Dergiler / AYNA Klinik Psikoloji Dergisi / 2026 / Cilt: 13 Sayı: 2

Borderline Kişilik Bozukluğu Tanılı Bireylerde Duyguların Deneyimlenmesi: Çocukluk Dönemi ve Bugünkü Yansımalar

Emotional Experience in Individuals with Borderline Personality Disorder: From Childhood to the Present

Özlem Ergin(Hacettepe Üniversitesi, Edebiyat Fakültesi, Psikoloji Bölümü)0000-0002-7345-2257
Müjgan İnözü(HACETTEPE ÜNİVERSİTESİ, EDEBİYAT FAKÜLTESİ, PSİKOLOJİ BÖLÜMÜ, PSİKOLOJİ PR.)0000-0002-2212-7534
Talat Demirsöz(HACETTEPE ÜNİVERSİTESİ, TIP FAKÜLTESİ (İNGİLİZCE), DAHİLİ TIP BİLİMLERİ BÖLÜMÜ, PSİKİYATRİ ANABİLİM DALI)0000-0002-3786-1272
Sayfa
437–472
Yayın Tarihi
2026-05-30
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Bulgular, çocukluk dönemine ilişkin anlatıların iki üst tema etrafında toplandığını göstermektedir: “duygulara yer açmayan ebeveyn tepkileri” ve “karşılığı olmayan yerde duyguyu ifade etme/edememe”.

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Amaç & Hipotez:Bu nitel araştırmanın amacı, Borderline Kişilik Bozukluğu (BKB) tanılı bireylerde duyguların nasıl deneyimlendiğini çocukluk dönemi ve bugünkü yansımalar bağlamında incelemektir.
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Temel Bulgular & Veri:Örneklem, DSM-5’e göre BKB tanısı almış, ayaktan tedavi görmekte olan 21-44 yaş aralığında altı yetişkin kadından oluşmuştur.
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Sonuç & Katkı:Bulgular, çocukluk dönemine ilişkin anlatıların iki üst tema etrafında toplandığını göstermektedir: “duygulara yer açmayan ebeveyn tepkileri” ve “karşılığı olmayan yerde duyguyu ifade etme/edememe”.
🔬Tür:Uygulamalı Anket & Alan Araştırması
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:borderline kişilik bozukluğu · nitel araştırma · yorumlayıcı fenomenolojik analiz

Özet

Bu nitel araştırmanın amacı, Borderline Kişilik Bozukluğu (BKB) tanılı bireylerde duyguların nasıl deneyimlendiğini çocukluk dönemi ve bugünkü yansımalar bağlamında incelemektir. Örneklem, DSM-5’e göre BKB tanısı almış, ayaktan tedavi görmekte olan 21-44 yaş aralığında altı yetişkin kadından oluşmuştur. Katılımcılar ile tek oturum olacak şekilde yarı yapılandırılmış görüşmeler yürütülmüştür. Görüşmelerde alınan ses kayıtlarının deşifresi MAXQDA programı ile incelenmiştir. Veriler yorumlayıcı fenomenolojik analiz ile değerlendirilmiştir. Bulgular, çocukluk dönemine ilişkin anlatıların iki üst tema etrafında toplandığını göstermektedir: “duygulara yer açmayan ebeveyn tepkileri” ve “karşılığı olmayan yerde duyguyu ifade etme/edememe”. İlk temada, duygunun küçümsenmesi, cezalandırılması, olumsuz duyguya düşük tolerans ve kayıtsızlık gibi geçersizleştirici tepkiler ile kişisel sınır ihlalleri ve mahrem bilgilerin üçüncü kişilerle paylaşılması öne çıkmaktadır. İkinci temada ise duyguların çoğu zaman söze dökülemediği, duygusal yaşantıların “karşılık bulmayacağı” düşünülen bir ortamda içe atıldığı; yoğun öfke anlarında ise duygunun kendine ya da çevreye zarar verme içeren yıkıcı dışavurumlara dönüştüğü görülmüştür. Bugünkü yaşantılarda katılımcılar, bir yandan yoğun, hızla değişen ve birbirine karışan duygular nedeniyle iç dünyalarında kaos ve anlamlandırma güçlüğü, diğer yandan duyguyu paylaşırken içe kapanma, yalnızca güvenli ve yargılayıcı olmadığı düşünülen ilişkilerde koşullu açılma ve zaman zaman yıkıcı, ötekini yeterince gözetmeyen dışavurum örüntüleri bildirmiştir. Elde edilen bulgular, BKB’de geçersizleştirici çevre ve duygu düzenleme güçlüklerinin etkileşimini vurgulayan biyososyal model ve zihinselleştirme kuramı gibi çağdaş modellerle uyumludur.

