Borderline Personality Disorder in Psychotherapy and Counseling

Resources & References

An Online Course:
Borderline Personality Disorder: New Understanding, Better Outcomes

Resources for Clients and Their Families

National Alliance on Mental Illness (NAMI)

The National Education Alliance for Borderline Personality Disorders is an excellent place to start for therapists, clients, and their families. In addition to the following resources, it also lists occasional clinical trials for people with BPD.

Engaging families in treatment is an often overlooked component of treating people with BPD. As with serious disorders, such as schizophrenia and bipolar disorder, growing research indicates that a systems approach that includes psychoeducation for family members about a client’s condition significantly reduces hospitalizations and relapses. The NEABPD runs a Family Connections program in cities around the United States. It’s a 12-week program with a minimal charge that uses principles of dialectical behavior therapy to help family member relate to a member with BPD.

In addition to information on the Family Connections program, clients and families can also download for free a 16-page booklet, Family Guidelines, by John Gunderson and Cynthia Berkowitz that offers dozens of specific tips for helping to manage the home environment.

Although it’s not part of the NEABPD site, families and therapists may also be interested in the STEPP program (Systems Training for Emotional Predictability and Problem Solving), a promising program to help families with someone who has BPD. The program offers a DVD for about $50 which walks family members through the STEPP program. (For a research article on STEPPS, see Blum, N, St. John, D, Pfohl, B, Stuart, S, McCormick, J, Allen, J, Arndt, S, and Black, DW (2008), Systems Training for Emotional Predictability and Problem Solving (STEPPS) for Outpatients With Borderline Personality Disorder: A Randomized Controlled Trial and 1-Year Follow-Up, American Journal of Psychiatry, 165: 468 – 478).

Middle Path. A New England-based advocacy and resource center for BPD that presents causes, symptoms and treatments in a straightforward manner, well-suited for clients. It looks at BPD from both an object-relations and biopsychosocial perspective and believes that treatments that utilize both perspectives, such as mentalization and DBT, are the most effective.

Online support groups. A list of several online and in-person support groups for people with personality disorders.

BPD World. This U.K. support center for people with BPD is founded by Joshua Cole, who himself has BPD. BPD World offers online support groups, blogs and chat rooms.

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References

General

Barber, Taylor A., Ringwald, Whitney R., Wright, Aidan G. C., & Manuck, Stephen B. (2020). Borderline personality disorder traits associate with midlife cardiometabolic risk. Personality Disorders: Theory, Research and Treatment, Vol 11(2), 151-156
https://doi.org/10.1037/per0000373

Choi-Kain, LW, Finch, EF, Jenkins, JA, Masland, SR, Unruh, BT (2017). What Works in the Treatment of Borderline Personality Disorder, Current Behavioral Neuroscience Reports, Volume 4, Issue;1, pp 21–30

Chun, Seokjoon; Harris, Alexa; Carrion, Margely; Rojas, Elizabeth; Stark, Stephen; Lejuez, Carl; Lechner, William V.; & Bornovalova, Marina A. (2017). A psychometric investigation of gender differences and common processes across borderline and antisocial personality disorders. Journal of Abnormal Psychology, Vol 126(1), 76-88http://dx.doi.org/10.1037/abn0000220

Ebner-Priemer, Ulrich W.; Houben, Marlies; Santangelo, Philip; Kleindienst, Nikolaus; Tuerlinckx, Francis; Oravecz, Zita; Verleysen, Gregory; Van Deun, Katrijn; Bohus, Martin; & Kuppens, Peter (2015). Unraveling affective dysregulation in borderline personality disorder: A theoretical model and empirical evidence. Journal of Abnormal Psychology Vol 124(1), 186-198

Ellison, William D., Levy, Kenneth N., Newman, Michelle G., Pincus, Aaron L., Wilson, Stephen J., & Molenaar, Peter C. M. (2020). Dynamics among borderline personality and anxiety features in psychotherapy outpatients: An exploration of nomothetic and idiographic patterns. Personality Disorders: Theory, Research and Treatment, Vol 11(2), 131-140

Few, Lauren R.; Miller, Joshua D.; Grant, Julia D.; Maples, Jessica; Trull, Timothy J.; Nelson, Elliot C.; Oltmanns, Thomas F.; Martin, Nicholas G.; Lynskey, Michael T.; & Agrawal, Arpana. (2016). Trait-based assessment of borderline personality disorder using the NEO Five-Factor Inventory: Phenotypic and genetic support. Psychological Assessment, Vol 28(1), 39-50

File, AA, Hurley, RA & Taber, KH (2017). Borderline personality disorder: neurobiological contributions to remission and recovery, Journal of Neuropsychiatry, 275-283. https://doi.org/10.1176/appi.neuropsych.17050097

Goldman, R. E., Hilsenroth, M. J., Gold, J. R., Cersosimo, B. H., Levy, S. R., & Owen, J. J. (2018). Psychotherapy integration and borderline personality pathology: An examination of treatment outcomes. Journal of Psychotherapy Integration, 28(4), 444–461. https://doi.org/10.1037/int0000124

