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Determination of First Object Relations and Emotion Regulation Difficulties in Borderline Personality Disorder with Objective and Projective Methods

Year 2023, Volume: 15 Issue: Supplement 1, 1 - 13, 29.12.2023
https://doi.org/10.18863/pgy.1165387

Abstract

Evaluation of the disorders in the personality organization of the individual is only possible by examining the object relations functions, and it is known that the elimination of emotion regulation difficulties (ERD) has a central role in the treatment of borderline personality disorder (BPD). Therefore, this study, in which objective and projective methods were used together, was designed to determine the ERD of BPD patients and the relationship between the patients' object relations and emotion regulation difficulties. It is thought that the results of the study can be useful in the psychotherapy processes of BPD patients. For this purpose, the Sociodemographic Data Form, Rorschach Test, and Emotion Regulation Difficulty Scale developed by the researchers were applied to 37 individuals diagnosed with Borderline Personality Disorder according to DSM-5 criteria and 37 individuals who did not have any psychiatric diagnosis as a result of their psychiatric examination by a psychiatrist. As a result of the study, it was determined that there was a significant relationship between BPD and ERD, and this relationship could be determined through the Rorschach test, and it was determined that BPD constituted 55% of the variance of ERD. ERD, which can have significant disruptive effects on the lives of borderline patients, was associated with the patients' lack of satisfaction and inclusion in their relations with their first object, which is usually their parents, and it was determined negative qualities of first objects accounted for 23% of the variance of difficulty in emotion regulation. It is thought that the results of the study may contribute to the acceleration of the solution of interpersonal problems, which have a close relationship with ERD, of the patients and the standardization of the Rorschach Test.

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Borderline Kişilik Bozukluğunda İlk Nesne İlişkileri ve Duygu Düzenleme Güçlüğünün Objektif ve Projektif Yöntemlerle Belirlenmesi

Year 2023, Volume: 15 Issue: Supplement 1, 1 - 13, 29.12.2023
https://doi.org/10.18863/pgy.1165387

Abstract

Bireyin kişilik örgütlenmesindeki bozuklukların değerlendirilmesi ancak nesne ilişkileri fonksiyonların incelenmesiyle tam anlamıyla mümkün olmakta ve duygu düzenleme güçlüğünün (DDG) giderilmesinin borderline kişilik bozukluğu (BKB) tedavisinde merkezi bir role sahip olduğu bilinmektedir. Bu doğrultuda hem BKB hastalarının duygu düzenleme güçlüklerinin hem de hastaların nesne ilişkilerinin duygu düzenleme güçlükleri ile olan ilişkisinin belirlenmesi amaçlanarak objektif ve projektif yöntemlerin bir arada kullanıldığı bu çalışma tasarlanmıştır. Çalışma sonuçlarından BKB hastalarının psikoterapi süreçlerinde faydalanılabileceği düşünülmektedir. Bu amaçla psikiyatri uzmanı tarafından, DSM-5 ölçütlerine göre BKB tanısı alan 37 birey ile psikiyatrik muayenesi sonucunda herhangi bir psikiyatrik tanı almamış 37 bireye araştırmacılar tarafından geliştirilmiş olan Sosyodemografik Veri Formu, Rorschach Testi, Duygu Düzenleme Güçlüğü Ölçeği uygulanmıştır. Çalışma sonucunda BKB ile DDG arasında anlamlı bir ilişki olduğu ve bu ilişkinin Rorschach testi aracılığıyla belirlenebildiği tespit edilmiş olup BKB’nin DDG varyansının %55’ini oluşturduğu belirlenmiştir. Borderline hastaların yaşamları üzerinde önemli bozucu etkilerde bulunabilen duygu düzenleme güçlüğünün, hastaların genellikle ebeveynleri olan ilk nesneleriyle ilişkilerindeki doyum ve kapsanma yetersizliğiyle ilişkili olduğu olup ilk nesnelere dair olumsuz niteliklerin DDG varyansının %23’ünü oluşturduğu tespit edilmiştir. Çalışma sonuçlarının hastaların, DDG ile yakından ilişkili olan, kişilerarası problemlerinin çözümünün hızlanmasına ve projektif bir ölçüm aracı olan Rorschach Testi’nin standardizasyonu adına katkı sağlayabileceği düşünülmektedir.

