








































Graduate Student Journal of Psychology                                                                             Copyright 2005 by the Department of Counseling & Clinical Psychology 


Graduate Student Journal of Psychology                                                                             Copyright 2006 by the Department of Counseling & Clinical Psychology  
2006, Vol. 8                                                                                                                          Teachers College, Columbia University                          ISSN 1088-4661 
 
 
 

Mothers with Borderline Personality Disorder 
 

Andrea E. Lamont 
Teachers College, Columbia University 

 
Children of mothers with Borderline Personality Disorder (BPD) are a particularly vulnerable 
population who have thus far been relatively neglected in the empirical research within the field 
of clinical psychology. This paper aims at identifying the need for increased research on the psy-
chosocial outcomes of these children. Diagnostic characteristics of the disorder, such as problems 
with interpersonal relationships and instability of sense of self, impede a mother with BPD’s abil-
ity to face the challenges associated with parenting and negatively affect her explicit parenting 
behaviors. These maladaptive parenting behaviors of the mother with BPD are anticipated to 
negatively affect child development. This paper explores the cognitive and social/emotional de-
velopment of children of mothers with BPD. Increased research on this population is called for 
and future directions are suggested. 

 
 

Borderline Personality Disorder (BPD) is a pervasive 
disturbance of personality that is marked by a pattern of 
unstable relationships, a history of impaired self image, 
identity problems, and recurrent, severe impulsivity that is 
present in a variety of psychosocial domains (American 
Psychological Association, 2000). It affects approximately 
2% of the general population, about 10% of patients seen at 
outpatient health care clinics, and about 20% of psychiatric 
inpatients (APA, 2000; Paris, 1999). 

Researchers have long been interested in examining the 
familial patterns of BPD. Masterson (1976) once com-
mented that “the mother of any borderline is herself a bor-
derline,” and since then, research in this area has focused on 
the increased prevalence of psychopathology in biological 
families (e.g., Links, Steiner, & Huxley, 1988). Family 
members of those with BPD are at an increased risk for a 
myriad of psychopathological diagnoses. The prevalence 
rate of Borderline Personality Disorder is five times greater 
in first degree relatives of people with BPD than in the gen-
eral population (APA, 2000; Links et al., 1988; Paris, 1999) 
with an even higher prevalence of subsyndromal phenome-
nology of the disorder in first degree relatives (Zanarini et 
al., 2004). Additionally, Substance Dependence, Antisocial 
Personality Disorder and recurrent mood disorders (primar-
ily, unipolar depression) are commonly diagnosed within 
the family of origin (APA, 2000; Links et al., 1988). 

Nonetheless, despite the fact that approximately 75% 
of BPD sufferers are women, many of whom are in their 
child bearing years (APA, 2000), little attention has been 
paid to the psychosocial development of children whose 
mothers have BPD. It is hypothesized that children of 
mothers with BPD will suffer a myriad of psychosocial 
problems resulting from the mother’s borderline symptoma-

 
Correspondence concerning this article should be addressed to 
Andrea E. Lamont, 78 Maple Drive, Brewster, NY 10509; e-mail: 
ael2112@columbia.edu.

tology; however, there is very little empirical evidence to 
date that addresses the unique effects of a maternal diagno-
sis of BPD on a child’s development. It is the aim of this 
paper to highlight the importance of and need for increased 
research focus on children of mothers with BPD. 

Scant research exists to validate the notion that essen-
tial features of Borderline Personality Disorder directly 
interfere with a parenting efficacy, despite the predictions 
of the attachment literature suggesting that maternal BPD 
should have negative ramifications for the developing child. 
For example, mothers with BPD, by the very nature of the 
disorder, display low levels of warmth, and high levels of 
intrusiveness and hostility. The mother’s inability to display 
“good enough” parenting interferes with healthy child de-
velopment. Likewise, Borderline Personality Disorder by its 
very nature interrupts the mother’s ability to be emotionally 
available for her children. A mother with BPD’s unresolved 
mental representations (from her own early childhood ex-
periences) may act as “ghosts in the nursery” that impede 
the her ability to be fully present and emotionally available 
to her child (Hobson, Patrick, & Valentine, 1998; Hobson et 
al., 2005).  

