more useful than the study of BPD as a unitary construct to help further our understanding of this complex disorder. In the present study, the 3 BPD components have allowed us to analyze the complex comorbidity of BPD patients. This solution could be considered an interesting way to clarify BPD etiology, diagnosis, and treatment efficacy.
Multimethod Investigation of Interpersonal Functioning in Borderline Personality Disorder
Personality Disorders: Theory, Research, and Treatment, 2011
Even though interpersonal functioning is of great clinical importance for patients with borderline personality disorder (BPD), the comparative validity of different assessment methods for interpersonal dysfunction has not yet been tested. This study examined multiple methods of assessing interpersonal functioning, including self-and other-reports, clinical ratings, electronic diaries, and social cognitions in three groups of psychiatric patients (N=138): patients with (1) BPD, (2) another personality disorder, and (3) Axis I psychopathology only. Using dominance analysis, we examined the predictive validity of each method in detecting changes in symptom distress and social functioning six months later. Across multiple methods, the BPD group often reported higher interpersonal dysfunction scores compared to other groups. Predictive validity results demonstrated that self-report and electronic diary ratings were the most important predictors of distress and social functioning. Our findings suggest that self-report scores and electronic diary ratings have high clinical utility, as these methods appear most sensitive to change.
Identification of Mental States and Interpersonal Functioning in Borderline Personality Disorder
Personality disorders, 2016
Atypical identification of mental states in the self and others has been proposed to underlie interpersonal difficulties in borderline personality disorder (BPD), yet no previous empirical research has directly examined associations between these constructs. We examine 3 mental state identification measures and their associations with experience-sampling measures of interpersonal functioning in participants with BPD relative to a healthy comparison (HC) group. We also included a clinical comparison group diagnosed with avoidant personality disorder (APD) to test the specificity of this constellation of difficulties to BPD. When categorizing blended emotional expressions, the BPD group identified anger at a lower threshold than did the HC and APD groups, but no group differences emerged in the threshold for identifying happiness. These results are consistent with enhanced social threat identification and not general negativity biases in BPD. The Reading the Mind in the Eyes Test (RME...
Personality and Individual Differences, 2009
This study explored reliability and validity of three self-report screening measures of borderline personality disorder (BPD): the Personality Assessment Inventory-Borderline Features Scale (PAI-BOR; Morey, 1991), Personality Diagnostic Questionnaire-4-BPD scale (PDQ4-BPD; Hyler, 1994) and Mclean Screening Instrument for BPD (MSI-BPD;. Participants (N = 523) were drawn predominantly from community and student populations. All three measures were internally consistent. Confirmatory Factor Analysis of the PAI-BOR did not support Jackson and Trull's (2001) six-factor structure or Morey's (1991) four-factor structure. The three measures converged highly, despite the broader theoretical basis of the PAI-BOR. Expected demographic differences on the measures supported construct validity, and concurrent validity in relation to theoretical-related criteria was also supported. Only the PAI-BOR and PDQ4-BPD showed incremental validity in predicting specific criteria, although, the amount of unique variance predicted was small.