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Aggressive Behavior and Interpersonal Difficulties in Borderline Personality Disorder 

Aggressive Behavior and Interpersonal Difficulties in Borderline Personality Disorder
Chapter:
Aggressive Behavior and Interpersonal Difficulties in Borderline Personality Disorder
Author(s):

Lori N. Scott

and Paul A. Pilkonis

DOI:
10.1093/med/9780199997510.003.0012
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date: 23 January 2022

Interpersonal problems are among the most severely impairing, difficult-to-manage, and intransigent of borderline personality disorder (BPD) features and therefore require special attention in treatment. Emotion dysregulation and related mood-dependent behaviors among individuals with BPD typically occur in the context of interpersonally relevant events or stressors, signifying the central role of interpersonal and attachment-related concerns for these patients. Two prominent interpersonal themes in those with BPD are discussed: interpersonal hypersensitivity and angry or aggressive behavior. The chapter provides a brief case illustration of how these themes might emerge in psychotherapy and recommends explicit assessment of interpersonal problems and aggression to enhance risk evaluation, case formulation, treatment planning, and monitoring progress in treatment.

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