Skip to main content
SpringerLink
Log in

Borderline, Narcissistic, and Histrionic Personality Disorders

  • Chapter
Handbook of Prescriptive Treatments for Adults

Abstract

This chapter focuses on three of the four personality disorders included in the dramatic, emotional, and impulsive cluster defined by DSM-III-R (American Psychiatric Association, 1987). The personality disorders we will discuss are borderline (BPD), histrionic (HPD), and narcissistic personality disorders (NPD). These disorders appear to have many common features and often co-occur in patients. These are the disorders of the self. Antisocial personality disorder has been eliminated from this review of the dramatic-impulsive cluster disorders; it deserves its own distinct review because it has a long history and extensive literature. In contrast to the extensive empirical literature on antisocial personality disorder, we are just beginning to examine the disorders of the self.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Adler, G. (1985). Borderline psychopathology and its treatment. New York: Jason Aronson.

    Google Scholar 

  • Adler, G., & Buie, D. (1972). The misuse of confrontation with borderline patients. International Journal of Psychoanalytic Psychotherapy, 1, 109–120.

    Google Scholar 

  • Adler, G., & Buie, D. (1979). Aloneness and borderline psychopathology: The possible relevance of child develop issues. International Journal of Psychoanalysis, 60, 83–96.

    PubMed  Google Scholar 

  • Akiskal, H. S. (1981). Subaffective disorders: Dysthymic, cyclothymic, and bipolar II disorders in the borderline realm. Psychiatric Clinics of North America, 4, 25–46.

    PubMed  Google Scholar 

  • Akiskal, H. S., Chen, S. E., Davis, G. C., Puzantian, V. R., Kashgarian, M., & Bolinger, J. M. (1985). Borderline: An adjective in search of a noun. Journal of Clinical Psychiatry, 46, 41–48.

    PubMed  Google Scholar 

  • American Psychiatric Association (1987). Diagnostic and statistical manual of mental disorders (3rd. ed., rev). Washington, DC: Author.

    Google Scholar 

  • American Psychiatric Association (1993). DSM-IV Draft Criteria. Washington, DC: Author.

    Google Scholar 

  • Andrulonis, P. A., Glueck, B. C., Stroebel, C. F., Vogel, N. G., Shapiro, A. L., & Aldridge, D. (1981). Organic brain dysfunction and the borderline syndrome. Psychiatric Clinics of North America, 4, 47–66.

    PubMed  Google Scholar 

  • Andrulonis, P. A., & Vogel, N. G. (1984). Comparison of borderline personality subcategories to schizophrenic and affective disorders. British Journal of Psychiatry, 144, 358–363.

    Article  PubMed  Google Scholar 

  • Beck, A. T., Freeman, A., & Associates (1990). Cognitive therapy of personality disorders. New York: Guilford.

    Google Scholar 

  • Bowlby, J. (1988). A secure base. New York: Basic Books.

    Google Scholar 

  • Bradley, S. J. (1979). The relationship of early maternal separation to borderline personality in children and adolescents: A pilot study. American Journal of Psychiatry, 136, 424–426.

    PubMed  Google Scholar 

  • Bruner, J. S. (1964). The course of cognitive growth. American Psychologist, 19, 1–19.

    Article  Google Scholar 

  • Buie, D., & Adler, G. (1982). The definitive treatment of the borderline personality. Internationaljournal of Psychoanalytic Psychotherapy, 9, 51–87.

    Google Scholar 

  • Bux, D. A. (1992). Narcissistic personality disorder. In A. Freeman & F. M. Dattillio (Eds.), Comprehensive casebook of cognitive therapy (pp. 223–230). New York: Plenum.

    Chapter  Google Scholar 

  • Buysse, D. J., Nathan, R. S., & Soloff, P. H. (1990). Borderline personality disorder: Pharmacotherapy. In A. S. Bellack & M. Hersen (Eds.), Handbook of comparative treatments for adult disorders (pp. 436–458). New York: Wiley.

