Borederline Personality Disorder Flashcards
What is meant by personality
Feature of individuals that determine how we respond to life events and experiences
Define the key element of a personality disorder
Enduring pattern of inner experiences and behaviour manifesting in tow or more of thinking, feelings, interpersonal relationships and impulse control
Deviates from cultural norms
Pervasive and inflexible
Leads to distress or impairment
What is one way that personality disorders can be explained
They can be traced back to childhood experience and parent- child interactions
Usually this with PDs do not see their personalities as problematic. True or false
True
How does psychodynamic therapy work
Insight into consequences of own behaviour patter as crucial for change
Highlight maladaptive behaviours, responses, and define mechanisms and exploring alternatives
Works effectively
What does CBT focus on in therapy
Mood symptoms such as depression and anxiety
Focuses on dysfunctional patterns of behaviour
Schematic focused the therapy
Not seen to be effective
Why is it termed “borderline”
Patients whose symptoms did not fit readily into either classification were deemed to be on the borderline between the two constructs which are psychosis and neurosis
What are the four categories for symptoms
Poorly regulated emotions
Impulsivity
Impaired perception or reasoning
Disturbed relationships
Name 2 featured of poorly regulated emotions
Mood swings
Difficulty controlling anger
Name 2 features of impulsivity
Suicide
Reckless behaviour
Name 2 features of impaired perception or reasoning
Paranoid thinking
Unstable self image on the sense of oneself
Name 2 features of disturbed relationships
Black and white thinking
Intense and unstable interpersonally relationships
What is the DSM criteria for BPD
Frantic efforts to avoid real or imagined abandonment
Unstable self image
Impulsivity
Inappropriate intense anger or difficulty controlling anger
BPD is often associated to what
History of trauma
What are the childhood risk factors
Childhood abuse or neglect and rejection
Inconsistent or loveless parenting
Parental psychopathology
What did HERMAN 1989 find with people with BPD
71% had been physically abused
67% had been sexually abused
62% had witnessed domestic violence
What is a limitation of these risk factors
Physical, emotional and sexual abuse can co-exist and history of abuse does not always predict BPD
How does the biological theory explain BPD
Reduced serotenergic activity inhibits ability to modulate or control impulsive and aggressive behaviour
Neauroimaging reveals abnormalities in a number of brain areas
Diminished serotenergic function the pfc which is a potential biological risk factor for impulsivity and affect dysregulation
What is the object relations theory
Theory of relationships between people in particular between mother and infant
Within this relationship the infant develops internal relationships of self snd other and emotional tone of relationships
What do these object relations seen as
Building blocks organising internal world including motivations and behaviour
How does BPD emerge according to the biosocial model
From a transaction between individuals with biological vulnerabilities and specific environmental influences
What are the 4 aspects of emotional responding
High sensitivity to emotional stimuli
Inability to regulate emotions
Inability to inhibit emotional response
Very intense emotional response
What is meant by transactional
Two or more factors influence each other resulting in a specific outcome
What is meant by invalidating environment
Painful experiences trivialised and attributed to negative traits in the child
Behaviour and emotional expression is controlled using punishment
