Family interaction and the development of borderline personality disorder: A transactional model
Abstract
Although no prospective epidemiological studies have evaluated the relationship between family interactions and the development of borderline personality disorder (BPD), there is considerable evidence for the central role of family interactions in the development of BPD. This paper describes the role of family interactions or processes, especially those that might be regarded as invalidating or conflictual, negative or critical, and the absence of more validating, positive, supportive, empathic interactions, in the development of BPD. Perhaps more importantly, the proposed model considers how these parental and family behaviors transact with the child's own behaviors and emotional vulnerabilities, resulting in a developmental model of BPD that is neither blaming of the family member with BPD nor of her or his parents and caregivers, and has important and specific implications for both prevention and intervention.
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The transactional model emphasizes the interaction between high emotional reactivity and negative interpretations of the person, which provoke inadequate emotional responses, and problematic invalidation by the environment.
“En esta línea, el modelo transaccional (Fruzzetti et al., 2005) enfatiza la interacción entre, por una parte, la alta reactividad emocional y las interpretaciones negativas de la persona, que suelen provocar respuestas emocionales inadecuadas de la persona hacia el entorno y, por otro lado, la invalidación problemática que hace el entorno de las emociones de la persona con TPL.”
From Efectividad y aceptabilidad del entrenamiento en habilidades de la terapia dialéctica comportamental para familiares de personas con trastorno de personalidad límite (2019) · cites this paper as Fruzzetti et al., 2005
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“…comunicar entendimiento y aceptación de los sentimientos, pensamientos, deseos, acciones y experiencias de la otra persona; Fruzzetti y Fantozzi, 2008) y disminuir la invalidación (p.ej. negar, castigar o ignorar las experiencias de la otra persona) del familiar con TPL (Fruzzetti et al., 2005).”
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- Authors
- FRUZZETTI, A. E., SHENK, C., & HOFFMAN, P. D.
- Affiliations
- University of Nevada, Reno (US)
- Icahn School of Medicine at Mount Sinai (US)
- Venue
- Development and Psychopathology
- Publisher
- Cambridge University Press (CUP)
- Published
- 2005-12
- Volume
- 17
- Issue
- 4
- Pages
- 1007-1030
- ISSN
- 0954-5794 (ISSN-L)
- 1469-2198
- OpenAlex
- W2112237755
- Cited by
- 325
- References
- 12
- Citations by year
- 2026: 12 · 2025: 17 · 2024: 34 · 2023: 21 · 2022: 13 · 2021: 22 · 2020: 13 · 2019: 20 · 2018: 18 · 2017: 16 · 2016: 12 · 2015: 17 · 2014: 24 · 2013: 11 · 2012: 10
- FWCI
- 6.94
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Development and Psychopathology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Clinical Psychology › Personality Traits and Psychology
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- borderline personality disorder, family interaction, transactional model, parental criticism, emotional validation, caregiver-child interaction, emotional vulnerability, developmental model, prevention, intervention
- MeSH terms
- Adolescent, Adult, Borderline Personality Disorder, Child, Conflict, Psychological, Empathy, Family Relations, Humans, Internal-External Control, Object Attachment, Risk Factors, Self Concept, Social Support, Transactional Analysis, Parenting, Expressed Emotion
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