Citation

Wilner JG, Ronzio B, Gillen C, Aguirre B. J. Personal. Disord. 2024; 38(2): 157-170.

Copyright

(Copyright © 2024, Guilford Publications)

DOI

10.1521/pedi.2024.38.2.157

PMID

38592908

Abstract

Individuals with borderline personality disorder (BPD) often report chronic, severe self-hatred. It is frequently experienced as immutable, seen as a barrier to recovery, and is associated with risk for self-injury and suicide attempts. Yet self-hatred remains a poorly understood, underdiagnosed, and undertreated presentation of BPD. In this concept article and review, we describe the nature of self-hatred in BPD and related disorders, propose a theory as to the development of self-hatred in BPD, review the assessments of and interventions for self-hatred, and consider next steps in the research, assessment, and treatment of self-hatred in BPD. Through increased awareness, understanding, and measures of self-hatred in BPD, new treatment paradigms can be developed to ensure more comprehensive recovery.

Language: en

Keywords

biosocial model; borderline personality disorder; self-compassion; self-hatred; suicide