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Borderline Personality Disorder
Author(s) -
Gunderson John G.,
Ridolfi Maria E.
Publication year - 2001
Publication title -
annals of the new york academy of sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.712
H-Index - 248
eISSN - 1749-6632
pISSN - 0077-8923
DOI - 10.1111/j.1749-6632.2001.tb05798.x
Subject(s) - borderline personality disorder , specialty , psychology , interpretation (philosophy) , psychotherapist , personality , medicine , psychiatry , social psychology , computer science , programming language
A bstract : Epidemiological and neurobiological perspectives about suicidality in borderline patients are described, highlighting how self‐destructive and seemingly suicidal acts are their “behavioral specialty.” Principles for management, including the need for a primary clinician to oversee safety, and the pros and cons of both “contracting for safety” and hospitalization are presented. Clinical material is used to illustrate an approach that involves minimal initiative to rescue by therapists, a readiness to comply with patients' wishes for protection (the principle of false submission), and very active interpretation. This approach is contrasted with those advocated by Linehan and Kernberg.