In addition to authoritative clinical impressions, there are several case reports in the literature on the sexual behavior of patients with BPD. As an example, he underscored sexual acting out.Ĭase reports. In discussing the issue of sexual relationships between the therapist and the patient, Gutheil 4 commented that patients with BPD are particularly prone to evoke boundary violations. ![]() In contrast, Stone reported that promiscuity was uncommon among his non-BPD clientele. ![]() In discussing impressions of his clinical practice, Stone, 3 another authority in the field of BPD, indicated that more than 25 percent of his outpatients with this Axis II disorder exhibited promiscuity. With regard to this cohort, these authors emphasized the phenomenon of “pan-sexuality” (i.e., all-embracing sexuality), which encompassed promiscuity, “polymorphous perverse sexual practices,” and heterosexual/homosexual vacillation. In the early literature, Hoch and Polatin 2 described a group of patients who would likely be diagnosed with BPD according to contemporary approaches. These reports consist of clinical impressions, case reports, and empirical investigations.Ĭlinical impressions. There are a number of reports in the literature that describe sexual behavior in individuals with BPD. We discuss the potential implications of these findings for clinicians in mental health and primary care settings. Overall, the psychological themes relating to sexual behavior in borderline personality disorder appear to be characterized by impulsivity and victimization. In addition, patients with borderline personality disorder appear to be characterized by a greater number of high-risk sexual behaviors a higher likelihood of having been coerced to have sex, experiencing date rape, or being raped by a stranger and the contraction of more sexually transmitted diseases. Specifically, those with borderline personality disorder are more likely to exhibit greater sexual preoccupation, have earlier sexual exposure, engage in casual sexual relationships, report a greater number of different sexual partners as well as promiscuity, and engage in homosexual experiences. The existing empirical literature indicates that patients with borderline personality disorder appear to differ from patients without this personality disorder in a number of relevant ways. According to the Diagnostic and Statistical Manual of Mental Disorders, various forms of impulsivity are associated with borderline personality disorder, including sexual impulsivity.
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