Abstract
In this chapter, we describe our biosocial developmental model of borderline personality disorder (BPD) with particular attention to recent empirical findings. We discuss core constructs and theories for conceptualizing BPD. Reliable biological and environmental precursors to BPD are reviewed and discussed within the greater context of the developmental psychopathology perspective. Particular attention is given to complex heterotypic trajectories have been identified and supported via recent longitudinal research. Based on existing evidence, we hypothesize that trait impulsivity and emotional sensitivity interact with family-level risk factors to increase risk for BPD. We also theorize that self-inflicted injury and other clinical features that emerge by adolescence are reliable predictors of later BPD onset for many individuals. Finally, we highlight future directions for research, intervention, and prevention of adolescent BPD traits.
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- 1.
The ideal prospective longitudinal study would assess relevant genetic risk markers and temperamental characteristics in infancy, neurological functioning, parental psychopathology and health behaviors across development, contextual risk factors at multiple levels of analysis, and internalizing, externalizing, and BPD-specific problems at every time point. By early adolescence, adult BPD criteria could be assessed along with developmentally normed measures. Genotyping would allow for tests of gene–environment interactions (G × E) and correlations (rGE). Such studies would continue into young adulthood, at which time most cases of BPD could be identified. Current longitudinal studies either neglected to assess BPD-relevant problems across development, have small sample sizes, or did not follow participants into young adulthood.
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Crowell, S.E., Kaufman, E.A., Beauchaine, T.P. (2014). A Biosocial Model of BPD: Theory and Empirical Evidence. In: Sharp, C., Tackett, J. (eds) Handbook of Borderline Personality Disorder in Children and Adolescents. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-0591-1_11
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Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4939-0590-4
Online ISBN: 978-1-4939-0591-1
eBook Packages: Behavioral ScienceBehavioral Science and Psychology (R0)