Differential diagnosis of borderline personality disorder and bipolar disorder: Self-concept, identity and self-esteem. Wright, L., Lari, L., Iazzetta, S., Saettoni, M., & Gragnani, A. Clinical Psychology & Psychotherapy, 29(1):26–61, 2022. _eprint: https://onlinelibrary.wiley.com/doi/pdf/10.1002/cpp.2591![Differential diagnosis of borderline personality disorder and bipolar disorder: Self-concept, identity and self-esteem [link]](https://bibbase.org/img/filetypes/link.svg "link")
Paper doi abstract bibtex Symptoms of borderline personality disorder (BPD) and bipolar disorder (BD) often overlap. In some cases, it is difficult to conduct a differential diagnosis based only on current diagnostic criteria Therefore, it is important to find clinical factors with high discriminatory specificity that, used together with structured or semi-structured interviews, could help improve diagnostic practice. We propose that a clinical analysis of identity, self-concept and self-esteem may help distinguish the two disorders, when they are not co-morbid. Our review of the studies that analyse these constructs in BD and BPD, separately, points in the direction of qualitative differences between the two disorders. In BPD, there is a well-documented identity diffusion, and the self-concept appears predominantly negative; shifts in self-concept and self-esteem are often tied to interpersonal triggers. In BD, patients struggle with their identity, but narrative identity might be less compromised compared with BPD; the shifts in self-concept and self-esteem appear more linked to internal (i.e. mood and motivational) factors. We end the paper by discussing the implications for clinicians and ideas for future comparative research.
@article{wright_differential_2022,
title = {Differential diagnosis of borderline personality disorder and bipolar disorder: {Self}-concept, identity and self-esteem},
volume = {29},
copyright = {© 2021 John Wiley \& Sons, Ltd.},
issn = {1099-0879},
shorttitle = {Differential diagnosis of borderline personality disorder and bipolar disorder},
url = {https://onlinelibrary.wiley.com/doi/abs/10.1002/cpp.2591},
doi = {10.1002/cpp.2591},
abstract = {Symptoms of borderline personality disorder (BPD) and bipolar disorder (BD) often overlap. In some cases, it is difficult to conduct a differential diagnosis based only on current diagnostic criteria Therefore, it is important to find clinical factors with high discriminatory specificity that, used together with structured or semi-structured interviews, could help improve diagnostic practice. We propose that a clinical analysis of identity, self-concept and self-esteem may help distinguish the two disorders, when they are not co-morbid. Our review of the studies that analyse these constructs in BD and BPD, separately, points in the direction of qualitative differences between the two disorders. In BPD, there is a well-documented identity diffusion, and the self-concept appears predominantly negative; shifts in self-concept and self-esteem are often tied to interpersonal triggers. In BD, patients struggle with their identity, but narrative identity might be less compromised compared with BPD; the shifts in self-concept and self-esteem appear more linked to internal (i.e. mood and motivational) factors. We end the paper by discussing the implications for clinicians and ideas for future comparative research.},
language = {en},
number = {1},
urldate = {2023-09-25},
journal = {Clinical Psychology \& Psychotherapy},
author = {Wright, Livia and Lari, Lisa and Iazzetta, Stefania and Saettoni, Marco and Gragnani, Andrea},
year = {2022},
note = {\_eprint: https://onlinelibrary.wiley.com/doi/pdf/10.1002/cpp.2591},
keywords = {bipolar disorder, borderline personality disorder, differential diagnosis, identity, self-concept, self-esteem},
pages = {26--61},
}
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