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(p. 259) Emotion Dysregulation in Adolescents with Borderline Personality Disorder 

(p. 259) Emotion Dysregulation in Adolescents with Borderline Personality Disorder
(p. 259) Emotion Dysregulation in Adolescents with Borderline Personality Disorder

Carla Sharp

, and Timothy J. Trull

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date: 12 July 2020

This chapter discusses adolescent Borderline Personality Disorder, which is characterized by instability in moods, self-image and behavior, often leading to impulsive behavior and unstable interpersonal relationships. Theoretical and clinical research recognizes the critical role emotions play, making it a quintessential emotion regulation disorder. Additionally, theories emphasize that family environment and/or attachment style are influencing factors in the development of poor emotion regulation competencies. Theories align suggesting reciprocal relationships between emotion dysregulation and alternative domains of functioning. A multi-component model of BPD has been posited theorizing emotion sensitivity (inherent from birth) exacerbates experiences of negative stimulus leading to heightened levels of negative affect making it difficult to learn and implement adaptive emotion regulation strategies. Consequently, dysregulation occurs, which reinforces the bias towards negative stimuli. Currently, six BPD interventions exist, three are evidenced in randomized controlled studies; including Dialectical behavior therapy, Helping Young People Early program and Mentalization-based treatment.

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