Attachment and Defense Mechanisms in subjects diagnosed with Borderline Personality Disorder
Published:
Oct 15, 2020
Keywords:
Borderline Personality Disorder Attachment Defense Mechanisms
Abstract
The interest with regard to the Borderline Personality Disorder (BPD) has increased in the past few years, because the number of people with the aforementioned diagnosis who use mental health services has risen. The study aimed at examining the defense mechanisms in people with BPD diagnosis in relation to the attachment type they adopt. The
sample consisted of 36 adult subjects diagnosed with BPD who attended psychiatric outpatient departments and 36 people who attended the ophthalmologic outpatient care at a general hospital. The adult attachment questionnaire CA-MIR and the Defense Style Questionnaire-40 were administered to the participants. In general, results are in accordance with the theoretical background, because it was demonstrated that diagnosed subjects scored higher in the insecure attachment types, that is, the ambivalent, the detached and the non-resolved, whereas the non-diagnosed scored higher in the autonomous attachment. Moreover, diagnosed subjects used more than the non-diagnosed participants the neurotic and the immature defenses,
but they did not differ with respect to mature defenses. Finally, correlations between attachment and defenses were found with the exception of the mature that correlated with no attachment model. These findings may contribute to the identification of factors that participate in BPD and in the configuration of more efficient therapeutic interventions.
Article Details
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Καλαματιανός Α., & Κανελλοπούλου Λ. (2020). Attachment and Defense Mechanisms in subjects diagnosed with Borderline Personality Disorder. Psychology: The Journal of the Hellenic Psychological Society, 20(1), 1–15. https://doi.org/10.12681/psy_hps.23514
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- Vol. 20 No. 1 (2013)
- Section
- RESEARCH PAPERS
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References
Adler, G., & Buie, D. H. (1979). Aloneness and
borderline psychopathology: The possible
relevance of child development issues. Interna -
tional Journal of Psychoanalysis, 60, 83-96.
Ainsworth, M. D. S., Blehar, M. C., Waters, E., & Wall,
S. (1978). Patterns of Attachment: A Psychological
Study of the Strange Situation. Hillsdale, NJ:
Lawrence Erlbaum.
American Psychiatric Association (2000). Diagnostic
and statistical manual of mental disorders (Fourth
Edition, Text Revision). Washington, DC: Author.
Andrews, G., Singh, M., & Bond, M. (1993). The
Defense Style Questionnaire. The Journal of
Mental Disorder, 181, 246-256.
Barone, L. (2003). Developmental protective and risk
factors in borderline personality disorder: A study
using the Adult Attachment Interview. Attachment
and Human Development, 5, 64-77.
Bartholomew, K. & Shaver, P. R. (1998). Methods of
assessing adult attachment. Do they converge? In
J. A. Simpson & W. S. Rholes (Eds.), Attachment
theory and close relationships (pp. 25-45). New
York: Guilford Press.
Battegay, R., (2000). Αντικειμενότροπες σχέσεις σε
οριακούς ασθενείς. Στο Γ. Βασλαματζής (Επιμ.)
Ανάμεσα στη σύγχυση και τη δημιουργικότητα.
Ψυχανάλυση και οριακός ασθενής, (σ. 81-97). Ελ-
ληνικά Γράμματα, Αθήνα.
Bezirganian, S., Cohen, P., & Brook, J. S. (1993). The
impact of mother-child interaction on the
development of borderline personality disorder.
American Journal of Psychiatry, 150, 1836-1842.
Bond, M. P. (1990). Are «borderline defenses»
specific for borderline personality disorders?
Journal of Personality Disorders, 4, 251-256.
Bond, M. P., Paris, J., & Zweig-Frank, H. (1994).
Defense styles and borderline personality disorder.
Journal of Personality Disorders, 8, 28-31.
Bond, M. P., & Vaillant, J. S. (1986). An empirical
study of the relationship between diagnosis and
defense style. Archives of General Psychiatry, 43,
-288.
Bowlby, J. (1987). Defensive processes in the light of
attachment theory. In J. L. Sacksteder, D. P.
Schwartz, & Y. Akabane (Eds.), Attachment and
the therapeutic process : Essays in honor of Otto
Allen Will, Jr., M.D. (pp. 63-79). Madison, CT:
International University Press, Inc.
