Borderline Personality Disorder

by Zanarini; Mary C.

• ISBN13: 9780824729288
• ISBN10: 0824729285
• Edition: 1st
• Format: Hardcover
• Copyright: 2005-09-14
• Publisher: CRC Press

Summary

Addressing all aspects of borderline personality disorder (BPD) from the course, epidemiology, and history of the disease to the latest guidelines in patient diagnosis, pharmacotherapy, and psychotherapy, this reference serves as an all-encompassing reference for the mental health professional seeking authoritative coverage of BPD identification, development, and control.

Table of Contents

Preface	iii
Contributors	xv
1. Borderline Personality Disorder: History of the Concept	1	(18)
Michael H. Stone
1. Introduction	1	(1)
2. Late 19th Century Origins of the Borderline Concept	2	(1)
3. The Early Years of the 20th Century	3	(4)
4. The Borderline Concept at Mid-Century	7	(2)
5. The Formulations of Kernberg and Gunderson, and the Foundations of the Borderline Personality Disorder Concept in Contemporary Psychiatry	9	(3)
6. Borderline Personality Disorder Becomes Official: Its Inclusion in DSM-III	12	(1)
7. Recent Developments in BPD Research: The Return of the "Splitters"	13	(2)
References	15	(4)
2. The Subsyndromal Phenomenology of Borderline Personality Disorder	19	(22)
Mary C. Zanarini
1. Introduction	19	(1)
2. Affective Psychopathology	20	(2)
3. Cognitive Psychopathology	22	(2)
4. Behavioral or Impulsive Psychopathology	24	(3)
5. Interpersonal Psychopathology	27	(8)
6. Toward DSM-V	35	(2)
7. Conclusions	37	(1)
References	37	(4)
3. Environmental Factors in the Etiology of Borderline Personality Disorder	41	(22)
Kenneth R. Silk, Teri L. Wolf Dorit A. Ben-Ami, and Ernest W. Poortinga
1. Introduction	41	(1)
2. The PRE-DSM-III Descriptions of Borderline Personality Disorder	42	(1)
3. A Psychoanalytic–Object Relations Approach to the Development of BPD: The Internal Environment	43	(4)
4. The Reinforcing Early Environment: Attachment, Loss, and the Early Familial Environment	47	(3)
5. The Environment of Experience: Childhood Maltreatment and Abuse	50	(6)
6. Conclusion	56	(1)
References	57	(6)
4. A Temperament Model of Borderline Personality Disorder	63	(20)
Thomas A. Widiger
1. Fundamental Temperaments	64	(1)
2. The Temperament of Borderline Personality Disorder	65	(3)
3. Empirical Support for Temperament Model of BPD	68	(5)
4. Implications of Temperament Model of BPD	73	(3)
5. Conclusions	76	(1)
References	77	(6)
5. Neurobiology of Impulsive Aggression	83	(20)
Yong Li and Emil F. Coccaro
1. Introduction	83	(1)
2. Neuropsychopharmacology of Aggression	84	(4)
3. Neuroanatomy and Functional Neuroimaging of Aggression	88	(2)
4. Pharmacological Treatment of Persistent Aggression	90	(1)
References	91	(12)
6. Biochemical Endophenotypes in Borderline Personality Disorder	103	(24)
Michael J. Minzenberg and Larry J. Siever
1. Genes and Environment	103	(1)
2. Two Issues: Nosology and the Complex Genetics of Psychiatric Illness	104	(1)
3. Endophenotypes as an Emerging Strategy in Psychiatric Genetics	105	(1)
4. Evolution of a Dimensional Perspective on Personality Disorders	106	(1)
5. Impulsivity and Aggression	107	(6)
6. Affective Instability	113	(2)
7. Conclusion	115	(1)
References	116	(11)
7. Genetics of Borderline Personality Disorder	127	(8)
Svenn Torgersen
1. Study Designs	128	(1)
2. Personality Traits Related to BPD	129	(1)
3. Studies of BPD Itself	130	(2)
4. Conclusions	132	(1)
References	132	(3)
8. Comorbidity and Borderline Personality Disorder	135	(20)
Bruce Pfohl
1. Introduction	135	(2)
2. Comorbidity with Axis-I Disorders	137	(3)
3. Comorbidity with Other Axis-II Disorders	140	(2)
4. Implications of Axis-I Comorbidity	142	(6)
5. Implications of Comorbidity for Clinical Care	148	(1)
6. Implications of Comorbidity for Clinical Research	149	(1)
References	150	(5)
9. Psychosocial Functioning in BPD	155	(12)
Andrew E. Skodol
1. Introduction	155	(1)