Abstract

The aim of this qualitative study is to examine how emotions are experienced by individuals diagnosed with Borderline Personality Disorder (BPD), with reference to childhood experiences and current manifestations. The sample consisted of six adult women aged 21–44 who were receiving outpatient treatment and had been diagnosed with BPD according to DSM-5 criteria. Single-session semi-structured interviews were conducted, audio-recorded, transcribed, and analyzed using MAXQDA. Data were evaluated through Interpretative Phenomenological Analysis (IPA). Findings indicated that childhood narratives clustered around two superordinate themes: “parental responses that leave no room for emotions” and “ expressing feelings when no one is there to respond.” The first theme captured invalidating reactions such as minimization, punishment, low tolerance for negative affect, as well as personal boundary violations and the sharing of private information with third parties. The second theme reflected how emotions were often not verbalized; in contexts where emotional experiences were anticipated to receive “no response,” feelings were kept inside, while intense anger at times escalated into destructive expressions of emotion involving self- or other-directed harm. In their current lives, participants reported intense, rapidly shifting, and overlapping emotions that create inner chaos and make it difficult to make sense of their feelings. They also described withdrawal in emotional sharing, conditional self-disclosure limited to relationships perceived as safe and nonjudgmental, and occasional destructive expressions that insufficiently consider the other person. Overall, the findings align with contemporary models, including the biosocial framework and mentalization-based perspectives, which emphasize the interplay between invalidating environments and emotion regulation difficulties in BPD.

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Bu Makaleye Atıf Yap

Ergin, Ö., İnözü, M., Demirsöz, T. (2026). Borderline Kişilik Bozukluğu Tanılı Bireylerde Duyguların Deneyimlenmesi: Çocukluk Dönemi ve Bugünkü Yansımalar. AYNA Klinik Psikoloji Dergisi, Cilt: 13 Sayı: 2, 437–472. https://doi.org/10.31682/ayna.1793623

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Kaynakça (63)

