From negative to positive and back again: Polarized affective and relational experience in borderline personality disorder

Journal of Abnormal Psychology

Volumn 121, Issue 3, 2012, Pages 668-679

  Coifman, Karin G ^a   Berenson, Kathy R ^b   Rafaeli, Eshkol ^c   Downey, Geraldine ^d  

^a KENT STATE UNIVERSITY   (United States)

^b GETTYSBURG COLLEGE   (United States)

^c BAR ILAN UNIVERSITY   (Israel)

^d Columbia University ^*  (United States)

Author keywords

Affect; Borderline personality disorder; Impulsive behavior; Relationships; Splitting

Indexed keywords

ADULT; ARTICLE; AUTOMUTILATION; AVERSIVE BEHAVIOR; AVOIDANCE BEHAVIOR; BORDERLINE STATE; CLINICAL FEATURE; COGNITION; CONCEPTUAL FRAMEWORK; CONTROLLED STUDY; DICHOTOMOUS THINKING; DISEASE ASSOCIATION; DISTRESS SYNDROME; EMOTIONAL DISORDER; EMOTIONALITY; FEMALE; FOLLOW UP; HIGH RISK BEHAVIOR; HUMAN; IMPULSIVENESS; INTERPERSONAL STRESS; MAJOR CLINICAL STUDY; MALADJUSTMENT; MALE; MOOD DISORDER; NEGATIVE FEEDBACK; PATIENT MONITORING; PERSONAL DIGITAL ASSISTANT; PERSONAL EXPERIENCE; POSITIVE FEEDBACK; PSYCHOANALYTIC THEORY; PSYCHOLOGIC ASSESSMENT; PSYCHOLOGICAL MODEL; SUBSTANCE ABUSE; THINKING; AFFECT; HUMAN RELATION; MENTAL STRESS; MIDDLE AGED; PSYCHOLOGICAL ASPECT;

ADULT; AFFECT; BORDERLINE PERSONALITY DISORDER; FEMALE; HUMANS; IMPULSIVE BEHAVIOR; INTERPERSONAL RELATIONS; MALE; MIDDLE AGED; STRESS, PSYCHOLOGICAL;

EID: 84870246739     PISSN: 0021843X     EISSN: 19391846     Source Type: Journal    
DOI: 10.1037/a0028502     Document Type: Article

References (55)

1. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text revision). Washington, DC: Author.
2. Arntz, A. (1994). Treatment of borderline personality disorders: A challenge for cognitive- behavioral therapy. Behaviour Research and Therapy, 32, 419-430. doi:10.1016/0005-7967(94)90005-1
3. Barrett, L. F., & Barrett, D. J. (2000). ESP: The Experience-Sampling Program. Retrieved from http://www.experience-sampling.org/
4. Bateman, A., & Fonagy, P. (2004). Psychotherapy for borderline personality disorder: Mentalization-based treatment. New York, NY: Oxford University Press.
5. Beck, A. T., Freeman, A., & Davis, D. D. (2004). Cognitive therapy of personality disorders. New York, NY: Guilford Press
6. Beck, J. S. (1995). Cognitive therapy: Basics and beyond. New York, NY: Guilford Press.
7. Berenson, K. R., Downey, G., Rafaeli, E., Coifman, K. G.,&Leventhal, N. (2011). Perceived rejection as a trigger for rage in borderline personality disorder. Journal of Abnormal Psychology, 120, 681-690. doi:10.1037/a0023335
8. Bland, A. R., & Rossen, E. K. (2005). Clinical supervision of nurses working with patients with borderline personality disorder. Issues in Mental Health Nursing, 26, 507-517. doi:10.1080/01612840590931957
9. Bond, M. (2004). Empirical studies of defense style: Relationships with psychopathology and change. Harvard Review of Psychiatry, 12, 263- 278. doi:10.1080/10673220490886167
10. Bond, M., Paris, J., & Zweig-Frank, H. (1994). Defense styles and borderline personality disorder. Journal of Personality Disorders, 8, 28-31. doi:10.1521/pedi.1994.8.1.28
11. Bourke, C. M., Porter, R. J., Sullivan, P., Bulik, C. M., Carter, F. A., McIntosh, V. V., & Joyce, P. R. (2006). Neuropsychological function in bulimia with comorbid borderline personality disorder and depression. Acta Neuropsychiatrica, 18, 162-167. doi:10.1111/j.1601-5215.2006.00148.x
12. Carstensen, L. L. (2006). The influence of a sense of time on human development. Science, 312, 1913-1915. doi:10.1126/science.1127488
13. Clark, L. A. (2009). Stability and change in personality disorder. Current directions in psychological science, 18, 27-31. doi:10.1111/j.1467-8721.2009.01600.x
14. Coifman, K. G., Bonanno, G. A., & Rafaeli, E. (2007). Affect dynamics, bereavement and resilience to loss. Journal of Happiness Studies, 8, 371-392. doi:10.1007/s10902-006-9014-5
15. Coifman, K. G., Rafaeli, E., Ross, G., Kleinert, K., & Giardina, P. (2012). Affect complexity during chronic stress: Evidence for stability over time and across context. Manuscript submitted for publication.
16. Cranford, J. A., Shrout, P. E., Iida, M., Rafaeli, E., Yip, T., & Bolger, N. (2006). A procedure for evaluating sensitivity to within-person change: Can mood measures in diary studies detect change reliably? Personality and Social Psychology Bulletin, 32, 917-929. doi:10.1177/ 0146167206287721
17. Dove, E. R., Byrne, S. M., & Bruce, N. W. (2009). Effect of dichotomous thinking on the association of depression with BMI and weight change among obese females. Behaviour Research and Therapy, 47, 529-534. doi:10.1016/j.brat.2009.02.013
18. Ebner-Priemer, U. W., Kuo, J., Kleindienst, N., Welch, S. S., Reisch, T., Reinhard, I.,. .. Bohus, M. (2007). State-affective instability in borderline personality disorder assessed by ambulatory monitoring. Psychological Medicine: A Journal of Research in Psychiatry and the Allied Sciences, 37, 961-970. doi:10.1017/S0033291706009706
19. First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (2002, November). Structured Clinical Interview for DSM-IV-TR Axis I Disorders, Research Version, Patient Edition. (SCID-I/P) New York: Biometrics Research, New York State Psychiatric Institute.
20. First, M., Gibbon, M., Spitzer, R. L., Williams, J. B. W., & Benjamin, L. S. (1997). User's guide for the Structured Clinical Interview for the DSM-IV Axis II Personality Disorders (SCID-II). Washington, DC: American Psychiatric Press.
21. Glenn, C. R., & Klonsky, E. D. (2009). Emotion dysregulation as a core feature of borderline personality disorder. Journal of Personality Disorders, 23, 20-28. doi:10.1521/pedi.2009.23.1.20
22. Gratz, K. L., Rosenthal, M. Z., Tull, M. T., Lejuez, C. W., & Gunderson, J. G. (2006). An experimental investigation of emotion dysregulation in borderline personality disorder. Journal of Abnormal Psychology, 115, 850-855. doi:10.1037/0021-843X.115.4.850
23. Greene, L. R. (1993). Primitive defenses and the borderline patient's perception of the psychiatric treatment team. Psychoanalytic Psychology, 10, 533-549. doi:10.1037/h0079506
24. Kernberg, O. F. (1975). Borderline conditions and pathological narcissism. New York, NY: Aronson.
25. Koenigsberg, H. W., Harvey, P. D., Mitropoulou, V., New, A. S., Goodman, M., Silverman, J.,. .. Siever, L. J. (2001). Are the interpersonal and identity disturbances in the borderline personality disorder criteria linked to the traits of affective instability and impulsivity? Journal of Personality Disorders, 15, 358-370. doi:10.1521/pedi.15.4.358.19181
26. Kuo, J. R., & Linehan, M. M. (2009). Disentangling emotion processes in borderline personality disorder: Physiological and self-reported assessment of biological vulnerability, baseline intensity, and reactivity to emotionally evocative stimuli. Journal of Abnormal Psychology, 118, 531-544. doi:10.1037/a0016392
27. LeGris, J., & van Reekum, R. (2006). The neuropsychological correlates of borderline personality disorder and suicidal behavior. The Canadian Journal of Psychiatry, 51, 131-142.
28. Lindquist, K. A., & Barrett, L. F. (2008). Emotional complexity. In M. Lewis, J. M. Haviland-Jones, & L. F. Barrett (Eds.), Handbook of emotions (3rd ed., pp. 513-532). New York, NY: Guilford Press
