An Online Course:
Borderline Personality Disorder in Psychotherapy and Counseling.
Table Of Contents
The National Education Alliance for Borderline Personality Disorders is an excellent place to start for therapists, clients, and their families. In addition to the following resources, it also lists occasional clinical trials for people with BPD.
Families: Engaging families in treatment is an often overlooked component of treating people with BPD. As with serious disorders such as schizophrenia and bipolar disorder, growing research indicates that a systems approach that includes psychoeducation for family members about a client’s condition significantly reduces hospitalizations and relapses. The NEABPD runs a Family Connections program in cities around the United States. It’s a 12-week program with a minimal charge that uses principles of dialectical behavior therapy to help family member relate to a member with BPD.
In addition to information on the Family Connections program, clients and families can also download for free a 16-page booklet, Family Guidelines, by John Gunderson and Cynthia Berkowitz that offers dozens of specific tips for helping to manage the home environment.
Although it’s not part of the NEABPD site, families and therapists may also be interested in the STEPP program (Systems Training for Emotional Predictability and Problem Solving), a promising program to help families with someone who has BPD. The program offers a DVD for about $50 (including shipping) which walks family members through the STEPP program. (For a research article on STEPPS, see Blum, N, St. John, D, Pfohl, B, Stuart, S, McCormick, J, Allen, J, Arndt, S, and Black, DW (2008), Systems Training for Emotional Predictability and Problem Solving (STEPPS) for Outpatients With Borderline Personality Disorder: A Randomized Controlled Trial and 1-Year Follow-Up, American Journal of Psychiatry, 165: 468 – 478).
In a head-to-head clinical trial of dialectical behavioral therapy and a treatment following the American Psychiatric Association’s general clinical guidelines for treating borderline personality disorder, both treatments were equally effective:
Dialectical behavior therapy compared with general psychiatric management for borderline personality disorder: clinical outcomes and functioning over a 2-year follow-up.
McMain SF, Guimond T, Streiner DL, Cardish RJ, Links, PS. American Journal of Psychiatry. 2012 Jun;169(6):650-61.
Between Verbalization and Reflection: Referential Activity and Narrative Processes in Borderline Personality Organization. Psychoanalytic Psychology, Górska, Dominika; Soroko, Emilia. Oct 31, 2016, http://dx.doi.org/10.1037/pap0000117
Borderline Personality Disorder Demystified. A good site for overviews of the signs and treatments for BPD, geared primarily toward clients and families but also for therapists.
Dialectical Behavior Therapy. Perhaps the therapy with the strongest empirical support for BPD. Therapists can order materials and receive information on DBT and on training.
Middle Path. A New England-based advocacy and resource center for BPD that presents causes, symptoms and treatments in a straightforward manner, well-suited for clients. It looks at BPD from both an object-relations and biopsychosocial perspective and believes that treatments that utilize both perspectives, such as mentalization and DBT, are the most effective.
Online support groups. A list of several online and in-person support groups for people with personality disorders
BPD World. This U.K. support center for people with BPD is founded by Joshua Cole, who himself has BPD. BPD World offers online support groups, blogs and chat rooms.
Cerutti, Rita; Presaghi, Fabio; Manca, Maura; & Gratz, Kim L. (2012). Deliberate self‐harm behavior among Italian young adults: Correlations with clinical and nonclinical dimensions of personality. American Journal of Orthopsychiatry Vol 82(3), Jul 2012, 298-308
Choi-Kain, LW, Finch, EF, Jenkins, JA, Masland, SR, Unruh, BT (2017). What Works in the Treatment of Borderline Personality Disorder, Current Behavioral Neuroscience ReportsMarch 2017, Volume 4, Issue;1, pp 21–30
Chun, Seokjoon; Harris, Alexa; Carrion, Margely; Rojas, Elizabeth; Stark, Stephen; Lejuez, Carl; Lechner, William V.; & Bornovalova, Marina A. (2017). A psychometric investigation of gender differences and common processes across borderline and antisocial personality disorders. Journal of Abnormal Psychology, Vol 126(1), Jan 2017, 76-88http://dx.doi.org/10.1037/abn0000220
Darke S, et al. (2004). Borderline personality disorder, antisocial personality disorder and risk-taking among heroin users: Findings from the Australian Treatment Outcome Study (ATOS). Drug and Alcohol Dependence. 74(1):77–83.
Dulit RA, et al. (1990) Substance use in borderline personality disorder. American Journal of Psychiatry;147(8):1002–1007.
