Borderline Personality Disorder in a Forensic Setting
Individuals with Borderline Personality Disorder (BPD) may be some of the most charming people one may ever meet. They may also be some of the most frustrating people one will ever meet. An individual with BPD without a sincere, consistent commitment to viable treatment is destined to live a life at the mercy of his or her emotions, paranoid and distorted thoughts, taking no comfort in friendship or love relationships as he or she wrestles with impulses for self destruction such as suicide. BPD has a greater effect on the world than the empathy and exasperation of those immediately affected by a BPD individual. Although two percent of the population suffers from this personality disorder, 20% of individuals hospitalized and 23-40% of prison population suffer from BPD, making BPD a drain on societies’ resources and a danger to the population at large (American Psychiatric Association, 2000). BPD is a personality disorder not uncommon among the prison population due to the specific nature of BPD which has shown a positive response to dialectical behavioral therapy (DBT) in prison pilot programs.
Although an accurate number of the nine million individuals in the worldwide prison population who suffer from a severe mental disorder is unidentified, studies have been conducted that indicate that 65% of male prisoners had a personality disorder including antisocial personality disorder (APD) and borderline personality disorder (BPD), and in female prisoners a diagnosis of BPD was made in 25% of female prisoners. These results suggest that the threat of acute psychotic illness such as a personality disorder like BPD is ten-fold that of the general population and twice the prevalence of those in psychiatric hospitals. Although the data does not confirm whether these statistics are the product or the source of imprisonment the data does engage questions of prisons with limited resources as whether or not...