  1. American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders (5. Basım). American Psychiatric Association.
  2. Baptista, A., Cohen, D., Jacquet, P. O. ve Chambon, V. (2021). The cognitive, ecological, and developmental origins of self-disturbance in borderline personality disorder. Frontiers in Psychiatry, 12, 707091. https://doi.org/10.3389/fpsyt.2021.707091
  3. Bateman, A. ve Fonagy, P. (2010). Mentalization based treatment for borderline personality disorder. World Psychiatry: Official Journal of the World Psychiatric Association, 9(1), 11–15. https://doi.org/10.1002/j.2051-5545.2010.tb00255.x
  4. Bender, D. S. ve Skodol, A. E. (2007). Borderline personality as a self-other representational disturbance. Journal of Personality Disorders, 21(5), 500–517. https://doi.org/10.1521/pedi.2007.21.5.500
  5. Bennett, C., Melvin, G. A., Quek, J., Saeedi, N., Gordon, M. S. ve Newman, L. K. (2019). Perceived invalidation in adolescent borderline personality disorder: an investigation of parallel reports of caregiver responses to negative emotions. Child Psychiatry and Human Development, 50(2), 209–221. https://doi.org/10.1007/s10578-018-0833-5
  6. Berthelot, N., Lemieux, R., Garon-Bissonnette, J., Lacharité, C. ve Muzik, M. (2019). The protective role of mentalizing: Reflective functioning as a mediator between child maltreatment, psychopathology and parental attitude in expecting parents. Child Abuse & Neglect, 95, 104065. https://doi.org/10.1016/j.chiabu.2019.104065
  7. Brewin, C. R. (2023). Identity - A critical but neglected construct in cognitive-behaviour therapy. Journal of Behavior Therapy and Experimental Psychiatry, 78, 101808. https://doi.org/10.1016/j.jbtep.2022.101808
  8. Bryant, L. D., O'Shea, R., Farley, K., Brennan, C., Crosby, H. F., Guthrie, E. ve House, A. (2021). Understanding the functions of repeated self-harm: A Q methodology approach. Social Science & Medicine (1982), 268, 113527. https://doi.org/10.1016/j.socscimed.2020.113527
  9. Cackowski, S., Krause-Utz, A., Van Eijk, J., Klohr, K., Daffner, S., Sobanski, E. ve Ende, G. (2017). Anger and aggression in borderline personality disorder and attention deficit hyperactivity disorder - does stress matter? Borderline Personality Disorder and Emotion Dysregulation, 4, 6. https://doi.org/10.1186/s40479-017-0057-5
  10. Cantekin, D. (2022). Yorumlayıcı fenomenolojik analizde refleksivite ve etik. İçinde T. Gençöz (Ed.) Psikolojide nitel araştırma yöntemleri (ss. 31-38). Nobel Akademik Yayıncılık.
  11. Chambless, D. L. ve Hollon, S. D. (1998). Defining empirically supported therapies. Journal of Consulting and Clinical Psychology, 66(1), 7–18.
  12. Chapman, A. L. (2019). Borderline personality disorder and emotion dysregulation. Development and Psychopathology, 31(3), 1143–1156. https://doi.org/10.1017/S0954579419000658
  13. Cole, P. M., Llera, S. J. ve Pemberton, C. K. (2009). Emotional instability, poor emotional awareness, and the development of borderline personality. Development and Psychopathology, 21(4), 1293–1310. https://doi.org/10.1017/S0954579409990162
  14. Creswell, J. W. (2007). Qualitative inquiry & research design (2. Basım). Sage
  15. Crowell, S. E., Beauchaine, T. P. ve Linehan, M. M. (2009). A biosocial developmental model of borderline personality: Elaborating and extending Linehan’s theory, Psychological Bulletin, 135(3), 495–510.
  16. Dai, Y., Yang, P., Ji, W., Diao, L. ve Han, L. (2025). The correlation between non-suicidal self-injury in adolescents, parenting styles, and borderline personality traits. Frontiers in Psychiatry, 16, 1620872. https://doi.org/10.3389/fpsyt.2025.1620872
  17. Derks, Y. P. M. J., Westerhof, G. J. ve Bohlmeijer, E. T. (2017). A meta-analysis on the association between emotional awareness and borderline personality pathology. Journal of Personality Disorders, 31(3), 362–384. https://doi.org/10.1521/pedi_2016_30_257
  18. Eisenberg, N., Cumberland, A. ve Spinrad, T. L. (1998). Parental socialization of emotion. Psychological Inquiry, 9(4), 241–273. https://doi.org/10.1207/s15327965pli0904_1
  19. Fertuck, E. A, Fischer, S. ve Beeney, J. (2018). Social cognition and borderline personality disorder. Psychiatric Clinics of North America, 41(4), 613-632.
  20. Fonagy, P. ve Bateman, A. (2008). The development of borderline personality disorder— a mentalizing model. Journal of Personality Disorders, 22(1), 4–21.
  21. Fonagy, P. ve Luyten, P. (2009). A developmental, mentalization-based approach to the understanding and treatment of borderline personality disorder. Development and Psychopathology, 21(4), 1355–1381. https://doi.org/10.1017/S0954579409990198
  22. Fonagy, P. ve Target, M. (1997). Attachment and reflective function: their role in self-organization. Development and Psychopathology, 9(4), 679–700. https://doi.org/10.1017/s0954579497001399
