The relation of borderline personality disorder to aggression, victimization, and institutional misconduct among prisoners
Open accessAbstract
Objective Borderline personality disorder (BPD) is highly prevalent among incarcerated populations; however, research has yet to examine whether prisoners diagnosed with BPD experience greater interpersonal dysfunction and institutional misconduct while incarcerated.Procedure This study drew from a sample of 184 male and female prisoners diagnosed with major depressive disorder (MDD) in a randomized trial of depression treatment. The presence of a BPD diagnosis (n = 69) was analyzed as a predictor of disciplinary incidents/infractions (i.e., fights, arguments with staff, disciplinary infractions, isolation), time spent in isolation, and types of aggression and victimization experiences during incarceration.Results There was a trend suggesting prisoners with BPD were about twice as likely as those without BPD to report disciplinary incidents/infractions (OR = 1.76 [0.93, 3.32], p = 0.075). Having a BPD diagnosis was unrelated to time in isolation and overall aggression and victimization. However, prisoners with BPD were more likely than those without BPD to perpetrate and be victimized by psychological aggression. Due to high rates of antisocial personality disorder (ASPD) in the sample as a whole (72%), additional analyses compared outcomes across prisoners with no BPD or ASPD diagnosis, BPD diagnosis only, ASPD diagnosis only, and comorbid BPD and ASPD. Prisoners with comorbid BPD and ASPD were no more likely than prisoners with ASPD only to report disciplinary incidents/infractions, but were significantly more likely than those with ASPD only to report perpetrating and being victimized by psychological aggression.Conclusions Among prisoners with MDD, those with a BPD diagnosis have increased risk of psychological aggression and disciplinary infractions during incarceration.
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Adults with BPD and adolescents with BPD features also are at increased risk for abuse or re-victimization as adults and for cumulative polyvictimization across the lifespan.
“Adults with BPD [14, 96, 98, 118, 121] and adolescents with BPD features [89, 154, 182] also are at increased risk for abuse or re-victimization as adults and for cumulative polyvictimization across the lifespan.”
From Complex PTSD and borderline personality disorder (2021) · cites this paper as [118]
The Abstract (Results; page not provided) reports that prisoners with BPD were more likely to experience psychological aggression, and the Introduction (§1.1; page not provided) notes an association between BPD and intimate-partner victimization in community samples. The paper does not establish increased risk of re-victimization or cumulative polyvictimization across the lifespan. Its finding in prisoners also does not establish that risk for adults with BPD generally; the separate adolescent citations are not attributed to this source. (LLM, conf=0.86)
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Complex PTSD and borderline personality disorder
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“Adults with BPD [14, 96, 98, 118, 121] and adolescents with BPD features [89, 154, 182] also are at increased risk for abuse or re-victimization as adults and for cumulative polyvictimization across the lifespan.”
BackgroundKrause-Utz, A., Mertens, L. J., Renn, J. B., Lucke, P., Wöhlke, A. Z., van Schie, C. C., & Mouthaan, J. (2021) · Journal of Interpersonal Violence · doi:10.1177/0886260518817782 · Cited by 37 · see citing works
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- Authors
- Moore, K. E., Gobin, R. L., McCauley, H. L., Kao, C.-W., Anthony, S. M., Kubiak, S., Zlotnick, C., & Johnson, J. E.
- Affiliations
- Yale University (US)
- University of Illinois Urbana-Champaign (US)
- Michigan State University (US)
- Columbia University (US)
- Brown University (US)
- Corresponding author
- Moore, Kelly E.
- ORCID
- Venue
- Comprehensive Psychiatry
- Publisher
- Elsevier BV
- Published
- 2018-07
- Volume
- 84
- Pages
- 15-21
- ISSN
- 0010-440X (ISSN-L)
- PMC
- PMC6002930
- OpenAlex
- W2801003382
- Cited by
- 35
- References
- 51
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 5 · 2023: 4 · 2022: 7 · 2021: 6 · 2020: 2 · 2019: 4 · 2018: 2
- FWCI
- 4.10
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Comprehensive Psychiatry (acceptedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Funders
- National Institute of Mental Health (R01 MH095230)
- National Institute on Drug Abuse (T32DA019426)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Clinical Psychology › Psychopathy, Forensic Psychiatry, Sexual Offending
- Social Sciences › Sociology and Political Science › Criminal Justice and Corrections Analysis
- Keywords
- borderline personality disorder, prisoners, aggression, victimization, psychological aggression, disciplinary violations, institutional misconduct, antisocial personality disorder, comorbidities, major depressive disorder, isolation
- MeSH terms
- Adolescent, Adult, Aggression, Antisocial Personality Disorder, Borderline Personality Disorder, Major Depressive Disorder, Female, Humans, Male, Middle Aged, Prisoners, Psychotherapy, Crime Victims, Young Adult, Bullying
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