𝗖𝗜𝗧𝗔𝗧𝗜𝗢𝗡: Masland, S., Shah, T., & Choi-Kain, L. (2020). Boredom in borderline personality disorder: A lost criterion reconsidered. Psychopathology, 53, 239–253.

𝗔𝗕𝗦𝗧𝗥𝗔𝗖𝗧: Difficulty with boredom was eliminated from the formal diagnostic criteria for #borderline personality disorder (BPD) in 1994 based on significantly limited & unpublished data. However, it is apparent in clinical practice that boredom remains relevant to #BPD. This review synthesizes empirical #research, with consideration of theoretical accounts, to critically examine the relevance of boredom to BPD. We first briefly review issues in defining & measuring boredom, then offer an expanded conceptualization for BPD, which includes the notion of #boredom reactivity, before turning to boredom’s differentiation from & overlap with feelings of emptiness, with which it was paired prior to its removal from the DSM. We then discuss perspectives on boredom’s significance in BPD, briefly touching on its relevance in other personality disorders. We propose a "Boredom Cascade Model" that articulates how boredom & boredom reactivity interact with identity disturbance & chronic emptiness to create escalating patterns of behavioral dysregulation. Finally, we make recommendations for research & treatment. 🤔

BOREDOM IN BORDERLINE PERSONALITY DISORDER

INTEGRATIVE DBT & PSYCHOTHERAPY