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A developmental, mentalization-based approach to the understanding and treatment of borderline personality disorder

Published online by Cambridge University Press:  14 October 2009

Peter Fonagy  and
Patrick Luyten
Peter Fonagy*
Affiliation:
University College London
Patrick Luyten
Affiliation:
University of Leuven
*
Address correspondence and reprint requests to: Peter Fonagy, Research Department of Clinical, Educational and Health Psychology, University College London, Gower Street, London WC1E 6BT, UK; E-mail: p.fonagy@ucl.ac.uk.
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Abstract

The precise nature and etiopathogenesis of borderline personality disorder (BPD) continues to elude researchers and clinicians. Yet, increasing evidence from various strands of research converges to suggest that affect dysregulation, impulsivity, and unstable relationships constitute the core features of BPD. Over the last two decades, the mentalization-based approach to BPD has attempted to provide a theoretically consistent way of conceptualizing the interrelationship between these core features of BPD, with the aim of providing clinicians with a conceptually sound and empirically supported approach to BPD and its treatment. This paper presents an extended version of this approach to BPD based on recently accumulated data. In particular, we suggest that the core features of BPD reflect impairments in different facets of mentalization, each related to impairments in relatively distinct neural circuits underlying these facets. Hence, we provide a comprehensive account of BPD by showing how its core features are related to each other in theoretically meaningful ways. More specifically, we argue that BPD is primarily associated with a low threshold for the activation of the attachment system and deactivation of controlled mentalization, linked to impairments in the ability to differentiate mental states of self and other, which lead to hypersensitivity and increased susceptibility to contagion by other people's mental states, and poor integration of cognitive and affective aspects of mentalization. The combination of these impairments may explain BPD patients' propensity for vicious interpersonal cycles, and their high levels of affect dysregulation and impulsivity. Finally, the implications of this expanded mentalization-based approach to BPD for mentalization-based treatment and treatment of BPD more generally are discussed.

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Type
Regular Articles
Information
Development and Psychopathology , Volume 21 , Issue 4: Precursors and Diverse Pathways to Personality Disorder in Children and Adolescents: Part 2 , November 2009 , pp. 1355 - 1381
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Copyright © Cambridge University Press 2009

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References

Agrawal, H. R., Gunderson, J., Holmes, B. M., & Lyons-Ruth, K. (2004). Attachment studies with borderline patients: A review. Harvard Review of Psychiatry, 12, 94–104.CrossRefGoogle ScholarPubMed
Aichhorn, M., Perner, J., Kronbichler, M., Staffen, W., & Ladurner, G. (2006). Do visual perspective tasks need theory of mind? NeuroImage, 30, 1059–1068.CrossRefGoogle ScholarPubMed
Allen, J., Fonagy, P., & Bateman, A. (2008). Mentalizing in clinical practice. Washington, DC: American Psychiatric Press.Google Scholar
Arnsten, A. F. T., Mathew, R., Ubriani, R., Taylor, J. R., & Li, B.-M. (1999). Alpha-1 noradrenergic receptor stimulation impairs prefrontal corical cognitive function. Biological Psychiatry, 45, 26–31.CrossRefGoogle Scholar
Arntz, A., Bernstein, D., Oorschot, M., Robson, K., & Schobre, P. (2006). Theory of mind in borderline and Cluster-C personality disorder: No evidence for deficits. Unpublished manuscript, Maastricht University.Google Scholar
Aviram, R. B., Brodsky, B. S., & Stanley, B. (2006). Borderline personality disorder, stigma, and treatment implications. Harvard Review of Psychiatry, 14, 249–256.CrossRefGoogle ScholarPubMed
Barnow, S., Ruge, J., Spitzer, C., & Freyberger, H. J. (2005). Temperament and character in persons with borderline personality disorder. Nervenarzt, 76, 838–846.CrossRefGoogle ScholarPubMed
Baron-Cohen, S., Golan, O., Chakrabarti, B., & Belmonte, M. K. (2008). Social cognition and autism spectrum conditions. In Sharp, C., Fonagy, P., & Goodyer, I. (Eds.), Social cognition and developmental psychopathology. Oxford: Oxford University Press.Google Scholar
Barry, R. A., Kochanska, G., & Philibert, R. A. (2008). G × E interaction in the organization of attachment: Mothers' responsiveness as a moderator of children's genotypes. Journal of Child Psychology and Psychiatry, 49, 1313–1320.CrossRefGoogle Scholar
Bartels, A., & Zeki, S. (2000). The neural basis of romantic love. NeuroReport, 11, 3829–3834.CrossRefGoogle ScholarPubMed
Bartels, A., & Zeki, S. (2004). The neural correlates of maternal and romantic love. NeuroImage, 21, 1155–1166.CrossRefGoogle ScholarPubMed
Bateman, A. W., & Fonagy, P. (2004). Psychotherapy for borderline personality disorder: Mentalization based treatment. Oxford: Oxford University Press.CrossRefGoogle ScholarPubMed
Bateman, A. W., & Fonagy, P. (2006). Mentalization based treatment for borderline personality disorder: A practical guide. Oxford: Oxford University Press.CrossRefGoogle Scholar
Bender, D. S., & Skodol, A. E. (2007). Borderline personality as a self-other representational disturbance. Journal of Personality Disorders, 21, 500–517.CrossRefGoogle ScholarPubMed
Berridge, K. C. (2007). The debate over dopamine's role in reward: The case for incentive salience. Psychopharmacology (Berlin), 191, 391–431.CrossRefGoogle ScholarPubMed
Binder, R. L., McNiel, D. E., & Goldstone, R. L. (1996). Is adaptive coping possible for adult survivors of childhood sexual abuse? Psychiatric Services, 47, 186–188.Google ScholarPubMed
Birch, S. A. J., & Bloom, P. (2003). Children are cursed: An asymmetric bias in mental-state attribution. Psychological Science, 14, 283–286.CrossRefGoogle ScholarPubMed
Birch, S. A. J., & Bloom, P. (2004). Understanding children's and adults' limitations in mental state reasoning. Trends in Cognitive Science, 8, 255–260.CrossRefGoogle ScholarPubMed
