A Fractured Self: AN's Journey Through Borderline Personality Disorder and Therapeutic Resilience
DOI:
https://doi.org/10.30834/Keywords:
Borderline Personality Disorder, Cognitive Behaviour Therapy, Dialectical Behaviour Therapy, Art TherapyAbstract
AN, a 28-year-old female artist, presented with a complex constellation of symptoms indicative of borderline personality disorder (BPD), including intense emotional dysregulation, unstable interpersonal relationships, a distorted self-image, and chronic feelings of emptiness. Her history was a harrowing narrative of childhood trauma, weaving a tapestry of emotional wounds that profoundly impacted her adult life. This case report details her journey through a multifaceted therapeutic approach encompassing Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Supportive Therapy, Behavioral Therapy, and intensive Arts-Based Therapy (ABT). It explores the challenges and triumphs encountered during her treatment, highlighting the importance of a well-tailored, integrative approach in addressing the unique complexities of BPD. It also examines the nuanced dynamics of the therapist-client relationship, emphasizing the crucial role of consistent support and the gradual development of self-efficacy in facilitating AN's path toward healing and stability.
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References
1. Zotti A, Pearson C, Mann S. Art therapy and the creative process : a practical approach. 2016. Loving Healing Press. [Link]
2. American Psychiatric Association. Diagnostic and statistical manual of mental disorders (5th ed.). 2013. pp. 663-666. DOI: 10.1176/appi.books.9780890425596
3. Levine PA, Frederick A. Waking the tiger: Healing trauma. The Innate Capacity to Transform Overwhelming Experiences. North Atlantic Books; 1997. pp. 34-51. [Link]
4. Crowell SE, Beauchaine TP, Linehan MM. A biosocial developmental model of borderline personality: Elaborating and extending Linehan's theory. Psychol Bull. 2009 May;135(3):495-510. DOI: 10.1037/a0015616
5. Linehan MM. Cognitive-behavioral treatment of borderline personality disorder. Guilford Press; 1993. pp. 13-35. [Link]
6. Nivadas. To study the effect of arts-based therapy on borderline personality traits. [Unpublished thesis]. 2024. pp. 40-58.
7. Paris J. The treatment of borderline personality disorder: A guide to evidence-based practice. Guilford Press; 2007. pp. 88-104. [Link]
8. Fonagy P, Bateman A. The developmental roots of borderline personality disorder in early interpersonal trauma. Am J Psychiatry. 2008; 165(1): 629-637. DOI: 10.1521/pedi.2008.22.1.4
9. Van der Kolk BA. The body keeps the score: Brain, mind, and body in the healing of trauma. Viking; 2014. pp. 203-228. [Link]
10. Herman JL. Trauma and recovery: The aftermath of violence. Basic Books; 1992. pp. 115-129. [Link]
11. Courtois CA, Ford JD (Eds.). Treating complex traumatic stress disorders. Guilford Press; 2009. pp. 240-265. [Link]
12. Torgersen S. The epidemiology of borderline personality disorder. The Oxford Handbook of Personality Disorders. Widiger TA (Ed). 2012. pp. 112-125. [Link]
13. Brandoff R. Creativity in art therapy. In N. R. Silton (Ed.), Exploring the benefits of creativity in education, media, and the arts. 2017. IGI Global. Pp. 327-336. DOI: 10.4018/978-1-5225-0504-4.ch015
14. Knill PJ, Levine EG, Levine SK. Principles and practice of expressive arts therapy. Jessica Kingsley Publishers; 1992. pp. 75-90. [Link]
15. Opland C, Torrico TJ. Psychotherapy and Therapeutic Relationship. [Updated 2024 Oct 6]. In: StatPearls [Internet]. [Link]
16. Yalom ID. The gift of therapy. Harper Perennial; 2002. pp. 50-74.[Link]
17. Sharan P. An overview of Indian research in personality disorders. Indian J Psychiatry. 2010 Jan;52(Suppl 1): S250-4. DOI: 10.4103/0019-5545.69241
18. Malchiodi CA. Expressive therapies. Guilford Press; 2005. pp. 22-44. [Link]
19. Gabbard GO. Long-term psychodynamic psychotherapy (3rd ed.). American Psychiatric Publishing; 2014. pp. 156-180. [Link]
20. Beck AT, Alford BA. Depression: Causes and treatment. University of Pennsylvania Press; 2009. pp. 185-212. [Link]
21. Zanarini MC. Psychotherapy of borderline personality disorder. Acta Psychiatr Scand. 2009 Nov;120(5):373-7. DOI: 10.1111/j.1600-0447.2009.01448.x
22. Grant BF, Chou SP, Goldstein RB, Huang B, Stinson FS, Saha TD, et al. Prevalence, correlates, disability, and comorbidity of DSM-IV borderline personality disorder: results from the Wave 2 National Epidemiologic Survey on Alcohol and Related Conditions. J Clin Psychiatry. 2008 Apr;69(4):533-45. DOI: 10.4088/jcp.v69n0404
23. Felitti VJ, Anda RF, Nordenberg D, Williamson DF, Spitz AM, Edwards V, et al. Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. The Adverse Childhood Experiences (ACE) Study. Am J Prev Med. 1998 May;14(4):245-58. DOI: 10.1016/s0749-3797(98)00017
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