A research report submitted to the Faculty of Health Sciences, University of Witwatersrand , in partial fulfillment of the requirements for the degree of Master in the branch of Psychiatry / The aim of this report was to establish the profile of all the patients with borderline personality disorder admitted to the Acute Inpatient Psychiatric Assessment Unit at the Helen Joseph Hospital over the course of one year. A retrospective record review was conducted to investigate the prevalence, demographics, reasons for admission, treatment and length of stay of the group of patients that was selected based on discharge diagnosis and DSM-IV-TR criteria, that were admitted throughout the course of 2010. The follow-up plan upon discharge was also reviewed. Statistical data analysis revealed findings mainly in keeping with international norms. The length of stay of patients with borderline personality disorder exceeded the average length of stay of all the patients in the ward in 2010, which illustrates that these patients are above-average users of resources. Patients with borderline personality disorder were shown in the review to be extremely inconsistent with regards to scheduled follow up plans, however significantly used emergency services at the hospital. Implementation of targeted prevention and early intervention strategies, based on systematised programs such as dialectical behavioural therapy and mentalisation-based therapy, may be useful in addressing this. This report supports further research into the utilisation of services available for patients with borderline personality disorder in the wider context of both psychiatric and psychological interventions in Southern Gauteng.

This study examined the empirical relationship between narcissism and self-esteem in an attempt to evaluate competing conceptualizations of narcissism. Participants were 236 children (mean age 11.3 years) in the fourth through eighth grades. Counter to earlier conceptions, which characterized narcissism as very high self-esteem, narcissism and self-esteem were slightly negatively correlated. Also, narcissism predicted several adjustment variables, including aggression. None of these relationships was mediated by self-esteem. Lastly, self-esteem moderated the relationship between narcissism and aggression in boys. Taken together, these lines of evidence point to a new conceptualization of narcissism, modeled after self-discrepancy theory, in which narcissism is conceptualized as grandiosity in the ideal self. Implications of this proposal and directions for future research are discussed. / by Rachel Evans. / Thesis (M.A.)--Florida Atlantic University, 2009. / Includes bibliography. / Electronic reproduction. Boca Raton, Fla., 2009. Mode of access: World Wide Web.

Na clínica contemporânea, percebe-se que as compulsões, as patologias do agir e a experiência de vazio estão cada vez mais presentes, contaminadas pela pressão de ideais de consumo ou constituídas sob a égide desses ideais, na promessa de completude presente nos valores atuais da cultura. Tais manifestações tornam-se ainda mais evidentes com a erupção de formas de sofrimento marcadas pela repetição de experiências dolorosas que limitam e empobrecem a vida dessas pessoas. Nesse contexto, quadros clínicos como a personalidade borderline e as adicções ganham relevância e exigem dos profissionais do campo da saúde mental produções acadêmicas para maior compreensão e cuidado desses fenômenos psicopatológicos. Frente a isto, o objetivo desta pesquisa consistiu em refletir sobre a relação entre as denominadas personalidades borderline e as adicções, a partir de uma investigação fundamentada em uma leitura psicanalítica. Pretende-se ainda enriquecer os instrumentos teórico-clínicos de que se dispõe, de forma a favorecer uma maior compreensão diagnóstica, imprescindível no manejo desses casos. Para tanto, esses conceitos foram estudados a partir da leitura hermenêutica entendida como construção dialética de conhecimento numa relação de intersubjetividade com as condições de sofrimento que podem ser agrupadas sob as nomeações aqui referidas e ilustradas através da utilização de material clínico. A noção de relação adictiva foi utilizada como conceito articulador, pois comporta elementos centrais da dinâmica psíquica própria das adicções e da personalidade borderline. A partir desse estudo, formulou-se a proposta de compreensão da organização borderline de personalidade como uma modalidade de adicção, cujo objeto é uma pessoa, mesmo que coisificada / Compulsive behavior, acting out pathologies and feelings of emptiness are increasingly frequent in contemporary psychoanalytical practice. Such symptoms are contaminated or even brought forth by the pressure of strongly rooted ideals of current culture regarding consumerism and its void promises of providing inner fulfillment. The result becomes even more evident in the outbursts of modern-day ways of suffering characterized by the repetition of painful experiences that limit and deplete the lives of these patients. Hence the understanding of clinical diagnosis and treatment of disorders such as addictions and borderline personality syndrome becomes an important academic requirement for mental health professionals. The goal of this research is therefore to reflect on the relation between borderline personality and addictions from a psychoanalytical perspective and thus, through the development of both theoretical and clinical knowledge, contribute to improve diagnosis, which is essential for the handling of such cases. In order to achieve such goals, these concepts have been studied from a hermeneutic approach understood as a dialectic construction of knowledge , with great attention to relations of intersubjectivity between them and conditions of suffering that may be brought together under the classification referred here. Additionally, those ideas have also been illustrated by clinical observations. The notion of addictive relations has proved to be a valuable starting point in the articulation of these studies, since it contains essential elements of the mental dynamics of patients suffering both from addictions and borderline personality syndrome. This study gave rise to the understanding of borderline personality as a modality of addiction in which the object is a person, although most probably objectified