Birch, S. A. J., & Bloom, P. (2007). The curse of knowledge in reasoning about false beliefs. Psychological Science, 18, 382–386.CrossRefGoogle ScholarPubMed
Black, D. W., Blum, N., Pfohl, B., & Hale, N. (2004). Suicidal behavior in borderline personality disorder: Prevalence, risk factors, prediction, and prevention. Journal of Personality Disorders, 18, 226–239.CrossRefGoogle ScholarPubMed
Black, D. W., Gunter, T., Allen, J., Blum, N., Arndt, S., Wenman, G., et al. (2007). Borderline personality disorder in male and female offenders newly committed to prison. Comprehensive Psychiatry, 48, 400–405.CrossRefGoogle ScholarPubMed
Blair, J. (2008). Empathic dysfunction in psychopathy. In Sharp, C., Fonagy, P., & Goodyer, I. (Eds.), Social cognition and developmental psychopathology. Oxford: Oxford University Press.Google Scholar
Blank, H., Nestler, S., von Collani, G., & Fischer, V. (2008). How many hindsight biases are there? Cognition, 106, 1408–1440.CrossRefGoogle Scholar
Blatt, S. J. (2008). Polarities of experience: Relatedness and self definiton in personality depvelopment, psychopathology, and the therapeutic process. Washington, DC: American Psychological Association.Google Scholar
Blatt, S. J., & Auerbach, J. S. (1988). Differential cogntive disturbances in three types of borderline patients. Journal of Personality Disorder, 2, 198–211.CrossRefGoogle Scholar
Blatt, S. J., & Luyten, P.(in press). A structural–developmental psychodynamic approach to psychopathology: Two polarities of experience across the life span. Development and Psychopathology.Google Scholar
Bloom, P. (2004). Descartes' baby. New York: Basic Books.Google Scholar
Bowlby, J. (1980). Attachment and Loss: Vol. 3. Loss: Sadness and depression. London: Hogarth Press and Institute of Psycho-Analysis.Google Scholar
Bradley, R., Jenei, J., & Westen, D. (2005). Etiology of borderline personality disorder: Disentangling the contributions of intercorrelated antecedents. Journal of Nervous and Mental Disease, 193, 24–31.CrossRefGoogle ScholarPubMed
Bradley, R., & Westen, D. (2005). The psychodynamics of borderline personality disorder: A view from developmental psychopathology. Development and Psychopathology, 17, 927–957.CrossRefGoogle ScholarPubMed
Brass, M., Derrfuss, J., Forstmann, B., & von Cramon, D. Y. (2005). The role of the inferior frontal junction area in cognitive control. Trends in Cognitive Science, 9, 314–316.CrossRefGoogle ScholarPubMed
Brass, M., & Haggard, P. (2008). The what, when, whether model of intentional action. Neuroscientist, 14, 319–325.CrossRefGoogle ScholarPubMed
Brass, M., Schmitt, R. M., Spengler, S., & Gergely, G. (2007). Investigating action understanding: Inferential processes versus action simulation. Current Biology, 17, 2117–2121.CrossRefGoogle ScholarPubMed
Bretherton, I., Bates, E., Benigni, L., Camaioni, L., & Volterra, V. (1979). Relationships between cognition, communication, and quality of attachment. In Bates, E., Benigni, L., Bretherton, I., Camaioni, L., & Volterra, V. (Eds.), The emergence of symbols: Cognition and communication in infancy (pp. 223–269). New York: Academic Press.CrossRefGoogle Scholar
Buchheim, A., Erk, S., George, C., Kachele, H., Ruchsow, M., Spitzer, M., et al. (2006). Measuring attachment representation in an fMRI environment: A pilot study. Psychopathology, 39, 144–152.CrossRefGoogle Scholar
Bugental, D. B., & Johnston, C. (2000). Parental and child cognitions in the context of the family. Annual Review of Psychology, 51, 315–344.CrossRefGoogle ScholarPubMed
Cabeza, R., & Nyberg, L. (2000). Neural bases of learning and memory: Functional neuroimaging evidence. Current Opinion in Neurology, 13, 415–421.CrossRefGoogle ScholarPubMed
Caldwell, H. K., Lee, H. J., Macbeth, A. H., & Young, W. S. 3rd. (2008). Vasopressin: Behavioral roles of an “original” neuropeptide. Progress in Neurobiology, 84, 1–24.CrossRefGoogle ScholarPubMed
Carpendale, J. I. M., & Lewis, C. (2006). How children develop social understanding (Understanding children's worlds). London: Blackwell.Google Scholar
Chabrol, H., & Leichsenring, F. (2006). Borderline personality organization and psychopathic traits in nonclinical adolescents: Relationships of identity diffusion, primitive defense mechanisms and reality testing with callousness and impulsivity traits. Bulletin of the Menninger Clinic, 70, 160–170.CrossRefGoogle ScholarPubMed
Champagne, F., Diorio, J., Sharma, S., & Meaney, M. J. (2001). Naturally occurring variations in maternal behavior in the rat are associated with differences in estrogen-inducible central oxytocin receptors. Proceedings of the National Academy of Sciences of the United States of America, A 98, 12736–12741.CrossRefGoogle ScholarPubMed
Champagne, F. A., Chretien, P., Stevenson, C. W., Zhang, T. Y., Gratton, A., & Meaney, M. J. (2004). Variations in nucleus accumbens dopamine associated with individual differences in maternal behavior in the rat. Journal of Neuroscience, 24, 4113–4123.CrossRefGoogle ScholarPubMed
Chanen, A. M., Jovev, M., & Jackson, H. J. (2007). Adaptive functioning and psychiatric symptoms in adolescents with borderline personality disorder. Journal of Clinical Psychiatry, 68, 297–306.CrossRefGoogle ScholarPubMed
Choi-Kain, L. W., & Gunderson, J. G. (2008). Mentalization: Ontogeny, assessment, and application in the treatment of borderline personality disorder. American Journal of Psychiatry, 165, 1127–1135.CrossRefGoogle ScholarPubMed
Cicchetti, D., Rogosch, F. A., Maughan, A., Toth, S. L., & Bruce, J. (2003). False belief understanding in maltreated children. Development and Psychopathology, 15, 1067–1091.CrossRefGoogle ScholarPubMed
Cohen, P. (2008). Child development and personality disorder. Psychiatric Clinics of North America, 31, 477–493.CrossRefGoogle ScholarPubMed
Cohen, P., Chen, H., Gordon, K., Johnson, J., Brook, J., & Kasen, S. (2008). Socioeconomic background and the developmental course of schizotypal and borderline personality disorder symptoms. Development and Psychopathology, 20, 633–650.CrossRefGoogle ScholarPubMed
Coid, J. W. (1993). An affective syndrome in psychopaths with borderline personality disorder? British Journal of Psychiatry, 162, 641–650.CrossRefGoogle ScholarPubMed
