Theory and research- Current Problems
Emotional Dysregulation and Aggression in People with Borderline Personality Disorder
In the last twenty years, much more attention has been devoted to borderline personality disorder (BPD) than to other personality disorders in both clinical research and theoretical reflection following the psychodynamic (Kernberg, 1996, 2004), cognitive-behavioral (Linehan, 1993) and interpersonal approaches (Benjamin, 1996). Most researchers share the belief that this is one of the most all-embracing mental disorders, at the root of which there are both biological factors and specific early childhood traumatic experiences which form the core of personality and constitute pathomechanisms activating and sustaining the symptoms described in ICD-10 (1992) and DSM-5 (2013). Maladaptive patterns of experience and behavior not only are a source of suffering but also, to a considerable degree, distort the individual’s functioning in many life domains, such as professional, family, or social life. People with BPD often undergo prolonged treatment in the form of pharmacotherapy and psychotherapy, but they are also frequently in various probation or rehabilitation centers as perpetrators and/or victims of crimes involving the use of physical and sexual violence. Of the various symptoms of BPD, the one most often mentioned is emotional instability (ambivalence) co-occurring with the inability to control negative emotions, which manifests itself in self-destructive behaviors, such as psychoactive substance abuse, risky sexual behaviors or suicidal behaviors as well as impulsive aggressive behaviors of the acting-out type directed against other people and taking the form of assault, rape or violence in intimate relationships (Latalova & Prasko, 2010; Sansone & Sansone, 2012; Scott, Stepp, & Pilkonis,...
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