Cognitively, people with borderline personality disorder are hyperattentive to negative emotional stimuli in the environment.
The Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR)1 classifies borderline personality disorder (BPD) as belonging to the Cluster B personality grouping and is associated with the cluster traits of dramatic, emotional, and erratic personality features. Patients with BPD are described as being emotionally brittle and hyper-reactive, which fits with this description. The trait of emotional hyper-reactivity in BPD patients will be examined in this issue of The Interface from the standpoint of clinical experience as well as through data from empirical investigations.
Additionally, it has been demonstrated that the environment plays a significant part in how impulsivity manifests itself since BPD patients who experienced several childhood hardships are more likely to have made multiple impulsive harming attempts. With indicators like emotional dysregulation and impulsivity considered temperamental variants that have negative impacts in an unfavorable context but positive ones in a favorable setting, this model can be used to understand borderline personality disorder.
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