    Google Scholar 

  • Davis, D. (1990). Narcissistic personality disorder. In A. T. Beck & A. Freeman (Eds.). Cognitive therapy of personality disorders (pp. 233–256). New York: Guilford.

    Google Scholar 

  • Flemming, B. (1990). Histrionic personality disorder. In A. T. Beck & A. Freeman (Eds.) Cognitive therapy of personality disorders (pp. 208–232). New York: Guilford.

    Google Scholar 

  • Freeman, A., & Leaf, R. C. (1989). Cognitive therapy applied to personality disorders. In A. Freeman, K. Simon, L. E. Beutler, & H. Arkowitz (Eds.), Comprehensive handbook of cognitive therapy (pp. 403–434). New York: Plenum.

    Chapter  Google Scholar 

  • Fruensgaard, K., & Flindt-Hansen, H. (1988). Disease patterns seen in self-mutilating patients. Nordisk-PsykiatriskTidsskrift, 42, 281–288.

    Article  Google Scholar 

  • Goldberg, R. L., Mann, L. S., Wise, T. N., & Segall, E. A. (1985). Parental qualities as perceived by borderline personality disorders. Hillside Journal of Clinical Psychiatry, 7, 134–140.

    PubMed  Google Scholar 

  • Gunderson, J. (1984). Borderline personality disorder. Washington, DC: American Psychiatric Press.

    Google Scholar 

  • Gunderson, J. G., & Phillips, K. A. (1991). A current view of the interface between borderline personality disorder and depression. American Journal of Psychiatry, 148, 967–975.

    PubMed  Google Scholar 

  • Gunderson, J. G., Zanarini, M. C., & Cassandra, L. K. (1991). Borderline personality disorder: A review of data on DSM-III-R descriptions. Journal of Personality Disorders, 5, 340–352.

    Article  Google Scholar 

  • Herman, J. L., Perry, J. D., & van der Kolk, B. A. (1989). Childhood trauma in borderline personality disorder. American Journal of Psychiatry, 146, 490–495.

    PubMed  Google Scholar 

  • Hirschfeld, R. M. A. (1993). Personality disorders: Definition and diagnosis. Supplement to Journal of Personality Disorders: The NIMH Williamsburg Conference on Personality Disorders, 7, 9–17.

    Google Scholar 

  • Hurt, S. W., Clarkin, J. F., Munroe-Blum, H., & Marziali, E. (1992). Borderline behavioral clusters and different treatment approaches. In J. F. Clarkin, E. Marziali, & H. Munroe-Blum (Eds.), Borderline personality disorder: Clinical and empirical perspectives. New York: Guilford.

    Google Scholar 

  • Institute of Medicine (1985). A report of the Board on Mental Health and Behavioral Medicine: Research on mental illness and addictive disorders: Progress and prospects. American Journal of Psychiatry, 142, 627–630.

    Google Scholar 

  • Kernberg, O. (1975). Borderline conditions and pathological narcissism. New York: Jason Aronson.

    Google Scholar 

  • Kernberg, O. (1982). Supportive psychotherapy with borderline conditions. In J. Cavenar & H. Brodie (Eds.), Critical problems in psychiatry (pp. 180–202). Philadelphia: Iippincott.

    Google Scholar 

  • Kernberg, O. (1984). Severe personality disorders: Psychotherapeutic strategies. New Haven: Yale University Press.

    Google Scholar 

  • Kiesler, C. A. (1993). Mental health policy and mental hospitalization. Current Directions in Psychological Science, 2, 93–95.

    Article  Google Scholar 

  • Kroll, J. L., Carey, K. S., & Sines, L. K. (1985). Twenty-five year follow-up of borderline personality disorder: A pilot study. In C. Shagass (Ed.), Fourth world congress of biological psychiatry (Vol. 7, pp. 577–579). Philadelphia: Elsevier.

