Managing borderline personality disorder from a life course perspective: Clinical staging and health management

J. Hutsebaut*, A. Videler, R. Verheul, S.P.J. van Alphen

*Corresponding author for this work

Research output: Contribution to journalArticleScientificpeer-review

Abstract

Personality disorders change phenomenologically throughout the life course, in interaction with biological, psychological, and social events. In this article, we present a life course perspective on borderline personality disorder (BPD), based on clinical staging (conditional stimulus [CS]) and health management (HM). CS is presented as an alternative to the traditional categorical classification, providing improved opportunities to assess the severity of borderline impairment throughout the life course. It is primarily proposed as a heuristic strategy to guide design and selection of appropriate treatment according to the stage of disease progression. In addition, we introduce the concept of HM in the field of BPD, to organize continuous and coordinated health care management for patients with (emerging) BPD. HM redirects the exclusive focus on curative treatment of late-stage disorders to the broad spectrum of preventive, curative, and care interventions necessary to respond to the various needs in the different stages of BPD throughout the life course. Combining clinical staging and HM could provide a more effective and efficient framework for organizing mental health care for BPD
Original languageEnglish
Pages (from-to)309-316
JournalPersonality Disorders. Theory Research and Treatment
Volume10
Issue number4
DOIs
Publication statusPublished - 2019

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Keywords

  • ADOLESCENTS
  • AGE
  • CHILDHOOD
  • DIAGNOSIS
  • EARLY INTERVENTION
  • FEATURES
  • GENERAL PSYCHOPATHOLOGY FACTOR
  • PATHOLOGY
  • PSYCHOSIS
  • STABILITY
  • borderline personality disorder
  • clinical staging
  • health management
  • life course

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