Gutz, Lea; Renneberg, Babette; Roepke, Stefan; & Niedeggen, Michael. (2015). Neural processing of social participation in borderline personality disorder and social anxiety disorder. Journal of Abnormal Psychology, Vol 124(2), 421-431

Haliczer, Lauren A., Dixon-Gordon, Katherine L., Law, Keyne C., Anestis, Michael D., Rosenthal, Mark Zachary, &Chapman, Alexander L. (2019).
Emotion regulation difficulties and borderline personality disorder: the moderating role of race. Personality Disorders: Theory, Research, and Treatment, No Pagination Specified. https://doi.org/10.1037/per0000355

Hallquist, Michael N.; Hipwell, Alison E.; & Stepp, Stephanie D. (2015). Poor self-control and harsh punishment in childhood prospectively predict borderline personality symptoms in adolescent girls. Journal of Abnormal Psychology Vol 124(3), 549-564

Houben, Marlies; Claes, Laurence; Vansteelandt, Kristof; Berens, Ann; Sleuwaegen, Ellen; & Kuppens, Peter. (2017). The emotion regulation function of nonsuicidal self-injury: A momentary assessment study in inpatients with borderline personality disorder features. Journal of Abnormal Psychology, Vol 126(1), 89-95

Krabbendam, AA, Colins, OF, Doreleijers, TAHH, van der Molen, E, Beekman, ATF, & Vermeiren, Robert, R (2015). Personality disorders in previously detained adolescent females: A prospective study. American Journal of Orthopsychiatry Vol 85(1), 63-71

Karterud, S., & Kongerslev, M. T. (2020). Psychotherapy of personality disorders needs an integrative theory of personality. Journal of Psychotherapy Integration. Advance online publication. https://doi.org/10.1037/int0000196

Kramer, Ueli; Keller, Sabine; Caspar, Franz; de Roten, Yves; Despland, Jean-Nicolas; & Kolly, Stéphane. (2017). Early change in coping strategies in responsive treatments for borderline personality disorder: A mediation analysis. Journal of Consulting and Clinical Psychology Vol 85(5), 530-535

Lavner, Justin A.; Lamkin, Joanna; & Miller, Joshua D. (2015). Borderline personality disorder symptoms and newlyweds’ observed communication, partner characteristics, and longitudinal marital outcomes. Journal of Abnormal Psychology, Vol 124(4), 975-981

Livesley, John & Larstone, Roseann, eds (2018). Handbook of Personality Disorders: Second Edition: Theory, Research, and Treatment. New York: Guilford

McEwan, Troy, Daffern, Michael, MacKenzie, Rachel D. & Ogloff, James (2017). Risk factors for stalking violence, persistence, and recurrence, The Journal of Forensic Psychiatry & Psychology, 28:1, 38-56, DOI: 10.1080/14789949.2016.1247188

Nijdam-Jones, Alicia, Rosenfeld, B. & Gerbrandij, J (2018). Psychopathology of stalking offenders: examining the clinical, demographic, and stalking characteristics of a community-based sample, Clinical Justice & Behavior 45 (5), 712-731

Metcalf, RK, Fitzpatrick, S, Kuo, JR (2017). A laboratory examination of emotion regulation skill strengthening in borderline personality disorder. Personality Disorders: Theory, Research, and Treatment, Vol 8 (3).

Miano, A, Fertuck, EA, Roepke, S, Dziobek, I (2017). Romantic relationship dysfunction in borderline personality disorder—a naturalistic approach to trustworthiness perception. Personality Disorders: Theory, Research, and Treatment, Vol 8(3), 281-288

Pearson, Carolyn M.; Lavender, Jason M.; Cao, Li; Wonderlich, Stephen A.; Crosby, Ross D.; Engel, Scott G.; Mitchell, James E.; Peterson, Carol B.; & Crow, Scott J. (2017). Associations of borderline personality disorder traits with stressful events and emotional reactivity in women with bulimia nervosa. Journal of Abnormal Psychology, Vol 126(5), 531-539.

Perez-Rodriguez MM, Bulbena-Cabré A, Bassir Nia A, Zipursky G, Goodman M, New AS (2018). The neurobiology of borderline personality disorder. Psychiatric Clinics of North America. 41(4):633-650. doi: 10.1016/j.psc.2018.07.012.

