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    Borderline personality disorder: from understanding ontological addiction to psychotherapeutic revolution

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    Authors
    Ducasse, Déborah
    Van Gordon, William
    Brand-Arpon, Véronique
    Courtet, Philippe
    Olié, Emilie
    Affiliation
    University of Derby
    CHU Montpellier, Lapeyronie Hospital, France
    INSERM U1061, Neuropsychiatry: Epidemiological and Clinical Research Montpellier France
    Issue Date
    2019-06-04
    
    Metadata
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    Abstract
    Bypassing a reductionist view of existing diagnostic categories, ontological addiction theory (OAT) is a new psychological model of human functioning. Borderline Personality Disorder (BPD), defined as “a pattern of instability in interpersonal relationships, self-image and affects, and marked impulsivity”, is not only common (up to 20% of psychiatric inpatients), but also strongly associated with suicide attempts and death by suicide. Therefore, BPD constitutes a major public health concern. As a consequence of an underlying condition of ontological addiction, self-harming behaviors can be conceptualized as addictions, suicidal acts reflecting an experiential avoidance strategy against unbearable psychological pain. The present paper aims at: (1) understanding BPD daily life experiences from the perspective of OAT; (2) offering psychotherapeutic perspectives for this mental disorder. The diagnostic category of BDP may be understood as a simple label reflecting several extreme types of manifestations resulting from the Self-grasping ignorance that underpins ontological addiction. Therefore, development of psychotherapeutic interventions targeting ontological addiction appears to be a promising future direction.
    Citation
    Ducasse, D., Van Gordon, W., Brand-Arpon, V., Courtet, P. and Olié, E., (2019). 'Borderline personality disorder: from understanding ontological addiction to psychotherapeutic revolution'. European archives of psychiatry and clinical neuroscience, pp.1-5. DOI:10.1007/s00406-019-01029-6
    Publisher
    Springer
    Journal
    European Archives of Psychiatry and Clinical Neuroscience
    URI
    http://hdl.handle.net/10545/624227
    DOI
    10.1007/s00406-019-01029-6
    Additional Links
    https://link.springer.com/article/10.1007%2Fs00406-019-01029-6
    Type
    Article
    Language
    en
    ISSN
    09401334
    EISSN
    14338491
    ae974a485f413a2113503eed53cd6c53
    10.1007/s00406-019-01029-6
    Scopus Count
    Collections
    University of Derby Online (UDOL)

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