ABSTRACT

Research has demonstrated a clear association between Borderline Personality Disorder (BPD) and Intimate Partner Violence (IPV) perpetration, but an association with IPV intervention programme drop-out and recidivism has not been directly examined. In the current study, we examined associations between self-reported BPD symptomology and self-reported IPV perpetration variables, IPV intervention programme outcome, and recidivism. An additional goal was to compare traditional DSM-5 BPD with the Alternative DSM-5 Model for Personality Disorders (AMPD) dimensional trait perspective. For this purpose, we used archival data of 531 men in a court-ordered group IPV intervention programme. Results indicated that IPV offenders with BPD symptomology were of increased risk for failing to complete IPV treatment and were more likely re-offend in a one year follow up period, thus providing further support for the relevance of personality pathology in relation to IPV treatment success. Overall both ‘traditional’ BPD and AMPD BPD-relevant trait dimensions were shown to be approximately equally associated with self-report IPV variables, IPV treatment outcomes, and recidivism, with minor advantages for each BPD model for different outcome variables. Regardless of perspective, our findings indicate that BPD symptoms and traits are important for clinicians to consider in the treatment and risk assessment of IPV offenders.

摘要

研究表明，边缘性人格障碍 (BPD) 与亲密伴侣暴力 (IPV) 犯罪之间存在明显关联，但与 IPV 干预计划退出和累犯的关联尚未得到直接检验。在当前的研究中，我们检查了自我报告的 BPD 症状与自我报告的 IPV 实施变量、IPV 干预计划结果和累犯之间的关联。另一个目标是将传统 DSM-5 BPD 与替代 DSM-5 人格障碍模型 (AMPD) 维度特征视角进行比较。为此，我们在法院命令的团体 IPV 干预计划中使用了 531 名男性的档案数据。结果表明，具有 BPD 症状的 IPV 犯罪者未能完成 IPV 治疗的风险增加，并且更有可能在一年的随访期内再次犯罪，从而进一步支持人格病理学与 IPV 治疗成功的相关性。总体而言，“传统”BPD 和 AMPD BPD 相关特征维度与自我报告的 IPV 变量、IPV 治疗结果和累犯率大致相同，对于不同的结果变量，每种 BPD 模型的优势较小。无论从何种角度来看，我们的研究结果都表明，BPD 症状和特征对于临床医生在治疗和评估 IPV 罪犯的风险时非常重要。总体而言，“传统”BPD 和 AMPD BPD 相关特征维度与自我报告的 IPV 变量、IPV 治疗结果和累犯率大致相同，对于不同的结果变量，每种 BPD 模型的优势较小。无论从何种角度来看，我们的研究结果都表明，BPD 症状和特征对于临床医生在治疗和评估 IPV 罪犯的风险时非常重要。总体而言，“传统”BPD 和 AMPD BPD 相关特征维度与自我报告的 IPV 变量、IPV 治疗结果和累犯率大致相同，对于不同的结果变量，每种 BPD 模型的优势较小。无论从何种角度来看，我们的研究结果都表明，BPD 症状和特征对于临床医生在治疗和评估 IPV 罪犯的风险时非常重要。