Colvert, E., Rutter, M., Beckett, C., Castle, J., Groothues, C., Hawkins, A., et al. (2008). Emotional difficulties in early adolescence following severe early deprivation: Findings from the English and Romanian adoptees study. Development and Psychopathology, 20, 547–567.CrossRefGoogle ScholarPubMed
Crick, N. R., Murray-Close, D., & Woods, K. (2005). Borderline personality features in childhood: A short-term longitudinal study. Development and Psychopathology, 17, 1051–1070.CrossRefGoogle ScholarPubMed
Critchfield, K. L., Levy, K. N., Clarkin, J. F., & Kernberg, O. F. (2008). The relational context of aggression in borderline personality disorder: Using adult attachment style to predict forms of hostility. Journal of Clinical Psychology, 64, 67–82.CrossRefGoogle ScholarPubMed
Csibra, G., & Gergely, G. (2006). Social learning and social cognition: The case for pedagogy. In Johnson, M. H. & Munakata, Y. M. (Eds.), Processes of change in brain and cognitive developement. Attention and performance (Vol. 21, pp. 249–274). Oxford: Oxford University Press.CrossRefGoogle Scholar
De Clercq, B., De Fruyt, F., Van Leeuwen, K., & Mervielde, I. (2006). The structure of maladaptive personality traits in childhood: A step toward an integrative developmental perspective for DSM-V. Journal of Abnormal Psychology, 115, 639–657.CrossRefGoogle ScholarPubMed
Decety, J., & Grezes, J. (2006). The power of simulation: imagining one's own and other's behavior. Brain Research, 1079, 4–14.CrossRefGoogle ScholarPubMed
Deschamps, P. K., & Vreugdenhil, C. (2008). Stability of borderline personality disorder from childhood to adulthood: A literature review. Tijdschrift voor Psychiatrie, 50, 33–41.Google ScholarPubMed
Diamond, A., Blatt, S. J., Stayner, D., & Kaslow, N. (1991). Self–other differentiation of object representations. Unpublished manuscript, Yale University.Google Scholar
Diamond, D., Stovall-McClough, C., Clarkin, J. F., & Levy, K. N. (2003). Patient–therapist attachment in the treatment of borderline personality disorder. Bulletin of the Menninger Clinic, 67, 227–259.CrossRefGoogle ScholarPubMed
Diamond, D., & Yeomans, F. (2008). The patient–therapist relationship: Implications of attachment theory, reflective functioning, and research. Santé Mentale au Québec, 33, 61–87.CrossRefGoogle ScholarPubMed
Dimaggio, G., Lysaker, P. H., Carcione, A., Nicolo, G., & Semerari, A. (2008). Know yourself and you shall know the other … to a certain extent: Multiple paths of influence of self-reflection on mindreading. Conscious Cognition, 17, 778–789.CrossRefGoogle ScholarPubMed
Distel, M. A., Trull, T. J., Derom, C. A., Thiery, E. W., Grimmer, M. A., Martin, N. G., et al. (2008). Heritability of borderline personality disorder features is similar across three countries. Psychological Medicine, 38, 1219–1229.CrossRefGoogle ScholarPubMed
Domes, G., Czieschnek, D., Weidler, F., Berger, C., Fast, K., & Herpertz, S. C. (2008). Recognition of facial affect in Borderline Personality Disorder. Journal of Personality Disorders, 22, 135–147.CrossRefGoogle ScholarPubMed
Ensink, K. (2003). Assessing theory of mind, affective understanding and reflective functioning in primary school aged children. Unpublished PhD dissertation, University of London.Google Scholar
Fearon, P., Target, M., Fonagy, P., Williams, L., McGregor, J., Sargent, J., et al. (2006). Short-term mentalization and relational therapy (SMART): An integrative family therapy for children and adolescents. In Allen, J. & Fonagy, P. (Eds.), Handbook of mentalisaiton based treatments. London: Wiley.Google Scholar
Fertuck, E. A., Marsano-Jozefowicz, S., Stanley, B., Tryon, W. W., Oquendo, M., Mann, J. J., et al. (2006). The impact of borderline personality disorder and anxiety on neuropsychological performance in major depression. Journal of Personality Disorders, 20, 55–70.CrossRefGoogle ScholarPubMed
Fiddick, L., & Cummins, D. (2007). Are perceptions of fairness relationship-specific? The case of noblesse oblige. Quarterly Journal of Experimental Psychology (Colchester), 60, 16–31.CrossRefGoogle ScholarPubMed
Fonagy, P. (1991). Thinking about thinking: Some clinical and theoretical considerations in the treatment of a borderline patient. International Journal of Psycho-Analysis, 72, 1–18.Google ScholarPubMed
Fonagy, P. (2001). Attachment theory and psychoanalysis. New York: Other Press.Google Scholar
Fonagy, P., & Bateman, A. W. (2006a). Progress in the treatment of borderline personality disorder. British Journal of Psychiatry, 188, 1–3.CrossRefGoogle ScholarPubMed
Fonagy, P., & Bateman, A. W. (2008). The development of borderline personality disorder—A mentalizing model. Journal of Personality Disorders, 22, 4–21.CrossRefGoogle ScholarPubMed
Fonagy, P., & Bateman, A. W. (2006b). Mechanisms of change in mentalization-based treatment of BPD. Journal of Clinical Psychology, 62, 411–430.CrossRefGoogle ScholarPubMed
Fonagy, P., Gergely, G., Jurist, E., & Target, M. (2002). Affect regulation, mentalization and the development of the self. New York: Other Press.Google Scholar
Fonagy, P., Gergely, G., & Target, M. (2007). The parent–infant dyad and the construction of the subjective self. Journal of Child Psychology and Psychiatry, 48, 288–328.CrossRefGoogle ScholarPubMed
Fonagy, P., Leigh, T., Steele, M., Steele, H., Kennedy, R., Mattoon, G., et al. (1996). The relation of attachment status, psychiatric classification, and response to psychotherapy. Journal of Consulting and Clinical Psychology, 64, 22–31.CrossRefGoogle ScholarPubMed
Fonagy, P., Steele, H., Moran, G., Steele, M., & Higgitt, A. (1991). The capacity for understanding mental states: The reflective self in parent and child and its significance for security of attachment. Infant Mental Health Journal, 13, 200–217.Google Scholar
Fonagy, P., & Target, M. (1997). Attachment and reflective function: Their role in self-organization. Development and Psychopathology, 9, 679–700.CrossRefGoogle ScholarPubMed
Fonagy, P., & Target, M. (2006). The mentalization-focused approach to self pathology. Journal of Personality Disorders, 20, 544–576.CrossRefGoogle ScholarPubMed
Fonagy, P., Target, M., Steele, H., & Steele, M. (1998). Reflective-functioning manual, version 5.0, for application to Adult Attachment Interviews. London: University College London.Google Scholar
