A Life Span Perspective on Borderline Personality Disorder
Open Access
- 4 June 2019
- journal article
- review article
- Published by Springer Science and Business Media LLC in Current Psychiatry Reports
- Vol. 21 (7), 1-8
- https://doi.org/10.1007/s11920-019-1040-1
Abstract
Purpose of Review To provide an update of a life span perspective on borderline personality disorder (BPD). We address the life span course of BPD, and discuss possible implications for assessment, treatment, and research. Recent Findings BPD first manifests itself in adolescence and can be distinguished reliably from normal adolescent development. The course of BPD from adolescence to late life is characterized by a symptomatic switch from affective dysregulation, impulsivity, and suicidality to maladaptive interpersonal functioning and enduring functional impairments, with subsequent remission and relapse. Dimensional models of BPD appear more age neutral and more useful across the entire life span. There is a need for age-specific interventions across the life span. Summary BPD symptoms and impairments tend to wax and wane from adolescence up to old age, and presentation depends on contextual factors. Our understanding of the onset and early course of BPD is growing, but knowledge of BPD in late life is limited. Although the categorical criteria of DSM allow for reliable diagnosis of BPD in adolescence, dimensional models appear both more age neutral, and useful up to late life. To account for the fluctuating expression of BPD, and to guide development and selection of treatment across the life span, a clinical staging model for BPD holds promise.Keywords
Funding Information
- Tilburg University
This publication has 67 references indexed in Scilit:
- Symptoms of borderline personality disorder predict interpersonal (but not independent) stressful life events in a community sample of older adults.Journal of Abnormal Psychology, 2013
- The economic cost of brain disorders in EuropeEuropean Journal of Neurology, 2011
- Ten-Year Course of Borderline Personality DisorderArchives of General Psychiatry, 2011
- The Central Domains of Personality Pathology in Psychiatric PatientsJournal of Personality Disorders, 2011
- Stability of Borderline Personality Disorder Features in GirlsJournal of Personality Disorders, 2010
- Prevalence, Correlates, Disability, and Comorbidity of DSM-IV Borderline Personality DisorderBritish Journal of Psychology, 2008
- Personality Disorder and Cardiovascular DiseaseBritish Journal of Psychology, 2007
- Reported Childhood Onset of Self-Mutilation Among Borderline PatientsJournal of Personality Disorders, 2006
- The Children in the Community Study of Developmental Course of Personality DisorderJournal of Personality Disorders, 2005
- Two-Year Stability of Personality Disorder in Older Adolescent OutpatientsJournal of Personality Disorders, 2004