Borderline Personality Disorder Clinical Overview

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Questions and Answers

What percentage of patients with borderline personality disorder achieve remission in the decade after seeking treatment?

  • 70%
  • 50%
  • 95%
  • 90% (correct)

Which of the following is NOT considered a core feature of borderline personality disorder?

  • Consistent self-concept (correct)
  • Instability in interpersonal relationships
  • Dysfunction in the area of emotion
  • Impulsivity

What percentage of people with borderline personality disorder also have major depression?

  • 65%
  • 50%
  • 90%
  • 80% (correct)

What is the most common substance use disorder among people with borderline personality disorder?

<p>Alcohol use disorder (B)</p> Signup and view all the answers

What is the primary reason for substance use in people with borderline personality disorder?

<p>To self-medicate emotional instability (C)</p> Signup and view all the answers

Which brain region is implicated in the emotional dysregulation seen in borderline personality disorder?

<p>Limbic network (C)</p> Signup and view all the answers

What is a common characteristic of people with borderline personality disorder?

<p>Poor self-image (B)</p> Signup and view all the answers

What percentage of the general population is estimated to have borderline personality disorder?

<p>1% to 2% (C)</p> Signup and view all the answers

What behavior is commonly observed in individuals with borderline personality disorder?

<p>Self-mutilation or suicidal behaviors (D)</p> Signup and view all the answers

What proportion of all psychiatric admissions does borderline personality disorder constitute?

<p>20% to 25% (B)</p> Signup and view all the answers

How do individuals with borderline personality disorder typically feel?

<p>Empty and unstable (D)</p> Signup and view all the answers

What is the long-term outcome for people with borderline personality disorder described as?

<p>Encouraging (D)</p> Signup and view all the answers

Which of the following is NOT a characteristic of emotional reactivity in borderline personality disorder?

<p>Greater emotional intensity in positive emotions (A)</p> Signup and view all the answers

The text discusses a study that explored the emotion of shame in people with borderline personality disorder. What did the researchers find about how these individuals interpreted the scenario of spilling wine on a carpet at a party?

<p>They were more likely to report feeling shame and wishing they were anywhere but at the party (A)</p> Signup and view all the answers

How were the feelings of shame in people with borderline personality disorder associated with other psychological factors?

<p>They were associated with lower self-esteem, lower quality of life, and higher levels of anger and hostility (B)</p> Signup and view all the answers

The text mentions that the incorporation of shame in interpreting certain situations has also been observed in which of the following populations?

<p>Children and youth with characteristics of borderline personality disorder (C)</p> Signup and view all the answers

Which of the following is NOT a characteristic of borderline personality disorder?

<p>Marked impulsivity, beginning by early adulthood and present in a variety of contexts (D)</p> Signup and view all the answers

The text mentions a study that used morphing technology to test how people with and without borderline personality disorder could correctly identify the emotion of a face that was changing from a neutral expression to an emotional expression. What did the researchers find?

<p>People with borderline personality disorder were more accurate than controls in identifying the emotion (A)</p> Signup and view all the answers

What did a study find about the memory processes of individuals with borderline personality disorder?

<p>They remembered more words related to the disorder despite being instructed to forget them. (B)</p> Signup and view all the answers

What environmental risk factor is highlighted in explaining borderline personality disorder?

<p>Early trauma, especially sexual and physical abuse. (A)</p> Signup and view all the answers

What was significant about the findings of the study comparing abused and neglected children to controls in terms of developing borderline personality disorder?

<p>More abused and neglected children went on to develop borderline personality disorder compared to controls. (D)</p> Signup and view all the answers

What aspect of childhood trauma is highlighted as particularly significant for girls and women in relation to developing borderline personality disorder?

<p>Sexual abuse (C)</p> Signup and view all the answers

Apart from childhood trauma, what other factors are suggested to contribute to the development of borderline personality disorder?

<p>Temperament and neurological impairments interacting with parental styles. (B)</p> Signup and view all the answers

In what group of people have symptoms of borderline personality disorder been observed due to rapid cultural changes?

<p>Child and adult immigrants (D)</p> Signup and view all the answers

According to the passage, what is the first vulnerability in the proposed integrative model for borderline personality disorder?

<p>A generalized biological vulnerability (A)</p> Signup and view all the answers

Which of the following is NOT a characteristic of individuals with borderline personality disorder mentioned in the passage?

<p>They are unlikely to seek treatment (B)</p> Signup and view all the answers

According to the passage, what is the primary focus of dialectical behavior therapy (DBT) in the early stages of treatment?

<p>Helping patients cope with stressors that trigger suicidal behaviors and maladaptive responses (B)</p> Signup and view all the answers

What is the third vulnerability in the proposed integrative model for borderline personality disorder?

<p>A specific psychological vulnerability learned from early environmental experiences (B)</p> Signup and view all the answers

According to the passage, what is one of the challenges in providing treatment for individuals with borderline personality disorder?

<p>They have problems with drug misuse, noncompliance with treatment, and attempts to take their own lives (D)</p> Signup and view all the answers

What is the final stage of dialectical behavior therapy (DBT) according to the passage?

<p>Clients learn to trust their own responses rather than depend on the validation of others (A)</p> Signup and view all the answers

What was the main finding of the study comparing dialectical behavior therapy (DBT) with general therapeutic support for women?

<p>Women in the DBT group were less suicidal and better socially adjusted. (C)</p> Signup and view all the answers

In the study by Yen et al. (2009), what improvements were observed in participants receiving DBT in an inpatient setting?

<p>Reduction in levels of hopelessness and anger expression. (C)</p> Signup and view all the answers

What do longitudinal studies suggest about symptomatic remission rates in borderline personality disorder (BPD)?

<p>Symptomatic remission rates are low in individuals with BPD. (A)</p> Signup and view all the answers

What type of research did Schnell & Herpertz (2007) conduct to measure emotional reactions in women with borderline personality disorder?

<p>Brain imaging study using upsetting photos. (C)</p> Signup and view all the answers

What is a significant finding from the pilot study by Schnell & Herpertz (2007) regarding emotional reactions to upsetting photos?

<p>Arousal in the amygdala improved in women with positive treatment experiences. (D)</p> Signup and view all the answers

What area of the brain was found to have improved arousal to upsetting photos as a function of treatment?

<p>Hippocampus (D)</p> Signup and view all the answers

What did Linehan & Kehrer (1993) find regarding the effectiveness of dialectical behavior therapy (DBT) versus 'treatment as usual'?

<p>'Treatment as usual' led to less suicidal behavior in women. (B)</p> Signup and view all the answers

According to Zeitler et al. (2020), what is a common trend observed in longitudinal studies related to borderline personality disorder?

<p>'Treatment as usual' leads to high rates of symptomatic remission. (C)</p> Signup and view all the answers

What promise does integrative research hold for understanding borderline personality disorder according to the text?

<p>'It may enhance our understanding of successful treatment mechanisms.' (C)</p> Signup and view all the answers

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