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Borderline Personality Disorder

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This paper begins with an extensive review of the literature to date looking at the relationship between Borderline Personality Disorder (BPD) and interpersonal relationships. It points out that while many previous studies have shown a variety of personality disorders associated with BPD, none has really shown personality disorders alone to be predictive of BPD and none have specifically looked at the relationship between BPD and romantic relationships. The authors set out to see if the clinical features of BPD symptomatology could answer a number of questions in relation to romantic relationships. The questions were a) Are BPD symptoms associated with differences in the frequency of, length of, or amount of time spent in relationships? b)Do young women with BPD symptoms demonstrate greater chronic stress in the romantic domain? c) Do they have more frequent fights and arguments with romantic partners? d) Are they more likely to be victims of abuse in romantic relationships? e) Are they more likely to have unwanted pregnancies? and f) do their partners report less satisfaction in the relationship?

The subjects studied were 142 12th graders who were self-selected after filling in a self-assessment questionnaire and who agreed to yearly telephone follow-up interviews for the next four years. Interviews were conducted by graduate students in clinical psychology or licensed clinical psychologists. Axis II symptomatology was assessed at the initial interview using the Persona

. . .
omatology. When controlling for both initial depression and non-BPD Axis II symptoms, there was a non-significant trend for BPD symptoms to predict a greater frequency of relationships and more frequent romantic conflicts, but not to predict partner-reported satisfaction, unwanted pregnancy, or abusive relationships. Essentially, BPD symptoms did not significantly predict romantic functioning after controlling for initial depression and non-BPD symptomatology, only a trend in some relationship and conflict areas. Dividing symptoms into three clusters: Cluster A - paranoid, schizoid and schizotypal; Cluster B - antisocial, BPD, histrionic and narcissistic; and Cluster C - avoidant, depressive and obsessive-compulsive, and controlling for the effects of the other clusters, Cluster B symptoms made an independent contribution to the prediction of conflict events; Cluster A and Cluster B symptoms predicted greater romantic chronic stress; there was a non-significant trend for Cluster B symptoms to be associated with unplanned pregnancy; and Cluster B independently predicted depression and partner satisfaction. Overall, while BPD symptomatology predicts a wide range of personality disorders, these are not unique to BPD, but rather ar
. . .

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Approximate Word count = 1231
Approximate Pages = 5 (250 words per page)

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