Complex PTSD, affect dysregulation, and borderline personality disorder

Ford, Julian D; Courtois, Christine A

doi:10.1186/2051-6673-1-9

Cited by 182Personality Disorders and PsychopathologyPosttraumatic Stress Disorder ResearchPsychoanalysis and Psychopathology Research

Complex PTSD, affect dysregulation, and borderline personality disorder

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Ford, Julian D, Courtois, Christine A·2014·Borderline Personality Disorder and Emotion Dysregulation

DOI 10.1186/2051-6673-1-9PMC PMC4579513

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Abstract

Complex PTSD (cPTSD) was formulated to include, in addition to the core PTSD symptoms, dysregulation in three psychobiological areas: (1) emotion processing, (2) self-organization (including bodily integrity), and (3) relational security. The overlap of diagnostic criteria for cPTSD and borderline personality disorder (BPD) raises questions about the scientific integrity and clinical utility of the cPTSD construct/diagnosis, as well as opportunities to achieve an increasingly nuanced understanding of the role of psychological trauma in BPD. We review clinical and scientific findings regarding comorbidity, clinical phenomenology and neurobiology of BPD, PTSD, and cPTSD, and the role of traumatic victimization (in general and specific to primary caregivers), dissociation, and affect dysregulation. Findings suggest that BPD may involve heterogeneity related to psychological trauma that includes, but extends beyond, comorbidity with PTSD and potentially involves childhood victimization-related dissociation and affect dysregulation consistent with cPTSD. Although BPD and cPTSD overlap substantially, it is unwarranted to conceptualize cPTSD either as a replacement for BPD, or simply as a sub-type of BPD. We conclude with implications for clinical practice and scientific research based on a better differentiated view of cPTSD, BPD and PTSD.

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Self-Reported Pain Complaints among Afghanistan/Iraq Era Men and Women Veterans with Comorbid Posttraumatic Stress Disorder and Major Depressive Disorder
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Authors: Ford, J. D., & Courtois, C. A.
ORCID: Courtois, Christine A
Venue: Borderline Personality Disorder and Emotion Dysregulation
Publisher: Springer Science and Business Media LLC
Published: 2014
Volume: 1
Issue: 1
Pages: 9
ISSN: 2051-6673 (ISSN-L)
DOI: 10.1186/2051-6673-1-9
PMC: PMC4579513
OpenAlex: W2161813267
Cited by: 182
References: 225
Citations by year: 2026: 15 · 2025: 11 · 2024: 15 · 2023: 22 · 2022: 19 · 2021: 17 · 2020: 18 · 2019: 15 · 2018: 11 · 2017: 16 · 2016: 8 · 2015: 11 · 2014: 2 · 2013: 1
FWCI: 1.88
Type: journal article
Language: en
Open access: gold
doi.org
Licence: cc-by
Locations: Borderline Personality Disorder and Emotion Dysregulation (publishedVersion, cc-by)
PubMed Central (publishedVersion, cc-by)
PubMed (publishedVersion)
Funders: Substance Abuse and Mental Health Services Administration
Topics: Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
Keywords: complex PTSD, borderline personality disorder, affect dysregulation, post-traumatic stress disorder, comorbidities, dissociation, childhood trauma, primary caregivers, emotional processing, self-organization, relational security, diagnostic validity

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