    Google Scholar 

  • Leighton, D. H. (1963). The Stirling County study of psychiatric disorder and sociocultural environment. New York: Basic Books.

    Google Scholar 

  • Lewis, M. (1990). Models of developmental psychopathology. In M. Lewis & S. Miller (Eds.), Handbook of developmental psychopathology (pp. 15–28). New York: Plenum.

    Chapter  Google Scholar 

  • Linehan, M. M. (1987a). Dialectical behavior therapy: A cognitive-behavioral approach to parasuicide. Journal of Personality Disorder, 1, 328–333.

    Article  Google Scholar 

  • Linehan, M. M. (1987b). Dialectical behavior therapy for borderline personality disorder: Theory and method. Bulletin of the Menninger Clinic, 51, 261–276.

    PubMed  Google Scholar 

  • Linehan, M. M. (1987c). Dialectical behavior therapy in groups: Treating borderline personality disorders and suicidal behavior. In C. M. Brody (Ed.), Women’s therapy groups: Paradigms of feminist treatment. New York: Springer.

    Google Scholar 

  • Linehan, M. M., Armstrong, H. E., Suarez, A., & Allmon, D. J. (1987, November). Comprehensive behavioral treatment for suicidal behaviors and borderline personality disorder. Paper presented at the 21st meeting of the Association for Advancement of Behavior Therapy, Boston, MA.

    Google Scholar 

  • Linehan, M. M., Armstrong, H. E., Suarez, A., Allmon, D. J., & Heard, H. L. (1991). Cognitive-behavioral treatment of chronically parasuicidal borderline patients. Archives of General Psychiatry, 48, 1060–1064.

    Article  PubMed  Google Scholar 

  • Linehan, M. M., & Wasson, E. J. (1990). Borderline personality disorder: Behavior Therapy. In A. S. Bellack & M. Hersen (Eds.), Handbook of comparative treatments for adult disorders (pp. 420–462). New York: Wiley.

    Google Scholar 

  • Linehan, M. M., Heard, H. L., & Armstrong, H. E. (1993). Naturalistic follow-up of a behavioral treatment for chronically parasuicidal borderline patients. Archives of General Psychiatry, 50, 971–974.

    Article  PubMed  Google Scholar 

  • Loranger, A. (1988). Personality disorder examination manual. Yonkers, NY: DV Communications.

    Google Scholar 

  • Loranger, A., Oldham, J., & Tulis, E. (1982). Familial transmission of DSM-III borderline personality disorder. Archives of General Psychiatry, 39, 795.

    Article  PubMed  Google Scholar 

  • Loranger, A., Sussman, V. L., Oldham, J. M., & Russakoff, L. M. (1987). The Personality Disorder Examination (PDE): A preliminary report. Journal of Personality Disorders, 1, 1–13.

    Article  Google Scholar 

  • Luborsky, L. (1984). Principles of psychoanalytic psychotherapy. New York: Basic Books.

    Google Scholar 

  • Luborsky, L. (1963). Clinicians’ judgement of mental health. Archives of General Psychiatry, 9, 407–417.

    Google Scholar 

  • Marmar, C. R. (1988). Personality disorders. In H. H. Goldman (Ed.), Review of General Psychiatry (pp. 401–424). Norwalk, CT: Appleton & Lange.

    Google Scholar 

  • Marziali, E. (1992). The etiology of borderline personality disorders: Developmental factors. In J. F. Clarkin, E. Marziali, & H. Munroe-Blum (Eds.), Borderline personality disorder: Clinical and empirical perspectives. New York: Guilford.

    Google Scholar 

  • McGlashen, T. H. (1985). The prediction of outcome in borderline personality disorder: Part V of the Chestnut Lodge follow-up study. In T. H. McGlashen (Ed.), The borderline: Current empirical research (pp. 63–98). Washington, DC: American Psychiatric Press.

    Google Scholar 

  • Millon, T. (1981). Disorders of personality: DSMIII: Axis-II. New York: Wiley.