Ebner-Priemer, Ulrich W.; Houben, Marlies; Santangelo, Philip; Kleindienst, Nikolaus; Tuerlinckx, Francis; Oravecz, Zita; Verleysen, Gregory; Van Deun, Katrijn; Bohus, Martin; & Kuppens, Peter (2015). Unraveling affective dysregulation in borderline personality disorder: A theoretical model and empirical evidence. Journal of Abnormal Psychology Vol 124(1), Feb 2015, 186-198
Few, Lauren R.; Miller, Joshua D.; Grant, Julia D.; Maples, Jessica; Trull, Timothy J.; Nelson, Elliot C.; Oltmanns, Thomas F.; Martin, Nicholas G.; Lynskey, Michael T.; & Agrawal, Arpana. (2016). Trait-based assessment of borderline personality disorder using the NEO Five-Factor Inventory: Phenotypic and genetic support. Psychological Assessment, Vol 28(1), Jan 2016, 39-50
Frances A, Fyer MR, Clarkin JF. Personality and suicide. In: Mann JJ, Stanley M, editors. Psychobiology of Suicidal Behavior. Vol. 487. New York: Annals of the New York Academy of Sciences; 1986. pp. 281–293.
Gee, J & Reed, S (2013). The HoST programme: A pilot evaluation of modified dialectical behaviour therapy with female offenders diagnosed with borderline personality disorder, European Journal of Psychotherapy & Counselling Vol. 15 (3)
Gutz, Lea; Renneberg, Babette; Roepke, Stefan; & Niedeggen, Michael. (2015). Neural processing of social participation in borderline personality disorder and social anxiety disorder. Journal of Abnormal Psychology , Vol 124(2), May 2015, 421-431
Hallquist, Michael N.; Hipwell, Alison E.; & Stepp, Stephanie D. (2015). Poor self-control and harsh punishment in childhood prospectively predict borderline personality symptoms in adolescent girls. Journal of Abnormal Psychology Vol 124(3), Aug 2015, 549-564
Houben, Marlies; Claes, Laurence; Vansteelandt, Kristof; Berens, Ann; Sleuwaegen, Ellen; & Kuppens, Peter. (2017). The emotion regulation function of nonsuicidal self-injury: A momentary assessment study in inpatients with borderline personality disorder features. Journal of Abnormal Psychology, Vol 126(1), Jan 2017, 89-95
Koons CR, Robins CJ, Bishop GK et al. (1998), Efficacy of dialectical behavior therapy with borderline women veterans: a randomized controlled trial. Paper presented at 32nd annual convention of the Association for the Advancement of Behavior Therapy. Washington, D.C.
Koons CR, et al.(2001), Efficacy of dialectical behavior therapy in women veterans with borderline personality disorder. Behavior Therapy;32(2):371–390.
Kosten TA, Kosten TR, Rounsaville BJ.(1989), Personality disorders in opiate addicts show prognostic specificity. Journal of Substance Abuse and Treatment;6(3):163–168.
Krabbendam, AA, Colins, OF, Doreleijers, TAHH, van der Molen, E, Beekman, ATF, & Vermeiren, Robert, R (2015). Personality disorders in previously detained adolescent females: A prospective study. American Journal of Orthopsychiatry Vol 85(1), Jan 2015, 63-71
Kramer, Ueli; Keller, Sabine; Caspar, Franz; de Roten, Yves; Despland, Jean-Nicolas; & Kolly, Stéphane. (2017). Early change in coping strategies in responsive treatments for borderline personality disorder: A mediation analysis. Journal of Consulting and Clinical Psychology Vol 85(5), May 2017, 530-535
Lavner, Justin A.; Lamkin, Joanna; & Miller, Joshua D. (2015). Borderline personality disorder symptoms and newlyweds’ observed communication, partner characteristics, and longitudinal marital outcomes. Journal of Abnormal Psychology, Vol 124(4), Nov 2015, 975-981
Liebman, RE.; Burnette, (2013). It’s not you, it’s me: An examination of clinician- and client-level influences on countertransference toward borderline personality disorder. American Journal of Orthopsychiatry Vol 83(1), Jan 2013, 115-125
Linehan MM. (1987) Dialectical behavior therapy: A cognitive behavioral approach to parasuicide. Journal of Personality Disorders;1:328–333.
Linehan MM. (1993). Cognitive-Behavioral Treatment of Borderline Personality Disorder. New York: Guilford Press.
Linehan MM. (1993). Skills Training Manual for Treating Borderline Personality Disorder. New York: Guilford Press.
Linehan MM (1997), Self-verification and drug abusers: implications for treatment. Psychological Science 8:1-3.
Linehan MM, Armstrong HE, Suarez A et al. (1991), Cognitive-behavioral treatment of chronically parasuicidal borderline patients. Arch Gen Psychiatry 48(12):1060-1064. See comments in 50(2):157-158.