  23. Ghiassi, V., Dimaggio, G. ve Brune, M. (2010). Dysfunctions in understanding other minds in borderline personality disorder: a study using cartoon picture stories. Psychotherapy Research: Journal of the Society for Psychotherapy Research, 20(6), 657–667. https://doi.org/10.1080/10503307.2010.501040
  24. Gillespie, C., Murphy, M., Kells, M. ve Flynn, D. (2022). Individuals who report having benefitted from dialectical behaviour therapy (DBT): A qualitative exploration of processes and experiences at long-term follow-up. Borderline Personality Disorder and Emotion Dysregulation, 9(1), 8. https://doi.org/10.1186/s40479-022-00179-9
  25. Gohm, C. L. ve Clore, G. L. (2002). Four latent traits of emotional experience and their involvement in well-being, coping, and attributional style. Cognition and Emotion, 16(4), 495–518. https://doi.org/10.1080/02699930143000374
  26. Goodman, M., Alvarez Tomas, I., Temes, C., Fitzmaurice, G. M., Aguirre, B. S. ve Zanarini, M. C. (2017). Suicide attempts and self-injurious behaviours in adolescent and adult patients with borderline personality disorder. Personal Ment Health, 11(3), 157–163. https://doi.org/10.1002/pmh.1375
  27. Grant, B. F., Chou, S. P., Goldstein, R. B., Huang, B., Stinson, F. S., Saha, T. D., Smith, S. M., Dawson, D. A., Pulay, A. J., Pickering, R. P. ve Ruan, W. J. (2008). Prevalence, correlates, disability, and comorbidity of DSM-IV borderline personality disorder: Results from the wave 2 national epidemiologic survey on alcohol and related conditions. Journal of Clinical Psychiatry, 69(4), 533–545.
  28. Gulbas, L. E., Hausmann-Stabile, C., De Luca, S. M., Tyler, T. R. ve Zayas, L. H. (2015). An exploratory study of nonsuicidal self-injury and suicidal behaviors in adolescent Latinas. The American Journal of Orthopsychiatry, 85(4), 302–314. https://doi.org/10.1037/ort0000073
  29. Gunderson, J.G. ve Links, P.S. (2008). The borderline diagnosis. İçinde J.G. Gunderson ve P.S. Links (Edl.) Borderline personality disorder: A clinical guide (2. Basım; ss. 1-28). American Psychiatric Publishing.
  30. Hardecker, D. J. K., Schmidt, M. F. H. ve Haun, D. B. M. (2021). Developing a coding system for sulking behavior in young children. Sage Open, 11(3), 1-13. https://doi.org/10.1177/21582440211009223
  31. Holm, A. L. ve Severinsson, E. (2011). Struggling to recover by changing suicidal behaviour: Narratives from women with borderline personality disorder. International Journal of Mental Health Nursing, 20(3), 165–173. https://doi.org/10.1111/j.1447-0349.2010.00713.x
  32. Hope, N. H. ve Chapman, A. L. (2019). Difficulties regulating emotions mediates the associations of parental psychological control and emotion invalidation with borderline personality features. Personality Disorders: Theory, Research, and Treatment, 10(3), 267–274. https://doi.org/10.1037/per0000316
  33. Ikhtabi, S., Pitman, A., Toh, G., Birken, M., Pearce, E. ve Johnson, S. (2022). The experience of loneliness among people with a “personality disorder” diagnosis or traits: A qualitative meta-synthesis. BMC Psychiatry, 22(1). https://doi.org/10.1186/s12888-022-03767-9
  34. Jørgensen, C. R. (2006). Disturbed sense of identity in borderline personality disorder. Journal of Personality Disorders, 20(6), 618–644. https://doi.org/10.1521/pedi.2006.20.6.618
  35. Kernberg, O. (1967). Borderline personality organization. Journal of the American Psychoanalytic Association, 15, 641–685.
  36. Klonsky, E. D., Glenn, C. R., Styer, D. M., Olino, T. M. ve Washburn, J. J. (2015). The functions of nonsuicidal self-injury: Converging evidence for a two-factor structure. Child and Adolescent Psychiatry and Mental Health, 9, 44. https://doi.org/10.1186/s13034-015-0073-4
  37. Knorr, A. C., Ammerman, B. A., Hoff, N. A., Congelio, L., Unger, K. ve Strony, R. (2025). The decision to help-seek within 24-hours following a suicide attempt: Rate and proximal correlates within an emergency department sample. Psychiatry Research, 350, 116541. https://doi.org/10.1016/j.psychres.2025.116541
  38. Kverme, B., Natvik, E., Veseth, M. ve Moltu, C. (2019). Moving toward connectedness – A qualitative study of recovery processes for people with borderline personality disorder. Frontiers in Psychology, 10. https://doi.org/10.3389/fpsyg.2019.00430
  39. Lane, R. D. ve Schwartz, G. E. (1987). Levels of emotional awareness: A cognitive-developmental theory and its application to psychopathology. The American Journal of Psychiatry, 144(2), 133–143. https://doi.org/10.1176/ajp.144.2.133
  40. Lane, R. D. ve Smith, R. (2021). Levels of emotional awareness: theory and measurement of a socio-emotional skill. Journal of Intelligence, 9(3), 42. https://doi.org/10.3390/jintelligence9030042