Fraley, R. C. (2007). A connectionist approach to the organization and continuity of working models of attachment. Journal of Personality, 75, 1157–1180.CrossRefGoogle Scholar
Fredrickson, B. L. (2001). The role of positive emotions in positive psychology: The broaden-and-build theory of positive emotions. American Psychologist, 56, 218–226.CrossRefGoogle ScholarPubMed
Frith, C. D. (2007). The social brain? Philosophical Transactions of the Royal Society of London B Biological Science, 362, 671–678.CrossRefGoogle ScholarPubMed
Frith, C. D., & Frith, U. (2006). The neural basis of mentalizing. Neuron, 50, 531–534.CrossRefGoogle ScholarPubMed
Frodi, A., & Smetana, J. (1984). Abused, neglected, and nonmaltreated preschoolers' ability to discriminate emotions in others: The effects of IQ. Child Abuse & Neglect, 8, 459–465.CrossRefGoogle ScholarPubMed
Fuchs, T. (2007). Fragmented selves: Temporality and identity in borderline personality disorder. Psychopathology, 40, 379–387.CrossRefGoogle ScholarPubMed
Gabbard, G. O., & Wilkinson, S. M. (1994). Management of contertransference with borderline patients. Washington, DC: American Psychiatric Press.Google Scholar
Gallese, V., Keysers, C., & Rizzolatti, G. (2004). A unifying view of the basis of social cognition. Trends in Cognitive Science, 8, 396–403.CrossRefGoogle ScholarPubMed
Garner, B., Chanen, A. M., Phillips, L., Velakoulis, D., Wood, S. J., Jackson, H. J., et al. (2007). Pituitary volume in teenagers with first-presentation borderline personality disorder. Psychiatry Research, 156, 257–261.CrossRefGoogle ScholarPubMed
George, C., Kaplan, N., & Main, M. (1985). The Adult Attachment Interview. Unpublished manuscript, University of California, Berkeley.Google Scholar
Gergely, G. (2004). The role of contingency detection in early affect–regulative interactions and in the development of different types of infant attachment. Social Behavior, 13, 468–478.Google Scholar
Gergely, G., Bekkering, H., & Kiraly, I. (2002). Rational imitation in preverbal infants. Nature, 415, 755.CrossRefGoogle ScholarPubMed
Gergely, G., Koós, O., & Watson, J. S. (2002). Perception causale et role des comportements imitatifs des parents dans le développement socio-émotionnel précoce [Contingency perception and the role of contingent parental reactivity in early socio-emotional development]. In Nadel, J. & Decety, J. (Eds.), Imiter pour découvrir l'human: Psychologie, neurobiology, robotique et philosophie de l'esprit (pp. 59–82). Paris: Presses Universitaires de France.CrossRefGoogle Scholar
Gergely, G., & Watson, J. (1996). The social biofeedback model of parental affect-mirroring. International Journal of Psycho-Analysis, 77, 1181–1212.Google ScholarPubMed
Gilbert, S. J., Williamson, I. D., Dumontheil, I., Simons, J. S., Frith, C. D., & Burgess, P. W. (2007). Distinct regions of medial rostral prefrontal cortex supporting social and nonsocial functions. Social Cognitive and Affective Neuroscience, 2, 217–226.CrossRefGoogle ScholarPubMed
Gillath, O., Bunge, S. A., Shaver, P. R., Wendelken, C., & Mikulincer, M. (2005). Attachment-style differences in the ability to suppress negative thoughts: Exploring the neural correlates. NeuroImage, 28, 835–847.CrossRefGoogle ScholarPubMed
Gobbini, M. I., & Haxby, J. V. (2007). Neural systems for recognition of familiar faces. Neuropsychologia, 45, 32–41.CrossRefGoogle ScholarPubMed
Gobbini, M. I., Leibenluft, E., Santiago, N., & Haxby, J. V. (2004). Social and emotional attachment in the neural representation of faces. NeuroImage, 22, 1628–1635.CrossRefGoogle ScholarPubMed
Gopnik, A., & Meltzoff, A. (1997). Words, thoughts, and theories. Cambridge, MA: MIT Press.Google Scholar
Grant, B. F., Chou, S. P., Goldstein, R. B., Huang, B., Stinson, F. S., Saha, T. D., et al. (2008). Prevalence, correlates, disability, and comorbidity of DSM-IV borderline personality disorder: results from the Wave 2 National Epidemiologic Survey on Alcohol and Related Conditions. Journal of Clinical Psychiatry, 69, 533–545.CrossRefGoogle ScholarPubMed
Gratz, K. L., Tull, M. T., & Gunderson, J. G. (2008). Preliminary data on the relationship between anxiety sensitivity and borderline personality disorder: The role of experiential avoidance. Journal of Psychiatric Research, 42, 550–559.CrossRefGoogle ScholarPubMed
Grootens, K. P., van Luijtelaar, G., Buitelaar, J. K., van der Laan, A., Hummelen, J. W., & Verkes, R. J. (2008). Inhibition errors in borderline personality disorder with psychotic-like symptoms. Progress in Neuropsychopharmacology and Biological Psychiatry, 32, 267–273.CrossRefGoogle ScholarPubMed
Gunderson, J. G., & Lyons-Ruth, K. (2008). BPD's interpersonal hypersensitivity phenotype: gene–environment–developmental model. Journal of Personality Disorders, 22, 22–41.CrossRefGoogle Scholar
Happé, F., & Frith, C. D. (1996). Theory of mind and social impairment in children with conduct disorder. British Journal of Developmental Psychology, 14, 385–398.CrossRefGoogle Scholar
Hauser, S. T., Allen, J. P., & Golden, E. (2006). Out of the woods: Tales of resilient teens. Cambridge, MA: Harvard University Press.CrossRefGoogle Scholar
Heinrichs, M., & Domes, G. (2008). Neuropeptides and social behaviour: Effects of oxytocin and vasopressin in humans. Progress in Brain Research, 170, 337–350.CrossRefGoogle ScholarPubMed
Hesse, E. (2008). The Adult Attachment Interview: Protocol, method of analysis, and empirical studies. In Cassidy, J. & Shaver, P. R. (Eds.), Handbook of attachment theory and research (2nd ed., pp. 552–558). New York: Guilford Press.Google Scholar
Higgitt, A., & Fonagy, P. (1992). The psychotherapeutic treatment of borderline and narcissistic personality disorder. British Journal of Psychiatry, 161, 23–43.CrossRefGoogle ScholarPubMed
Hill, J., Pilkonis, P., Morse, J., Feske, U., Reynolds, S., Hope, H., et al. (2008). Social domain dysfunction and disorganization in borderline personality disorder. Psychological Medicine, 38, 135–146.CrossRefGoogle ScholarPubMed
Hobson, P. (2002). The cradle of thought: Explorations of the origins of thinking. Oxford: Macmillan.Google Scholar
