Most articles and theories about borderline personality disorder (BPD), either in the psychoanalytical field or the cognitivist one, explicitly or implicitly inscribe themselves in a topographical framework that either carry a fundamental representational a priori or give prominence to causal explanations. Less is written about the phenomenological everyday life-world of borderline people. This article aims to contribute to the description of such a world. Drawing upon clinical sequences that give prominence to the first-person perspective, we will analyse the experience of some typical "symptoms" of BPD in a phenomenological and topological way. We will be led to conclude that the borderline stimmung seems to display the following characteristics: a pervading immediacy of lived experience, a territorialization that tends towards ubiquity, a certain difficulty to deal with the unity and difference poles, a quite horizontal concern with ecstasy and elation, and a waning of reflexivity in the lived space.
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http://dx.doi.org/10.1159/000521182 | DOI Listing |
Biol Psychiatry Cogn Neurosci Neuroimaging
January 2025
Department of Psychiatry, Washington University in St. Louis, School of Medicine, Saint Louis, MO, USA.
Background: The understanding of the neural correlates of borderline personality disorder (BPD) is limited, but suggests alterations in limbic structures play a role in adult BPD. The developmental course of structural neural differences in BPD is unknown. Whether there is specificity for structural alterations in BPD compared with other psychiatric presentations, such as major depressive disorder (MDD), remains unexplored.
View Article and Find Full Text PDFPersonal Disord
January 2025
Faculty of Psychology and Educational Sciences, KU Leuven.
Impairments in mentalizing, the capacity to understand the self and others in terms of intentional mental states, are proposed to play an important role in the emergence of borderline personality disorder (BPD) in adolescence. Although mentalizing problems in adults with BPD have been amply demonstrated, research in adolescence lags behind in terms of both the normative development of mentalizing in adolescence and the relation between different dimensions of mentalizing and adolescent BPD. Therefore, the current study investigated developmental trends and sex-related differences related to different mentalizing dimensions and the associations between mentalizing dimensions and BPD features in a large group of adolescents ( = 456, = 15.
View Article and Find Full Text PDFRes Psychother
January 2025
Asklepios Clinic North - Ochsenzoll, Clinic for Personality and Trauma Disorder, Hamburg; Asklepios Proresearch, Hamburg.
This prospective, naturalistic, longitudinal study examined changes in borderline-specific symptoms in a six-month, manualbased transference-focused psychotherapy (TFP) inpatient treatment for patients with borderline personality disorder (BPD) in comparison to a waitlist control group. Seventy-four patients with BPD received TFP in a multi-professional inpatient setting, of whom 27 patients represented the waitlist control group. 31 patients completed six months of treatment.
View Article and Find Full Text PDFIr J Psychol Med
January 2025
Institute for Mental Health, School of Psychology, University of Birmingham, Birmingham, UK.
Borderline personality disorder (BPD) is a highly stigmatised mental disorder. A variety of research exists highlighting the stigma experienced by individuals with BPD and the impacts of such prejudices on their lives. Similarly, much research exists on the benefits of engaging in compassionate acts, including improved mental health recovery.
View Article and Find Full Text PDFAm J Psychother
January 2025
Cambridgeshire and Peterborough NHS Foundation Trust, Cambridge, United Kingdom, and Department of Psychiatry, University of East Anglia, Norwich, United Kingdom (Dudas); Spectrum Personality Disorder Service, Eastern Health, Richmond, Victoria, Australia (Cheney).
Borderline personality disorder has been estimated to occur among about 4% of those with autism spectrum disorder. This co-occurrence can escalate the challenges of treating either condition separately, and patients often face severe challenges in psychosocial and occupational functioning. Clinicians need guidance to manage a high degree of complexity, using standards of care and a synthesis of what is known so far, to navigate the currently limited armamentarium of clinical tools.
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