8.+Interesting+Information

**Interesting information**  We included these pictures in our WIKI Space because we thought the artist's take on BPD was rather interesting and creative, and they actually do portray fairly accurate definitions and symptoms of Borderline Personality Disorder.

** Some things to think about... **

 Discussion Questions 1. What barriers to treatment do you think an individual suffering from both the mental illness of BPD and alcohol-related concerns would face in seeking assistance? 2. Level of impulsivity was one proposed explanation for high levels of co-morbidity between substance use & BPD, do you believe this explanation is valid? Are there any additional factors you think may contribute do the high correlation between borderline personality disorder and concurrent alcohol issues?

· “‘It’ has a name, but the condition is characterized by suffering of such quality & magnitude that it cannot be clearly articulated... it is the sort of suffering from which sucicide seems the only escape. Indeed the impulse to suicide or self-harm is one of it’s defining characteristics. It is an unparalled poverty of soul that leaves its possessor bereft of identity, alone, and empty in the midst of crowds and plenty, self-hating to the point of viewing self-extermination as deserved... Nothing is “just right” and nothing soothes for long- not food, drink, company, sex, or spending. Despite attempts to relieve the distress drive to others to distraction. However, when others hate them as much as they hate themselves, at least they are no longer alone. Someone finally feels what they feel (Bjorklund, 2006, p. 4)” · One study suggested a potential a link between women suffering from co-morbid BPD and substance abuse issues and that these individuals may be at a higher risk of being arrested or commiting violent offences compared to women without major psychiatric disturbances ( McDermott, Quanbeck, & Frye, 2007).  · <span style="font-family: 'Lucida Sans Unicode','sans-serif'; font-size: 9pt;">Due to the relatedness of maladaptive coping stratigies, sometimes improvement in the domain of self-harm behaviour can paradoxically increase the risk of relapse to substance use espeiclaly during stressful situations, which is one potential reason behind low levels of therapy complianct which is particularly prevalent in working with comorbid populations ( Kienast, & Foerster. 2008). <span style="font-family: Symbol; font-size: 9pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; msobidifontfamily: Symbol; msofareastfontfamily: Symbol; msolist: Ignore;">· <span style="font-family: 'Lucida Sans Unicode','sans-serif'; font-size: 9pt;">In their study event-related electroencephalographic potentials (P 300 ERP’s) were used as a potential biological marker for alcolism risk. Several other disorders also overlap with alcoholism including impulsivity for instance (Houston, Bauer, & Hesselbrock, 2004). In this experiment participants were hooked up to electrodes, and administered a stroop-test. The results appered to document the presence of neurophysiological abnormalities associated with BPD features. This effect appeared independently of family history of alchol or substance abuse (Houston, Bauer, & Hesselbrock, 2004). It also seemed like an interesting study because this one looked at family history and took it into account.

The following are some You-Tube Video's, We recomend checking them out! http://en.wikipedia.org/wiki/Borderline_personality_disorderhttp://www.nimh.nih.gov/health/publications/borderline-personality-disorder-fact-sheet/index.shtml (Although this cite is American we neve rtheless found it to be helpful)

[|**http://www.youtube.com/watch?v=P0FW12WzG1o&feature=related**]

[|**http://www.youtube.com/watch?v=pxJn0kmJnXI&feature=related**]

[|**http://www.youtube.com/watch?v=lUcUxMwP4Rc&feature=related**]

[|**http://www.youtube.com/watch?v=3OnruuNXZmQ&feature=fvw**]

[|http://www.youtube.com/watch?v=CmApq8u0UC4&feature=relatedhttp:]//www.youtube.com/watch?v=v3dJgDYEGu8&feature=related //**[|http://www.youtube.com/watch?v=CmApq8u0UC4&feature=relatedhttp:]**//www.youtube.com/watch?v=v3dJgDYEGu8&feature=related

References:

Bjorklund, P. (2006). No man’s land: Gender bias and social constructivism in the diagnosis of borderline personality disorder. //Issues in Mental Health Nursing//, 27, 3–23, DOI: 10.1080/01612840500312753

Kienast, T., Foerster, J. (2008). Psychotherapy of personality disorders and concomitant substance dependence. Current Opinion in Psychiatry 21, 619-624. DOI: 10.1097/YCO.0b0132830d365c

McDermott, B.E., Quanbeck, C.D., Frye, M.A. (2007). Comorbid substance use disorder in women with bipolardisorder associated with criminal arrest. Bipolar Disorders 9, 536-540, Retrieved online, October 20th, 2009 from Scholars Portal Database.

<span style="font-family: 'Lucida Sans Unicode','sans-serif'; font-size: 9pt;">Oldham, J. M., Bender, D.S., Skodol A.E., Dyck, I.R., Sanislow, C.A., Yen, S., Grilo, C.M., Shea, M.T., Zanarini, M.C., Gunderson, J.G., & McGlashin, T.H. (2004). Testing an APA Practice Guideline: Symptom-targeted medication utilization for paitents with borderline personality disorder. Journal of Psychiatric Practice, 3(10), 156-161. Retrieved online October 20th, 2009, from Scholars Portal Database.