Borderline Adolescents: Therapeutic Innovation, Collaboration with Families, Motivation of Caregivers-View Presentation

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The symposium focused on the European research network studying adolescents with borderline personality disorder (BPD) from France, Switzerland, and Belgium. Maurice Corcos led the session, emphasizing a research-driven yet practical approach to integrating differential psychopathological methods and therapeutic strategies in clinical practice, positioned between psychiatry and psychoanalysis. Dr. Alexandra Fams-Cotes presented the ERNET BPD study, which explores BPD's phenomenology in adolescents. The research, involving 10 teams across three countries, assessed diagnostic validity, comorbidities, emotional regulation, cognitive functioning, and mental health service use among adolescents with BPD. Dr. Marion Robin discussed pathways from adverse childhood experiences to BPD, highlighting how childhood trauma, such as emotional neglect and abuse, are significant risk factors for developing BPD. Jean addressed paradoxes in emotional dysregulation in adolescents with BPD, emphasizing how adversities impact emotional regulation differently. The role of alexithymia and attachment insecurity was highlighted as key psychological mechanisms in emotional dysregulation. The importance of family-involved therapy was underscored, advocating that understanding parental history can be crucial for effective treatment of BPD in adolescents. The event wrapped up with discussions on the impact of shame and alexithymia in BPD, promoting continuous research and preventive strategies.

Keywords

adolescents

borderline personality disorder

ERNET BPD study

emotional dysregulation

childhood trauma

alexithymia

attachment insecurity

family therapy

psychopathological methods