    Google Scholar 

  • Nelson, K. (1993). The psychological and social origins of autobiographical memory. Psychological Science, 4, 7–14.

    Article  Google Scholar 

  • Nestadt, G., Romanoski, A. J., Chahal, R., & Merchant, A. (1990). An epidemiological study of histrionic personality disorder. Psychological Medicine, 20, 413–422.

    Article  PubMed  Google Scholar 

  • Ogata, S. N., Silk, K. R., & Goodrich, S. (1990). Childhood experiences and borderline personality disorder. In P. Links (Ed.), The family environment and borderline personality disorder. Washington, DC: American Psychiatric Association.

    Google Scholar 

  • Paris, J., Brown, R., & Nowlis, D. (1987). Long-term follow-up of borderline patients in a general hospital. Comprehensive Psychiatry, 28, 530–535.

    Article  PubMed  Google Scholar 

  • Perry, J. C., & Vaillant, G. E. (1989). Personality disorders. In H. I. Kaplan & B. J. Sadock (Eds.), Comprehensive textbook of psychiatry (pp. 1352–1387). Baltimore: Williams & Wilkins.

    Google Scholar 

  • Pfohl, B. (1989). Structured Interview for DSM-III (R) personality disorders-Revised (SIDP-R). Iowa City: Department of Psychiatry, University of Iowa Hospitals and Clinics.

    Google Scholar 

  • Pfohl, B., Stangl, D., & Zimmerman, M. (1982). The Structured Interview for DSM-III personality disorders (SID-P). Iowa City: University of Iowa Hospitals and Clinics.

    Google Scholar 

  • Plakun, E. M., Burkhardt, P. E., & Muller, J. P. (1985). Fourteen year follow-up of borderline and schizotypal personality disorders. Comprehensive Psychiatry, 26, 448–455.

    Article  PubMed  Google Scholar 

  • Pope, H. G., Jonas, J. M., & Hudson, J. (1983). The validity of DSM-III borderline personality disorder. Archives of General Psychiatry, 40, 23–30.

    Article  PubMed  Google Scholar 

  • Pretzer, J. (1990). Borderline personality disorder. In A. T. Beck & A. Freeman (Eds.), Cognitive therapy of personality disorders (pp. 176–207). New York: Guilford.

    Google Scholar 

  • Safran, J. D., & Segal, Z. V. (1990). Interpersonal processes in cognitive therapy. New York: Basic Books.

    Google Scholar 

  • Soloff, P. H., & Millward, J. W. (1983). Psychiatric disorders in the families of borderline patients. Archives of General Psychiatry, 39, 686–692.

    Google Scholar 

  • Spitzer, R. L., & Endicott, J. E. (1979). Schedule for Affective Disorders and Schizophrenia—Lifetime Version. New York: Department of Research Assessment and Training, New York State Psychiatric Institute.

    Google Scholar 

  • Spitzer, R. L., & Williams, J. B. W., Gibbon, M., & First, M. B. (1990). SCID users guide for the structured clinical interview for DSM-III-R. Washington, DC: American Psychiatric Association.

    Google Scholar 

  • Stiver, I. (1988). Developmental psychopathology: Introducing a consultant in the treatment of borderline patients. McLean Hospital Journal, 13, 89–113.

    Google Scholar 

  • Stone, M. H. (1990). The fate of borderline patients. New York: Guilford.

    Google Scholar 

  • Stone, M. H., Unwin, A., Beachman, B., & Swenson, C. (1988). Incest in female borderlines: Its frequency and impact. International Journal of Family Psychiatry, 9, 277–293.

    Google Scholar 

  • Turner, R. M. (1983). Behavioral therapy with borderline patients. Carrier Foundation Journal, 88, 1–4.

    Google Scholar 

  • Turner, R. M. (1988). The cognitive-behavioral approach to the treatment of borderline personality disorders. International Journal of Partial Hospitalization, 5, 279–289.

