No description available.

Childhood adversity is linked with a variety of negative outcomes including suicide attempts and personality disorders, most commonly Borderline Personality Disorder (BPD). A core feature of BPD, emotion dysregulation is often reported following early childhood adversity and contributes to both suicidal ideation and attempts. One explanation for the development of emotion dysregulation within BPD, is the biosocial model, which states that there must be an interaction between childhood emotional vulnerability and parental invalidation. Recent literature suggests that this interaction may not be necessary. Thus, the current study extended previous literature by examining childhood risk factors (i.e., ACES, parental invalidation, and childhood emotional vulnerability) as individual and interactive effects in predicting both BPD and suicide directly, as well as indirectly predicting suicide through BPD. Overall, the results indicated that all three risk factors individually predicted BPD and suicide risk and that the biosocial interaction also significantly predicts BPD and suicide risk.

Individuals with borderline personality disorder (BPD) experience emotional instability and have a high suicide rate. Treatment for BPD includes psychotherapy and adaptive emotion regulation strategies, which include cognitive reappraisal. Previous systematic reviews indicate that abnormal brain patterns may cause emotional instability in BPD individuals. To further explore this, this review collected articles that examined neural activity using fMRI during cognitive reappraisal in subjects with BPD and healthy controls. We identified four relevant articles through a search of Web of Science and PubMed. The articles included conflicting results in both participant groups regarding increased or decreased activity during cognitive reappraisal applying either reinterpretation or distancing. The affected brain regions were the following: lateral and ventrolateral prefrontal cortex, left middle temporal gyrus, and superior temporal gyri. Three of the articles reported consistent results of activity in the dorsolateral prefrontal cortex during downregulation, two in all participants and one only in the healthy control group. However, no significant group differences were found in this region during cognitive reappraisal. The discussion includes limitations regarding the comparability of the included studies, such as the method of eliciting negative affect, the use of written or verbal instructions, and the cognitive reappraisal strategy applied. Further research is necessary to better understand the involvement of distinct brain regions in cognitive reappraisal and BPD, as well as to establish more standardized research methods. These efforts can offer comprehensive insights into the neural mechanisms underlying cognitive reappraisal in individuals with BPD.

We live in a normality that benefits a culture of patriarchy and despite resistance it's still over powering and oppressing others by placing concerns of men first in aspects of all important fields of life like social, economic, cultural, academic and medical. The norms of a patriarchal society tend to have specific expectations towards gender, and people who do not follow them are prone to feel invalidated, rejected, and oppressed. This is especially true for those who do not fit into these norms or who want to challenge that discrimination. Border/ave is a project formed in a close collaboration between Lauretta Kubbi and Jaanika Malla whose intent is to make a change with narrated poetry, visualisation and materialisation as an artist book that presents difficulties experienced by a woman with borderline personality disorder. The project questions to which extent Border/ave can make a change by showcasing that our current patriarchal norm in a society suppresses physically, mentally, spiritually and emotionally many, but especially women with mental disorders.

No description available.

Bakgrund: Emotionellt instabilt personlighetssyndrom (EIPS) är en psykiatrisk diagnos som påverkar det psykiska och mentala välbefinnandet. Ungefär 1% av den vuxna befolkningen har diagnosen och 22% av inneliggande patienter inom den psykiatriska slutenvården är diagnostiserad med EIPS. Syfte: syftet med denna litteraturstudie var att beskriva personers upplevelser av att leva med emotionellt instabilt personlighetssyndrom. Metod: en litteraturstudie med en kvalitativ ansats har använts. 10 vetenskapliga studier som svarade mot syftet valdes ut och genomgick en kvalitativ innehållsanalys vilket resulterade i fem kategorier. Resultat: Att känna hopplöshet och vara destruktiv mot sig själv. Att uppleva identitetsförvirring och en inre kamp. Att var rädd för att bli dömd och kritiserad. Att lära sig hantera sina känslor. Att uppleva problem i relation till andra. Slutsats: litteraturstudien visade att personer med EIPS upplever svårigheter i att hantera känslor och ett enormt lidande vilket kunde leda till destruktiva handlingar för att hantera känslorna. Att lindra lidandet och att inge stöd till personer med EIPS är därför en viktig del i sjuksköterskans roll i omvårdnaden. Resultatet från denna litteraturstudie kan användas för att öka kunskapen om upplevelsen av att leva med EIPS inom samhället och vården för att minska stigmatiseringen och bidra med ett tillämpad personcentrerat förhållningssätt för sjuksköterskor. Författarna anser att det behövs mer forskning inom området för att kunna stödja denna patientgrupp på bästa sätt.

