Psychotic Symptoms in Borderline Personality Disorder: Developmental aspects

Cavelti, Marialuisa; Thompson, Katherine; Chanen, Andrew; Kaess, Michael (2021). Psychotic Symptoms in Borderline Personality Disorder: Developmental aspects. Current opinion in psychology, 37, pp. 26-31. Elsevier 10.1016/j.copsyc.2020.07.003

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Even though the borderline concept has historically been intertwined with psychosis, psychotic symptoms in people with borderline personality disorder (BPD) have long been marginalized as somehow not real, transient, or “pseudo” in nature. Dispelling this myth, we summarize recent research indicating that (a) psychotic symptoms in general and auditory verbal hallucinations in particular in people with BPD show more similarities than differences with those symptoms in people with psychotic disorders, and (b) that the co-occurrence of BPD and psychotic symptoms is a marker of severe psychopathology and of risk for poor outcome (e.g., suicidality). We propose the period from puberty to the mid-20 s, when both BPD and psychotic features usually emerge for the first time, constitutes a critical time window for early intervention to prevent the development of severe mental disorders in the future. Implications for the treatment of psychotic symptoms in BPD and future research directions in this field are discussed.

Item Type:

Journal Article (Review Article)

Division/Institute:

04 Faculty of Medicine > University Psychiatric Services > University Hospital of Child and Adolescent Psychiatry and Psychotherapy
04 Faculty of Medicine > University Psychiatric Services > University Hospital of Child and Adolescent Psychiatry and Psychotherapy > Research Division

UniBE Contributor:

Cavelti, Marialuisa and Kaess, Michael

Subjects:

600 Technology > 610 Medicine & health

ISSN:

2352-250X

Publisher:

Elsevier

Language:

English

Submitter:

Chantal Michel

Date Deposited:

23 Jul 2020 14:44

Last Modified:

07 Aug 2020 01:33

Publisher DOI:

10.1016/j.copsyc.2020.07.003

BORIS DOI:

10.7892/boris.145322

URI:

https://boris.unibe.ch/id/eprint/145322

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