Carr, A. (1987). Borderline defenses and Rorschach
responses: A critique of Lerner, Albert, and
Walsh. Journal of Personality Assessment, 51,
-354.
Clarkin, J. F., Widiger, T. A., Frances, A., Hurt, S. W.,
& Gilmore, M. (1983). Prototypic typology and the
borderline personality disorder. Journal of
Abnormal Psychology, 92, 263-275.
Diamond, D., Clarkin, J., Levine, H., Levy, K., Foelsch,
P., & Yeomans, F. (1999). Borderline conditions
and attachment: A preliminary report. Psycho -
analytic Inquiry, 19, 831-884.
Dutton, D. G., Saunders, K., Starzomski, A., &
Bartholomew, K. (1994). Intimacy-anger and
insecure attachment as precursors of abuse in
intimate relationships. Journal of Applied Social
Psychology, 24, 1367-1386.
Goldberg, R. L., Mann, L. S., Wise, T. N., & Segall, E.
A. (1985). Parental qualities as perceived by
borderline disorders. Hillside Journal of Clinical
Psychiatry, 7, 134-140.
Gurvitis, I. G., Koenisberg, H. W., & Siever, L. J.
(2000). Neurotransmitter dysfunction in patients
with borderline personality disorder. Psychiatric
Clinics of North America, 23, 27-40.
Θεοτοκά, Ι., Ηλίας, Ι., & Pierrehumbert, B. (2001). CAMIR
(Cartes des Modèles Individuels de
Relations). Ανάπτυξη ενός ερωτηματολογίου για
το δεσμό του ενήλικα. Στοιχεία στάθμισης στον
ελληνικό πληθυσμό. Τετράδια Ψυχιατρικής, 73,
-132.
Hazan, C., & Shaver, P. (1994). Attachment as an
organizational framework for research in close
relationships. Psychological Inquiry, 5, 1-22.
Hyphantis, T. (2010). The Greek version of the
Defense Style Questionnaire: psychometric
properties in three different samples. Compre -
hensive Psychiatry, 51, 618-629.
Kernberg, O. F. (1967). Borderline personality
organization. Journal of the American Psycho -
analytic Association, 15, 641-685.
Kernberg, O. F. (1975). Borderline Conditions and
Pathological Narcissism. New York: Jason
Aronson.
Lerner, P. M., & Van-Der Keshet, Y. (1995). A note on
the assessment of idealization. Journal of
Personality Assessment, 65, 77-90.
Lingiardi, V., Lonati, C., Delucchi, F., Fossati, A.,
Vanzulli, L., & Maffei, C. (1999). Defense
mechanisms and personality disorders. The
Αντώνιος Καλαματιανός και Λίσσυ Κανελλοπούλου
Journal of Nervous and Mental Disease, 187, 224-
Links, P. S., Steiner, M., & Huxley, G. (1988). The
occurrence of borderline personality disorder in
the families of borderline patients. Journal of
Personality Disorders, 2, 14-20.
Liotti, G., & Pasquini, P. (2000). Predictive factors for
borderline personality disorder: patients’ early
traumatic experiences and losses suffered by the
attachment figure. Acta Psychiatrica Scandinavica,
, 282-289.
Main, M., Hesse, E., & Kaplan, N. (2005).
Predictability of attachment behavior and
representational processes at 1, 6, and 19 years
of age. In K. E. Grossmann, K. Grossmann, & E.
Waters (Eds.), Attachment from infancy to
adulthood: The major longitudinal studies (p. 245-
. The Guilford Press, NY.
Masterson, J. F., & Rinsley, D. B. (1975). The
borderline syndrome : the role of the mother in
the genesis and psychic strusture of the
borderline personality. International Journal of
Psychoanalysis, 56, 163-177.
McWilliams, N. (2000). Ψυχαναλυτική Διάγνωση. Η
κατανόηση της δομής της προσωπικότητας στα
πλαίσια της κλινικής διαδικασίας. Αθήνα: Ελληνι-
κά Γράμματα.
Meyer, B., Pilkonis, P. A., Proietti, J. M., Heape, C. L.,
& Egan, M. (2001). Attachment styles and
personality disorders as predictors of symptom
course. Journal of Personality Disorders, 15, 371-
Mikulincer, M., & Horesh, N. (1999). Adult attachment
style and the perception of others: The role of
projective mechanisms. Journal of Personality
and Social Psychology, 76, 1022-1034.
