Exploring schizophrenia spectrum psychopathology in borderline personality disorder.

This study involves 30 patients clinically diagnosed with BPD as their main diagnosis by three BPD dedicated outpatient treatment facilities in Denmark. The patients underwent a careful and time-consuming psychiatric evaluation involving several senior level clinical psychiatrists and researchers and a comprehensive battery of psychopathological scales. The study found that the vast majority of patients (67% in DSM-5 and 77% in ICD-10) in fact met the criteria for a schizophrenia spectrum disorder, i.e., schizophrenia (20%) or schizotypal (personality) disorder (SPD). The schizophrenia spectrum group scored significantly higher on the level of disorders of core self as measured by the Examination of Anomalous Self-Experiences Scale (EASE). The BPD criterion of "identity disturbance" was significantly correlated with the mean total score of EASE. These findings are discussed in the light of changes from prototypical to polythetic diagnostic systems. We argue that the original prototypes/gestalts informing the creation of BPD and SPD have gone into oblivion during the evolution of polythetic criteria. PMID: 31289925 [PubMed - as supplied by publisher]
Source: European Archives of Psychiatry and Clinical Neuroscience - Category: Psychiatry Tags: Eur Arch Psychiatry Clin Neurosci Source Type: research

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Abstract Homicide is the most serious and costly criminal offense and better forensic and criminological understanding of homicidal ideation as a potential psychobehavioral precursor to homicidal conduct is critical. Using data from the 2016 Nationwide Emergency Department Sample (NEDS) from the Healthcare Cost and Utilization Project (HCUP) distributed by the Agency for Healthcare Research and Quality (AHRQ), we found 64,910 cases of homicidal ideation among a sample of 25.6 + million-a prevalence of 0.25%. Numerous conditions conferred increased substantially the likelihood of homicidal ideation includ...
Source: Journal of Forensic Sciences - Category: Forensic Medicine Authors: Tags: J Forensic Sci Source Type: research
CONCLUSION: The overall clinical presentation when AVH occur in BPD can assist in determining a primary diagnosis of BPD when frank psychotic disorder is absent. AVH in BPD cannot be distinguished phenomenologically from AVH in SCZ. Clinical experience and increasing research suggest that AVH in BPD are often dissociative in origin and highly correlated with the presence of FRS, elevated levels of dissociation and a history of childhood trauma. When AVH occur in BPD in the absence of co-occurring psychotic disorder, formal thought disorder is usually absent, negative symptoms minimal or absent, bizarre symptoms absent, aff...
Source: Australasian Psychiatry - Category: Psychiatry Authors: Tags: Australas Psychiatry Source Type: research
This study involves 30 patients clinically diagnosed with BPD as their main diagnosis by three BPD dedicated outpatient treatment facilities in Denmark. The patients underwent a careful and time-consuming psychiatric evaluation involving several senior level clinical psychiatrists and researchers and a comprehensive battery of psychopathological scales. The study found that the vast majority of patients (67% in DSM-5 and 77% in ICD-10) in fact met the criteria for a schizophrenia spectrum disorder, i.e., schizophrenia (20%) or schizotypal (personality) disorder (SPD). The schizophrenia spectrum group scored significantly h...
Source: European Archives of Psychiatry and Clinical Neuroscience - Category: Neuroscience Source Type: research
´╗┐ When Pauline Dakin was 10 years old, her mother took the family into hiding to escape imminent danger.  Fifteen years later, Pauline was told that they were on the run from the mafia.  At first, accepting of this explanation, Pauline’s doubts grew until she could no longer deny the truth: that there was no danger and she was being misled. Join us as Pauline shares how she came to this heartbreaking conclusion. SUBSCRIBE &REVIEW   Guest information for ‘Delusional Disorder’ Podcast Episode Pauline Dakin is the bestselling author of Run, Hide, Repeat: A Memoir of a Fugitive Childhoo...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Borderline Personality Schizophrenia The Psych Central Show Trauma Source Type: blogs
This poem is about a mother who suffered from borderline personality disorder and schizophrenia. The mother recently lost custody of her daughter due to her physical abuse of the child. Both were ordered by the court to attend therapy sessions to improve their attachment. As a family therapist, I struggled to keep a balance between empathizing with, and challenging the mother. I wrote this poem and used it in session to help the mother appreciate the effect of her aggressive behaviors on her daughter. (PsycINFO Database Record (c) 2019 APA, all rights reserved)
Source: Families, Systems, and Health - Category: International Medicine & Public Health Source Type: research
Conclusions. This study replicated the link between negative appraisals of voices and depression that has been found in adults with SZ in a mixed diagnostic youth sample. It, thus, provides preliminary evidence that the cognitive model of AVH can be applied to understanding and treating voices in youth with BPD.
Source: Frontiers in Psychiatry - Category: Psychiatry Source Type: research
Both schizophrenia (SCZ) and schizotypal personality disorder (SPD) are characterized by impaired social functioning. However, few studies have compared SCZ and SPD subjects on mentalizing (the ability to understand mental states of others), a social cognitive domain key for social functioning. We aim to characterize similarities and differences between schizophrenia and SPD subjects by comparing them to individuals with another personality disorder (borderline personality disorder, BPD) and healthy controls (HC) on a mentalizing task.
Source: Biological Psychiatry - Category: Psychiatry Authors: Source Type: research
ak H Abstract Psychiatric disorders and psychological problems are common in patients with diabetes mellitus. There is a twofold increase in depression which is associated with suboptimal glycemic control and increased morbidity and mortality. Other psychiatric disorders with a higher incidence of diabetes mellitus are cognitive impairment, dementia, disturbed eating behavior, anxiety disorders, schizophrenia, bipolar disorders and borderline personality disorder. The coincidence of mental disorders and diabetes mellitus has unfavorable influences on metabolic control and micro- and macroangiopathic comp...
Source: Wiener Klinische Wochenschrift - Category: General Medicine Authors: Tags: Wien Klin Wochenschr Source Type: research
Conclusion It is clear that clinically, there is still much to be learnt about alexithymia and its relationship with a range of related phenomena. Firstly, is alexithymia a continuous and stable trait independent of psychological or somatic symptomology that is developed during childhood? Or is it instead a reactive state induced by trauma and distress at any age, which serves to defend against intense and upsetting emotions? This impacts on treatment options. For example, should we be focussing on early childhood interventions which target the child's emotional environment and parenting to encourage emotional exp...
Source: Frontiers in Psychiatry - Category: Psychiatry Source Type: research
This study will be conducted in the city of Porto Alegre in the state of Rio Grande do Sul in far-southern Brazil. This region has Portuguese, Italian, German, and African influence. It has a population of 1.4 million, and it is the 10th most populous city in Brazil. Its ethnic distribution is as follows: White (79.2%), Black (10.2%), and Pardo (multiracial) people (10.6%). Its religious distribution is as follows: Catholic (83%), Protestant (9%), and others and atheists (8%). Brazil is a country with a high level of religiosity, and it is common for people to associate improvements in their health as being due to their fa...
Source: Frontiers in Psychiatry - Category: Psychiatry Source Type: research
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