    Google Scholar 

  • Turner, R. M. (1989). Case study evaluation of a bio-cognitive-behavioral approach for the treatment of borderline personality disorder. Behavior Therapy, 20, 477–489.

    Article  Google Scholar 

  • Turner, R. M. (1992a). Borderline personality disorder. In A. Freeman & F. M. Dattilio (Eds.), Comprehensive casebook of cognitive therapy (pp. 215–222). New York: Plenum.

    Chapter  Google Scholar 

  • Turner, R. M. (1992b). Launching cognitive-behavioral therapy for adolescent depression and drug abuse. In S. H. Budman, M. F. Hoyt, & S. Friedman (Eds.), The first session of brief therapy (pp. 135–155). New York: Guilford.

    Google Scholar 

  • Turner, R. M. (1992c, November). An empirical investigation of the utility of psychodynamic techniques in the practice of cognitive behavior therapy. Paper presented at the 26th Annual Meeting of the Association for the Advancement of Behavior Therapy, Boston, MA.

    Google Scholar 

  • Turner, R. M. (1993). Dynamic-cognitive-behavior therapy. In T. Giles (Ed.), Handbook of effective psychotherapy (pp. 437–454). New York: Plenum.

    Chapter  Google Scholar 

  • Turner, R. M., Becker, L, & Delaoch, C. (in press). Clinical management of the borderline personality patient in crisis. In A. Freeman & F. Dattilio (Eds.), Handbook of cognitive behavior therapy and crisis intervention. New York: Plenum.

    Google Scholar 

  • VandenBoss, G. R. (1993). U.S. mental health policy: Proactive evolution in the midst of health care reform. American Psychologist, 48, 283–290.

    Article  Google Scholar 

  • van der Kolk, B. A., Perry, J. C., & Herman, J. L. (1991). Childhood origins of self-destructive behavior. American Journal of Psychiatry, 148, 1665–1671.

    PubMed  Google Scholar 

  • Waldenger, R. J., & Frank, A. F. (1989). Clinicians’ experiences in combining medication and psychotherapy in the treatment of borderline patients. Hospital and Community Psychiatry, 40, 712–718.

    Google Scholar 

  • Wallerstein, R. (1986). Forty-two lives in treatment. New York: Guilford.

    Google Scholar 

  • Weissman, M. M., & Meyers, J. K. (1980). Psychiatric disorders in a U.S. community. Acta Psychiatrica Scandinavia, 62, 69–111.

    Article  Google Scholar 

  • Zanarini, M. C., Frankenburg, F. R., & Gunderson, J. G. (1988). Pharmacotherapy of borderline outpatients. Comprehensive Psychiatry, 29, 372–378.

    Article  PubMed  Google Scholar 

  • Zanarini, M. C., Gunderson, J. G., Marino, M. F., Schwartz, E. O., & Frankenburg, F. R. (1989). Childhood experiences of borderline patients. Comprehensive Psychiatry, 30, 18–25.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Psychiatry, Temple University School of Medicine, Philadelphia, Pennsylvania, 19140, USA

    Ralph M. Turner

Authors
  1. Ralph M. Turner
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Center for Psychological Studies, Nova Southeastern University, Fort Lauderdale, Florida, 33314, USA

    Michel Hersen

  2. Western Pennsylvania School for Blind Children, Pittsburgh, Pennsylvania, 15213-1499, USA

    Robert T. Ammerman

Rights and permissions

Reprints and permissions

Copyright information

© 1994 Springer Science+Business Media New York

About this chapter

Cite this chapter

Turner, R.M. (1994). Borderline, Narcissistic, and Histrionic Personality Disorders. In: Hersen, M., Ammerman, R.T. (eds) Handbook of Prescriptive Treatments for Adults. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-1456-9_19

Download citation

  • DOI: https://doi.org/10.1007/978-1-4899-1456-9_19

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4899-1458-3

  • Online ISBN: 978-1-4899-1456-9

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation