Borderline Flashcards
Can bpd be at risk for self harm?
Yes but usually superficial eg cutting
What are key features of bpd?
Unstable self image Unstable interpersonal rel Feelings of emptiness Unstable affect Unstable impulse control
What is relationship between bpd and suicide?
Attempts common
What defence mechanisms are seen in bpd?
Splitting from idealisation to denigration and projection
What does dissociation mean?
Feelings become overwhelming
Not in “ones” body
What might contribute to pd?
Experiences of abuse which lead to self critical
Experiences become part of oneself
Distortion of facts so reconstruct who they are
What is main belief of bpd
I deserve to be punished
What is the long term outcome for bpd
88% up to, remission after treatment
What is a core feature of bpd
Dysfunction w emotion - going from anger to depression in short time . This is also best predictor of suicide.
Also the characteristic of instability. (Emotion interpersonal rel self-concept and beh)
What does instability in bpd lead to
Impulsivity seen by drug use and self mutilation
What does empty feeling mean in bpd
Chronically bored have difficulty w own identity
What mood disorder are common with bpd
Depression
Bipolar
Eating disorder eg bulimia
Substance use disorder
What biol factors involved
Genetics from twin studies
Inherited influences eg endophenotypes
Serotonin dysfunction
But as yet no solid genetic answers
Which area of brain associated w bpd
Limbic system - emotion regulation and serotonin transmission and low sero activity
What emotional characteristics seen in bpd
Greater emotional intensity and ability to read other people’s emotions
Shame proneness
