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TFP is a treatment for borderline personality disorder (BPD). Patients with BPD are often characterized by intense affect, stormy relationships, and impulsive behaviors.Due to their high reactivity to environmental stimuli, patients with BPD often experience dramatic and short-lived shifts in their mood, alternating between experiences of euphoria, depression, anxiety, and nervousness.
] One meta-analysis of two randomly controlled trials, four non-controlled open-label studies and eight case reports has suggested that several atypical antipsychotics, including olanzapine, clozapine, quetiapine and risperidone, may help BPD patients with psychotic-like, impulsive or suicidal symptoms. [37]
[53] [54] In addition to this external "splitting," patients with BPD typically have internal splitting, i.e. vacillation between considering oneself a good person who has been mistreated (in which case anger predominates) and a bad person whose life has no value (in which case self-destructive or even suicidal behavior may occur). This ...
An alternative and simpler definition is "Seeing others from the inside and ourselves from the outside." The object of treatment is that patients with BPD increase their mentalization capacity, which should improve affect regulation, thereby reducing suicidality and self-harm, as well as strengthening interpersonal relationships.
Splitting is a relatively common defense mechanism for people with borderline personality disorder (BPD). [24] One of the DSM IV-TR criteria for this disorder is a description of splitting: "a pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation".
The defense that effects (brings about) this process is called splitting. Splitting is the tendency to view events or people as either all bad or all good. [ 1 ] When viewing people as all good, the individual is said to be using the defense mechanism idealization : a mental mechanism in which the person attributes exaggeratedly positive ...
Narcissistic defenses are among the earliest defense mechanisms to emerge, and include denial, distortion, and projection. [4] Splitting is another defense mechanism prevalent among individuals with narcissistic personality disorder, borderline personality disorder, and antisocial personality disorder—seeing people and situations in black and white terms, either as all bad or all good.
The Zanarini Rating Scale for Borderline Personality Disorder (ZAN-BPD) is a standardized, diagnostic rating scale designed to measure the severity and changes in the symptoms of borderline personality disorder (BPD) over time. [1] [2] The assessment was developed by Mary Zanarini and her colleagues at McLean Hospital and released in 2003. [3]