Borderline Personality and Mood Disorders: Comorbidity and Controversy
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In Borderline Personality and Mood Disorders: Comorbidity and Controversy, a panel of distinguished experts reviews the last two decades of progress in scientific inquiry about the relationship between mood and personality disorders and the influence of this empirical data on our ways of conceptualizing and treating them. This comprehensive title opens with an introduction defining general trends both influencing the expansion of the mood disorder spectrum and undermining clinical recognition and focus on personality disorders. The overlaps and differences between MDD and BPD in phenomenology and biological markers are then reviewed, followed by a review of the overlaps and distinctions between more atypical mood disorder variants. Further chapters review the current state of thinking on the distinctions between bipolar disorder and BPD, with attention to problems of misdiagnosis and use of clinical vignettes to illustrate important distinguishing features. Two models explaining the relationship between mood, temperament, and personality are offered, followed by a review of the literature on risk factors and early signs of BPD and mood disorders in childhood through young adulthood as well as a review of the longitudinal studies on BPD and mood disorders. The last segment of the book includes three chapters on treatment. The book closes with a conclusion with a synthesis of the current status of thinking on the relationship between mood and borderline personality disorder.
An invaluable contribution to the literature, Borderline Personality and Mood Disorders: Comorbidity and Controversy insightfully addresses the mood and personality disorders realms of psychiatry and outlines that it has moved away from contentious debate and toward the possibility of synthesis, providing increasing clarity on the relationship between mood and personality to inform improvements in clinical management of the convergence of these psychiatric domains in common practice.
these disorders, historical bases for their conceptualization, empirical overlaps, and specific evidence-based treatment approaches. In reviewing the confusions and controversies related to the diagnosis and treatment of atypical depression, bipolar spectrum, and borderline personality disorders, readers will be able to clarify the costs and benefits for pursuing different diagnostic distinctions and their relevant treatment algorithms. Definitions: Overlaps and Distinctions The controversy
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To examine whether hyperbolic temperament was more associated with stable or acute symptoms, we analyzed the association between these three constructs in participants (N = 309) of year 10 of the McLean Study of Adult Development (MSAD) . Temperamental symptoms had a strong association with hyperbolic temperament (β = .54, p < .001), while the association between hyperbolic temperament and acute symptoms was not significant with temperamental symptoms controlled. These results suggest a
confirmatory analysis. 142 D.R. Lara et al. The Affective Section is composed of 12 short descriptions rated in a 5-point Likert scale (scored 1–5 from “nothing like me” to “exactly like with me.”) followed by a question to choose the most precise description of the subject’s temperament. This allows both a dimensional and a categorical evaluation of affective temperaments. Importantly, 99 % of subjects rated at least one affective temperament as a score 4 or 5, suggesting that all major