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Borderline personality disorder (BPD) is a severely impairing behavioral disorder characterized by emotion dysregulation, poor interpersonal functioning, cognitive difficulties, and high rates of impulsive, self-damaging behaviors (American Psychiatric Association [APA], 2000). Of those, approximately 70% self-injure and 8–10% complete suicide eventually (see Black et al. Borderline personality disorder is the most prevalent Axis II condition observed in psychiatric hospitals and is among the more costly diagnoses facing the health care system currently (Bender et al. Indeed, it is well recognized that BPD, along with nearly every psychiatric disorder, results from complex biosocial interactions that begin in early childhood (for a review see Beauchaine et al. This may result from the longstanding belief that BPD is a disorder of adulthood with few identifiable developmental precursors (see Crick et al. Furthermore, traditional symptom-based approaches to understanding psychopathology do not lend themselves well to a neuroscience perspective.Epidemiological surveys estimate the disorder affects between 1–6% of American adults (e.g., Grant et al. Biological systems rarely align neatly with single areas of dysfunction, particularly during development (Charney et al. Instead, neurobiological overlap likely accounts for much of the phenotypic covariation observed in attachment formation, affect regulation, behavioral control, and adult interpersonal relatedness.The effects of emotional neglect by narcissistic parents are particularly difficult.One of the oldest clichés about parenting is that we begin to have newfound respect and compassion for our parents when we raise our own children.Before choosing to have therapy you may be experiencing underlying feelings of dissatisfaction with life in general or be seeking a balance in your life, all of these reasons and more will bring the deaf community to therapy.The North East of England has the highest proportion of disabled people, accounting for 22% of the population.In turn, you will become a more available, loving parent and role model to your own children. Mark Zaslav is a clinical psychologist practicing in Marin County California with psychotherapy and forensic psychology practices.He has particular scholarly and clinical interests in the "self-conscious" emotions of shame and guilt, as well as associated phenomena such as narcissism and its various manifestations.
Poor affect regulation is central to most conceptualizations of BPD (APA 2010; Linehan 1993) and by adulthood, emotion dysregulation is the most prominent feature of BPD (Lieb et al. Therefore, negative affectivity, emotional lability, and mood-dependent behavior are likely central to the etiology of borderline pathology.We examine the literature on frontolimbic dysfunction in BPD within the context of Coan’s social baseline theory.Social baseline theory proposes that healthy human functioning is dependent upon adequate social support and that, at baseline, biological systems are adapted to operate interdependently rather than independently.This perspective is well suited for understanding personality trajectories, since personality structure is relatively stable across development (Caspi 2000).However, existing research on the development of personality disorders is relatively new and there is little consensus regarding which temperamental antecedents best mark risk for borderline pathology (BPDRF 2006).