Na clínica contemporânea, percebe-se que as compulsões, as patologias do agir e a experiência de vazio estão cada vez mais presentes, contaminadas pela pressão de ideais de consumo ou constituídas sob a égide desses ideais, na promessa de completude presente nos valores atuais da cultura. Tais manifestações tornam-se ainda mais evidentes com a erupção de formas de sofrimento marcadas pela repetição de experiências dolorosas que limitam e empobrecem a vida dessas pessoas. Nesse contexto, quadros clínicos como a personalidade borderline e as adicções ganham relevância e exigem dos profissionais do campo da saúde mental produções acadêmicas para maior compreensão e cuidado desses fenômenos psicopatológicos. Frente a isto, o objetivo desta pesquisa consistiu em refletir sobre a relação entre as denominadas personalidades borderline e as adicções, a partir de uma investigação fundamentada em uma leitura psicanalítica. Pretende-se ainda enriquecer os instrumentos teórico-clínicos de que se dispõe, de forma a favorecer uma maior compreensão diagnóstica, imprescindível no manejo desses casos. Para tanto, esses conceitos foram estudados a partir da leitura hermenêutica entendida como construção dialética de conhecimento numa relação de intersubjetividade com as condições de sofrimento que podem ser agrupadas sob as nomeações aqui referidas e ilustradas através da utilização de material clínico. A noção de relação adictiva foi utilizada como conceito articulador, pois comporta elementos centrais da dinâmica psíquica própria das adicções e da personalidade borderline. A partir desse estudo, formulou-se a proposta de compreensão da organização borderline de personalidade como uma modalidade de adicção, cujo objeto é uma pessoa, mesmo que coisificada / Compulsive behavior, acting out pathologies and feelings of emptiness are increasingly frequent in contemporary psychoanalytical practice. Such symptoms are contaminated or even brought forth by the pressure of strongly rooted ideals of current culture regarding consumerism and its void promises of providing inner fulfillment. The result becomes even more evident in the outbursts of modern-day ways of suffering characterized by the repetition of painful experiences that limit and deplete the lives of these patients. Hence the understanding of clinical diagnosis and treatment of disorders such as addictions and borderline personality syndrome becomes an important academic requirement for mental health professionals. The goal of this research is therefore to reflect on the relation between borderline personality and addictions from a psychoanalytical perspective and thus, through the development of both theoretical and clinical knowledge, contribute to improve diagnosis, which is essential for the handling of such cases. In order to achieve such goals, these concepts have been studied from a hermeneutic approach understood as a dialectic construction of knowledge , with great attention to relations of intersubjectivity between them and conditions of suffering that may be brought together under the classification referred here. Additionally, those ideas have also been illustrated by clinical observations. The notion of addictive relations has proved to be a valuable starting point in the articulation of these studies, since it contains essential elements of the mental dynamics of patients suffering both from addictions and borderline personality syndrome. This study gave rise to the understanding of borderline personality as a modality of addiction in which the object is a person, although most probably objectified

