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Aggression also has been linked to insecure attachment. The present study extends previous work by exploring the degree to which the underlying attachment dimensions of relationship anxiety and avoidance are associated in BPD with the following forms of hostility: (a) direct aggression (verbal or physical) initiated towards others, (b) expectation\/perception of aggression from others (including \u201creactive\u201d counteraggression when\/if provoked), (c) aggression directed towards the self in the form of suicidality or parasuicidality, and (d) affective experience of irritability or anger. The issue was studied in a sample of 92 patients diagnosed with BPD. Results show significant association between more fearful forms of attachment (simultaneous presence of relationship anxiety and avoidance) and the more reactive form of aggression involving expectation of hostility from others. Self\u2010harm was significantly associated only with relational avoidance while anger and irritability were associated only with relational anxiety. Implications for understanding relational aspects of BPD aggression in research and clinical work are discussed. \u00a9 2007 Wiley Periodicals, Inc., J Clin Psychol 64: 67\u201382, 2008.<\/jats:p>","DOI":"10.1002\/jclp.20434","type":"journal-article","created":{"date-parts":[[2007,12,26]],"date-time":"2007-12-26T18:46:34Z","timestamp":1198694794000},"page":"67-82","source":"Crossref","is-referenced-by-count":89,"title":["The relational context of aggression in borderline personality disorder: using adult attachment style to predict forms of hostility"],"prefix":"10.1002","volume":"64","author":[{"given":"Kenneth L.","family":"Critchfield","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenneth N.","family":"Levy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John 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