How mothers with borderline personality disorder relate to their year-old infants

Women with borderline personality disorder have conflictual interpersonal relations that may extend to disrupted patterns of interaction with their infants. To assess how women with borderline personality disorder engage with their 12 to 18-month-old infants in separation-reunion episodes. We videot...

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Bibliographic Details
Published in:British journal of psychiatry 2009-10, Vol.195 (4), p.325-330
Main Authors: Hobson, R. Peter, Patrick, Matthew P. H., Hobson, Jessica A., Crandell, Lisa, Bronfman, Elisa, Lyons-Ruth, Karlen
Format: Article
Language:English
Subjects:
Adult
Anxiety, Separation
Babies
Behavior
Borderline personality disorder
Borderline Personality Disorder - psychology
Child of Impaired Parents - psychology
Child, Preschool
Classification
Cohort Studies
Communication
Female
Humans
Infant
Infants
Interpersonal relations
Maternal behavior
Maternal Behavior - psychology
Mother-Child Relations
Mother-infant relations
Mother-offspring interactions
Mothers
Mothers - psychology
Parenting - psychology
Personality
Personality disorders
Prevalence
Psychiatric Status Rating Scales
Psychiatry
Psychopathology
Reunion
Videotape Recording
Women
Young Adult
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Summary:Women with borderline personality disorder have conflictual interpersonal relations that may extend to disrupted patterns of interaction with their infants. To assess how women with borderline personality disorder engage with their 12 to 18-month-old infants in separation-reunion episodes. We videotaped mother-infant interactions in separation-reunion episodes of the Strange Situation test. The mothers were women with borderline personality disorder, with depression, or without psychopathological disorder. Masked ratings of maternal behaviour were made with the Atypical Maternal Behavior Instrument for Assessment and Classification. As predicted, a higher proportion (85%) of women with borderline personality disorder than women in the comparison groups showed disrupted affective communication with their infants. They were also distinguished by the prevalence of frightened/disoriented behaviour. Maternal borderline personality disorder is associated with dysregulated mother-infant communication.
ISSN:0007-1250
1472-1465
DOI:10.1192/bjp.bp.108.060624