The authors describe the case of a now 19-year-old girl who after a traumatic childhood, began to deliberately self-harm at the age of 13, often by cutting her forearms. More recently, however, swallowing inanimate objects has been her method of choice. At the time of writing, she has had over 150 accident and emergency department (A&E) attendances, over 10 gastroscopies and a laparotomy. Knives, razors and six-inch sewing pins have all been removed from her gastrointestinal tract. So far, psychiatrists have been unable to stop her and her risk of accidental death rises every time she deliberately self-harms. The authors include the patient's personal views on her illness and discuss borderline personality disorder as a condition.
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http://dx.doi.org/10.1136/bcr.07.2010.3136 | DOI Listing |
Bull Menninger Clin
March 2025
Assistant Professor of Psychiatry, University of Central Florida College of Medicine, and Adjunct Instructor of Psychiatry, Tufts University School of Medicine.
Since borderline personality disorder was identified as a distinct psychiatric syndrome in the 1970s, it has been recognized as a disorder marked by disturbance in interpersonal functioning. Understanding the borderline patient's characteristic modes of relating to self and others is therefore of significant theoretical and clinical importance. This article seeks to examine multiple facets of borderline personality disorder believed to contribute to interpersonal dysfunction, including: common communication patterns observed in borderline patients, such as double-bind communication; the primitive or paleologic thinking that results in misperception of benign interpersonal phenomena; and the destabilizing effect of a persistent pattern of stimulation and frustration (idealization and devaluation) on human relationships.
View Article and Find Full Text PDFJ Behav Cogn Ther
May 2025
Yale University School of Medicine, Department of Psychiatry 333 Cedar St., New Haven, CT, USA, 06510.
Borderline personality disorder (BPD) is often comorbid with disordered eating behaviors. Effective treatments are critically needed for this complex population. Mindful movement interventions may represent a promising, adjunctive treatment option for individuals with BPD symptoms, especially those with co-occurring disordered eating.
View Article and Find Full Text PDFPsychiatry Res
March 2025
Institute for Forensic Psychology and Psychiatry, Campus Homburg, Saarland University, Bldg. 90.3., Homburg 66421, Germany; Department of Psychiatry and Psychotherapy, University Medical Center of the Johannes Gutenberg-University Mainz, Untere Zahlbacher Str. 8, Mainz 55131, Germany.
Borderline personality disorder (BPD) and antisocial traits are common in justice-involved samples, but research on their dynamics, precursors, and aftereffects regarding aggressive and violent behavior is scarce. In order to enlarge the current knowledge needed for effective risk assessment and reduction, the present study examined patterns of BPD and antisocial traits in a sample of 315 justice-involved males who had undergone psychological/psychiatric evaluation, focusing on their relations with adverse childhood experiences (ACEs), self-reported physical aggression, as well as officially registered previous and future violent crime. Based on a comprehensive analysis of psychiatric/psychological evaluation reports and individuals' self-ratings, latent class analysis identified three distinct classes with (1) high probability of BPD and antisocial traits (n = 63), (2) high probability of antisocial traits only (n = 150), and (3) low probability of either (n = 102).
View Article and Find Full Text PDFJ Med Internet Res
February 2025
Department of Psychiatry, University of Oxford, Oxford, United Kingdom.
[This corrects the article DOI: 10.2196/54941.].
View Article and Find Full Text PDFFront Psychol
February 2025
Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, China.
Objective: This study explores researches of dialectical behavior therapy (DBT) in mental health to provide an overview of current knowledge landscape and predict future development trends of DBT.
Method: The bibliometric approach was used in the study. Articles on DBT-related research were retrieved from the Web of Science Core Collection (WoSCC) database up to December 31, 2024, and analyzed using VOSviewer and CiteSpace.
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