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The transculturality of borderline personality disorder symptoms

B. Ramos, D. Barbosa, E. Osório

International Journal of Social Psychiatry, 2021

Abstract

Patients diagnosed with Borderline Personality Disorder exhibit a wide variety of impulsive behaviors, such as substance abuse, excessive money spending, eating compulsions, reckless driving, and difficulty in controlling intense anger, yet the most characteristic symptoms consist of a pattern of self-injurious behaviors when under interpersonal stress. These symptoms fall under externalizing behaviors, while other symptoms, namely fear of abandonment, chronic feelings of emptiness, emotional instability, and social isolation may be considered as internalizing processes (Mulder, 2012). The prevalence of this diagnosis has been increasing in recent decades and is a common disorder in North America and Europe (American Psychiatric Association, 2013). Although it is possible to find this disorder among other societies, its prevalence is yet to be estimated in many. Additionally, it has not been included in the Chinese Classification of Mental Disorders III (Chinese Society of Psychiatry, 2001). The cultural context and social environment may influence the evaluation, expression, repression, and containment of certain symptoms, making the diagnosis difficult in certain cultures (Ronningstam et al., 2018). Several authors argued that the absence of social cohesion, generational discontinuity, poorly defined social roles, and rapid social change found in developed societies are social and cultural factors often related with emotional dysregulation and identity diffusion (Paris &…

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