Holm, A. L., & Severinsson, E. (2008). The emotional pain and distress of borderline personality disorder: A review of the literature. International Journal of Mental Health Nursing, 17, 27–35.CrossRefGoogle ScholarPubMed
Holmes, J. (2005). Notes on mentalization—Old hat or new wine? British Journal of Psychotherapy, 19, 690–710.Google Scholar
Horwitz, A. V., Widom, C. S., McLaughlin, J., & White, H. R. (2001). The impact of childhood abuse and neglect on adult mental health: Prospective study. Journal of Health and Social Behaviour, 42, 184–201.CrossRefGoogle ScholarPubMed
Humfress, H., O'Connor, T. G., Slaughter, J., Target, M., & Fonagy, P. (2002). General and relationship-specific models of social cognition: Explaining the overlap and discrepancies. Journal of Child Psychology and Psychiatry, 43, 873–883.CrossRefGoogle ScholarPubMed
Insel, T., & Young, L. (2001). The neurobiology of attachment. Nature Review Neuroscience, 2, 129–136.CrossRefGoogle ScholarPubMed
Jogems-Kosterman, B. J., de Knijff, D. W., Kusters, R., & van Hoof, J. J. (2007). Basal cortisol and DHEA levels in women with borderline personality disorder. Journal of Psychiatric Research, 41, 1019–1026.CrossRefGoogle ScholarPubMed
Johnson, J. G., Cohen, P., Chen, H., Kasen, S., & Brook, J. S. (2006). Parenting behaviors associated with risk for offspring personality disorder during adulthood. Archives of General Psychiatry, 63, 579–587.CrossRefGoogle ScholarPubMed
Johnson, J. G., Cohen, P., Gould, M. S., Kasen, S., Brown, J., & Brook, J. S. (2002). Childhood adversities, interpersonal difficulties, and risk for suicide attempts during late adolescence and early adulthood. Archives of General Psychiatry, 59, 741–749.CrossRefGoogle ScholarPubMed
Johnson, J. G., Cohen, P., Smailes, E., Skodol, A., Brown, J., & Oldham, J. (2001). Childhood verbal abuse and risk for personality disorders during adolescence and early adulthood. Comprehensive Psychiatry, 42, 16–23.CrossRefGoogle ScholarPubMed
Kahl, K. G., Bens, S., Ziegler, K., Rudolf, S., Dibbelt, L., Kordon, A., et al. (2006). Cortisol, the cortisol–dehydroepiandrosterone ratio, and pro-inflammatory cytokines in patients with current major depressive disorder comorbid with borderline personality disorder. Biological Psychiatry, 59, 667–671.CrossRefGoogle ScholarPubMed
Kantojarvi, L., Joukamaa, M., Miettunen, J., Laksy, K., Herva, A., Karvonen, J. T., et al. (2008). Childhood family structure and personality disorders in adulthood. European Psychiatry, 23, 205–211.CrossRefGoogle ScholarPubMed
Kilner, J. M., Paulignan, Y., & Blakemore, S. J. (2003). An interference effect of observed biological movement on action. Current Biology, 13, 522–525.CrossRefGoogle ScholarPubMed
King-Casas, B., Sharp, C., Lomax-Bream, L., Lohrenz, T., Fonagy, P., & Montague, P. R. (2008). The rupture and repair of cooperation in borderline personality disorder. Science, 321, 806–810.CrossRefGoogle ScholarPubMed
Klonsky, E. D. (2008). What is emptiness? Clarifying the 7th criterion for borderline personality disorder. Journal of Personality Disorders, 22, 418–426.CrossRefGoogle ScholarPubMed
Kochanska, G. (1997). Mutually responsive orientation between mothers and their young children: Implications for early socialization. Child Development, 68, 94–112.CrossRefGoogle ScholarPubMed
Koós, O., & Gergely, G. (2001). The “flickering switch” hypothesis: A contingency-based approach to the etiology of disorganized attachment in infancy. Bulletin of the Menninger Clinic, 65, 397–410.CrossRefGoogle Scholar
Korzekwa, M. I., Dell, P. F., Links, P. S., Thabane, L., & Webb, S. P. (2008). Estimating the prevalence of borderline personality disorder in psychiatric outpatients using a two-phase procedure. Comprehensive Psychiatry, 49, 380–386.CrossRefGoogle ScholarPubMed
Kullgren, G. (1988). Factors associated with completed suicide in borderline personality disorder. Journal of Nervous and Mental Disease, 176, 40–44.CrossRefGoogle ScholarPubMed
Lee, R., Geracioti, T. D. Jr., Kasckow, J. W., & Coccaro, E. F. (2005). Childhood trauma and personality disorder: Positive correlation with adult CSF corticotropin-releasing factor concentrations. American Journal of Psychiatry, 162, 995–997.CrossRefGoogle ScholarPubMed
Levine, A., Zagoory-Sharon, O., Feldman, R., & Weller, A. (2007). Oxytocin during pregnancy and early postpartum: Individual patterns and maternal-fetal attachment. Peptides, 28, 1162–1169.CrossRefGoogle ScholarPubMed
Levy, K. N., Edell, W. S., & McGlashan, T. H. (2007). Depressive experiences in inpatients with borderline personality disorder. Psychiatric Quarterly, 78, 129–143.CrossRefGoogle ScholarPubMed
Levy, K. N., Meehan, K. B., Weber, M., Reynoso, J., & Clarkin, J. F. (2005). Attachment and borderline personality disorder: Implications for psychotherapy. Psychopathology, 38, 64–74.CrossRefGoogle ScholarPubMed
Lieberman, M. D. (2007). Social cognitive neuroscience: A review of core processes. Annual Review of Psychology, 58, 259–289.CrossRefGoogle ScholarPubMed
Lim, M. M., Wang, Z., Olazabal, D. E., Ren, X., Terwilliger, E. F., & Young, L. J. (2004). Enhanced partner preference in a promiscuous species by manipulating the expression of a single gene. Nature, 429, 754–757.CrossRefGoogle Scholar
Linehan, M. M. (1993). Cognitive–behavioural treatment of borderline personality disorder. New York: Guilford Press.Google Scholar
Ludolph, P. S., Westen, D., Misle, B., Jackson, A., Wixom, J., & Wiss, F. C. (1990). The borderline diagnosis in adolescents: Symptoms and developmental history. American Journal of Psychiatry, 147, 470–476.Google ScholarPubMed
Luyten, P., Fonagy, P., Mayes, L., & Van Houdenhove, B. (2009). Mentalization as a multidimensional concept. Manuscript submitted for publication.Google Scholar
Luyten, P., Mayes, L., Fonagy, P., & Van Houdenhove, B. (2009). The interpersonal regulation of stress. Unpublished manuscript.Google Scholar
Lynch, T. R., Rosenthal, M. Z., Kosson, D. S., Cheavens, J. S., Lejuez, C. W., & Blair, R. J. (2006). Heightened sensitivity to facial expressions of emotion in borderline personality disorder. Emotion, 6, 647–655.CrossRefGoogle ScholarPubMed
Lyons-Ruth, K., Holmes, B. M., Sasvari-Szekely, M., Ronai, Z., Nemoda, Z., & Pauls, D. (2007). Serotonin transporter polymorphism and borderline or antisocial traits among low-income young adults. Psychiatric Genetics, 17, 339–343.CrossRefGoogle ScholarPubMed