Extant treatments for borderline personality disorder (BPD) are time-intensive, consist of multiple components, and are informed by different theoretical perspectives. Comprehensive evaluation of the driving mechanism(s) maintaining BPD is warranted to maximize cost-effectiveness and efficiency of treatment. Focusing on impaired interpersonal functioning in BPD, a hallmark characteristic of the disorder, may provide a useful microcosm for evaluating different approaches to understanding what drives the full expression of the disorder. This study evaluated two brief, theoretically distinct interventions for BPD and their effects on interpersonal conflict using single case experimental design. Patients (N = 8; 6 female, mean age 27.00, range 19–55) were randomized to receive an intervention either informed by emotion dysregulation theory or attachment theory. Patients reported their frequency of daily interpersonal conflicts using ecological momentary assessment and completed weekly questionnaires including measurement of theoretically-consistent mechanisms and global BPD symptoms. It was hypothesized that patients would demonstrate a significant response (50% decrease in daily interpersonal conflicts) during either intervention compared to baseline. It was also hypothesized that patients would evidence decreases in the purported mechanism of whichever intervention they received. Regarding change in interpersonal conflicts, three participants responded after the first module (two in the attachment security intervention, one in the emotion regulation intervention), three were partial responders (two in attachment security, one in emotion regulation), and two were classified as non-responders (both in emotion regulation). Furthermore, there were decreasing trends in both mechanisms for the majority of patients who received the corresponding interventions. Interestingly, there were decreasing trends in the alternate mechanism even when patients did not receive the corresponding intervention. No significant differences between conditions were observed related to interpersonal conflict or mechanisms. Notably, there were decreases in global BPD symptoms across both conditions. Results indicate that interpersonal conflict specifically and BPD symptoms can improve in brief interventions informed by different theories. This study suggests that multiple mechanisms may be driving BPD symptomatology and/or mechanisms may be more similar than previously stated in the literature, and points to the importance of idiographic evaluation in BPD research and treatment.

Among the general Asian-American population, 18 to 25-year-old Asian-Americans and U.S. born Asian-American women have been found to have particularly high rates of suicidal ideation. An important risk factor for suicidal ideation in this population is parenting style/family conflict. Asian-Americans who are the children of immigrants, as opposed to White-Americans and non-American Asians, are often exposed to two different cultures and parenting styles. Researchers have suggested that this leads to a “fractured identity” and suicidal thoughts and behaviors (STBs). This study examined STBs in 18 to 25-year-old East Asian-American women. Depression and borderline personality disorder (BPD) severity were examined as mediating variables between family conflict and STBs. East Asian-American women (Asian-Americans) were compared to East Asian international students (Asians) and non-Hispanic/Latino whites (Caucasians). The study aimed to (1) compare the prevalence and severity of STBs, depression, and BPD across ethnic groups, (2) evaluate whether there were cultural differences in the measurement properties of the depression and BPD measures, and (3) compare parenting styles/family conflict and hypothesized pathways to suicidal ideation across groups. Data were collected through an online survey (N = 1,455). Asian-Americans and Caucasians reported similar prevalence of suicidal thoughts and similar depression, BPD, and suicidal ideation severity. There were cultural differences in the measurement properties of several items on the depression and BPD measures. In the serial mediation analysis, the path from ethnic group to family conflict to depression and BPD severity to suicidal ideation severity indicated that Asian-Americans have the most suicidal ideation through this pathway. In the moderated mediation analysis, the indirect effect of family conflict on suicidal ideation through depression and BPD was strongest in Caucasians, followed by Asian-Americans, and then Asians. These results can be reconciled given that Asian-Americans had the most family conflict and resulting suicidal ideation, but the effect of family conflict itself on suicidal ideation was strongest in Caucasians. This study indicates that the prevalence of STBs is higher in young Asian-American women than previously established rates in the general Asian-American population and that family conflict is associated with increased depression, BPD, and suicidal ideation severity.