It should be noted that psychosocial development of 
children with fathers with Borderline Personality Disorder 
is an equally important area of study. However, the focus 
shall be given to mothers with BPD due to the gender dif-
ferences of the diagnosis and the uniqueness of the symbi-
otic relationship in infancy, as well as to be consistent with 
prior literature on BPD. 

This paper begins with a brief review of the literature 
on the diagnosis of Borderline Personality Disorder and the 
early experiences of adults with BPD. This review is fol-
lowed by an exploration of the ways in which the character-
istic features of the diagnosis may come into play within the 
mother-child relationship. An overview of the limited re-
search on the development of children of mothers with BPD 
is then presented, and future directions are suggested. 

39 



LAMONT 
 

40 

Attachment Status and Early 
Experiences of Mothers with BPD 

 
According to the Diagnostic and Statistical Manual of 

Mental Disorders, Fourth Edition – Text Revision (APA, 
2000), individuals are considered to have Borderline Per-
sonality Disorder if they meet at least five of the following 
nine diagnostic criteria: frantic efforts to avoid real or imag-
ined abandonment; a pattern of unstable and intense inter-
personal relationships characterized by alternating between 
extremes of idealization and devaluation; identity distur-
bance; impulsivity in at least two areas that are potentially 
self-damaging; recurrent suicidal behavior, gestures, threats 
or self-mutilating behavior; affective instability due to a 
marked reactivity of mood; chronic feelings of emptiness; 
inappropriate, intense anger or difficulty controlling anger; 
and transient, stress-related paranoid thoughts or severe 
dissociative symptoms (APA, 2000).  

In the psychoanalytic literature, Borderline Personality 
Disorder is a disorder rooted in pre-oedipal disturbances in 
the mother-child relationship. Many adults with BPD were 
raised in disorganized families marked by dissolution, 
emergencies, and feats for survival (Golomb et al., 1994). 
Many recall their own parents as insensitive, neglectful, 
unempathic, overprotective, and intrusive (Newman & Ste-
venson, 2005; Paris, 1999). Family environments were of-
ten chaotic, and the varying emotions of the child were not 
validated (Newman & Stevenson, 2005; Paris, 1999). It is 
noteworthy that many adults with BPD had a history of 
childhood abuse, loss, and trauma (APA, 2000; Feldman et 
al., 1995; Millon, Blaney, & Davis, 1999; Trull, Stepp, & 
Durrett, 2003) and continue to struggle from unresolved 
issues resulting from this trauma into their adult years.  

Thus, almost all adults with BPD maintained a “disor-
ganized” pattern of attachment during childhood (Holmes, 
2005). Children with a disorganized pattern display an in-
consistent and unorganized response to the attachment rela-
tionship (Davies, 2004). Their lack of consistency in at-
tachment behaviors may develop out of a dynamic in which 
the disorganized child feels frightened and perceives the 
mother as frightening (Davies, 2004; Stevenson-Hinde & 
Verschueren, 2002). In fact, the child’s inability to sustain a 
secure attachment in childhood plays a tremendous role in 
the etiology of the disorder above and beyond the effects of 
the childhood trauma (see Trull et al., 2003). As adults, 
individuals with BPD continue to display maladaptive at-
tachment behaviors, typically revealing maladaptive “en-
meshed” or “unresolved” pattern of adult attachment 
(Crandell, Patrick, & Hobson, 2003; Hobson et al., 2005). 

 
Mothers with BPD in the Parental Role 

 
Mothers with BPD are characterized by a history of 

broken relationships and marked instability in multiple do-
mains of their lives. It is anticipated that the characteristic 
behaviors of BPD will infiltrate the mother-child relation-

ship as much as it interferes with other relationships. As 
such, the characteristic features of borderline symptomatol-
ogy create an environment that is non-conducive to the op-
timal social and emotional development of children. This 
section will illuminate how borderline features and unre-
solved early experiences interfere with a mother with 
BPD’s ability to parent effectively. 

