aits are patterns of affect, cognition, and behavior that are consistent in a variety of interpersonal contexts. There is also evidence that personality traits and disorders lie on a continuum. Variability in personality traits is entirely compatible with normality. Only additional risk factors would amplify traits to the point they become maladaptive…These additional risk factors could be biological, but in most cases would be more likely to be psychological and social. (p. 317-318)
The evidence across the literature supports the conclusion that low serotonin activity is related to impulsivity (Paris, 1996; Silk, 1994). However, there is no evidence that supports any significant improvement in BPD individuals from psychopharmacological intervention, including serotonin uptake inhibitors like fluoxetine. However, there is evidence to support the contention that serotonin reuptake inhibitors do significantly reduce aggressive behavior and impulsivity. Silk (1994) reports that many studies support the
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