Abstract

   Earlier recognised as a condition where the patient is lying at the border of 2 other disorders, borderline personality disorder affects a considerable amount of the population. Interestingly, a patient can receive the BPD diagnosis in 150 different ways based on various combinations of the criteria needed for the diagnosis of the disorder [28], which makes the clarity needed around diagnosis even more indispensable. This stresses the importance of using well researched and evaluated methods of management which will be discussed in the essay, saving on the lethal consequences on their lives, impact on their support networks and costs of health services. After defining the underlying features of this disorder, the present essay attempts to critique the various forms of treatment which are used to treat the disorder.

Keywords: Borderline Personality; Treatments

References

1. American Psychiatric Association. Diagnostic and statistical manual of mental disorders (2013). 
2. Barnicot K., et al. “Factors predicting the outcome of psychotherapy for borderline personality disorder: A systematic review”. Clinical Psychology Review 32 (2012): 400-412.
3. Binks C., et al. “Psychological therapies for people with borderline personality disorder (Review)”. The Cochrane Library 1 (2009).
4. Bateman A and Fonagy P. “Treatment of Borderline Personality Disorder with Psychoanalytically oriented partial hospitalization: an 18- month follow-up”. American Journal of Psychiatry 158.1 (2001): 36-42.
5. Borschmann R., et al. “Crisis interventions for people with borderline personality disorder (Review). (T. C. Collaboration, Ed.)”. Cochrane Database of Systematic Reviews 6 (2012).
6. Bradley R., et al. Borderline personality disorder (2007). 
7. Chanen AM and Mc Cutcheon L. “Prevention and early intervention for borderline personality disorder: Current status and recent evidence”. The British Journal of Psychiatry Supplement 54 (2013): 24-29.
8. Clarkin JF., et al. “The Personality Disorders Institute/Borderline Personality Disorder Research Foundation randomized control trial for borderline personality disorder: rationale, methods, and patient characteristics”. Journal of Personality Disorders 18.1 (2004): 52-72.
9. Cristea IA., et al. “Efficacy of psychotherapies for borderline personality disorder: A systematic review and meta-analysis”. JAMA Psychiatry 74 (2017): 319-328.
10. Dieterich M., et al. “Intensive case management for severe mental illness”. Cochrane Database of Systematic Reviews (2010).
11. First MB. “Structured clinical interview for the DSM (SCID)”. The Encyclopedia of Clinical Psychology (2014): 1-6.
12. Gunderson JG., et al. “The diagnostic interview for borderline patients”. The American Journal of Psychiatry (1981).
13. Herschell AD., et al. “Evaluation of an implementation initiative for embedding dialectical behaviour therapy in community settings”. Evaluation and Program Planning 43 (2014): 55-63.
14. Jacob LE., et al. “Outcomes of dialectical behaviour therapy administered by an interdisciplinary team”. Archives of Psychiatric Nursing 32 (2018): 512-516. 
15. Koons CR., et al. “Efficacy of dialectical behaviour therapy in women veterans with borderline personality disorder”. Behavior Therapy 32.2 (2001): 371-390.
16. Lamont S., et al. “Art psychotherapy in a consumer diagnosed with borderline personality disorder: A case study”. International Journal of Mental Health Nursing 18.3 (2009): 164-172.
17. Leichsenring F., et al. “Borderline Personality Disorder”. Seminar 377 (2011): 74-84.
18. Lieb K., et al. “Pharmacotherapy for borderline personality disorder: Cochrane systematic review of randomised trials”. British Journal of Psychiatry 196 (2010): 4-12.
19. Linehan MM., et al. “Dialectical behaviour therapy for high suicide risk in individuals with borderline personality disorder: A randomized clinical trial and component analysis”. Journal of the American Medical Association Psychiatry 72 (2015): 475-482.
20. Linehan MM., et al. “Dialectical behaviour therapy for high suicide risk in individuals with borderline personality disorder: A randomized clinical trial and component analysis”. Journal of the American Medical Association Psychiatry 72.5 (2015): 475-482.
21. Morgan L., et al. “Borderline personality disorder and the role of art therapy: A discussion of its utility from the perspective of those with a lived experience”. International Journal of Art Therapy 17.3 (2012): 91-97.
22. NICE. “Borderline personality disorder: recognition and management (CG78), 2nd". National Institute of Health and Care Excellence (2018). 
23. Oldham JM. “Borderline personality disorder and suicidality”. American Journal of Psychiatry 163.1 (2006): 20-26.
24. Oud M., et al. “Specialized psychotherapies for adults with borderline personality disorder: A systematic review and meta-analysis”. Australian and New Zealand Journal of Psychiatry 52.10 (2018): 949-961.
25. Pies R. “Summoning the muse: the role of expressive arts therapy in psychiatric care”. Psychiatric Times 25.1 (2008): 10-10.
26. Samuels J. “Personality disorders: Epidemiology and public health issues”. International Review of Psychiatry 23 (2011): 223-233.
27. Shedler J and Westen D. “Dimensions of personality pathology: An alternative to the five-factor model”. American Journal of Psychiatry 161 (2004): 1743-1754.
28. Skodol AE., et al. “The borderline diagnosis I: psychopathology, comorbidity, and personaltity structure”. Biological Psychiatry 51.12 (2002): 936-950.
29. Springham N., et al. “How can art therapy contribute to mentalization in borderline personality disorder?”. International Journal of Art Therapy 17.3 (2012): 115-129.
30. Stoffers J., et al. “Pharmacological interventions for borderline personality disorder (Review)”. Cochrane Database of Systematic Reviews 6 (2010). 
31. Torgersen S. “Epidemiology”. In: Widiger TA (ed.) The Oxford Handbook of Personality Disorders”. Oxford: Oxford University Press (2012): 186-205.
32. Verheul R., et al. “Dialectical behaviour therapy for women with borderline personality disorder: 12-month, randomised clinical trial in The Netherlands”. British Journal of Psychiatry 182.2 (2003): 135-140.
33. World Health Organization. “The ICD-10 classification of mental and behavioural disorders: clinical descriptions and diagnostic guidelines”. Geneva: World Health Organization (1992).
34. Winsper C., et al. “The aetiological and psychopathological validity of borderline personality disorder in youth: A systematic review and meta-analysis”. Clinical Psychology Review 44 (2016): 13-24.
35. Zanarini MC., et al. “Methodological considerations treatment trials for persons personality disorder”. Annals of Clinical Psychiatry 22 (2010): 75-83.
36. Zittel C and Westen D. Subtyping borderline personality disorder. Presentation given at New Directions in Borderline Personality Disorder II, a conference jointly sponsored by the National Institutes of Mental Health and the Borderline Personality Disorder Research Foundation, New York (2002).

Citation

Citation: Khwaish Sharma. "Borderline Personality Disorder: Treatments and Critique".Acta Scientific Neurology 3.1 (2020): 09-14.

Copyright

Copyright: © 2020 Khwaish Sharma. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.