Lyons-Ruth, K., Yellin, C., Melnick, S., & Atwood, G. (2005). Expanding the concept of unresolved mental states: Hostile/helpless states of mind on the Adult Attachment Interview are associated with disrupted mother–infant communication and infant disorganization. Development and Psychopathology, 17, 1–23.CrossRefGoogle ScholarPubMed
MacDonald, H. Z., Beeghly, M., Grant-Knight, W., Augustyn, M., Woods, R. W., Cabral, H., et al. (2008). Longitudinal association between infant disorganized attachment and childhood posttraumatic stress symptoms. Development and Psychopathology, 20, 493–508.CrossRefGoogle ScholarPubMed
Maddock, R. J. (1999). The retrosplenial cortex and emotion: new insights from functional neuroimaging of the human brain. Trends in Neuroscience, 22, 310–316.CrossRefGoogle ScholarPubMed
Mayberg, H. S., Liotti, M., Brannan, S. K., McGinnis, S., Mahurin, R. K., Jerabek, P. A., et al. (1999). Reciprocal limbic–cortical function and negative mood: Converging PET findings in depression and normal sadness. American Journal of Psychiatry, 156, 675–682.CrossRefGoogle ScholarPubMed
Mayes, L. C. (2000). A developmental perspective on the regulation of arousal states. Seminars in Perinatology, 24, 267–279.CrossRefGoogle ScholarPubMed
Mayes, L. C. (2006). Arousal regulation, emotional flexibility, medial amygdala function, and the impact of early experience: Comments on the paper of Lewis et al. Annals of the New York Academy of Sciences, 1094, 178–192.CrossRefGoogle ScholarPubMed
Meins, E., Fernyhough, C., Wainwright, R., Das Gupta, M., Fradley, E., & Tuckey, M. (2002). Maternal mind-mindedness and attachment security as predictors of theory of mind understanding. Child Development, 73, 1715–1726.CrossRefGoogle ScholarPubMed
Mikulincer, M., Gillath, O., & Shaver, P. R. (2002). Activation of the attachment system in adulthood: Threat-related primes increase the accessibility of mental representations of attachment figures. Journal of Personality and Social Psychology, 83, 881–895.CrossRefGoogle ScholarPubMed
Mikulincer, M., & Shaver, P. R. (2007). Attachment in adulthood: Structure, dynamics and change. New York: Guilford Press.Google Scholar
Miller, A. L., Muehlenkamp, J. J., & Jacobson, C. M. (2008). Fact or fiction: Diagnosing borderline personality disorder in adolescents. Clinical Psychology Review, 28, 969–981.CrossRefGoogle ScholarPubMed
Minzenberg, M. J., Fan, J., New, A. S., Tang, C. Y., & Siever, L. J. (2007). Fronto-limbic dysfunction in response to facial emotion in borderline personality disorder: An event-related fMRI study. Psychiatry Research, 155, 231–243.CrossRefGoogle ScholarPubMed
Minzenberg, M. J., Grossman, R., New, A. S., Mitropoulou, V., Yehuda, R., Goodman, M., et al. (2006). Blunted hormone responses to Ipsapirone are associated with trait impulsivity in personality disorder patients. Neuropsychopharmacology, 31, 197–203.CrossRefGoogle ScholarPubMed
Montague, P. R., & Lohrenz, T. (2007). To detect and correct: Norm violations and their enforcement. Neuron, 56, 14–18.CrossRefGoogle ScholarPubMed
Morrison, A. P., Frame, L., & Larkin, W. (2003). Relationships between trauma and psychosis: A review and integration. British Journal of Clinical Psychology, 42, 331–353.CrossRefGoogle ScholarPubMed
Nakash-Eisikovits, O., Dutra, L., & Westen, D. (2002). Relationship between attachment patterns and personality pathology in adolescents. Journal of the American Academy of Child & Adolescent Psychiatry, 41, 1111–1123.CrossRefGoogle ScholarPubMed
Neumann, I. D. (2008). Brain oxytocin: A key regulator of emotional and social behaviours in both females and males. Journal of Neuroendocrinology, 20, 858–865.CrossRefGoogle ScholarPubMed
Ni, X., Sicard, T., Bulgin, N., Bismil, R., Chan, K., McMain, S., et al. (2007). Monoamine oxidase a gene is associated with borderline personality disorder. Psychiatric Genetics, 17, 153–157.CrossRefGoogle ScholarPubMed
Northoff, G., Heinzel, A., de Greck, M., Bermpohl, F., Dobrowolny, H., & Panksepp, J. (2006). Self-referential processing in our brain—A meta-analysis of imaging studies on the self. NeuroImage, 31, 440–457.CrossRefGoogle ScholarPubMed
O'Connor, T. (2006). The persisting effects of early experiences on social development. In Cicchetti, D. & Cohen, D. J. (Eds.), Developmental psychopathology: Vol. 3. Risk, disorder and adaptation (2nd ed., pp. 202–234). New York: Wiley.Google Scholar
O'Connor, T. G., & Hirsch, N. (1999). Intra-individual differences and relationship-specificity of social understanding and mentalising in early adolescence. Social Development, 8, 256–274.CrossRefGoogle Scholar
Onishi, K. H., Baillargeon, R., & Leslie, A. M. (2007). 15-Month-old infants detect violations of pretend scenarios. Acta Pychologica, 124, 106–128.CrossRefGoogle ScholarPubMed
Ortigue, S., Bianchi-Demicheli, F., Hamilton, A. F., & Grafton, S. T. (2007). The neural basis of love as a subliminal prime: An event-related functional magnetic resonance imaging study. Journal of Cognitive Neuroscience, 19, 1218–1230.CrossRefGoogle Scholar
Overall, N. C., Fletcher, G. J., & Friesen, M. D. (2003). Mapping the intimate relationship mind: Comparisons between three models of attachment representations. Personality and Social Psychology Bulletin, 29, 1479–1493.CrossRefGoogle ScholarPubMed
Paris, J. (2004). Sociocultural factors in the treatment of personality disorders. In Livesley, W. J. (Ed.), Handbook of personality disorders: Theory and practice (pp. 135–147). New York: Wiley.Google Scholar
Pears, K. C., & Fisher, P. A. (2005 ). Emotion understanding and theory of mind among maltreated children in foster care. Development and Psychopathology, 17, 47–65.CrossRefGoogle ScholarPubMed
Philipsen, A., Richter, H., Schmahl, C., Peters, J., Rusch, N., Bohus, M., et al. (2004). Clonidine in acute aversive inner tension and self-injurious behavior in female patients with borderline personality disorder. Journal of Clinical Psychiatry, 65, 1414–1419.CrossRefGoogle ScholarPubMed
Piaget, J., & Inhelder, B. (1956). The child's conception of space. London: Routledge. (original work published 1948)Google Scholar
