Border line personality structure in adolescents. A case study

Downloads

Published

2018-09-30

How to Cite

Osorio Guzmán, A., & Gordo Seco, R. (2018). Border line personality structure in adolescents. A case study. Revista De Psiquiatría Infanto-Juvenil, 35(3), 250–254. https://doi.org/10.31766/revpsij.v35n3a3

Issue

Vol. 35 No. 3 (2018): July-September

Section

Case reports
Crossref
Scopus
Google Scholar
Europe PMC

Authors

  • A. Osorio Guzmán Complejo Asistencial Universitario de Burgos
  • R. Gordo Seco

DOI:

https://doi.org/10.31766/revpsij.v35n3a3

Keywords:

Adolescence, borderline personality disorder, personality disorder, diagnosis, development

Abstract

Despite commencing through childhood and adolescence, the diagnosis of personality disorders during these life stages is controversial. Borderline personality structure is especially complex due to symptomatology variability and the challenges presented in the differential diagnosis from adolescent stage characteristic features. A useful model could be the one posed by Paulina Kernberg, based on a personality development perspective. We describe, through this model, the case of a 15 year old patient with a long history of recurrent selfinjury, suicidal behaviour, behavioural disturbances and progressive functioning impairment; in which complex family history, difficulties in social relationships and utilization of primary defence mechanisms such as scission and projective identification, were detected.

Downloads

Download data is not yet available.

Author Biographies

A. Osorio Guzmán, Complejo Asistencial Universitario de Burgos

Médico Interno Residente de Psiquiatria, Complejo Asistencial Universitario de Burgos, Burgos.

Correspondencia:
Ángela Osorio Guzmán
Hospital Universitario de Burgos. Servicio de
Psiquiatría (Bloque F, Planta 5)
Avda. Islas Baleares, 3, 09006 Burgos
aosorio@saludcastillayleon.es

R. Gordo Seco

Licenciada Especialista de Área, Unidad Salud Mental Infanto-Juvenil, Complejo Asistencial Universitario de Burgos, Burgos

References

Biskin RS. The Lifetime Course of Borderline Personality Disorder. The Canadian Journal of Psychiatry 2015; 60 (7): 303–8. DOI: https://doi.org/10.1177/070674371506000702

Consejo Asesor sobre Asistencia Psiquiátrica y Salud Mental. Trastorno Límite de la Personalidad (TLP). Quaderns de salut mental. Catsalut. Departament de Salut. Generalitat de Catalunya. 2006; 8 (https://doi.org/10.1016/j.gine.2009.01.006).

Fonagy P, Speranza M, Luyten P, Kaess M, Hessels C, Bohus M. ESCAP Expert Article: Borderline personality disorder in adolescence: An expert research review with implications for clinical practice. European Child & Adolescent Psychiatry 2015; 24 (11): 1307–20. DOI: https://doi.org/10.1007/s00787-015-0751-z

Fonseca-Pedrero E, Paino M, Lemos-Giráldez S, Muñiz J. Patrones desadaptativos de la personalidad del cluster B en adolescentes españoles. Revista de Psiquiatría y Salud Mental 2013; 6 (3): 129–38. DOI: https://doi.org/10.1016/j.rpsm.2012.07.003

Fossa Arcila, P. Organización Limítrofe de Personalidad. Revista de Psicología GEPU 2010; 1 (1): 32–52.

Garrabé, J. & Kammerer, F. (Eds.), Clasificación francesa de los trastornos mentales del niño y del adolescente (CFMEA R-2012). Clasificación francesa de los trastornos mentales del adulto (CFTM R-2015). Buenos Aires: Polemos.

Kaess M, Brunner R, Chanen A. Borderline Personality Disorder in Adolescence. Pediatrics 2014; 134 (4): 782–93. DOI: https://doi.org/10.1542/peds.2013-3677

Kernberg PF, Weiner AS, Bardenstein KK. Trastornos de la personalidad en niños y adolescentes. México: El Manual Moderno; 2002.

Larrivée, M. P. (2013. Borderline personality disorder in adolescents: The He-who-must-notbe-named of psychiatry. Dialogues in Clinical Neuroscience 2013; 15 (2): 171–179. DOI: https://doi.org/10.31887/DCNS.2013.15.2/mplarrivee