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Conceptualizing Youth BPD Within an MMPI-A Framework

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Handbook of Borderline Personality Disorder in Children and Adolescents
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Abstract

The current chapter aims to provide an overview of the conceptualization and assessment of youth borderline personality disorder (BPD) using the MMPI-A. More broadly, BPD is considered from the perspective of dimensional temperament traits that can be identified in infancy and have direct conceptual and empirical links to youth BPD (e.g., Nigg et al., 2005). More specifically, we consider negative affectivity and inhibitory control as predominant traits underlying the disorder. Due to the intense trauma and stress-induced pseudo-psychotic symptoms experienced by many individuals with BPD, we also focus on the domain of psychoticism. This general conceptual framework is considered from an MMPI-A assessment perspective and the conceptual and empirical basis for this approach will be described. Clinical applications of this model are also discussed.

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Notes

  1. 1.

    In adulthood, it is also the defining temperament domain of antisocial PD.

  2. 2.

    In the DSM-5 Section III, Antagonism is included as a domain for BPD, primarily due to the hostility facet; however, hostility also loads on negative affectivity in the DSM-5 Section III trait model. As such, we contend that negative affectivity and disinhibition should be the primary temperament domains considered for this disorder.

  3. 3.

    One of these studies (Bell-Pringle et al., 1997) used MMPI-2 data; the rest used the original MMPI. None of these studies used the MMPI-A.

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Suggested Reading

  • Archer, R. P. (2005). MMPI-A: Assessing adolescent psychopathology (3rd ed.). Mahwah, NJ: Lawrence Erlbaum.

    Google Scholar 

  • Archer, R. P., Ball, J. D., & Hunter, J. A. (1985). MMPI characteristics of borderline psychopathology in adolescent inpatients. Journal of Personality Assessment, 49, 47–55. doi: 10.1207/s15327752jpa 4901_10.

    Google Scholar 

  • Nigg, J. T., Silk, K. R., Stavro, G., & Miller, T. (2005). Disinhibition and borderline personality disorder. Development and Psychopathology, 17, 1129–1149. doi: 10.1017/S0954579405050534.

    Google Scholar 

  • McNulty, J. L., Harkness, A. R., Ben-Porath, Y. S., & Williams, C. L. (1997). Assessing the personality psychopathology five (PSY-5) in adolescents: New MMPI–A scales. Psychological Assessment, 9, 250–259. doi: 10.1037/1040-3590.9.3.250.

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Sellbom, M., Jarrett, M.A. (2014). Conceptualizing Youth BPD Within an MMPI-A Framework. In: Sharp, C., Tackett, J. (eds) Handbook of Borderline Personality Disorder in Children and Adolescents. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-0591-1_6

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