Pierce, T., & Lydon, J. E. (2001). Global and specific relational models in the experience of social interactions. Journal of Personality and Social Psychology, 80, 613–631.CrossRefGoogle ScholarPubMed
Pliszka, S. R. (2003). Non-stimulant treatment of attention-deficit/hyperactivity disorder. CNS Spectrums, 8, 253–258.CrossRefGoogle ScholarPubMed
Pronin, E., Gilovich, T., & Ross, L. (2004). Objectivity in the eye of the beholder: Divergent perceptions of bias in self versus others. Psychological Review, 111, 781–799.CrossRefGoogle ScholarPubMed
Raikes, H. A., & Thompson, R. A. (2006). Family emotional climate, attachment security, and young children's emotion knowledge in a high-risk sample. British Journal of Developmental Psychology, 24, 89–104.CrossRefGoogle Scholar
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.CrossRefGoogle ScholarPubMed
Rizzolatti, G., & Craighero, L. (2004). The mirror-neuron system. Annual Review of Neuroscience, 27, 169–192.CrossRefGoogle ScholarPubMed
Robbins, T. W. (1997). Arousal systems and attentional processes. Biological Psychology, 45, 57–71.CrossRefGoogle ScholarPubMed
Rochat, P. (2009). Others in Mind—Fear of rejection and the social origin of self-consciousness. Cambridge: Cambridge University Press.CrossRefGoogle Scholar
Rogosch, F. A., & Cicchetti, D. (2005). Child maltreatment, attention networks, and potential precursors to borderline personality disorder. Development and Psychopathology, 17, 1071–1089.CrossRefGoogle ScholarPubMed
Rogosch, F. A., Cicchetti, D., & Aber, J. L. (1995). The role of child maltreatment in early deviations in cognitive and affective processing abilities and later peer relationship problems. Development and Psychopathology, 7, 591–609.CrossRefGoogle Scholar
Ross, C. A. (2007). Borderline personality disorder and dissociation. Journal of Trauma and Dissociation, 8, 71–80.CrossRefGoogle ScholarPubMed
Rusch, N., Lieb, K., Gottler, I., Hermann, C., Schramm, E., Richter, H., et al. (2007). Shame and implicit self-concept in women with borderline personality disorder. American Journal of Psychiatry, 164, 500–508.CrossRefGoogle ScholarPubMed
Sabbagh, M. A. (2004). Understanding orbitofrontal contributions to theory-of-mind reasoning: Implications for autism. Brain Cognition, 55, 209–219.CrossRefGoogle ScholarPubMed
Sanislow, C. A., Grilo, C. M., Morey, L. C., Bender, D. S., Skodol, A. E., Gunderson, J. G., et al. (2002). Confirmatory factor analysis of DSM-IV criteria for borderline personality disorder: Findings from the collaborative longitudinal personality disorders study. American Journal of Psychiatry, 159, 284–290.CrossRefGoogle Scholar
Sar, V., Akyuz, G., Kugu, N., Ozturk, E., & Ertem-Vehid, H. (2006). Axis I dissociative disorder comorbidity in borderline personality disorder and reports of childhood trauma. Journal of Clinical Psychiatry, 67, 1583–1590.CrossRefGoogle ScholarPubMed
Satpute, A. B., & Lieberman, M. D. (2006). Integrating automatic and controlled processes into neurocognitive models of social cognition. Brain Research, 1079, 86–97.CrossRefGoogle ScholarPubMed
Schmahl, C. G., Elzinga, B. M., Ebner, U. W., Simms, T., Sanislow, C., Vermetten, E., et al. (2004). Psychophysiological reactivity to traumatic and abandonment scripts in borderline personality and posttraumatic stress disorders: A preliminary report. Psychiatry Research, 126, 33–42.CrossRefGoogle ScholarPubMed
Schnell, K., Dietrich, T., Schnitker, R., Daumann, J., & Herpertz, S. C. (2007). Processing of autobiographical memory retrieval cues in borderline personality disorder. Journal of Affective Disorders, 97, 253–259.CrossRefGoogle ScholarPubMed
Shamay-Tsoory, S. G., & Aharon-Peretz, J. (2007). Dissociable prefrontal networks for cognitive and affective theory of mind: A lesion study. Neuropsychologia, 45, 3054–3067.CrossRefGoogle ScholarPubMed
Shamay-Tsoory, S. G., Aharon-Peretz, J., & Levkovitz, Y. (2007). The neuroanatomical basis of affective mentalizing in schizophrenia: Comparison of patients with schizophrenia and patients with localized prefrontal lesions. Schizophrenia Research, 90, 274–283.CrossRefGoogle ScholarPubMed
Shamay-Tsoory, S. G., Aharon-Peretz, J., & Perry, D. (2009). Two systems for empathy: A double dissociation between emotional and cognitive empathy in inferior frontal gyrus versus ventromedial prefrontal lesions. Brain, 132, 617–627.CrossRefGoogle ScholarPubMed
Sharp, C., & Fonagy, P. (2008a). The parent's capacity to treat the child as a psychological agent: Constructs, measures and implications for developmental psychopathology. Social Development, 17, 737–754.CrossRefGoogle Scholar
Sharp, C., & Fonagy, P. (2008b). Social cognition and attachment-related disorders. In Sharp, C., Fonagy, P. & Goodyer, I. (Eds.), Social cognition and developmental psychopathology. Oxford: Oxford University Press.CrossRefGoogle Scholar
Sharp, C., Fonagy, P., & Goodyer, I. (Eds.). (2008). Social cognition and developmental psychopathology. Oxford: Oxford University Press.CrossRefGoogle Scholar
Sharp, C., & Romero, C. (2007). Borderline personality disorder: A comparison between children and adults. Bulletin of the Menninger Clinic, 71, 85–114.CrossRefGoogle ScholarPubMed
Shipman, K., Edwards, A., Brown, A., Swisher, L., & Jennings, E. (2005). Managing emotion in a maltreating context: A pilot study examining child neglect. Child Abuse and Neglect, 29, 1015–1029.CrossRefGoogle Scholar
Shmueli-Goetz, Y., Target, M., Fonagy, P., & Datta, A. (2008). The Child Attachment Interview: A psychometric study of reliability and validity. Developmental Psychology, 44, 939–956.CrossRefGoogle Scholar
Silbersweig, D., Clarkin, J. F., Goldstein, M., Kernberg, O. F., Tuescher, O., Levy, K. N., et al. (2007). Failure of frontolimbic inhibitory function in the context of negative emotion in borderline personality disorder. American Journal of Psychiatry, 164, 1832–1841.CrossRefGoogle ScholarPubMed
Slade, A. (2005). Parental reflective functioning: An introduction. Attachment and Human Development, 7, 269–281.CrossRefGoogle ScholarPubMed
Smith, M., & Walden, T. (1999). Understanding feelings and coping with emotional situations: A comparison of maltreated and nonmaltreated preschoolers. Social Development, 8, 93–116.CrossRefGoogle Scholar