References

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  • Aldao A, Nolen-Hoeksema S, Schweizer S (2010) Emotion-regulation strategies across psychopathology: A meta-analytic review. Clin Psychol Rev, 30: 217–237.
  • Anzieu D, & Chabert C (2011) Projektif yöntemler (Çeviri ed. B Kolbay). İstanbul, Bağlam Yayınları.
  • Arens EA, Grabe HJ, Spitzer C, Barnow S (2011) Testing the biosocial model of borderline personality disorder: Results of a prospective 5-year longitudinal study. Personal Ment Health, 5: 29– 42.
  • Bandelow B, Krause J, Wedekind D, Broocks A, Hajak G, & Ruther E (2005) Early traumatic life events, parental attitudes, family history, and birth risk factors in patients with borderline personality disorder and healthy controls. Psychiatry Res, 134 169– 179.
  • Bland AR, Tudor G, & Whitehouse DM (2007) Nursing care of inpatients with borderline personality disorder. Perspect Psychiatr Car, 43: 204-212.
  • Boucher MÈ, Pugliese J, Allard‐Chapais C, Lecours S, Ahoundova L, Chouinard R, Gaham S (2017) Parent–child relationship associated with the development of borderline personality disorder: a systematic review. Personal Ment Health, 11: 229-255.
  • Burns EE, Jackson JL, Harding HG (2010) Child maltreatment, emotion regulation, and posttraumatic stress: The impact of emotional abuse. Journal of Aggression, Maltreatment & Trauma, 19: 801-819.
  • Calkins SD, Hill A (2007) Caregiver Influences on Emerging Emotion Regulation: Biological and Environmental Transactions in Early Development. Gross, J. J. (Ed.). handbook of Emotion Regulation. New York: The Guilford Press.
  • Carpenter RW, Trull TJ (2013) Components of emotion dysregulation in borderline personality disorder: A review. Curr Psychiatry Rep, 15: 1-8. http:// dx.doi.org/10.1007/s11920-012-0335-2.
  • Chevans JS, Strunk DR, Chiriki L (2012) A comparison of three theoretically important constructs: What accounts for symptoms of borderline personality disorder? J Clin Psychol, 68: 477-486.
  • Cloitre M, Scarvalone P. Difede J (1997) Posttraumatic stress disorder, self- and interpersonal dysfunction among sexually retraumatized women. J Trauma Stress, 10: 437-452.
  • Denham S (2003) Family health: A framework for nursing. USA: Davis Company.
  • Dimaggio G, Popolo R, Montano A, Velotti P, Perrini F, Buonocore L, Salvatore G (2017) Emotion dysregulation, symptoms, and interpersonal problems as independent predictors of a broad range of personality disorders in an outpatient sample. Psychol Psychother, 90: 586-599.
  • Dixon-Gordon KL, Turner BJ, Rosenthal MZ, Chapman AL (2017) Emotion regulation in borderline personality disorder: an experimental investigation of the effects of instructed acceptance and suppression. Behavior therapy, 48: 750-764.
  • Ebner-Priemer UW, Houben M, Santangelo P., Kleindienst N, Tuerlinckx F, Oravecz, Z, et al. (2015) Unraveling affective dysregulation in borderline personality disorder: A theoretical model and empirical evidence. J Abnorm Psychol, 124: 186- 198. https://doi.org/10.1037/abn0000021
  • Euler S, Nolte T, Constantinou M, Griem J, Montague PR, Fonagy P (2021) Interpersonal problems in borderline personality disorder: associations with mentalizing, emotion regulation, and impulsiveness. J Pers Disord, 35: 177-193.
  • Faraji H, Tezcan AE (2022) Borderline kişilik bozukluğu. İstanbul, Nobel Akademik Yayıncılık.
  • Faraji H, Güler K. (2021) Borderline personality traits and self handicapping. Int J Curr Res, 13: 17683-17689. DOI: https://doi.org/10.24941/ijcr.41401.06.2021
