MATERNAL EMPATHY,FAMILY CHAOS,AND THE ETIOLOGY OF BORDERLINE PERSONALITY DISORDER

Abstract

Psychoanalytic writers have traced the etiology of borderline personality disorder (BPD) to be a preoedipal disturbance in the mother-child relationship. Despite the prevalence of theories focusing on the role of mothering in the development of BPD, few empirical studies have tested the hypothesis that borderlines were the recipients of unempathic mothering. The current preliminary study compared 13 mothers of borderline adolescents with 13 mothers of normal adolescents. This study found that mothers of borderlines tended to conceive of their children egocentrically, as need-gratifying objects, rather than as individuals with distinct and evolving personalities. This study also found that the mothers of borderlines reported raising their daughters in extremely chaotic families struggling to cope with multiple hardships, including divorce and financial worries. The stressful environmental circumstances reported by the mothers likely affected the borderline daughters directly as well as the mothers' ability to parent effectively and empathically. The results of this study suggest that, as predicted by psychoanalytic theory, a problematic mother-child relationship may play a significant role in the genesis of borderline pathology; however, the life circumstances that contextualize the mother-child relationship also need to be considered when accounting for the etiology of BPD.

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References

Armelius, B. , Kullgren, G. & Renberg, E. (1985). Borderline diagnosis from hospital records: reliability and validity of Gunderson's diagnostic interview for borderlines (DIB). J. Nerv. Ment. Dis., 173:32–34.

Buie, D. & Adler, G. (1982). Definitive treatment of the borderline personality. Int. J. Psychoanal. Psychother., 9:51–87.

Cornell, D. , Silk, K. , Ludolph, P. & Lohr, N. (1983). Test-retest reliability of the diagnostic interview for borderlines. Arch. Gen. Psychiat., 40:1307–1310.

Golomb, A. (1990). Mothering and the Etiology of Borderline Personality Disorder in Female Adolescents. Unpublished doctoral dissertation, The University of Michigan.

Gunderson, J. & Englund, D. (1981). Characterizing the families of borderlines. Psychiat. Clin. N. Amer., 4:159–168.

Gunderson, J. Kerr, J. & Englund, D. (1980). The families of borderlines. Arch. Gen. Psychiat., 37:27–33.

Gunderson , & Kolb, J. (1978). Discriminating features of borderline patients. Amer. J. Psychiat., 135:792–796.

Gunderson , & Kolb, J. & Austin, V. (1981). The diagnostic interview for borderline patients. Amer. J. Psychiat., 138:896–903.

Herman, J. , Perry, J. & Van der Kolk, B. (1989). Childhood trauma in borderline personality disorder. Amer. J. Psychiat., 146:490–495.

10.

Hollingshead, A. B. & Redlich, F. C. (1958). Social Class and Mental Illness: A Community Study. New York: Wiley.

11.

Kernberg, O. F. (1975). Borderline Conditions and Pathological Narcissism. New York: Aronson.

12.

Kernberg, O. F. (1976). Object-Relations Theory and Clinical Psychoanalysis. New York: Aronson.

13.

Kohut, H. (1971). The Analysis of the Self. New York: Int. Univ. Press.

14.

Kohut, H. (1977). The Restoration of the Self. New York: Int. Univ. Press.

15.

Lamb, M. (1976). The Role of the Father in Child Development. New York: Wiley.

16.

Ludolph, P. ; Westen, D. ; Misle, B. ; Jackson, A. ; Wixom, J. & Wiss, C. (1990). The borderline diagnosis in adolescents: symptoms and developmental history. Amer. J. Psychiat., 147:470–476.

17.

Mauler, M. , Pine, F. & Bergman, A. (1975). The Psychological Birth of the Human Infant. New York: Basic Books.

18.

Masterson, J. (1972). Treatment of the Borderline Adolescent: A Developmental Approach. New York: Wiley.

19.

Masterson, J. (1976). The Psychotherapy of the Borderline Adult: A Developmental Approach. New York: Brunner/Mazel.

20.

Masterson, J. & Rinsley, D. (1975). The borderline syndrome: the role of the mother in the genesis and psychic structure of the borderline personality. Int. J. Psychoanal, 56:163–177.

21.

McManus, M. , Lerner, H. , Rodbins, D. & Barbour, C. (1984). Assessment of borderline symptomatology in hospitalized adolescents. J. Amer. Acad. Child Psychiat., 23:685–694.

22.

Newberger, C. (1980). The cognitive structure of parenthood: designing a descriptive measure. In New Directions for Child Development: Clinical Developmental Research, ed. R. Selman & R. Yando . San Francisco: Jossey-Bass.

23.

Newberger, C. & Cook, S. (1983). Parental awareness and child abuse: a cognitive-developmental analysis of urban and rural samples. Amer. J. Orthopsychiat., 53:512–524.

24.

Newberger, C. & White, K. (1987). Parental awareness and conflict tactics in relation to individual and environmental variables. Paper presented at the Annual Meeting of the Society for Research on Child Development, Baltimore, MD.

25.

Ogata, S. ; Silk, K. R. ; Goodrich, S. ; Lohr, N. E. ; Westen, D. & Hill, E. (1990). Childhood sexual and physical abuse in adult patients with borderline personality disorder. Amer. J. Psychiat., 147:1008–1013.

26.

Paris, J. & Zweig-Frank, H. (1992). A critical review of the role of childhood sexual abuse in the etiology of borderline personality disorder. Canad. J. Psychiat., 37:125–128.

27.

Shapiro, E. ; Zinner, J. ; Shapiro, R. & Berkowitz, D. (1975). The influence of family experience on borderline personality development. Int. Rev. Psychoanal., 2:399–411.

28.

Soloff, P. & Millward, J. (1983). Developmental histories of borderline patients. Comprehens. Psychiat., 24:574–588.

29.

Torgersen, S. & Alnaes, R. (1992). Differential perception of parental bonding in schizotypal and borderline personality disorder patients. Comprehens. Psychiat., 33:34–38.

30.

Westen, D. ; LuDolrn, P. ; Misle, B. ; Ruffins, S. & Block, J. (1990). Physical and sexual abuse in adolescent girls with borderline personality disorder. Amer. J. Orthopsychial., 60:55–66.

31.

Zanarini, M. ; Gunderson, J. ; Marino, M. ; Schwartz, E. & Frankenburg, F. (1989). Childhood experiences of borderline patients. Comprehens. Psychiat., 30:18–25.

32.

Zinner, J. & Shapiro, E. (1975). Splitting in the families of borderline adolescents. In Borderline States in Psychiatry, ed. J. Mack . New York: Grune & Stratton.

33.

Zweig-Frank, H. & Paris, J. (1991). Parents' emotional neglect and overprotection according to the recollections of patients with borderline personality disorder. Amer. J. Psychiat., 148:648–651.