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...
Source: Guardian Unlimited Science - Category: Science Authors: Tags: Mental health Psychiatry Psychology Society Science Source Type: news

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Conclusions are limited due to the lack of a control group. A randomized controlled trial (RCT) will be needed to confirm effectiveness of the training.
Source: NeuroImage: Clinical - Category: Radiology Source Type: research
AbstractPurpose of ReviewTo examine the potential role of ovarian hormones in biological vulnerability to borderline personality disorder (BPD). The review focuses primarily on research examining the menstrual cycle as a source of short-term lability of BPD symptom expression, while discussing the currently understudied possibility of ovarian hormone influence in the developmental course of BPD.FindingsSeveral patterns of menstrual cycle effects on BPD symptoms and relevant features in non-clinical samples have been observed in empirical studies. Most symptoms demonstrated patterns consistent with perimenstrual exacerbatio...
Source: Current Psychiatry Reports - Category: Psychiatry Source Type: research
Journal of Personality Disorders, Ahead of Print.
Source: Journal of Personality Disorders - Category: Psychiatry Authors: Source Type: research
Journal of Personality Disorders, Ahead of Print.
Source: Journal of Personality Disorders - Category: Psychiatry Authors: Source Type: research
Journal of Personality Disorders, Ahead of Print.
Source: Journal of Personality Disorders - Category: Psychiatry Authors: Source Type: research
AbstractAimsRecent iterations of behavior therapy emphasize transdiagnostic processes highlighting commonalities of human experience, mindfulness, language, and acceptance. In contrast to traditional treatment models —which emphasize symptom reduction—these therapies instead prioritize improving quality of life and life engagement. Acceptance and commitment therapy (ACT) is one such approach with over 300 randomized controlled trials, 40 meta-analyses, and countless uncontrolled studies published on its use. ACT not only shares features of many existing evidence-based treatments for borderline personality disor...
Source: Current Treatment Options in Psychiatry - Category: Psychiatry Source Type: research
CONCLUSIONS: Violence in BPD patients is expressed particularly towards intimate partners and known persons, usually in the homes of perpetrators. Anger, impulsivity and avoiding abandonment are traits associated with violence while suicidal behaviour, identity disturbance and affective instability are not. These patients are disproportionately found in higher levels of secure care although most violence occurs in the community. In males it is more likely driven by substance use, often at transition from adolescence to adulthood, while more severe borderline pathology is implicated in women. Early identification of an at-r...
Source: Australasian Psychiatry - Category: Psychiatry Authors: Tags: Australas Psychiatry Source Type: research
Borderline personality disorder (BPD) is a severe and heterogeneous mental disorder that is known to have the onset in young age, often in adolescence. For this reason, it is of fundamental importance to identify clinical conditions of childhood and adolescence that present a high risk to evolve in BPD. Investigations indicate that early borderline pathology (before 19 years) predict long-term deficits in functioning, and a higher percentage of these patients continue to present some BPD symptoms up to 20 years. There is a general accordance among investigators that good competence in both childhood and early adulthood is ...
Source: Frontiers in Psychiatry - Category: Psychiatry Source Type: research
Authors: Reinhard MA, Dewald-Kaufmann J, Wüstenberg T, Musil R, Barton BB, Jobst A, Padberg F Abstract Social exclusion (ostracism) is a major psychosocial factor contributing to the development and persistence of psychiatric disorders and is also related to their social stigma. However, its specific role in different disorders is not evident, and comprehensive social psychology research on ostracism has rather focused on healthy individuals and less on psychiatric patients. Here, we systematically review experimental studies investigating psychological and physiological reactions to ostracism in different res...
Source: European Archives of Psychiatry and Clinical Neuroscience - Category: Psychiatry Tags: Eur Arch Psychiatry Clin Neurosci Source Type: research
Childhood maltreatment is one of many risk factors for borderline personality disorder (BPD). However, not all individuals with BPD report histories of childhood maltreatment. Therefore, it is necessary to identify factors that contextualize the relation b...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Age: Adolescents Source Type: news
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