Commonality Between Borderline Personality Disorder And Emotional Dysregulation

Borderline personality disorder (BPD) shares a commonality with emotional dysregulation in that they are disorders which compromise an individuals ability to use their emotions to guide effective action (Chapman, 2019, McMain et al, 2019). Treatment used to treat BPD is Dialectical Behaviour Therapy (DBT). Standard DBT reduces instances of NSSI and improves mental health outcomes of patients, reducing hospitalizations (McMain et al, 2018). Linehan and colleagues (2015) argue that six month of effective DBP can benefit the patients economically. The limitation of the experiment is the time required to monitor the results. At the time of publication, the findings were not yet published, leaving the conclusions inaccessible.

In order to reduce the instances of orphan children developing personalty disorder, parents may have to be mindful and aware of the possibility that these children may have attachment avoidance due to the shadow of abandonment in the past. The studies show that the children who are abandoned are more likely to develop the features of BDP, such as deficits of social-emotional behavior. (Weir, 2014). Moreover, (Minzenberg et al, 2008) found that executive dysfunction was related to attachment avoidance. This suggests that the social responsiveness of environments have a significant impact on the development of personality for orphan children. There is a counter argument that suggests that in terms of preventing BPD, adoptive parents may not be able to develop the same kind of secure attachment to their children as biological parents. However, children will have less psychological issues in a harmonious family environment than in an orphanage. Genuine affection special care and attention from the family may prevent the development of personality disorder.

Suicide due to bullying is a serious problem among prisons inmates. To decrease the rates of suicide in prisons, perhaps more interventions can be introduced to lessen the incidence of bullying. Blaauw, Winkle & Kerkohf (2001) found that compared to those inmates that were bullied, those that were not had a significantly lower rate of suicide. Prison guards should be made more aware of those with prior mental health problems, so that they may be able to treat them differently from the other inmates, thereby reducing the risk that mentally ill people who are bullied will commit suicide. Maybe, prison guards have little patience or time to get to know the mental health issues of inmates. This issue can be a barrier to the prevention of suicide. However, the government could provide financial aid and employ more therapists to teach guards about the mental state of the inmates.

There could be less BPD if children live in a stable caring home and social community. Consistency plays a key role in mitigating the disorder. Moving from a familiar environment to an unfamiliar one can increase a child's risk of developing BPD (Wolke el at., 2012). Researchers found that when students move to a new school, they are more likely to experience bullying because their social networks are broken down (Wolke el at., 2012). The process to connect and form networks is a trying process which often results in the student experiencing ostracism from their new peers. However, the progression of life is unpredictable and people often have to relocate to another area causing them to make new social networks. The forming of new connections is beneficial to self-growth and it is impossible to retain all previous social networks. Nevertheless, it is better for children to be provided with a constant living environment before their adolescent years to give time for growth to reduce the development of BPD later in life (National Collaborating Centre for Mental Health, 2009).

References

1. Blaauw, E., Winkel, F. W., & Kerkhof, A. J. (2001). Bullying and Suicidal Behavior in Jails. Criminal Justice and Behavior, 28(3), 279–299. doi: 10.1177/0093854801028003002
2. Chapman, A. L. (2019). Borderline personality disorder and emotion dysregulation. Development and Psychopathology, 31(3), 1143–1156. doi: 10.1017/s0954579419000658
3. Linehan, M.L., Korslund, K. E., Harned M . S., Gallop, R. L., Lungu, A., Neacsiu, A. D., McDavid, J., Comtois, K. A., & A. M. (2015). Dialectical Behavior Therapy for High Suicide Risk in Individuals With Borderline PersonalityDisorder: A Randomized Clinical Trial and Component Analysis. JAMA Psychiatry. doi:10.1001/jamapsychiatry.2014.3039
4. Minzenberg, M. J., Poole, J. H., & Vinogradov, S. (2008). A neurocognitive model of borderline personality disorder: Effects of childhood sexual abuse and relationship to adult social attachment disturbance. Development and Psychopathology, 20(1), 341–368. doi: 10.1017/s0954579408000163
5. McMain, S. F., Chapman, A. L., Kuo, J. R., Guimond, T., Streiner, D. L., Dixon-Gordon K. L., Isaranuwatchai, W., & Hoch, J. S. (2018). BMC Psychiatry 18:230 https://doi.org/10.1186/s12888-018-1802-z
6. National Collaborating Centre for Mental Health (UK). (2009, January 1). BORDERLINE PERSONALITY DISORDER. Retrieved March 6, 2020, from https://www.ncbi.nlm.nih.gov/books/NBK55415/
7. Wolke, D., Schreier, A., Zanarini, M. C., & Winsper, C. (2012). Bullied by peers in childhood and borderline personality symptoms at 11 years of age: A prospective study. Journal of Child Psychology and Psychiatry, 53(8), 846–855. doi: 10.1111/j.1469-7610.2012.02542.x
8. Weir, K. (2014, June). The lasting impact of neglect: Psychologists are studying how early deprivation harms children — and how best to help those who have suffered from neglect. Retrieved March 6, 2020, from https://www.apa.org/monitor/2014/06/neglect