2. Educational/Occupational Functioning	156	(1)
3. Social Functioning	157	(1)
4. Leisure Time Functioning	158	(1)
5. Global Functioning	158	(1)
6. Relationship of Impairment to BPD Comorbidity	159	(1)
7. Stability of Functional Impairment	160	(2)
8. Conclusions	162	(1)
References	162	(5)
10. The Symptomatic Course of Borderline Personality Disorder	167	(14)
Mary C. Zanarini
1. Introduction	167	(1)
2. Small-Scale, Short-Term, Prospective Studies of the Course of BPD	167	(4)
3. Large-Scale, Long-Term, Follow-Back Studies of the Course of BPD	171	(2)
4. Large-Scale, Long-Term, Prospective Studies of the Course of BPD	173	(4)
References	177	(4)
11. Suicidality in Borderline Personality Disorder	181	(14)
Joel Paris
1. Suicidality in Borderline Personality Disorder	181	(1)
2. Affective Instability, Impulsivity, and Suicidality in BPD	182	(1)
3. Completed Suicide in BPD	182	(2)
4. Overdoses and Self-Harm in BPD	184	(1)
5. Some Principles for the Management of Chronic Suicidality	185	(2)
6. A Clinical Approach to Chronic Suicidality	187	(1)
7. Clinical Vignettes	188	(2)
8. Conclusions	190	(1)
References	190	(5)
12. Psychodynamic Psychotherapy of Borderline Personality Disorder	195	(16)
John G. Gunderson
1. Background	195	(1)
2. Psychoanalytic Theories and Therapies	196	(3)
3. Requisite Conditions for Psychodynamic Psychotherapy	199	(4)
4. The Alliance and Processes of Change	203	(2)
5. An Overview of Evidence About the Effectiveness of Psychodynamic Psychotherapy and Some Research Implications	205	(2)
References	207	(4)
13. Dialectical Behavior Therapy for Borderline Personality Disorder	211	(32)
Alexander L. Chapman and Marsha M. Linehan
1. Introduction	211	(1)
2. From Theory to Practice: Theoretical and Philosophical Foundations of DBT	212	(10)
3. DBT as a Comprehensive Treatment for Borderline Personality Disorder	222	(8)
4. Mechanisms of Patient Change in DBT	230	(1)
5. Clinical Example	231	(5)
6. Summary	236	(1)
References	237	(6)
14. Pharmacotherapy of Borderline Personality Disorder	243	(16)
Frances R. Frankenburg
1. Overview	243	(1)
2. Early Studies	243	(2)
3. Newer Antidepressants	245	(2)
4. Atypical Antipsychotic Agents	247	(3)
5. Mood Stabilizers	250	(2)
6. Combinations of Medications	252	(1)
7. Limitations of Existing Studies and Directions for Future Research	252	(1)
8. Conclusions	253	(1)
References	253	(6)
15. Family Interventions for Borderline Personality Disorder	259	(22)
Perry D. Hoffman and Alan E. Fruzzetti
1. When Is Family Therapy Appropriate?	260	(3)
2. DBT-Family Skills Training	263	(7)
3. Dialectical Behavior Therapy Family Therapy	270	(6)
4. Clinical Vignette	276	(2)
5. Conclusions	278	(1)
References	279	(2)
16. Day Hospital Treatment of Borderline Personality Disorder	281	(24)
Anthony W. Bateman
1. Principles of Day Treatment	282	(1)
2. Common Features	283	(5)
3. Specific Features	288	(5)
4. Research and Day Hospital Treatment	293	(3)
5. Mentalization Based Treatment	296	(3)
6. Clinical Example	299	(1)
7. Conclusions	300	(1)
References	301	(4)
17. Structural and Functional Imaging of Patients with Borderline Personality Disorder	305	(28)
In Kyoon Lyoo
1. Introduction	305	(1)
2. Structural Imaging Studies: Computed Tomography and Magnetic Resonance Imaging	306	(3)
3. Functional Imaging Studies: Functional Magnetic Resonance Imaging, Positron Emission Tomography, and Magnetic Resonance Spectroscopy	309	(8)
4. Psychopathology of Borderline Personality Disorder and Brain Imaging Study	317	(8)
5. Perspectives of Brain Imaging Studies in Borderline Personality Disorder: Current and Future	325	(2)
6. Summary	327	(2)
References	329	(4)
18. Risk Factors for Suicidal Behavior in Borderline Personality Disorder: A Review and Update	333	(34)
Paul H. Soloff
1. Introduction	333	(5)
2. The Risk Factors	338	(12)
3. Psychobiologic Diathesis to Suicide in BPD	350	(6)
4. Conclusions	356	(1)
References	357	(10)
Index	367