29. Linehan, M. M. (1993). Cognitive behavioral treatment of borderline personality disorder. New York, NY: Guilford Press.
30. Litinsky, A. M., & Haslam, N. (1998). Dichotomous thinking as a sign of suicide risk on the TAT. Journal of Personality Assessment, 71, 368- 378. doi:10.1207/s15327752jpa7103_6
31. Mather, M., Canli, T., English, T., Whitfield, S., Wais, P., Ochsner,; K., . . . Carstensen, L. L. (2004). Amygdala responses to emotionally valenced stimuli in older and younger adults. Psychological Science, 15, 259-263. doi:10.1111/j.0956-7976.2004.00662.x
32. McHenry, S. S. (1994). When the therapist needs therapy: Characterological countertransference issues and failures in the treatment of borderline personality disorder. Psychotherapy: Theory, Research, Practice, Training, 31, 557-570. doi:10.1037/0033-3204.31.4.557
33. Murray, S. L., & Holmes, J. G. (1997). A leap of faith? Positive illusions in romantic relationships. Personality and Social Psychology Bulletin, 23, 586-604. doi:10.1177/0146167297236003
34. Pfohl, B., Blum, N., & Zimmerman, M. (1997). Structured Interview for DSM-IV Personality (SIDP-IV). Washington, DC: American Psychiatric Association.
35. Rafaeli, E., Rogers, G. M., & Revelle, W. (2007). Affective synchrony: Individual differences in mixed emotions. Personality and Social Psychology Bulletin, 33, 915-932. doi:10.1177/0146167207301009
36. Raudenbush, A. W., & Bryk, A. S. (2002). Hierarchical linear models, applications and data analysis methods (2nd ed.). Thousand Oaks, CA: Sage.
37. Reich, J. W., Zautra, A. J., & Davis, M. (2003). Dimensions of affect relationships: Models and their integrative implications. Review of General Psychology, 7, 66-83. doi:10.1037/1089-2680.7.1.66
38. Reisch, T., Ebner-Priemer, U. W., Tschacher, W., Bohus, M., & Linehan, M. M. (2008). Sequences of emotions in patients with borderline personality disorder. Acta Psychiatrica Scandinavica, 118, 42-48. doi: 10.1111/j.1600-0447.2008.01222.x
39. Russell, J. A. (1980). A circumplex model of affect. Journal of Personality and Social Psychology, 39, 1161-1178.
40. Russell, J. J., Moskowitz, D. S., Zuroff, D. C., Sookman, D., & Paris, J. (2007). Stability and variability of affective experience and interpersonal behavior in borderline personality disorder. Journal of Abnormal Psychology, 116, 578-588. doi:10.1037/0021-843X.116.3.578
41. Sadikaj, G., Russell, J. J., Moskowitz, D. S., & Paris, J. (2010). Affect dysregulation in individuals with borderline personality disorder: Persistence and interpersonal triggers. Journal of Personality Assessment, 92, 490-500. doi:10.1080/00223891.2010.513287
42. SAS Institute Inc. (2008). SAS/STAT® 9.2 User's Guide. Cary, NC: SAS Institute Inc.
43. Selby, E. A., Anestis, M. D., Bender, T. W.,&Joiner, T. E. (2009). An exploration of the emotional cascade model in borderline personality disorder. Journal of Abnormal Psychology, 118, 375-387. doi:10.1037/a0015711
44. Selby, E. A., Ward, A. C., & Joiner, T. E. (2010). Dysregulated eating behaviors in borderline personality disorder: Are rejection sensitivity and emotion dysregulation linking mechanisms? International Journal of Eating Disorders, 43, 667-670. doi:10.1002/eat.20761
45. Sieswerda, S., Arntz, A., & Wolfis, M. (2005). Evaluations of emotional noninterpersonal situations by patients with borderline personality disorder. Journal of Behavior Therapy and Experimental Psychiatry, 36, 209-225. doi:10.1016/j.jbtep.2005.05.004
46. Skodol, A. E., Gunderson, J. G., Pfohl, B., Widiger, T. A., Livesley, W. J., & Siever, L. J. (2002). The borderline diagnosis: I. Psychopathology, comorbidity, and personality structure. Biological Psychiatry, 51, 936-950. doi:10.1016/S0006-3223(02)01324-0
47. Stiglmayr, C. E., Grathwol, T., Linehan, M. M., Ihorst, G., Fahrenberg, J., & Bohus, M. (2005). Aversive tension in patients with borderline personality disorder: A computer-based controlled field study. Acta Psychiatrica Scandinavica, 111, 372-379. doi:10.1111/j.1600-0447.2004.00466.x
48. Suvak, M. K., Litz, B. T., Sloan, D. M., Zanarini, M. C., Barrett, L. F., & Hofmann, S. G. (2011). Emotional granularity and borderline personality disorder. Journal of Abnormal Psychology, 120, 414-426. doi: 10.1037/a0021808
49. Tebartz van Elst, L., Thiel, T., Hesslinger, B., Lieb, K., Bohus, M., Hennig, M., & Ebert, D. (2001). Subtle prefrontal neuropathology in a pilot magnetic resonance spectroscopy study in patients with borderline personality disorder. Journal of Neuropsychiatry and Clinical Neurosciences, 13, 511-514. doi:10.1176/appi.neuropsych.13.4.511
50. Trull, T. J., Solhan, M. B., Tragresser, S. L., Jahng, S., Wood, P. K., Piasecki, T. M., & Watson, D. (2008). Affective instability: Measuring a core feature of borderline personality disorder with ecological momentary assessment. Journal of Abnormal Psychology, 117, 647-661. doi: 10.1037/a0012532
51. Veen, G., & Arntz, A. (2000). Multidimensional dichotomous thinking characterizes borderline personality disorder. Cognitive Therapy and Research, 24, 23-45. doi:10.1023/A:1005498824175
52. Young, J. E., Klosko, J. S., & Weishaar, M. E. (2003). Schema therapy: A practitioner's guide. New York, NY: Guilford Press.
53. Zaki, L. F., Coifman, K. G., Rafaeli, E., Berenson, K., & Downey, G. (2011). Emotion differentiation as a protective factor against nonsuicidal self-injury in borderline personality disorder. Manuscript submitted for publication.
54. Zautra, A. J. (2003). Emotions, stress and health. New York, NY: Oxford University Press.
55. Zautra, A. J., Smith, B., Affleck, G., & Tennen, H. (2001). Examinations of chronic pain and affect relationships, applications of a dynamic model of affect. Journal of Consulting and Clinical Psychology, 69, 786-795