Patients with borderline personality disorder show increased agency in life stories after 12 months of psychotherapy.
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Patients with borderline personality disorder (BPD) display disturbances in self and other understanding, which is also evident when they narrate events from their own and significant others' lives. In a recent study, we found that patients described both their own and their parents' life stories as more negative and with fewer themes of agency and communion fulfillment. Hence, we examined whether 12 months of psychotherapy would change how patients described their own and their parents' life stories. At baseline, 30 BPD patients and 30 matched control participants described and answered questions about their personal and their parents' life stories. At follow-up, 23 patients and 23 control participants repeated the same procedure after patients had completed 12 months of psychotherapy. At both baseline and follow-up, the life stories were coded for complexity and themes of agency, communion, communion fulfillment, and self-other confusion. BPD patients' personal life stories increased significantly in agency from baseline to follow-up compared with the control group, whereas other aspects of personal and parents' life stories did not change significantly after therapy. Development of agency through the reconstruction of personal life stories may be a crucial mechanism in psychotherapy with BPD patients. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
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Lind et al. (2018) reported that people with BPD developed self-agency beyond the control group through a 12-month therapy program.
“Most psychotherapy models have agency and autonomy building as central to their theories of change, and recently Lind et al. (2018) reported that people with BPD developed self-agency beyond the control group through a 12-month therapy program.”
From Moving toward connectedness – a qualitative study of recovery processes for people with borderline personality disorder (2019) · cites this paper as Lind et al. (2018)
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Kampe, L., & Hörz‐Sagstetter, S. (2022) · Psychotherapeut · doi:10.1007/s00278-022-00575-0 · Cited by 2 · see citing works
The Impact of the NeuroAffective Relational Model (NARM) on Client Agency
Vasquez, J. (2024) · Studies in Clinical Social Work Transforming Practice Education and Research · doi:10.1080/28376811.2024.2387677 · Cited by 1 · see citing works
Quek, J., Broadbear, J. H., Cain, J., Vuillermin, L., Bradley, P., Wittleton, T., Morando, M., Rao, S., & Murphy, C. (2026) · Australasian Psychiatry · doi:10.1177/10398562261455816 · Cited by 1 · see citing works
Kramer, U., Simonini, A., Rrustemi, E., Fellrath, R., Stucchi, K., Noseda, E., Martin-Söelch, C., Kolly, S., Machinea, J. B., Boritz, T. Z., et al. (2024) · Psychotherapy Research · doi:10.1080/10503307.2024.2406543 · Cited by 1 · see citing works
Bauer, J. J., & Thomsen, D. K. (2022) · Journal of Research in Personality · doi:10.1016/j.jrp.2022.104309 · Cited by 1 · see citing works
Self-citationEditorial: Self-understanding and other-understanding in personality pathology
Lind, M., Folmo, E. J., & Kaufman, E. A. (2024) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2024.1328860
Self-citationSelf-Understanding and Other-Understanding in Personality Pathology
Lind, M., Folmo, E. J., & Kaufman, E. A. (2024) · Frontiers research topics · doi:10.3389/978-2-8325-4401-3
Self-citationSelf System: First Order Knowledge Domain
Quiñones, Á. (2024) · Springer eBooks · doi:10.1007/978-3-031-67412-9_4
Maladaptive Sense of Identity and Agency
Lind, M., & Goth, K. (2025) · Oxford University Press eBooks · doi:10.1093/9780191964343.003.0009
Self-citationTreatment Planning and Evaluation
Gamache, D., Savard, C., Leclerc, P., & Faucher, J. (2025) · Oxford University Press eBooks · doi:10.1093/9780191964343.003.0030
Pol, S. M., Brok, E. C., & Westerhof, G. J. (2025) · Personality and Mental Health · doi:10.1002/pmh.70007
The Storm of Values in Borderline Personality Disorder
Dudas, R. B. (2025) · Cambridge University Press eBooks · doi:10.1017/9781108883535.015
Milan, S., Xu, M., Dáu, A. L. B. T., & Lisse, A. A. (2025) · Journal of Personality Disorders · doi:10.1521/pedi.2025.39.4.285
Matthews, E. L., Marceau, E. M., & Grenyer, B. F. S. (2025) · British Journal of Clinical Psychology · doi:10.1111/bjc.70011
Matthews, E. L., Marceau, E. M., van Schie, C. C., & Grenyer, B. F. S. (2025) · Psychiatry Research Neuroimaging · doi:10.1016/j.pscychresns.2025.112111
Pestilos, C. C., Hill, P. L., Fetterman, A. K., & Damian, R. I. (2026) · Journal of Research in Personality · doi:10.1016/j.jrp.2026.104723
Balzen, K. M., Lind, M., Kulesz, P. A., Fernandez, E., & Sharp, C. (2026) · Journal of Personality · doi:10.1111/jopy.70079
Self-citationSoroko, E., Kleka, P., Martyńska, M., Janowicz, K., & Lind, M. (2026) · Current Psychology · doi:10.1007/s12144-026-09918-5
Self-citation
- Authors
- Lind, M., Jørgensen, C. R., Heinskou, T., Simonsen, S., Bøye, R., & Thomsen, D. K.
- Affiliations
- Aarhus University (DK)
- Aarhus University Hospital (DK)
- Venue
- Psychotherapy
- Published
- 2019-06
- Volume
- 56
- Issue
- 2
- Pages
- 274-284
- ISSN
- 0033-3204 (ISSN-L)
- 1939-1536
- OpenAlex
- W2886189291
- Cited by
- 58
- References
- 71
- Citations by year
- 2026: 4 · 2025: 9 · 2024: 5 · 2023: 7 · 2022: 8 · 2021: 8 · 2020: 7 · 2019: 7 · 2018: 2
- FWCI
- 7.04
- Type
- journal article
- Language
- en
- Open access
- green
- pure.au.dk
- Licence
- cc-by-nc-nd
- Locations
- Psychotherapy (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Velux Foundation (VELUX33266)
- CON AMORE (DNRF89)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Developmental and Educational Psychology › Identity, Memory, and Therapy
- Keywords
- borderline personality disorder, life stories, agency, psychotherapy outcome, communion, narrative complexity, psychotherapy mechanisms
- MeSH terms
- Adult, Borderline Personality Disorder, Female, Follow-Up Studies, Humans, Male, Parents, Psychotherapy, Self Concept, Social Perception, Treatment Outcome, Narration
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