Social Work Examination Services (SWES) Human Behavior Practice Test

According to Kernberg, patients with borderline personality disorder often exhibit which of the following characteristics?

1. Overly optimistic outlook

2. Dissociation and splitting

3. Consistent emotional stability

4. Intense dependency on therapists

The correct answer is: Dissociation and splitting

Kernberg's theory on borderline personality disorder includes the concept of splitting, which is a defense mechanism where individuals may view themselves and others in extremes, categorizing people as all good or all bad. This dichotomous thinking leads to unstable relationships and emotional responses. Dissociation is also a common trait, where patients may experience feelings of detachment or unreality during stressful times. In this context, the characteristics of dissociation and splitting provide insight into the emotional turbulence and struggles that those with borderline personality disorder often face. These behaviors are essential for understanding the complexities of their interpersonal relationships and emotional regulation. The other choices do not align with Kernberg's assessment of borderline personality disorder. An overly optimistic outlook or consistent emotional stability would not typically be present in individuals grappling with this condition, as it often involves significant emotional volatility. Intense dependency on therapists can occur but is more closely linked to various therapeutic dynamics rather than being a defining characteristic of the disorder itself.