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Background: While challenges with parenting have been documented for individuals with borderline personality disorder (BPD), the specific mechanisms underlying these challenges are less understood. Further, there is currently a dearth in specialised parenting interventions that have been developed and empirically investigated for this group. This thesis consists of three studies that explore the parenting challenges faced by individuals with BPD and based on these challenges and their proposed underlying mechanisms, proposes a novel parenting intervention. Method: Three mixed methodology studi...

Background: Major depressive disorder (MDD) is the most prevalent mental disorder globally, with a greater morbidity rate among females than males. MDD encompasses both psychological and physical symptoms, and is associated with a higher risk of cardiometabolic disease (CMD), encompassing obesity, insulin resistance, dyslipidaemia, and hypertension. This is attributed to shared pathophysiology, including endocrine dysregulation, inflammation, and stress. However, there is limited understanding of the roles of and complex interactions between biological, psychological and physical contributors ...

Background: Borderline personality disorder (BPD) is a mental health disorder characterised by impairments in affect, behaviour, identity, and interpersonal relationships. Personal agency, operationalised by locus of control, refers to the extent that individuals feel that they have control over their outcomes. Low personal agency is understood as the tendency for individuals to perceive outcomes as a result of external factors, such as luck, chance, or fate. High personal agency is the extent that individuals perceive outcomes as dependent on their own personal characteristics, such as effort...

Background: When someone with lived experience of mental health difficulties provides help to others with similar difficulties, it is generally called peer support. Peer support may be one way to enhance interpersonal relationships, a factor known to improve recovery from borderline personality disorder (BPD). There is little known about peer support in BPD. Method: Four qualitative studies evaluated peer support for BPD. First, theory was built through an exploration to determine perceptions and possible models of peer support for BPD (Study One). Next, the application of peer support for con...

Chronic feelings of emptiness is a symptom of Borderline Personality Disorder (BPD) which has not undergone rigorous examination, despite theoretical and empirical indications supporting its significance. This thesis comprises three studies which explore the importance, influence, and nature of chronic feelings of emptiness for people with BPD. Study One investigated previous work on the importance of chronic feelings of emptiness using a PRISMA guided systematic review. Findings from 99 empirical studies indicated a difficulty defining and quantifying chronic emptiness. It was proposed that c...