Borderline personality disorder (BPD) is a highly prevalent, chronic,
and debilitating psychiatric problem characterized by a pattern of chaotic
and self-defeating interpersonal relationships, emotional lability, poor
impulse control, angry outbursts, frequent suicidality, and
self-mutilation. Recently, psychopathology researchers and theorists have
begun to understand fundamental aspects of BPD such as unstable, intense
interpersonal relationships, feelings of emptiness, bursts of rage,
chronic fears of abandonment and intolerance for aloneness, and lack of a
stable sense of self as stemming from impairments in the underlying
attachment organization. These investigators have noted that the
impulsivity, affective lability, and self-damaging actions that are the
hallmark of borderline personality occur in an interpersonal context and
are often precipitated by real or imagined events in relationships. This
article reviews attachment theory and research as a means of providing a
developmental psychopathology perspective on BPD. Following a brief review
of Bowlby's theory of attachment, and an overview of the evidence
with respect to the major claims of attachment theory, I discuss
individual differences, the evidence that these differences are rooted in
patterns of interaction with caregivers, and how these patterns have
important implications for evolving adaptations and development. Following
this discussion, I present recent work linking attachment theory and BPD,
focusing on the implications for understanding the etiology and treatment
of BPD. In conclusion, I address some of the salient issues that point to
the direction for future research efforts.