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Borderline Personality Disorder in Adolescence: Phenomenology and Construct Validity

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Handbook of Borderline Personality Disorder in Children and Adolescents

Abstract

Borderline personality disorder (BPD) is a debilitating disorder that occurs in approximately 1–3 % of the general population (Leichsenring, Leibing, Kruse, New, & Leweke, 2011; Lenzenweger, 2008). It is characterized by distressful, impairing, and pervasive dysregulation of (1) affect (chronic fear of abandonment, affective instability, intense and inappropriate anger), (2) self-concept and attention (dissociative experience), of cognition (distorted thoughts and perceptions), (3) interpersonal relationships (intense, volatile), and (4) behavior (impulsivity and repetitive self-destructive behaviors). Individuals with BPD often engage in self-injurious and suicidal behavior, gambling, compulsive shopping, substance or alcohol use, binge eating, and reckless driving (American Psychiatric Association [APA], 2000; Leichsenring et al., 2011). DSM-5 (APA, 2013) diagnostic criteria for BPD are listed in Table 3.1. Given that these types of impulsive, self-destructive behaviors may lead to psychiatric hospitalization and/or incarceration, the rate of BPD in psychiatric settings is approximately 20 % and the rate in incarceration settings is even higher (APA, 2000; Leichsenring et al., 2011).

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Suggested Reading

  • Bleiberg, E., Rossouw, T., & Fonagy, P. (2011). Adolescent breakdown and emerging borderline personality disorder. In A. W. Bateman & P. Fonagy (Eds.), Handbook of metalizing in mental health practice (pp. 463–509). Arlington, VA: American Psychiatric.

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Authors and Affiliations

  1. Department of Humanities, LUMSA, Rome, Italy

    Andrea Fossati

  2. Clinical Neuroscience Department, San Raffaele Hospital, Milano, Italy

    Andrea Fossati

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  1. Andrea Fossati
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Editors and Affiliations

  1. Dept. Psychology, University of Houston, Houston, Texas, USA

    Carla Sharp

  2. Dept. Psychology, University of Houston, Houston, Texas, USA

    Jennifer L. Tackett

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Fossati, A. (2014). Borderline Personality Disorder in Adolescence: Phenomenology and Construct Validity. 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_3

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