 
Borderline Symptoms in Context of Parenting 

Characteristic symptoms of Borderline Personality 
Disorder are likely to hinder the ability of a mother with 
BPD to parent effectively, thereby negatively affecting the 
social and emotional development of the child. For in-
stance, adults with BPD typically display a pattern of un-
stable relationships and a host of interpersonal problems 
(APA, 2000). They generally show a disorganized way of 
dealing with interpersonal stress and frequently fluctuate 
between extreme idealization and devaluation of others 
(Holmes, 2005; APA, 2000). It is suggested that the 
mother-child relationship is not protected from these inter-
personal problems. Likewise, people with BPD often cross 
interpersonal boundaries and role expectations. Many peo-
ple with BPD, for instance, will be empathic towards, and 
care for, other people only under the expectation that the 
other person will “be there” for them on demand (APA, 
2000). Many habitually make impractical claims that others 
are not “there” enough and make unrealistic demands for 
amount of time spent together. They often inappropriately 
respond with intense anger to even brief separations or 
slight changes in plans (APA, 2000). Concomitantly, a 
mother with BPD tends to treat the child as a “need gratify-
ing object” as opposed to an individual, an autonomous 
person. Such behaviors, mixed with the powerful, alternat-
ing idealization and devaluation characteristic of BPD, are 
likely to obviate a positive mother-child relationship and 
negatively affect the child’s developing interpersonal skills 
and sense of self.  

Moreover, effective parenting by the mother with BPD 
is compromised by instability in her sense of her own self. 
Overall, those with BPD maintain a negative self-image and 
feelings of worthlessness. It is also typical for adults with 
BPD to make abrupt changes in aspirations, vocation, sex-
ual identity and values (APA, 2000). Since it is through the 
unique relationship with the mother that the infant develops 
a sense of self, this distorted, unpredictable, and fluctuating 
self image of the mother is likely to have negative effects 
on the child’s own self image. 

Furthermore, a mother with BPD’s inability to ade-
quately regulate her own emotions may obstruct her ability 
to cope with the varying affective states of her child (New-
man & Stevenson, 2005; Paris, 1999). It is common for 
mothers with BPD to feel anxious, estranged, confused, or 
overwhelmed by their infants (Hobson et al., 2005; 
Holman, 1985; Newman & Stevenson, 2005). When these 
parents get stuck in their own “defensive and entangled 
organization of thought” (Crandell, Fitzgerald, & Whipple, 



MOTHERS WITH BORDERLINE PERSONALITY DISORDER 
 

41 

1997, p. 250), they prevent their children from integrating 
certain affective experiences and behaviors. 

Mothers with BPD, for instance, are characteristically 
volatile and have difficulty controlling intense, inappropri-
ate anger that is often precipitated by environmental 
changes and/or intense abandonment fears (APA, 2000; 
Paris, 1999). Their strong outbursts of anger can be detri-
mental to the developing child, and many children of moth-
ers with BPD are victims of verbal and/or physical abuse 
(Newman & Stevenson, 2005). Glickhauf-Hughes & 
Mehlman (1998) suggest that “a mother’s hostility, rage, 
and destructive behavior may be disguised as love, making 
it difficult for a child to trust his or her own perceptions of 
reality” (p. 296). 

Additionally, a mother with BPD’s inability to ade-
quately regulate her emotions causes her to inappropriately 
react to environmental stimuli. Her inability to regulate her 
emotions often yields impulsive and self-mutilating behav-
iors.  People with BPD, for example, frequently engage in 
gambling, substance abuse, reckless driving, binge eating 
and other self-destructive behaviors. Roughly 8-10% of 
patients with BPD commit suicide, and an even higher per-
centage (roughly 70%) attempt suicide or engage in behav-
iors that are physically harmful (APA, 2000; Paris, 1999; 
Trull et al, 2003). The psychological effects of this self-
mutilating behavior on the children can be enormous. Spe-
cifically, children bereaving a parent after suicide feel im-
mense guilt, question ‘why,’ and suffer from complicated 
and internal grieving (Emerson, 2003). These children feel 
isolated and angry, and face an increased risk of experienc-
ing Post Traumatic Stress Disorder symptoms and other 
psychopathology (Cerel, Fristad, Weller, & Weller, 2000; 
Emerson, 2003). 

