(Proposed additions are [bracketed]; proposed omissions are; relevant studies are cited). Interpersonal Hypersensitivity -
(1)
a pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation [i.e., distrustful perceptions of others as bad, malevolent] (Bhar, Brown, & Beck, 2008; Butler, Brown, Beck, & Grisham, 2002; Drapeau & Perry, 2009; Domes et al., 2008; Donegan et al., 2003; King-Casas et al., 2008; Lynch, Chapman, Rosenthal, Kuo, & Linehan, 2006; Shedler & Westen, 2004; Unoka, Seresm, Aspan, Bodi, & Keri, 2009; Wagner & Linehan, 1999) [and between overinvolvement and withdrawal (Conklin & Westen, 2005; Drapeau & Perry, 2009; Meyer et al., 2001)]
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(2)
[anxious preoccupation with] (Agrawal, Gunderson, Holmes, & Lyons-Ruth, 2004; Butler et al., 2002; Choi-Kain, Fitzmaurice, Zanarini, Laverdiere, & Gunderson, 2009; Morse et al., 2009; Scott, Levy, & Pincus, 2009) real or imagined abandonment [and rejection] (Butler et al., 2002; Stiglmayer et al., 2005; Choi-Kain, Hudson, Zanarini, & Gunderson, 2010; Stanley & Siever, 2010; Ziegler-Hill & Abraham, 2006)]
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(3)
chronic feeling of emptiness (Klonsky, 2008) (no change)
Affective/Emotional Dysregulation -
(4)
negative emotionality (chronic dysphoria) (Kuo & Linehan, 2009; Livesley, 2008; Nica & Links, 2009; Shedler & Westen, 2004; Zanarini et al, 2007), with sudden shifts from irritability or anxiety [to depression (but not to euphoria) (Koenigsberg et al., 2002; Trull et al, 2008)] (usually lasting a few hours and only rarely more than a few days)
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(5)
inappropriate, intense anger or difficulty controlling anger (e.g., frequent displays of temper, constant anger, [violent outbursts]) (Koenigsberg et al., 2002; Morse et al., 2009; Shedler & Westen, 2004) (minor change)
Behavioral Dyscontrol -
(6)
impulsivity in at last two areas that are potentially self-damaging, e.g, [omit], sex, substance abuse, reckless driving, binge eating (minimal change)
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(7)
recurrent suicidal behavior, gestures, or threats, or deliberate self-harming behavior (minimal change)
Disturbed Self -
(8)
markedly and persistently unstable self-image or sense of self [including perceptions of self as bad] (Conklin & Westen, 2005; Gunderson & Links, 2008; Zanarini et al., 1998, 2008) (minor change)
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(9)
dissociative [states of mind] [i.e., perceives self or the world as disconnected, unreal] (Koenigsberg et al., 2009; Stiglmayr, Shapiro, Stieglitz, Limberger, & Bohus, 2001, Stiglmayr et al., 2008) with episodic stress-related paranoid ideation (minor change)
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