Tagged: Borderline personality disorder Toggle Comment Threads | Keyboard Shortcuts

  • Dialectic Behavioural Therapy (DBT) 11:59 pm on July 2, 2013 Permalink | Reply
    Tags: Borderline personality disorder, emotions, facial recognition,   

    healthfinder.gov – People With Borderline Personality Disorder May Misinterpret Facial Emotions 

    In studies, patients sometimes saw anger in a ‘neutral’ face and reacted to that threat.

    THURSDAY, May 23 (HealthDay News) — Symptoms of borderline personality disorder often mimic traits of other psychiatric disorders, complicating diagnosis and treatment. But researchers in Canada say they have identified a characteristic that may be unique to borderline personality disorder: a tendency to misinterpret emotions expressed by the face.

    “They have difficulty processing facial emotions and will see a negative emotion on a neutral face,” said Anthony Ruocco, a clinical neuropsychologist and assistant professor at the University of Toronto. “This is not seen in bipolar disorder or schizophrenia.”

    Inaccuracies in recognizing anger, sadness, fear and disgust also were noted in Ruocco’s recent study, with greater deficits related to anger and disgust.

    Although more research is needed to understand the brain mechanisms involved in these misperceptions and their significance, Ruocco called these “potentially important” deficits.

    “There may be neurobiological factors that contribute to these biases in emotion perception,” he said. Pinpointing those factors might lead to better understanding of the illness and improved treatments.

    But whether these misperceptions trigger the outbursts so common among people with borderline personality disorder was not within the scope of the studies.

    People with borderline personality disorder have trouble regulating their emotions. They tend to act impulsively, lash out in anger and have stormy relationships. Many fear abandonment, complain of feeling empty and engage in bodily self-harm, such as cutting. High rates of suicide also are associated with the condition.

    Ruocco discussed the study, published in the journal Psychological Medicine, at recent conferences co-sponsored by the National Education Alliance for Borderline Personality Disorder in Boston and New Haven, Conn.

    His research, called a meta-analysis, involved a review of 10 previously published studies on emotion recognition. More than 500 people were involved: 266 with borderline personality disorder and 255 mentally healthy people, or controls. Participants were overwhelmingly female, with an average age of 29.

    Not only did subjects with borderline personality disorder misread facial emotions, the studies showed, but they also took more time to interpret facial emotions than others. And when they perceived anger, it induced stronger reactions than in healthy control subjects, Ruocco’s team found.

    Two of the studies analyzed noted that patients were more likely to report negative emotions when viewing faces displaying no emotion.

    “Neutral faces are simply faces that were produced by actors with the intention of showing no emotion,” Ruocco said. “Typically, researchers have tested these faces with healthy individuals and confirmed that nearly all people perceive them as neutral.”

    A smaller study conducted by Ruocco’s team, which is not yet published, found that individuals with borderline personality disorder also reported mild expressions of sadness as more intensely sad than others do. This was true even when the researchers accounted for depression.

    About 6 percent of adults in the United States have borderline personality disorder, according to the National Education Alliance for Borderline Personality Disorder, which also estimates that 20 percent of all psychiatric hospital admissions and 10 percent of outpatient treatment involve the condition.

    More information

    The National Education Alliance for Borderline Personality Disorder has more about borderline personality disorder .

    SOURCES: Anthony Ruocco, Ph.D., clinical neuropsychologist, assistant professor, graduate department of psychology, University of Toronto, and assistant professor, department of psychology, University of Toronto, Scarborough; Dec. 2012, Psychological Medicine

    Copyright © 2013 HealthDay

    via healthfinder.gov – People With Borderline Personality Disorder May Misinterpret Facial Emotions.

    Advertisements
     
  • Dialectic Behavioural Therapy (DBT) 1:07 pm on January 29, 2012 Permalink | Reply
    Tags: Borderline personality disorder, group therapy, individual therapy, mobile phone DBT, , skills coaching, substance abuse, , sustance misuse   

    A project funded by the National Institute on Drug Abuse can turn a smart phone into a tool for aiding people with borderline personality disorder during vulnerable moments when therapists are not available.