 
Early Experiences and Child Attachment 

Research consistently demonstrates that a parent’s 
adult attachment status is associated with infant attachment 
status (Crandell et al., 1997). Many BPD mothers’ own 
childhood attachments to their primary caregivers were 
“disorganized,” and they continue to suffer from “en-
meshed” or “unresolved” attachments in adult relationships 
(Crandell et al., 2003; Hobson et al., 2005; Holmes, 2005). 
Thus, it is logical that the children of mothers with BPD 
display a high level of disorganization (Holmes, 2005; Ly-
ons-Ruth & Jacobvitz, 1999).  

It has been found that a mother with BPD’s maladap-
tive childhood attachment status is passed down to the next 
generation through the replication of the unresolved trauma 
in the mother’s life (for a discussion of the extent of trans-
mission, see Crandell et al., 1997; Crandell et al., 2003; 
Van IJzendoorn, 1995). In fact, the manner in which a 
mother reflects on past trauma in her own life is related to 
the quality of the relationship between the mother and her 
own child (Crandell et al., 1997; Van IJzendoorn, 1995). 
The mother with BPD’s history of childhood trauma be-
comes replicated in her own family through the reproduc-

tion of a maladaptive family environment and explicit par-
enting behaviors. Feldman, Zelkowitz, Weiss, Vogel, Hey-
man, & Paris (1995) discovered that families of mothers 
with BPD, similar to the families of origin of mothers with 
BPD, were significantly less cohesive, less organized and 
marked overall by more instability than families without 
borderline pathology. 
 
Unresolved Trauma and Explicit Parenting Behaviors 

Unresolved trauma, which is associated with BPD, of-
ten obstructs a mother’s ability to parent effectively. Par-
ents who are unable to reflect back on their childhood his-
tory and integrate their experiences have a limited capacity 
for emotional availability to their children (Crandell & 
Hobson, 1999). Specifically, a mother with BPD may lack 
the capacity to respond appropriately to her children by 
projecting past material into the mother-child interaction 
(Crandell et al., 1997). For example, defensive splitting 
may interfere with the parent-child relationship via the 
mother with BPD’s perception of the child as either “all 
good,” who needs to be saved, or “all bad,” who needs to be 
reprimanded (Newman & Stevenson, 2005, Glickhauf-
Hughes & Mehlman, 1998). Even the act of care giving 
itself may trigger painful memories from the mother’s his-
tory of trauma, making it very difficult for the mother with 
BPD to cope with the daily challenges of parenting (Main, 
1995). These triggers often causes her to engage in mal-
adaptive, “frightened/frightening” behaviors, whereby the 
she is both frightening to the child and frightened herself at 
the same time (Holmes, 2005; Hobson, et al, 2005). In this 
way, mothers with BPD are often classified as “high risk” 
parents (Newman & Stevenson, 2005), at risk of child 
abuse and/or drastically overprotective behaviors.  

Crandell et al. (1997) empirically verified that the 
manner in which mothers mentally organized and accu-
rately perceived their childhoods predicted the manner in 
which the mothers interacted with their children. Thus, 
mothers identified as having a ‘secure’ attachment in child-
hood interacted more fluidly and synchronistically with 
their children than mothers identified as ‘insecure.’ Con-
gruently, a mother with BPD’s history of traumatic early 
experiences and a maladaptive attachment status results in 
behavioral patterns that are less supportive of child auton-
omy. Mothers with BPD tend to interact with their children 
in an “intrusively insensitive” manner (Hobson et al., 
2005). These interactions may interfere with the child’s 
developing ability to relate to other people within the envi-
ronment and yield myriad interpersonal problems for the 
child. 
 

Development in Children of Mothers with BPD 
 
Despite the difficulties mothers with BPD have with 

emotional regulation and the importance of the mother-
child relationship in a child’s social and emotional devel-
opment, there is little known at present about the psychoso-



LAMONT 
 

42 

cial development in children of mothers with BPD. To date, 
the strongest research examining the psychosocial outcomes 
of these children is a small pilot study conducted by Weiss, 
Zelkowitz, Feldman, Vogel, Heyman, and Paris (1996). 
Weiss et al. (1996) confirmed that children of mothers with 
BPD, compared to children with mothers without BPD, had 
a significantly higher number of psychiatric diagnoses and 
scored higher on a global rating of impairment. The authors 
demonstrated that children of mothers with BPD are at an 
increased risk for developing impulse control disorders and 
borderline tendencies of their own. Even when childhood 
trauma was controlled for, significant group differences in 
functioning between children of mothers with and without 
BPD were found; approximately 20% of the variation in 
child functioning and 8% of the variation in borderline pa-
thology was accounted for by maternal diagnosis alone. 
Weiss et al.’s findings provide insight into the development 
of children of mothers with BPD. However, the study was 
limited by a small sample size and lack of attention to co-
morbid diagnoses, and it has not been replicated to date. 
These preliminary results point to the need for further re-
search with larger sample sizes inclusive of mothers with 
comorbid diagnoses.  

