Emotion dysregulation, symptoms, and interpersonal problems as independent predictors of a broad range of personality disorders in an outpatient sample

Borderline personality disorder is characterised by a pervasive pattern of instability in affect regulation, impulse control, interpersonal relationships, and self-image. Clinical signs of the disorder include emotional dysregulation, impulsive aggression, repeated self-injury, and chronic suicidal tendencies, which make these patients frequent users of mental-health resources. Causal factors are only partly known, but genetic factors and adverse events during childhood, such as physical and sexual abuse, contribute to the development of the disorder. Dialectical behaviour therapy and psychodynamic partial hospital programmes are effective treatments for out-of-control patients, and drug therapy can reduce depression, anxiety, and impulsive aggression. More research is needed for the understanding and management of this disabling clinical condition. Current strategies are focusing on the neurobiological underpinnings of the disorder and the development and dissemination of better and more cost-effective treatments to clinicians.

Across four studies, narcissists were more angry and aggressive after experiencing a social rejection than were nonnarcissists. In Study 1, narcissism was positively correlated with feelings of anger and negatively correlated with more internalized negative emotions in a self-reported, past episode of social rejection. Study 2 replicated this effect for a concurrent lab manipulation of social rejection. In Study 3, narcissists aggressed more against someone who rejected them (i.e., direct aggression). In Study 4, narcissists were also more aggressive toward an innocent third party after experiencing social rejection (i.e., displaced aggression). Narcissists were not more aggressive after social acceptance. Self-esteem plays little role in predicting aggression in response to rejection. These results suggest that the combination of narcissism and social rejection is a powerful predictor of aggressive behavior. Copyright 2003 Society for Personality and Social Psychology, Inc.

Following Linehan's biosocial model, we conceptualize emotion dysregulation in borderline personality disorder (BPD) as consisting of four components: emotion sensitivity, heightened and labile negative affect, a deficit of appropriate regulation strategies, and a surplus of maladaptive regulation strategies. We review the evidence supporting each of these components. Given the complexity of the construct of emotion dysregulation and its involvement in many disorders, there is a need for research that specifies which components of emotion dysregulation are under study and also examines the interplay amongst these emotion dysregulation components.