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Despite apparently intact cognition and comprehension of risks, a borderline subject may deliberately choose self-harm in order to fulfill abnormal psychological needs, or due to suicidality.
Although little has been written on issues of research informed consent in borderline personality disorder, I would argue that caution must be exercised in assessing a borderline subject's ability to consent based solely on comprehension of a study.
Alternatively, a borderline subject's actions may be motivated by the abrupt devaluing tendency seen in their interpersonal relationships: they may refuse to consent to a study that could significantly benefit them based on unwarranted anger toward the study staff.
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It's not a borderline case.
UV-350 is a borderline case.
It's a borderline case.
This argument flounders when we consider the borderline subject, whose most prominent personality trait is instability.
Just as financial compensation may be in fact coercive to some populations, these perceived benefits may in fact be considered coercive for the borderline subject.
Experience and training in psychotherapy enables one to monitor transference and counter-transference throughout the encounter with the borderline subject, lending insight into the subject's current motivational state and helping keep her or his affect from spinning out of control.
Indeed, one can suppose that these borderline subjects have a cognitive reserve or possess compensatory mechanisms that enable them to pass cognitive paper-pencil tests, thereby masking their true decrease in intellectual performance during single-tasking.
It is noteworthy that the number of borderline subjects accounted for over a third of the sample in both the EG and the CG: this seems to be consistent with Cotton's suggestion [62] that the process of affective regulation, and the cognitive maturation of an "emotive competency" in particular, is still incomplete in developmental age.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com