The following section examines the attachment status 
of children raised by mothers with BPD and reviews the 
attachment literature in order to illuminate potential cogni-
tive, interpersonal and affective problems in these children. 

 
Attachment Status of Children 

Children of mothers with BPD show a significantly 
higher prevalence of ‘disorganized’ attachment than chil-
dren of mothers without BPD (Hobson et al., 2005). Moth-
ers with BPD’s intrusive insensitivity, affective deregula-
tion, confusion over role expectations, and unresolved 
traumatic experiences have been identified as possible pre-
cursors for this disorganization (see Van IJzendoorn et al., 
1999; Hobson et al., 2005). Disorganization in children 
typically arises in response to recurrent stress. In the case of 
children of mothers with BPD, children’s disorganized re-
sponses develop out of what Main (1995) refers to as an 
approach-avoidant dilemma. The stress associated with 
borderline symptomatology (e.g., erratic or volatile behav-
ior) causes children to simultaneously cling to and push 
away from their caregiver. In other words, in times of dan-
ger or stress, the child searches for the mother as a “secure 
base” to cling to, but in the case of a mother with BPD, it is 
often the mother herself who is posing the threat.  

Behavioral disorganization in children is inherently 
maladaptive and therefore of concern to mental health pro-
fessionals working with children of mothers with BPD. 
Research shows that disorganization in childhood attains 
modest levels of long term stability and is linked to a host 
of pathological sequelae (Holmes, 2005; Van IJzendoorn et 
al., 1999). Disorganized children face stress management 
problems, frequently engage in externalizing behaviors, and 

may even face dissociative behaviors later in life (Lyons-
Ruth & Jacobvitz, 1999; Van IJzendoorn et al., 1999). 
 
Cognitive Development 

There is little known about cognitive development in 
children of mothers with BPD specifically, but high levels 
of ‘disorganized’ attachment status suggest that these chil-
dren will face significant cognitive impairments. Attach-
ment security with the primary caregiver is correlated with 
intellectual development and functioning of children in that 
responsiveness and attunement, maternal involvement, and 
emotional sensitivity support healthy cognitive develop-
ment (see Crandell & Hobson, 1999 for a brief overview of 
the literature). Hence, a mother with BPD’s intrusive insen-
sitivity and unpredictability is bound to negatively affect a 
child’s cognitive development.  

Crandell & Hobson (1999) conducted a study of intel-
lectual functioning in children of mothers with a ‘secure’ 
vs. ‘insecure’ adult attachment status. They found that chil-
dren of ‘insecure’ mothers scored an average of 19 points 
lower on the Stanford-Binet test than children of ‘secure’ 
mothers. Likewise, neurobiological studies reveal that dis-
organized children have increased levels of cortisol and 
decreased mental development (Hertsgaard, Gunnar, Erick-
son, & Nuchmias, 1995). Since most children of mothers 
with BPD display high levels of disorganization, it is rea-
sonable to presume that children of mothers with BPD are 
significantly stressed children who are placed at a cognitive 
disadvantage (Holmes, 2005). It is likely that the attach-
ment status of children of mothers with BPD mediates the 
relationship between the mother’s psychopathology and the 
child’s level of cognitive functioning. 
 