People receiving treatment for substance use disorders (SUD) are at risk of justice involvement. Although it is well-established that borderline personality disorder (BPD) increases risk for criminal involvement, it is unclear whether this relationship exists among people with SUDs. Furthermore, prior research has found sex and race differences in the relationships between BPD and justice involvement as well as violence, but these moderators have not been explored within a substance using sample. The current study utilized a sample receiving SUD treatment to examine whether BPD is associated with prior violent charges and, if race and sex moderated this relationship. Results indicated that presence of BPD was associated with violent charges, and there may be sex differences in this relationship (OR = 4.04, 95% CI = .90; 18.18, p = .069). This study contributes to knowledge of how BPD increases risk for violent charges among people receiving SUD treatment.

Bakgrund: Inom psykiatrisk vård arbetar sjuksköterskor med att ge omvårdnad till patienter med psykiatriska tillstånd. Omvårdnaden innefattar att stödja patienter till självständighet, kontroll över sina liv och meningsfullhet. Borderline personlighetssyndrom (BPD) är en psykiatrisk diagnos som karakteriseras av instabilitet i mellanmänskliga relationer, självbild och känsloläge. Patienter med BPD upplever en stigmatisering samt ett kort, hårt och fördomsfullt bemötande i kontakt med sjukvårdspersonal. Syfte: Syftet var att beskriva sjuksköterskors upplevelser av att vårda patienter med Borderline personlighetssyndrom inom psykiatrisk vård. Metod: Litteraturöversikt utifrån tio vetenskapliga artiklar hämtade från databaserna CINAHL Complete och PsychINFO. Resultat: Resultatet presenteras under två huvudteman: Attityder till patienter med BPD och Upplevda förutsättningar och hinder för adekvat vård. Sammanfattning: Sjuksköterskorna påvisade mer negativa attityder och mindre empati gentemot patienter med BPD än andra professioner inom psykiatrisk vård. Dock förmedlade sjuksköterskorna både positiva och negativa upplevelser av att vårda patientgruppen. En fungerande vårdrelation ansågs bidra till en positiv upplevelse och ansågs avgörande för framgångsrik vård. Patienter med BPD upplevdes kunna ha problematiska beteenden så som manipulation, uppmärksamhetssökande och splittring av personalgrupper. Sjuksköterskorna uttryckte en förståelse för att dessa beteenden ej är självvalda. / Background: Within psychiatric care, nurses hold responsibility for providing nursing care to patients with psychiatric conditions. Nursing care involves supporting patients to independence, life control and sense of meaning. Borderline personality disorder (BPD) is a psychiatric condition characterized by instability in interpersonal relationships, self-image and mood. Patients with BPD experience stigmatization and a short, harsh and prejudiced approach in contact with healthcare staff. Aim: The aim was to describe nurses' experiences of caring for patients with Borderline personality disorder within psychiatric care. Method: Literature review based on ten scientific articles collected from the two databases CINAHL Complete and PsychINFO. Results: The result is presented under two main themes: Attitudes towards patients with BPD and Perceived prerequisites and obstacles for adequate care. Summary: The nurses reported more negative attitudes and less empathy towards patients with BPD than other professions in psychiatric care. However, the nurses reported both positive and negative experiences of caring for the patient group. A functional nurse-patient relationship was considered to contribute a positive experience and was considered crucial for successful care outcomes. Patients with BPD were perceived to have problematic behaviors such as manipulation, attention-seeking and splitting of staff groups. The nurses expressed comprehension to these behaviors and that they are not self-elected.