Soloff, P. H., Feske, U., & Fabio, A. (2008). Mediators of the relationship between childhood sexual abuse and suicidal behavior in borderline personality disorder. Journal of Personality Disorders, 22, 221–232.CrossRefGoogle ScholarPubMed
Sroufe, L. A., Egeland, B., Carlson, E., & Collins, W. A. (2005). The development of the person: The Minnesota Study of Risk and Adaptation From Birth to Adulthood. New York: Guilford Press.Google Scholar
Stiglmayr, C. E., Ebner-Priemer, U. W., Bretz, J., Behm, R., Mohse, M., Lammers, C. H., et al. (2008). Dissociative symptoms are positively related to stress in borderline personality disorder. Acta Psychiatrica Scandinavica, 117, 139–147.CrossRefGoogle ScholarPubMed
Strathearn, L., Fonagy, P., Amico, J., & Montague, R. (in press). Adult attachment predicts maternal brain and oxytocin response to infant cues. Neuropsychopharmacology.Google Scholar
Strathearn, L., Li, J., Fonagy, P., & Montague, R. (2008). What's in a smile? Maternal brain responses to infant facial cues. Pediatrics, 122, 40–51.CrossRefGoogle Scholar
Stuart, J., Westen, D., Lohr, N. E., Benjamin, J., Becker, S., & Vorus, N. (1990). Object relations in borderlines, depressives, and normals: An examination of human responses on the Rorschach. Journal of Personality Assessment, 55, 296–318.CrossRefGoogle ScholarPubMed
Target, M., & Fonagy, P. (1996). Playing with reality II: The development of psychic reality from a theoretical perspective. International Journal of Psycho-Analysis, 77, 459–479.Google ScholarPubMed
Uddin, L. Q., Iacoboni, M., Lange, C., & Keenan, J. P. (2007). The self and social cognition: the role of cortical midline structures and mirror neurons. Trends in Cognitive Science, 11, 153–157.CrossRefGoogle ScholarPubMed
van IJzendoorn, M. H. & Bakermans-Kranenburg, M. J. (1997). Intergenerational transmission of attachment: A move to the contextual level. In Atkinson, L. & Zucker, K. J. (Eds.), Attachment and psychopathology (pp. 135–170). New York: Guilford Press.Google Scholar
Vanderwal, T., Hunyadi, E., Grupe, D. W., Connors, C. M., & Schultz, R. T. (2008). Self, mother and abstract other: An fMRI study of reflective social processing. NeuroImage, 41, 1437–1446.CrossRefGoogle Scholar
Vermote, R., Fonagy, P., Vertommen, H., Verhaest, Y., Stroobants, R., Vandeneede, B., et al. (2009). Outcome and outcome trajectories of personality disordered patients during and after a psychoanalytic hospitalization-based treatment. Journal of Personality Disorder, 23, 293–306.CrossRefGoogle ScholarPubMed
Vorria, P., Papaligoura, Z., Sarafidou, J., Kopakaki, M., Dunn, J., Van Ijzendoorn, M. H., et al. (2006). The development of adopted children after institutional care: A follow-up study. Journal of Child Psychology and Psychiatry, 47, 1246–1253.CrossRefGoogle ScholarPubMed
Vrticka, P., Andersson, F., Grandjean, D., Sander, D., & Vuilleumier, P. (2008). Individual attachment style modulates human amygdala and striatum activation during social appraisal. PLoS ONE, 3, e2868.CrossRefGoogle ScholarPubMed
Walter, M., Bureau, J. F., Holmes, B. M., Bertha, E. A., Hollander, M., Wheelis, J., et al. (2008). Cortisol response to interpersonal stress in young adults with borderline personality disorder: A pilot study. European Psychiatry, 23, 201–204.CrossRefGoogle ScholarPubMed
Watson, S., Chilton, R., Fairchild, H., & Whewell, P. (2006). Association between childhood trauma and dissociation among patients with borderline personality disorder. Australian and New Zealand Journal of Psychiatry, 40, 478–481.CrossRefGoogle ScholarPubMed
Wertz, A. E., & German, T. C. (2007). Belief-desire reasoning in the explanation of behavior: Do actions speak louder than words? Cognition, 105, 184–194.CrossRefGoogle ScholarPubMed
Westen, D., Dutra, L., & Shedler, J. (2005). Assessing adolescent personality pathology. British Journal of Psychiatry, 186, 227–238.CrossRefGoogle ScholarPubMed
Westen, D., Ludolph, P., Lerner, H., Ruffins, S., & Wiss, F. C. (1990). Object relations in borderline adolescents. Journal of the American Academy of Child & Adolescent Psychiatry, 29, 338–348.CrossRefGoogle ScholarPubMed
Williams, L., Fonagy, P., Target, M., Fearon, P., Sargent, J., Bleiberg, E., et al. (2006). Training psychiatry residents in mentalization-based therapy. In Allen, J. & Fonagy, P. (Eds.) Handbook of mentalisation based treatments. London: Wiley.Google Scholar
Wingenfeld, K., Lange, W., Wulff, H., Berea, C., Beblo, T., Saavedra, A. S., et al. (2007). Stability of the dexamethasone suppression test in borderline personality disorder with and without comorbid PTSD: A one-year follow-up study. Journal of Clinical Psychology, 63, 843–850.CrossRefGoogle ScholarPubMed
Zanarini, M., Gunderson, J. G., & Frankenburg, F. R. (1990). Discriminating borderline personality disorder from other Axis II disorders. American Journal Psychiatry, 147, 161–167.Google ScholarPubMed
Zanarini, M. C., & Frankenburg, F. R. (2007). The essential nature of borderline psychopathology. Journal of Personality Disorders, 21, 518–535.CrossRefGoogle ScholarPubMed
Zanarini, M. C., Frankenburg, F. R., DeLuca, C. J., Hennen, J., Khera, G. S., & Gunderson, J. G. (1998). The pain of being borderline: Dysphoric states specific to borderline personality disorder. Harvard Review of Psychiatry, 6, 201–207.CrossRefGoogle ScholarPubMed
Zanarini, M. C., Frankenburg, F. R., Jager-Hyman, S., Reich, D. B., & Fitzmaurice, G. (2008). The course of dissociation for patients with borderline personality disorder and Axis II comparison subjects: A 10-year follow-up study. Acta Psychiatrica Scandinavica, 118, 291–296.CrossRefGoogle ScholarPubMed
Zanarini, M. C., Frankenburg, F. R., Ridolfi, M. E., Jager-Hyman, S., Hennen, J., & Gunderson, J. G. (2006). Reported childhood onset of self-mutilation among borderline patients. Journal of Personality Disorders, 20, 9–15.CrossRefGoogle ScholarPubMed
Zittel Conklin, C., & Westen, D. (2005). Borderline personality disorder in clinical practice. American Journal of Psychiatry, 162, 867–875.CrossRefGoogle ScholarPubMed
Zweig-Frank, H., & Paris, J. (1991). Parents' emotional neglect and overprotection according to the recollections of patients with borderline personality disorder. American Journal of Psychiatry, 148, 648–651.Google Scholar