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PLAN OF DISSERTATION 

 Priya Puri

M.Phil Trainee, 2nd Year (2011-2013)

Department of Clinical Psychology

Dissertation Guide:

Sri. Prasanta Kr. Roy,Assistant professor,

Department of Clinical Psychology

Dissertation Co-guide:

Dr. Partha Sarthy Biswas,Assistant professor,

Department of Psychiatry.

Institute of Psychiatry, Kolkata 

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Dynamics and Neurocognitive Correlates in

Borderline Personality Disorder-

A Comparative Study

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INTRODUCTION 

The essential feature of Borderline Personality Disorder is a

 pervasive pattern of instability of interpersonal relationships, self-

image, and affects, and marked impulsivity that begins by early

adulthood and is present in a variety of contexts (APA, 2000).

Individuals with BPD experience emotional ups and downs, and are

known to be unstable and especially angry.

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REVIEW OF LITERATURE 

Previous research suggests that BPD protocols contained more

Rorschach scores indicating separation conflicts, as compared with

other groups (Coonerty, 1986).

Literature also suggests a genuine deficit of response inhibition in

 patients with BPD (Rentrop et al, 2008).

Studies reveal that the parents of individuals with BPD have been

described by offspring as negative; uncaring and over-controlling; 

unempathetic (Fruzzetti, 2005; Johnson, 2006).

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 No Indian studies could be found on the dynamics and

neuropsychological correlates of Borderline Personality Disorder.

Since there is little work on given problem in India, it is important

shed light on the dynamics and neurocognitive correlates in

Borderline Personality Disorder in the Indian context, and thus the

 present study intends to be conducted.

REVIEW OF LITERATURE (Contd...) 

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METHODS 

Study design:  The present study is a cross-sectional comparative

study based on quasi-experimental design. It will be based on

 purposive sampling.

Aims: The aim of the study is to see the dynamics and

neurocognitive correlates of individuals with Borderline Personality

Disorder.

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Objectives:

To see the capacity for control associated with Borderline

Personality Disorder.

To see the emotional regulation associated with Borderline

Personality Disorder.

To see the self and interpersonal perception associated with

Borderline Personality Disorder.

To see the information processing associated with Borderline

Personality Disorder.

METHODS (Contd...) 

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Objectives (Contd...): 

To see the perception of parenting style associated with

Borderline Personality Disorder.

To see Impulsivity associated with Borderline Personality

Disorder.

To see the response inhibition associated with Borderline

Personality Disorder.

To see the feedback utilization associated with Borderline

Personality Disorder.

METHODS (Contd...) 

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Sample: for the present study two groups will be taken which are as

follows:

Study group: it will consist of 30 individuals, males and females

 between the ages of 18-40years having Borderline Personality

Disorder.

METHODS (Contd...) 

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 Inclusion criteria for study group:

Both males and females.

Age limit 18-40 years.

Right handed individuals.

Individuals diagnosed with Borderline Personality Disorder (as

 per DSM-IV-TR criteria.)

Co-operative for the study

Individuals who give consent for the study

METHODS (Contd...) 

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 Exclusion criteria for study group:  Individuals having comorbid substance abuse/dependence (except

nicotine dependence)

Individuals having a history of psychosis.

Individuals having a history of Bipolar Affective Disorder.

Individuals having any chronic or acute physical illness.

Individuals having any developmental abnormality.

Individuals whose parents are dead, or separated before individual’s 

18 years of age.

Individuals brought up by a single parent

METHODS (Contd...) 

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Sample (Contd...): 

Control group: it will consist of 30 individuals (males and

females), matched in terms of age, gender, education and socio-

economic status, having no Axis I or Axis II diagnosis.

METHODS (Contd...) 

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 Inclusion criteria for control group:

Both males and females (age, sex, education and socio-economic

status matched with the test group).

Age limit 18-40 years.

Right handed individuals.

Co-operative for the study

Individuals who give consent for the study.

METHODS (Contd...) 

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 Exclusion criteria for control group: 

Individuals having substance abuse/dependence.

Individuals having a history of psychosis.

Individuals having an Axis I or Axis II diagnosis.

Individuals having any chronic or acute physical illness.

Individuals having any developmental abnormality.

Individuals whose parents are dead, or separated before individual’s 

18 years of age.

Individuals brought up by a single parent

METHODS (Contd...) 

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Tools:

Semi-structured Socio-demographic and clinical data sheet.

Edinburgh Handedness Inventory (Oldfield, 1971).

General Health Questionnaire-12 (Goldberg & Williams, 1988)

Mini International Neuropsychiatric Interview (Sheehan et al.,

1998)

The Iowa Personality Disorder Screen (Langbehn et al., 1999)

METHODS (Contd...) 

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Tools (Contd...) 

International Personality Disorder Examination (Loranger et al,

1994; WHO, 1995)

Emotional Stroop test (Williams et al., 1996)

IOWA gambling task (Bechara et al, 1994)

Parental Authority Questionnaire (Buri, 1991)

Rorschach Inkblot Method (Exner, 2003)

METHODS (Contd...) 