Submitted by Filipe dos Santos (fsantos@pucsp.br) on 2017-10-24T12:03:16Z No. of bitstreams: 1 Solange Veronez.pdf: 3638948 bytes, checksum: 7086eb09cc3ab3c8f87a0ede146a59fe (MD5) / Made available in DSpace on 2017-10-24T12:03:16Z (GMT). No. of bitstreams: 1 Solange Veronez.pdf: 3638948 bytes, checksum: 7086eb09cc3ab3c8f87a0ede146a59fe (MD5) Previous issue date: 2017-10-06 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES / This study aims to reflect on the need for physical contact with the psychologist of a borderline patient attended at a public institution. To this end, aspects of the Theory of the Maturing of D.W.Winnicott and their application in the clinic, such as body holding, regression management and egoic needs are included here. Also discussed are questions of technique, transference and countertransference, involving the abstinence rule, analyst neutrality and the necessary modification of classical psychoanalysis in the care of patients who have suffered from inadequate environmental care in a phase of absolute dependence. Diagnosed with schizoaffective disorder, the patient in question was assisted in a task group proposal and in individual consultations when she requested it. It was possible to conclude that in some moments, the attendance to the need for corporal contact - touch to the hands and the hair - proved adequate to unfreeze the environmental fault lived by the patient in the beginnings of its existence; in others, however, it was important to deny her the request in order to safeguard the setting and the psychologist as a real person in the treatment / Este estudo tem como proposta realizar uma reflexão acerca da necessidade de contato físico com a psicóloga de uma paciente borderline atendida em instituição pública. Para tanto, são aqui retomados aspectos da Teoria do Amadurecimento de D. W. Winnicott e sua aplicação na clínica, tais como holding corporal, manejo da regressão e necessidades egoicas. Também são abordadas questões da técnica, da transferência e contratransferência, envolvendo a regra da abstinência, a neutralidade do analista e a necessária modificação da psicanálise clássica no atendimento de pacientes que sofreram falhas de cuidados ambientais numa fase de dependência absoluta. Diagnosticada com transtorno esquizoafetivo, a paciente em questão foi atendida numa proposta de grupo de tarefas e em consultas individuais, quando assim o solicitava. Foi possível concluir que, em alguns momentos, o atendimento à necessidade de contato corporal – toque nas mãos e nos cabelos – mostrou-se adequado para descongelar a falha ambiental vivida pela paciente nos primórdios de sua existência; em outros, porém, foi importante negar-lhe o pedido, de modo a salvaguardar o setting e a psicóloga como pessoa real no tratamento

Mindfulness is a core component of dialectical behavior therapy (DBT), a widely utilized treatment for borderline personality disorder (BPD); however, the import of mindfulness in treating BPD has yet to be demonstrated, and the relationship of mindfulness to BPD constructs is unclear. The current study utilized structural equation modeling to examine the relations of mindfulness with BPD features and the underlying constructs of interpersonal problem-solving effectiveness, impulsivity, emotion regulation strategies, and neuroticism in 342 young adults. Mindfulness was significantly related to effectiveness in interpersonal problem-solving, impulsivity and passivity in emotion regulation, and borderline features. Furthermore, mindfulness continued to predict borderline features when controlling for interpersonal problem-solving and impulsive/passive emotion-regulation strategies, as well as when controlling for neuroticism. It is concluded that difficulties with mindfulness may represent a core feature of BPD and that improvement in mindfulness may be a key component of treatment efficacy with BPD. It is recommended that the unique contribution of mindfulness be investigated in future treatment-outcome research.