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</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</p> Signup and view all the answers

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

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

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

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

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

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

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

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

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

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

    How do individuals with borderline personality disorder typically feel?

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

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

    <p>Encouraging</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</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</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</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</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</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</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.</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.</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.</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</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.</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</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</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</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</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</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</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</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.</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.</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.</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.</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.</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</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.</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.</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.'</p> Signup and view all the answers

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