The specifics of cognitive and behavioral responses to therapy of the patients with borderline personality disorder: overview of foreign studies

Abstract

The study of diagnostic methods and the development of methods for the treatment of personality disorders is a significant scientific task. Personality disorders, including borderline personality disorder, characterized by hypertrophied emotions and a violation of self-identification, are painful for both patients and their loved ones. The article analyzes the results of a number of studies and observations in the field of experience of the treatment of borderline personality disorder. Cognitive and behavioral responses to therapy of the patients with borderline personality disorder are considered, as well as the features of building a therapeutic alliance, the formation of epistemological trust of the patient to the therapist, resistance to therapy and early dropout. Based on the analysis of a number of studies, it was found that patients with borderline personality disorder are in dire need of psychotherapy, believe that the therapist is the person who can solve all their problems, often transfer responsibility for their condition on him, forming a kind of child–parent relationship. Because of this, patients with borderline personality disorder often violate the therapist's personal boundaries, demanding his availability at any time. Such patients may perceive therapy as the only safe environment. At the same time, due to the fear of rejection, the formation of a therapeutic alliance takes a long time.