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Borderline Personality Disorder Is Not Trauma-Induced: A Case for a Reformulation
School of Computing, Australian National University, Acton, Australia
Faculty of Medicine, University of New South Wales, Sydney, Australia
- 1 School of Computing, Australian National University, Acton, Australia
- 2 Faculty of Medicine, University of New South Wales, Sydney, Australia
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Abstract
Borderline Personality Disorder is associated with high degrees of mental health service engagement due to distress, and is classically described as being strongly associated with trauma, specifically childhood sexual abuse. This is despite low prevalence of trauma histories, as well as studies suggesting a paucity of evidence for trauma as a primary contributory factor. This article aims to outline the literature regarding the debate and advocates for reformulation of the con dition as a condition with a biological origin and a multifactorial presenta tion.
KeywordsBorderline Personality DisorderMental Health Service EngagementEvidence for Trauma
- Al-Alem, L., & Omar, H. (2008). Borderline Personality Disorder: An Overview of History, Diagnosis and Treatment in Adolescents. International Journal of Adolescent Medicine and Health, 20, 395-404.
- Amad, A., Ramoz, N., Thomas, P., Jardri, R., & Gorwood, P. (2014). Genetics of Borderline Personality Disorder: Systematic Review and Proposal of an Integrative Model. Neuroscience & Biobehavioral Reviews, 40, 6-19. https://doi.org/10.1016/j.neubiorev.2014.01.003
- Bowlby, J. (1973). Attachment and Loss: Vol. II: Separation: Anxiety and Anger (pp. 1-429). The International Psycho-Analytical Library.
- Grenyer, B. F. (2014). An Integrative Relational Step-Down Model of Care: The Project Air Strategy for Personality Disorders. The ACPARIAN, No. 9, 8-13.
- Kernberg, O. (1967). Borderline Personality Organization. Journal of the American Psychoanalytic Association, 15, 641-685. https://doi.org/10.1177/000306516701500309
- Mann, J. J., & Currier, D. (2012). Chapter 21: Medication in Suicide Prevention Insights from Neurobiology of Suicidal Behavior. In Y. Dwivedi (Ed.), The Neurobiological Basis of Suicide (pp. 536-542). Taylor & Francis Group, LLC. https://www.ncbi.nlm.nih.gov/books/NBK107195/
- Sanches, M. (2019). The Limits between Bipolar Disorder and Borderline Personality Disorder: A Review of the Evidence. Diseases, 7, Article 49. https://doi.org/10.3390/diseases7030049
- Sansone, R. A., Barnes, J., Muennich, E., & Wiederman, M. W. (2008). Borderline Personality Symptomatology and Sexual Impulsivity. The International Journal of Psychiatry in Medicine, 38, 53-60. https://doi.org/10.2190/PM.38.1.e
- Shorter, E. (2009). The History of Lithium Therapy. Bipolar Disorders, 11, 4-9. https://doi.org/10.1111/j.1399-5618.2009.00706.x
- Skaug, E., Czajkowski, N. O., Waaktaar, T., & Torgersen, S. (2022). Childhood Trauma and Borderline Personality Disorder Traits: A Discordant Twin Study. Journal of Psychopathology and Clinical Science, 131, 365-374. https://doi.org/10.1037/abn0000755
- Tyrer, P. (2009). Why Borderline Personality Disorder Is Neither Borderline Nor a Personality Disorder. Personality and Mental Health, 3, 86-95. https://doi.org/10.1002/pmh.78