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Procedure:

 For Study group:

Individuals diagnosed as having Borderline Personality Disorder 

 by an expert psychiatrist, of Psychiatry outdoor, following DSM-

IV-TR criteria will be chosen.

After establishment of adequate rapport and after obtaining

consent from the participants, Semi-structured Socio-

demographic and clinical data sheet will be administered

METHODS (Contd...) 

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Procedure, for study group (contd...): 

Then, the Edinburgh Handedness Inventory shall be

administered and individuals who are right handed will be

retained in the study.

Following this the Mini International Neuropsychiatric Interview

(M.I.N.I) shall be administered. Individuals who do not score on

any of the domains of M.I.N.I. shall be retained in the study

They will be administered International Personality Disorder 

Examination (IPDE).

METHODS (Contd...) 

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Procedure, for study group (contd...): 

If the individual’s score is as per that stated by the manual for 

Borderline Personality Disorder, and if he does not qualify for 

any other personality disorder, further testing shall continue.

Following this, the Emotional Stroop Test shall be administered,

followed by IOWA gambling task, Parental Authority

Questionnaire (for both father and mother), and Rorschach

Inkblot Method.

METHODS (Contd...) 

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Procedure (Contd…):

 For Control group:

After establishment of adequate rapport and after obtaining consent

from the participants, Semi-structured Socio-demographic and

clinical data sheet will be administered

Then the Edinburgh Handedness Inventory shall be administered

and individuals who are right handed will be retained in the study.

Then GHQ-12 shall be administered to them and individuals who

obtained a score of below 2 on GHQ-12 shall be retained in the

study.

METHODS (Contd...) 

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Procedure, for control group (contd...): 

This will be followed by the Iowa Personality Disorder Screen and

Individuals who obtain a score of below 4 shall be retained in the

study.

Following this, the Emotional Stroop Test shall be administered,

followed by IOWA gambling task, Parental Authority Questionnaire

(for both father and mother), and Rorschach Inkblot Method.

METHODS (Contd...) 

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Statistical analysis: Appropriate statistical analysis shall be done

using Statistical Package for Social Sciences (SPSS-16).

METHODS (Contd...) 

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REFERENCES 

American Psychiatric Association. (2000). Diagnostic and statistical manual of mental

disorders (4th ed., text rev.). Washington, DC: Author 

Bechara, A., Damásio, A. R., Damásio, H., Anderson, S. W. (1994). "Insensitivity to

future consequences following damage to human prefrontal cortex". Cognition 50 (1 – 

3): 7 – 15

Buri, J. (1991). Parental Authority Questionnaire. Journal of Personality Assessment,

57(1), 110-119.

Coonerty, S. (1986). An exploration of separation-individuation themes in the

 borderline personality disorder. Journal of Personality Assessment, 50, 501 – 511.

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Exner, J.E. (2003).The Rorschach: Acomprehensive system (4thed.). New York:

JohnWiley.

Fruzzetti A.E, Shenk C, Hoffman PD. (2005) Family interaction and the

development of borderline personality disorder: a transactional model. DevPsychopathol, 17, 1007 – 103.

Goldberg, D. & Williams, P. (1988) A users guide to the General Health

Questionnaire. Slough: NFER-Nelson

Johnson JG, Cohen P, Chen H, et al. (2006), Parenting behaviours associated with

risk for offspring personality disorder during childhood. Arch Gen Psychiatry; 63;

579 – 587

REFERENCES (Contd...) 

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Langbehn, D.R., Pfohl, B.M., Reynolds, S., Clark, L.A., Battaglia, M., Bellodi, L.,

Cadoret, R., Grove, W., Pilkonis, P., & Links, P. (1999). The Iowa Personality Disorder 

Screen: Development and preliminary validation of a brief screening interview. Journal

of Personality Disorders, 13, 75-89.

Loranger, A. W., Sartorius, N., Andreoli, A., et al  (1994) The International Personality

Disorder Examination. Archives of General Psychiatry, 51, 215 -224

Oldfield, R. C. (1971). The assessment and analysis of handedness: The Edinburgh

inventory. Neuropsychololgia, 9, 97-113.

Rentrop M, Backenstrass M, Jaentsch B, Kaiser S, Roth A, Unger J, Weisbrod

M, Renneberg B., (2008). Response inhibition in borderline personality disorder:

 performance in a Go/Nogo task. Psychopathology. 41(1):50-7

REFERENCES (Contd...) 

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Sheehan D.V., Lecrubier Y., Sheehan KH, et al. (1998). "The Mini-International

 Neuropsychiatric Interview (M.I.N.I.): the development and validation of a

structured diagnostic psychiatric interview for DSM-IV and ICD-10". Journal of 

Clinical Psychiatry 59 Suppl 20, 22 – 33.

Williams, J. M. G., Mathews, A., & MacLeod, C. (1996). The emotional Stroop

task and psychopathology. Psychological Bulletin, 120, 3 – 24.

World Health Organization (1995). International Personality Disorder Examination

(IPDE). DSM IV module. Nederlandse bewerking: I.J. Duijsens, E.H.M. Eurelings-

Bontekoe & R.F.W. Diekstra, Leiderdorp: Datec.

REFERENCES (Contd...) 

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