People with borderline personality disorder often struggle to regulate their emotions, which increases stress and interferes with their relationships. New research suggests better ways to cope, writes swhitbo
Within the AMPD, personality disorders are viewed as longstanding adaptive disturbances that are distinguished among each other according to a set of underlying dimensions. BPD, in this system, reflects a particular pattern of elevations along these dimensions. Additionally, however BPD can be “cross-walked” diagnostically by linking it to the traditional DSM-5 system currently in use that is based on categorical demarcations between disorders.
All of this may sound very technical to you, and of perhaps no more than academic interest, but the implications of moving from the categorical to the dimensional approach in diagnosing personality disorders is actually very significant. To put people’s personalities into bins based on whether they possess “X” number of symptoms could lead not only to inaccurate diagnoses but also failures in treatment.
Returning to the Howard U. research team’s investigation, its basic premise was that people with BPD not only experience emotional dysregulation, but that they also engage in a harmful tendency to ruminate over their out of control feelings. In what is called the Emotional Cascade Hypothesis, as the authors describe it, “individuals with BPD respond to negative affect with rumination, which further intensifies distress.
Looking in more detail at the coping checklist, it was derived from a theoretical model used in treatment known as Dialectical Behavior
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