Linehan MM, et al. (2006). Two-year randomized controlled trial and follow-up of dialectical behavior therapy vs therapy by experts for suicidal behaviors and borderline personality disorder. Archives of General Psychiatry, 63(7):757–766.
Linehan MM, Heard HL, Armstrong HE. (1993). Naturalistic follow-up of a behavioral treatment for chronically parasuicidal borderline patients. Archives of General Psychiatry,50 (12):971–974.
Links PS, et al. (1995). Borderline personality disorder and substance abuse: Consequences of comorbidity. Canadian Journal of Psychiatry, 40(1):9–14.
Metcalf, RK, Fitzpatrick, S, Kuo, JR (2017). A laboratory examination of emotion regulation skill strengthening in borderline personality disorder. Personality Disorders: Theory, Research, and Treatment, Vol 8 (3)
Miano, A, Fertuck, EA, Roepke, S, Dziobek, I (2017). Romantic relationship dysfunction in borderline personality disorder—a naturalistic approach to trustworthiness perception. Personality Disorders: Theory, Research, and Treatment, Vol 8(3), Jul 2017, 281-288
Miller A, Rathus JH, Linehan MM et al. (1997), Dialectical behavior therapy adapted for suicidal adolescents. Journal of Practical Psychiatry and Behavioral Health 3:78-86.
Pearson, Carolyn M.; Lavender, Jason M.; Cao, Li; Wonderlich, Stephen A.; Crosby, Ross D.; Engel, Scott G.; Mitchell, James E.; Peterson, Carol B.; & Crow, Scott J. (2017). Associations of borderline personality disorder traits with stressful events and emotional reactivity in women with bulimia nervosa. Journal of Abnormal Psychology, Vol 126(5), Jul 2017, 531-539
Reas, Deborah L.; Pedersen, Geir; Karterud, Sigmund; & Rø, Øyvind. (2015). Self-harm and suicidal behavior in borderline personality disorder with and without bulimia nervosa. Journal of Consulting and Clinical Psychology Vol 83(3), Jun 2015, 643-648
Reid, W. H. (2009) Borderline personality disorder and related traits in forensic psychiatry. J PsychiatrIc Practice.15(3):216-20.
Ruocco, Anthony C. (2016). Compliance on neuropsychological performance validity testing in patients with borderline personality disorder. Psychological Assessment, Vol 28(3), Mar 2016, 345-350
Ruocco, Anthony C.; Laporte, Lise; Russell, Jennifer; Guttman, Herta; & Paris, Joel. (2012). Response inhibition deficits in unaffected first-degree relatives of patients with borderline personality disorder. Neuropsychology, Vol 26(4), Jul 2012, 473-482
Schultz, HE, Hong, V (2017). Psychosis in borderline personality disorder: How assessment and treatment differs from a psychotic disorder. Current Psychiatry. 2017 April;16(4):24-29
Scott, Lori N.; Wright, Aidan G. C.; Beeney, Joseph E.; Lazarus, Sophie A.; Pilkonis, Paul A.; & Stepp, Stephanie D. (2017). Borderline personality disorder symptoms and aggression: A within-person process model. Journal of Abnormal Psychology,Vol 126(4), May 2017, 429-440http://dx.doi.org/10.1037/abn0000272
Sharp, Carla; Wright, Aidan G. C.; Fowler, J. Christopher; Frueh, B. Christopher; Allen, Jon G.; Oldham, John; & Clark, Lee Anna. (2015). The structure of personality pathology: Both general (‘g’) and specific (‘s’) factors? Journal of Abnormal Psychology Vol 124(2), May 2015, 387-398
Stanley B, Ivanoff A, Brodsky B, Oppenheim S (1998), Comparison of DBT and “treatment as usual” in suicidal and self-mutilating behavior. Paper presented at 32nd annual convention of the Association for the Advancement of Behavior Therapy. Washington, D.C.
Telch CF, Agras WS, Linehan MM. (2001). Dialectical behavior therapy for binge eating disorder. Journal of Consulting and Clinical Psychology, 69(6):1061–1065.
Tomko, Rachel L.; Lane, Sean P.; Pronove, Lisa M.; Treloar, Hayley R.; Brown, Whitney C.; Solhan, Marika B.; Wood, Phillip K.; & Trull, Timothy J. (2015). Undifferentiated negative affect and impulsivity in borderline personality and depressive disorders: A momentary perspective. Journal of Abnormal Psychology Vol 124(3), Aug 2015, 740-753
Trull TJ, et al. (2000). Borderline personality disorder and substance use disorders: A review and integration. Clinical Psychology Review, 20(2):235–253.