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In this chapter, the process of conducting a trauma inquiry with clients who have borderline personality disorder (BPD) will be addressed. This process should not be confused with a method of treatment for BPD itself, which has been the subject of long-standing interest in the field of psychotherapy (Bateman and Fonagy 2006; Kernberg 1984; Linehan 1993; Masterson 1981). Like clients with dissociative identity disorder (discussed in Chapter 12, “Working With Clients With Dissociative Identity Disorder”), clients with BPD present unique challenges to the therapist in conducting a trauma inquiry. In work with clients with BPD, potential issues include their rapid shifts in affect; frequent threats to act out or harm self; tremendous need for reassurance and out-of-session contact; aggressive and critical attacks on the therapist based on intrusive but accurate collecting of personal information from the Internet and other sources; and engagement with other providers, agencies, and community authorities.
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