Borderline Personality Disorder Capstone Project Paper

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Borderline Personality Disorder Capstone Project Denise Dugan California Baptist University Author Note This paper is being submitted to Dr. Susan Purrington in partial fulfillment of the requirements for Advanced Psychopathology, PSY 535, on December 16, 2013. Borderline Personality Disorder Capstone Project Introduction The presence of mental illness manifests itself in a variety of ways. For some individuals, the lines of reality are difficult to distinguish from their own misperceptions of the world and the environment that surrounds them. They see things in extreme contexts: “always/never” and “all” or “nothing”. Relationships are destined for disaster, there is no satisfactory level in life, and the pain is dark, deep, and…show more content…
Having a caregiving environment of mind-mindedness, a state in which the parents treat their children as independent thinkers, is a necessary condition for the best development of interpersonal interpretive function. Individuals suffering from BPD have an inadequate ability to understand that their reactions and other’s reactions are driven by thoughts, feelings, beliefs, and desires. Attachment trauma is also thought to be part of the history of those with BPD. Attachment theory suggests that early experience with caregivers serves to organize later attachment relationships and has been used to explain the psychopathology of BPD (Fonagy, Target, Gergely, Allen, & Bateman, 2003). Childhood maltreatment studies have offered diverse predictors in the types of childhood maltreatment associated with BPD. Sexual abuse, inconsistent maltreatment by a female caretaker, emotional denial by a male caretaker, emotional neglect, and emotional abuse have all been found to be significant predictors of BPD (Hernandez, Arntz, Gaviria, Labad, & Gutiérrez-Zotes, 2012). Mentalization, the process in which we make sense of each other and ourselves, is undermined by genetic and early environmental factors (Fonagy, Luyten, & Strathearn, 2011). There may be several pathways that lead to developing BPD but childhood sexual abuse is the most frequently reported by 40-71% of patients with BPD. The severity of the disorder is also linked with the severity of the sexual abuse, which has led some clinicians to view BPD as a form of chronic post-traumatic stress disorder (Lieb, Zanarini, Schmahl, Linehan, & Bohus,
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