Interrelatedness and Affective Regulation in Children 
of Mothers with BPD 

Since children of mothers with BPD typically display a 
disorganized behavioral pattern and are forced to consis-
tently cope with their mother’s borderline symptomatology 
(including their maladaptive interpersonal relations, re-
peated broken relationships, and affective deregulation), it 
would be expected that children of mothers with BPD 
would show deficits in interpersonal relatedness. While 
there is very minimal research in this area at present, there 
is evidence to suggest that infants of mothers with BPD 
have an alternative way of dealing with interpersonal stress 
than children with mothers without BPD (Crandell et al., 
2003). During the ‘Strange Situation’ experimental para-
digm designed to elicit secure base attachment behaviors, 
infants of mothers with BPD are less available for positive 
engagement with a stranger (Hobson et al., 2005). These 
infants become less satisfied from the mother-child interac-
tion after the interpersonally stressful separation than chil-
dren of parents without BPD. Crandell et al. (2003) dis-
cusses how this alternate mode of coping reflects the child’s 



MOTHERS WITH BORDERLINE PERSONALITY DISORDER 
 

43 

expectation that the parent will not return to soothe the 
child in times of high stress. 

It is noteworthy that exploratory evidence finds that 
children of mothers with BPD also show signs of affective 
dysregulation during the experimental ‘Still Face Proce-
dure.’ In the Still Face Procedure, children of mothers with 
BPD show a pattern of dazed glare and glance away from 
the parent more frequently than children of mothers without 
BPD (Crandell et al., 2003). Crandell et al. found that, 
whereas children of mothers with and without BPD pre-
sented with similar affect before the procedure, children of 
mothers with BPD showed a rapid decline during and after 
the procedure. They maintained an overall depressed affect 
and exhibited more dazed looks than the control group. 
Additionally, children of mothers with BPD scored lower 
on measures of behavioral organization under stress 
(Hobson, 2005) and required more time to recover from the 
stressful situation. These preliminary findings regarding 
emotional conflict in children of mothers with BPD is bol-
stered by psychoanalytic observations. Anecdotal reports 
describe children of mothers with BPD as having tenden-
cies toward defensive splitting, and displaying “emotional 
needs through denial, acting-out, self destructive behavior 
and role reversals…[and] frequently express fears of aban-
donment and engulfment” (Glickauf-Hughes & Mehlman, 
1998, p. 300). 

There is also evidence to suggest that, even in middle 
childhood, children of mothers with BPD may display prob-
lems with interpersonal relatedness and affective regulation. 
Follow-up studies show that disorganized children have 
more difficulty engaging in ‘democratic’ play with peers at 
ages six and seven. These children often make executive 
decisions and are overall more controlling in interactions 
with both peers and parents. Additionally, disorganized 
children maintain an inability to appropriately resolve 
frightening situations in middle childhood years (see 
Holmes, 2005 for a brief overview of the research). 

 
Future Directions 

 
Children of mothers with BPD are a potentially disad-

vantaged group of children that are at risk for future psy-
chopathology. However, as Crandell et al. (1997) demon-
strated, attachment status is not completely stable, and chil-
dren who are able to resolve early traumatic experiences are 
able to obtain an ‘earned secure’ attachment status in adult-
hood. Adults with an earned secure status function compa-
rably to adults who had secure attachment status as children 
(Crandell et al, 1997). These findings hold great promises 
for the prognosis of children of mothers with BPD. With 
adequate attention and intervention, there is hope that chil-
dren of mothers with BPD will overcome the risks associ-
ated with this maternal psychopathology. 

Nonetheless, the long term psychosocial outcomes of 
children of mothers with BPD have thus far been neglected 
in empirical research. A few exploratory studies have 

looked at infants of mothers with BPD, but these studies 
have been limited by small sample sizes, and have only 
targeted children in infancy. There is a need for more longi-
tudinal studies that examine the long term outcomes of 
children who cope daily with a mother with BPD. Simi-
larly, it is important for researchers to examine the effects 
of protective environmental factors that may buffer the ef-
fects of a mother with BPD, such as non-pathological fa-
thers and/or extended family that may protect the child 
from the borderline patterns of instability. An increased 
knowledge regarding moderators of risk and the qualities of 
borderline symptomatology that affect children above and 
beyond the effects of disorganized attachment and/or child-
hood abuse is needed in order to adequately intervene in the 
lives of these vulnerable children. 
 

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	Attachment Status and Early
	Experiences of Mothers with BPD
	Mothers with BPD in the Parental Role
	Borderline Symptoms in Context of Parenting

	Early Experiences and Child Attachment
	Unresolved Trauma and Explicit Parenting Behaviors

	Attachment Status of Children