Mudderisoglu, S. S. (1999). Defensive functioning and
affect within adult attachment patterns. (Doctoral
Dissertation, Boston University, 1999). Dissertation
Abstracts International, 59 (7-B), 3705.
Nakash-Eisikovits, O., Dutra, L., & Westen, D. (2002).
Relationship between attachment patterns and
personality pathology in adolescents. Journal of
American Academy of Child and Adolescent
Psychiatry, 41, 1111-1123.
Ognibene, T. C., & Collins, N. I. (1998). Adult
attachment styles, perceived social support, and
coping strategies. Journal of Social and Personal
Relationships, 15, 323-345.
Paris, J. (2000). Childhood precursors of borderline
personality disorder. Psychiatric Clinics of North
America, 23, 77-88.
Paris, J., & Frank, H. (1989). Perceptions of parental
bonding in borderline patients. American Journal
of Psychiatry, 146, 1498-1499.
Pierrehumbert, B., Karmaniola, A., Sieye, A., Meister,
C., Miljkovitch, R., & Halfon, O. (1996). Les
modèles de relations: Développement d’un
autoquestionnaire d’attachment pour adults.
Psychiatrie de l’ Enfant, 39, 161-206.
Shaffer, D. R. (2004). Developmental Psychology: Childhood
and Adolescence. Belmont: Wadsworth.
Siever, L. J., & Davis, K. L. (1991). A psychobiological
perspective on personality disorder. American
Journal of Psychiatry, 148, 1647-1658.
Soloff, P. H., & Millward, J. W. (1983). Developmental
histories of borderline patients. Comprehensive
Psychiatry, 24, 574-588.
Sperling, M. B., & Berman, W. H. (1991). An
attachment classification of desperate love.
Journal of Personality Assessment, 56, 45-55.
Steiger, H., & Houle, L. (1991). Defense-styles and
object relations disturbances among university
women displaying varying degrees of
“symptomatic” eating. International Journal of
Eating Disorders, 10, 145-153.
Strasser, T. J. (2002). The experience and regulation
of emotional states in avoidant attachment: An
examination of affect and defensive operations in
fearful-avoidant and dismissing-avoidant adults.
(Doctoral Dissertation, University of New York,
. Dissertation Abstracts International, 63 (4-
B), 2077.
Thienemann, M., Shaw, R. J., & Steiner, H. (1998).
Defense style and family environment. Child
Psychiatry and Human Development, 28, 189-198.
Torgersen, S., & Alnaes, R. (1992). Differential
perception of parental bonding in schizotypal and
borderline personality disorder patients.
Comprehensive Psychiatry, 33, 34-38.
Trijsburg, R. W., Van T’ Spijker, A., Van, H. L.,
Hesselink, A. J., & Duivenvoorden, H. J. (2000).
Measuring overall defensive functioning with the
defense style questionnaire. A comparison of
different scoring methods. The Journal of Nervous
and Mental Disease, 188, 432-439.
Trull, T. J. (2001). Structural relations between
borderline personality disorder features and
putative etiological correlates. Journal of Abnormal
Psychology, 110, 471-481.
Η προσκόλληση και οι μηχανισμοί άμυνας 13
Ungerer, J. A., & Dolby, R. (1997). Defense style and
adjustment in interpersonal relationships. Journal
of Research in Personality, 31, 375-384.
Vaillant, G. E. (1992). Ego Mechanisms of Defense. A
Guide for Clinicians and Researchers. Washington,
DC : American Psychiatric Press, Inc.
Weinstock, A. R. (1967). Family environment and the
develop ment of defense and coping mecha -
nisms. Journal of Personality and Social Psy cho -
logy, 5, 67-75.
Zanarini, M. C. (2000). Childhood experiences
associated with the development of borderline
personality disorder. The Psychiatric Clinics of
North America, 23, 89-101.
Zlotnick, C., Mattia, J., & Zimmerman, M. (2001).
Clinical features of survivors of sexual abuse with
major depression. Child Abuse and Neglect, 25,
-367.
Χατζησταυράκης, Γ. (1998). Διαστασιακή-ψυχοδυνα-
μική μελέτη ασθενών με διαταραχές προσωπικό-
τητας κατά DSM-III-R. (Διδακτορική Διατριβή). Ψυ-
χιατρική κλινική Πανεπιστημίου Αθηνών. Αθήνα.