  • Faraji H. (2021) Borderline kişilik bozukluğunun ergenlik döneminde belirlenmesine dair bir değerlendirme, OPUS Toplum Araştırmaları Dergisi, 18: 7141-7166. DOI: 10.26466/opus. 898571
  • Faraji H, Güler K (2021) Borderline personality features and jealousy traits in university students, Aydın İnsan ve Toplum Dergisi, 2:137-154.
  • Farrell JM, Shaw IA (1994) Emotional awareness training: A prerequisite to effective cognitive-behavioral treatment of borderline personality disorder. Cogn Behav Pract, 1: 71-91. https://doi.org/10.1016/S1077-7229(05)80087-2
  • Finkelhor D, Ormrod R, Turner H, Holt M (2009) Pathways to poly-victimization. Child Maltreatment, 14: 316-329. https://doi.org/10.1177/1077559509347012
  • Fletcher K, Parker G, Bayes A, Paterson A, McClure G (2014) Emotion regulation strategies in bipolar II disorder and borderline personality disorder: Differences and relationships with perceived parental style. J Affect Disord , 157: 52– 59. https://doi.org/10.1016/j.jad.2014.01.001
  • Frank H, Hoffman N (1986) Borderline empathy: An empirical investigation. Compr Psychiatry, 27: 387– 395. https://doi.org/10.1016/0010-440X(86)90015-5
  • George D, Mallery P (2010) SPSS for windows a step by step: A Simple Guide and Reference. Pearson Education, Inc.
  • Ghiassi V, Dimaggio G, Brune M (2010) Dysfunctions in understanding other minds in borderline personality disorder: A study using cartoon picture stories. Psychother Res, 20: 657– 667. https://doi.org/10.1080/10503307.2010.501040
  • Gratz KL, Roemer L (2004) Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the Difficulties in Emotion Regulation Scale. J Psychopathol Behav Assess, 26: 41-54. https://doi.org/10.1023/B:JOBA.0000007455.08539.94
  • Gratz KL, Rosenthal MZ, Tull MT, Lejuez CW, Gunderson JG (2009) An experimental investigation of emotion dysregulation in borderline personality disorder. Personal Disord,1: 18–26. https://doi.org/10.1037/1949-2715.S.1.18
  • Hallquist MN, Hipwell AE, Stepp SD (2015) Poor self-control and harsh punishment in childhood prospectively predict borderline personality symptoms in adolescent girls. J Abnorm Psychol, 124: 549–64. https://doi.org/10.1037/abn0000058
  • Hoch P, Polatin P (1949) Pseudoneurotic forms of schizophrenia. Psychiatr Q, 23(2), 248-276. https://doi.org/10.1007/BF01563119 Hogan R (2007) Personality and the fate of organizations, Mahwah, NJ: Lawrence Erlbaum Associates.
  • Houben M, Claes L, Sleuwaegen E, Berens A, Vansteelandt K (2018) Emotional reactivity to appraisals in patients with a borderline personality disorder: a daily life study. Borderline Personal Disord Emot Dysregul, 5: 18-32. https://doi.org/10.1186/s40479-018-0095-7
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There are 79 citations in total.

Details

Primary Language English
Subjects Psychology
Journal Section Research
Authors

Haydeh Faraji 0000-0001-5306-6546

Dr. Öğretmen. Üyesi Hatice Nevzat Muhtar 0000-0002-6506-7455

Ahmet Ertan Tezcan 0000-0002-1868-1655

Early Pub Date May 19, 2023
Publication Date December 29, 2023
Acceptance Date January 6, 2023
Published in Issue Year 2023 Volume: 15 Issue: Supplement 1

Cite

AMA Faraji H, Muhtar DÖÜHN, Tezcan AE. Determination of First Object Relations and Emotion Regulation Difficulties in Borderline Personality Disorder with Objective and Projective Methods. Psikiyatride Güncel Yaklaşımlar - Current Approaches in Psychiatry. December 2023;15(Supplement 1):1-13. doi:10.18863/pgy.1165387

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