Therapists too quick to assume someone has a personality disorder | Letters
Keir Harding says those who have lived through trauma deserve better, andAsh Charlton says it is a myth that one of the biggest predictors for an adult becoming an abuser is if they have been abused themselvesAlexandra Shimo is right to highlight the travesty of people who have lived through traumatic experiencesbeing labelled as having disordered personalities (Opinion, 27 March). Aaron Beck, the father of cognitive behavioural therapy, describes two therapists talking: “I’m having trouble with my patient with personality disorder.” “How do you know they have personality disorder?” “Because I’m having trouble with them.”This gut-feeling approach to diagnosis happens all too often in the UK. But things are changing. Next week is the 20th British and Irish Group for the Study of “Personality Disorder” annual conference in Durham. The inverted commas are indicative of the scepticism that members hold of the value of the personality disorder label. The conference is being launched by poet Clare Shaw, a staunch critic of the borderline personality disorder diagnosis, while other keynote sessions look at the impact of deprivation and trauma. We are moving away from “what is wrong with you?” and looking closer at “what happened to you?”.Continue reading...
Condition: Borderline Personality Disorder Intervention: Behavioral: inclusion condition Sponsor: Charite University, Berlin, Germany Recruiting
Condition: Borderline Personality Disorder Intervention: Other: Psychological assessment Sponsor: University of Barcelona Recruiting
ConclusionIn conclusion, our findings should encourage clinical practitioners to address trust deficits towards close others, as well as omniscient negative memory retrieval and interpretation biases which might influence current trust behavior.
Purpose of review Borderline personality disorder (BPD) attracts significant attention from clinicians and researchers alike. Despite increased recognition and willingness to diagnose BPD, most effective treatment approaches remain inaccessible to most. We consider recent developments in the diagnosis and treatment of BPD. Recent findings A literature search of EMBASE and PsychINFO, using the search terms ‘borderline personality disorder,’ ‘diagnosis’ and ‘treatment’ for publications since October 2018, yielded over 300 articles and reviews. The literature highlights the increasing ...
CONCLUSIONS: The findings suggest that the measurement of inter-trial variability in brain activity may be more valuable than the average level for revealing neurophysiological differences associated with impulsivity and personality risk factors for dependence. EEG measures may be particularly valuable in this context because they offer superior temporal resolution and signal-to-noise characteristics. PMID: 32735715 [PubMed - as supplied by publisher]
Authors: Lorettu L, Pes GM, Dore MP, Milia P, Nivoli A Abstract The relationship between eating disorders and diabetes is complex in terms of both reciprocity and comorbidity. In some cases, patients with eating disorders and diabetes develop 'purging' behaviours through the use of insulin as a bodyweight control tool, with serious physical complications that can compared to those of untreated diabetes (diabulimia). The clinical cases presented have in common the distorted use of insulin: one patient failed to take the required amounts of insulin, incurring hyperglycaemia, while the other overused it, incurring hyp...
Publication date: Available online 29 July 2020Source: Journal of Psychiatric ResearchAuthor(s): Jillian H. Broadbear, Jeremy Dwyer, Lyndal Bugeja, Sathya Rao
ConclusionsIn light of our findings, we believe that the current legislation and practice of EAS for people with personality disorders is based on an inadequate understanding of underlying psychopathology and a lack of awareness about the contemporary treatment literature. Moreover, we assert that this practice neglects the individual ’s potential for having a life worth living.
CONCLUSIONS: Our longitudinal study of a well-characterized clinical sample found more evidence for stress generation than for stress-induced decompensation in BPD. Stress generation in BPD is driven by externalizing dimensions: antagonism and disinhibition. These results highlight the utility of empirically derived dimensions for parsing heterogeneity present in BPD, leading to improvements in diagnostic evaluation, clinical prediction, and individualized approaches to treatment planning. PMID: 32713398 [PubMed - as supplied by publisher]
Publication date: Available online 26 July 2020Source: Journal of Psychiatric ResearchAuthor(s): Diana Galletta, Califano Annamaria Immacolata, Fausta Micanti, Carmen Santoriello, Andrea de Bartolomeis