Self-harming behavior of a parent with borderline personality disorder assessed using revealed preference and attributional approaches: a case study.
This article discusses a case study involving a parent with Borderline Personality Disorder who exhibited self-harming behaviors. Assessment and intervention were based both on a review of the client's attributions about causes of her own behavior as being either internalizing or externalizing, and on a review of motivation of the behaviors using functional analysis. Antecedent situations for self-harming behaviors were identified to provide a basis for reviewing the client's attributions of reasons for disordered behavior. A new technique of functional analysis was applied using the principle of revealed preference arising from behavioral economics. Revealed preference identified outcomes that were valued by the client, enabling new responses to be identified to attain these reinforcers. Attribution re-training was provided. Significant reductions in self-harming behaviors were achieved during brief therapy and were maintained during follow-up.
Tustin
R Don
RD
Department of Psychiatry, Flinders University of South Australia, Adelaide, Australia. Tustin.Don@saugov.sa.gov.au
D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D001521:Behavior Therapy; D001883:Borderline Personality Disorder / Q000175:diagnosis* / Q000628:therapy; D002650:Child Abuse, Sexual / Q000523:psychology; D005192:Family Health; D005260:Female; D006801:Humans; D007389:Internal-External Control; D009042:Motivation; D010290:Parents / Q000523:psychology*; D016728:Self-Injurious Behavior / Q000175:diagnosis* / Q000628:therapy