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    Borderline personality disorder

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    Name:
    NRDP-17-046_[Gunderson].pdf
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    Description:
    Final Accepted Manuscript
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    Author
    Gunderson, John G.
    Herpertz, Sabine C.
    Skodol, Andrew E.
    Torgersen, Svenn
    Zanarini, Mary C.
    Affiliation
    Univ Arizona, Coll Med, Dept Psychiat
    Issue Date
    2018-05-24
    
    Metadata
    Show full item record
    Publisher
    NATURE PUBLISHING GROUP
    Citation
    Gunderson, John & Herpertz, Sabine & E. Skodol, Andrew & Torgersen, Svenn & C. Zanarini, Mary. (2018). Borderline personality disorder. Nature Reviews Disease Primers. 4. 18029. 10.1038/nrdp.2018.29.
    Journal
    NATURE REVIEWS DISEASE PRIMERS
    Rights
    Copyright © 2018, Springer Nature
    Collection Information
    This item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at repository@u.library.arizona.edu.
    Abstract
    Caretakers are often intimidated or alienated by patients with borderline personality disorder (BPD), compounding the clinical challenges posed by the severe morbidity, high social costs and substantial prevalence of this disorder in many health-care settings. BPD is found in similar to 1.7% of the general population but in 15-28% of patients in psychiatric clinics or hospitals and in a large proportion of individuals seeking help for psychological problems in general health facilities. BPD is characterized by extreme sensitivity to perceived interpersonal slights, an unstable sense of self, intense and volatile emotionality and impulsive behaviours that are often self-destructive. Most patients gradually enter symptomatic remission, and their rate of remission can be accelerated by evidence-based psychosocial treatments. Although self-harming behaviours and proneness to crisis can decrease over time, the natural course and otherwise effective treatments of BPD usually leave many patients with persistent and severe social disabilities related to depression or self-harming behaviours. Thus, clinicians need to actively enquire about the central issues of interpersonal relations and unstable identity. Failure to correctly diagnose patients with BPD leads to misleading pharmacological interventions that rarely succeed. Whether the definition of BPD should change is under debate that is linked to not fully knowing the nature of this disorder.
    Note
    6 month embargo; published online: 24 May 2018
    ISSN
    2056-676X
    PubMed ID
    29795363
    DOI
    10.1038/nrdp.2018.29
    Version
    Final accepted manuscript
    Additional Links
    http://www.nature.com/articles/nrdp201829
    ae974a485f413a2113503eed53cd6c53
    10.1038/nrdp.2018.29
    Scopus Count
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