  41. Leible, T. L. ve Snell, W. E., Jr. (2004). Borderline personality disorder and multiple aspects of emotional intelligence. Personality and Individual Differences, 37(2), 393–404. https://doi.org/10.1016/j.paid.2003.09.011
  42. Levine, D., Marziali, E. ve Hood, J. (1997). Emotion processing in borderline personality disorders. Journal of Nervous and Mental Disease, 185(4), 240–246.
  43. Lieb, K., Zanarini, M. C., Schmahl, C., Linehan, M. M. ve Bohus, M. (2004). Borderline personality disorder. Lancet, 364, 453–461.
  44. Linehan, M. (1993). Cognitive–behavioral treatment of borderline personality disorder. Guilford Press.
  45. Linehan, M., Comtois, K. A. ve Ward-Ciesielski, E. F. (2012). Assessing and managing risk with suicidal individuals. Cognitive and Behavioral Practice, 19(2), 218-232. https://doi.org/10.1016/j.cbpra.2010.11.008
  46. Löf, J., Clinton, D., Kaldo, V. ve Rydén, G. (2018). Symptom, alexithymia and self-image outcomes of Mentalisation-based treatment for borderline personality disorder: A naturalistic study. BMC Psychiatry, 18(1), 185. https://doi.org/10.1186/s12888-018-1699-6
  47. Machizawa-Summers, S. (2007). Childhood trauma and parental bonding among Japanese female patients with borderline personality disorder. International Journal of Psychology, 42(4), 265–273. https://doi.org/10.1080/00207590601109276
  48. Mahler, M. S., Pine, F. ve Bergman, A. (1975). The psychological birth of the human ınfant. Basic Books.
  49. McQuade, J. D., Dixon-Gordon, K. L., Breaux, R. ve Babinski, D. E. (2022). Interactive effects of parent emotion socialization and child physiological reactivity in predicting adolescent borderline personality disorder features. Research on Child and Adolescent Psychopathology, 50(1), 89–100. https://doi.org/10.1007/s10802-020-00717-5
  50. Merriam, S. B. (2009). Qualitative research: A guide to design and implementation. Jossey-Bass.
  51. Murray, A., Wadman, R. ve Townsend, E. (2024). Do young people who self-harm experience cognitions and emotions related to post-traumatic growth? Journal of Affective Disorders Reports, 15. https://doi.org/10.1016/j.jadr.2023.100683
  52. National Health and Medical Research Council (2012). Clinical practice guideline for the management of borderline personality disorder. The British Psychological Society
  53. Norris-Nicholas, A., Malouff, J. M. ve Meynadier, J. (2025). The association between emotional intelligence and borderline personality disorder: A meta-analysis. International Journal of Psychology: Journal International de Psychologie, 60(5). https://doi.org/10.1002/ijop.70092
  54. Nuttall, A. K., Speidel, R. ve Valentino, K. (2019). Expanding and extending the role reversal construct in early childhood. Journal of Child and Family Studies, 28(11), 3132–3145. https://doi.org/10.1007/s10826-019-01490-w
  55. Pietkiewicz, I. ve Smith, J. A. (2014). A practical guide to using interpretative phenomenological analysis in qualitative research psychology. Psychological Journal, 20, 7-14. https://doi.org/10.14691/CPPJ.20.1.7
  56. Porter, C. M., Ireland, C. A., Gardner, K. J. ve Eslea, M. (2016). Exploration of emotion regulation experiences associated with borderline personality features in a non-clinical sample. Borderline Personality Disorder and Emotion Dysregulation, 3(1), 1-11. https://doi.org/10.1186/s40479-016-0040-6
  57. Qian, X., Townsend, M. L., Tan, W. J. ve Grenyer, B. F. S. (2022). Sex differences in borderline personality disorder: A scoping review. Plos One, 17(12), e0279015. https://doi.org/10.1371/journal.pone.0279015
  58. Sansone, R. A. ve Sansone, L. A. (2011). Gender patterns in borderline personality disorder. Innovations in Clinical Neuroscience, 8(5), 16–20.
  59. Skodol, A. E., Gunderson, J. G., Pfohl, B., Widiger, T. A., Livesley, W. J. ve Siever, L. J. (2002). The borderline diagnosis I: Psychopathology, comorbidity, and personality structure. Biological Psychiatry, 51, 936–950.
  60. Smith, J.A., Flowers, P. ve Larkin, M. (2009). Interpretative phenomenological analysis: Theory, method and research. SAGE.
  61. VandenBos, G. R. (Ed.). (2015). APA dictionary of psychology. American Psychological Association.
  62. Zanarini, M. C., Frankenburg, F. R., Ridolfi, M. E., Jager-Hyman, S., Hennen, J. ve Gunderson, J. G. (2006). Reported childhood onset of self-mutilation among borderline patients. Journal of Personality Disorders, 20(1), 9–15. https://doi.org/10.1521/pedi.2006.20.1.9
  63. Zanarini, M. C., Williams, A. A., Lewis, R. E., Reich, R. B., Vera, S. C., Marino, M. F., Levin, A., Yong, L. ve Frankenburg, F. R. (1997). Reported pathological childhood experiences associated with the development of borderline personality disorder. American Journal of Psychiatry, 154, 1101–1106.