    The Dialectical Behavior Therapy (DBT) Field Coach is spearheaded by Behavioral Tech Research, a Seattle-based company that applies information technology and e-learning to mental health applications. The company received a grant from the institute to fund a prototype of the mobile application.

    DBT helps patients learn skills for regulating their emotions through individual and group therapy. The DBT Field Coach aims to keep the principles readily at hand when a therapist isn’t available.

    “When you are in a crisis, the time to actually use DBT skills is in the moment in the field, in the context of real life,” said Linda Dimeff, vice president and chief scientific officer at Behavioral Tech Research. “It’s not always possible to contact the therapist after-hours.”

    Dimeff and Shireen Rizvi, assistant professor of psychology at the Graduate School of Applied and Professional Psychology at Rutgers University, are principal investigators on the project. They work in collaboration with the University of Washington and with David Carroll, an assistant professor of media design at Parsons the New School for Design.

    People with borderline personality disorder have a high risk of suicide and substance abuse, which makes the immediacy of the cell phone-based coach especially important. But timeliness isn’t the application’s only virtue, Rizvi said.

    She cited the app’s ability to engage clients and said DBT Field Coach emerged from an iterative development process in which users were asked about the specific language used in the application and their experience navigating it.

    “We really developed something in line with what people wanted and could use,” she said.

    Patients follow a flow chart of sorts that seeks to help them deal with difficult emotions. For example, the application prompts patients to scroll through a menu of emotions to identify the one that is causing them the most distress. Depending on the emotion, the application then leads users down a step-by-step path for defusing the situation using DBT skills.

    In addition to skills coaching, the application includes a set of definitions that users can refer to if a word or phrase is unclear to them.

    Dimeff said the next phase of the application might use a smart phone’s Global Positioning System capabilities to provide contextual intelligence. She said she envisions adding information on places known to be high-risk areas for drug purchasing and use. As the user enters a hot spot, a message would pop up on the phone asking whether the person needs coaching.

    The next phase of the application will be Web browser-based and available for a range of smart phones, Dimeff said. The prototype runs on Nokia phones.

     
  • Dialectic Behavioural Therapy (DBT) 2:20 pm on January 28, 2012 Permalink | Reply
    Tags: Borderline personality disorder, , , , , , mental health nursing, psychiatric,   

    youtube http www youtube com watch v=iraGmA7-9FA&w=560&h=315 

     
  • Dialectic Behavioural Therapy (DBT) 3:24 am on January 23, 2012 Permalink | Reply
    Tags: Borderline personality disorder, , , , Mentalization, NICE   

    Hi, Above is a great cartoon that wonderfully illustrates the difficulties of those with Borderline Personality Disorder in both an amusing and succinct way. My only criticism is that it suggests medication can be helpfull ignoring NICE recomendations on this, along with treatments such as DBT, Mentalization etc.

     
  • Dialectic Behavioural Therapy (DBT) 1:48 am on January 23, 2012 Permalink | Reply
    Tags: Borderline personality disorder, , , , , , refractory depression   

    New treatment for chronic depression targets personality style 

    Led by Thomas Lynch, Professor of Clinical Psychology at the University of Southampton, the approach is based on Dialectical Behavior Therapy (DBT), a treatment with a proven track record in overcoming other serious mental health problems.Professor Lynch comments: “Self-control, the ability to manage competing urges, impulses, behaviours, or desires, is highly valued in society. In fact, a lack of self-control characterizes many of the personal and social problems that afflict modern civilisation. But too much self-control can be equally damaging. People who are emotionally closed-off may find it difficult to get on with others or to recruit help when they encounter difficulties. This social isolation may lead to the development of severe and difficult-to-treat mental health problems—such as refractory depression.”

     
c
Compose new post
j
Next post/Next comment
k
Previous post/Previous comment
r
Reply
e
Edit
o
Show/Hide comments
t
Go to top
l
Go to login
h
Show/Hide help
shift + esc
Cancel