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The psychodynamics of borderline personality disorder: A view from developmental psychopathology

Published online by Cambridge University Press:  12 December 2005

REBEKAH BRADLEY  and
DREW WESTEN
REBEKAH BRADLEY
Affiliation:
Emory University
DREW WESTEN
Affiliation:
Emory University
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Abstract

This article provides a contemporary view of the psychodynamics of borderline personality disorder (BPD) from a developmental psychopathology perspective. We first briefly describe the evolution of the borderline construct in psychoanalysis and psychiatry. Then we provide clinically and empirically informed model of domains of personality function and dysfunction that provides a roadmap for thinking about personality pathology from a developmental psychopathology standpoint and examine the nature and phenomenology of BPD in terms of these domains of functioning. Next, we describe prominent dynamic theories of etiology of BPD and examine these in relation to the available research. Finally, we describe psychodynamic conceptions of treatment and the way BPD phenomena manifest in treatment, followed again by consideration of relevant research, particularly on transference–countertransference constellations empirically identified in the treatment of patients with BPD.Preparation of this article was supported in part by NIMH Grants R01-MH62377 and R01-MH62378.

Type
Research Article
Information
Development and Psychopathology , Volume 17 , Issue 4 , December 2005 , pp. 927 - 957
Copyright
© 2005 Cambridge University Press

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References

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