Reas, Deborah L.; Pedersen, Geir; Karterud, Sigmund; & Rø, Øyvind. (2015). Self-harm and suicidal behavior in borderline personality disorder with and without bulimia nervosa. Journal of Consulting and Clinical Psychology Vol 83(3), 643-648

Ruocco, Anthony C. (2016). Compliance on neuropsychological performance validity testing in patients with borderline personality disorder. Psychological Assessment, Vol 28(3), 345-350

Schultz, HE, Hong, V (2017). Psychosis in borderline personality disorder: How assessment and treatment differs from a psychotic disorder. Current Psychiatry. 16(4):24-29

Scott, Lori N.; Wright, Aidan G. C.; Beeney, Joseph E.; Lazarus, Sophie A.; Pilkonis, Paul A.; & Stepp, Stephanie D. (2017). Borderline personality disorder symptoms and aggression: A within-person process model. Journal of Abnormal Psychology,Vol 126(4), 429-440http://dx.doi.org/10.1037/abn0000272

Sharp, Carla; Wright, Aidan G. C.; Fowler, J. Christopher; Frueh, B. Christopher; Allen, Jon G.; Oldham, John; & Clark, Lee Anna. (2015). The structure of personality pathology: Both general (‘g’) and specific (‘s’) factors? Journal of Abnormal Psychology Vol 124(2), 387-398

Tomko, Rachel L.; Lane, Sean P.; Pronove, Lisa M.; Treloar, Hayley R.; Brown, Whitney C.; Solhan, Marika B.; Wood, Phillip K.; & Trull, Timothy J. (2015). Undifferentiated negative affect and impulsivity in borderline personality and depressive disorders: A momentary perspective. Journal of Abnormal Psychology Vol 124(3), 740-753

 

Treatment of BPD

Keefe, John R., McMain, Shelley F., McCarthy, Kevin S., Zilcha-Mano, Sigal, Dinger, Ulrike, Sahin, Zeynep,Graham, Kathryn, & Barber, Jacques P. (2019). A meta-analysis of psychodynamic treatments for borderline and cluster C personality disorders. Personality Disorders: Theory, Research, and Treatment, No Pagination Specified. https://doi.org/10.1037/per0000382

Links PS, Shah R, Eynan R (2017). Psychotherapy for borderline personality disorder: Progress and remaining challenges, Current Psychiatry Reports 19:16

Livesley,John, Dimaggio, Giancarlo & Clarkin, John, eds (2016). Integrated Treatment for Personality Disorder: A Modular Approach. New York: Guilford

Paris, Joel (2020). Treatment of Borderline Personality Disorder: A Guide to Evidence-Based Practice, 2nd ed. New York: Guilford

 

Dialectical Behavior Therapy

Chapman, Alexander & Dixon-Gordon, Katherine (2020). Dialectical Behavior Therapy. Washington, DC: American Psychological Association

Miller, AL, Rathus, J & Linehan, M (2015) Guilford Dialectical Behavior Therapy with Suicidal Adolescents. Nee York: Guilford

Rizvi, Shireen (2019). Chain Analysis in Dialectical Behavior Therapy, New York: Guilford

 

Psychodynamic & Mentalization-Based Treatments

Bateman A, Fonagy P (2009). Randomized controlled trial of outpatient mentalization-based treatment versus structured clinical management for borderline personality disorder. Am J Psychiatry, 166,1355–1364.

Bateman, A, Fruzetti, A & Gold, A (2012). Empirically supported therapies for borderline personality disorder, VIDEO: https://www.youtube.com/watch?v=oeboLKNV3PQ

Bateman A and Fonagy P. (2013) Mentalization-based treatment. Journal for Mental Health Professionals. 33(6):595-613.

Bateman, Anthony, Fonagy, Peter (2019). A randomized controlled trial of a mentalization-based intervention (MBT-FACTS) for families of people with borderline personality disorder, Personality Disorders: Theory, Research, and Treatment, Vol 10(1), 70-79
https://doi.org/10.1037/per0000298

Keefe, John R., McMain, Shelley F., McCarthy, Kevin S., Zilcha-Mano, Sigal, Dinger, Ulrike, Sahin, Zeynep,Graham, Kathryn, & Barber, Jacques P. (2019). A meta-analysis of psychodynamic treatments for borderline and cluster C personality disorders. Personality Disorders: Theory, Research, and Treatment, Pagination Specified
https://doi.org/10.1037/per0000382

Links PS, Shah R, Eynan R (2017). Psychotherapy for borderline personality disorder: Progress and remaining challenges, Current Psychiatry Reports 19:16

 

Transference-Focused Psychotherapy

Radcliffe, Jonathan & Yeomans, Frank (2019).Transference‐focused psychotherapy for patients with personality disorders: overview and case example with a focus on the use of contracting, British Journal of Psychotherapy 35(1) https://doi.org/10.1111/bjp.12421

video: Youmans, Frank (2013) Transference-Focused Psychotherapy. VIDEO: https://www.youtube.com/watch?v=amXsNuDkiiM

 

Schema-Focused Psychotherapy

Tan, Y. M., Lee, C. W., Averbeck, L. E., Brand-de Wilde, O., Farrell, J., Fassbinder, E., … Arntz, A. (2018). Schema therapy for borderline personality disorder: A qualitative study of patients’ perceptions. PloS one, 13(11), e0206039. doi:10.1371/journal.pone.0206039

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