{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T21:39:57Z","timestamp":1783546797124,"version":"3.55.0"},"reference-count":28,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2018,11,7]],"date-time":"2018-11-07T00:00:00Z","timestamp":1541548800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Australas Psychiatry"],"published-print":{"date-parts":[[2019,2]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>To review and highlight the clinical significance of the symptom \u2018fear of abandonment\u2019 in borderline personality disorder (BPD).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A systematic search of the literature was conducted using MEDLINE and PubMed, employing search terms including \u2018fear of abandonment\u2019, \u2018borderline personality disorder\u2019 and \u2018rejection\u2019. The most relevant English-language articles and books were selected for this review.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Fear of abandonment is widely recognised as a core symptom in BPD; a biopsychosocial explanation for the occurrence of the symptom is presented. While fear of abandonment may differ in its clinical presentation, it has a significant impact on therapeutic engagement, suicidal behaviour and non-suicidal self-injury, clinical management and prognosis. Most evidence based psychotherapies for BPD address the phenomenon of fear of abandonment; however, the lack of specifically targeted treatment interventions is disproportionate to its prominence and clinical significance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Given its defining role in BPD, we recommend fear of abandonment as an important subject of future research and a specific therapy target.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1039856218810154","type":"journal-article","created":{"date-parts":[[2018,11,7]],"date-time":"2018-11-07T07:38:25Z","timestamp":1541576305000},"page":"60-63","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":28,"title":["Reviewing the clinical significance of \u2018fear of abandonment\u2019 in borderline personality disorder"],"prefix":"10.1177","volume":"27","author":[{"given":"Venura","family":"Palihawadana","sequence":"first","affiliation":[{"name":"Senior Psychiatry Registrar, Spectrum, Eastern Health, Richmond, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3342-5868","authenticated-orcid":false,"given":"Jillian H","family":"Broadbear","sequence":"additional","affiliation":[{"name":"Senior Research Fellow, Spectrum, Eastern Health, Richmond, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sathya","family":"Rao","sequence":"additional","affiliation":[{"name":"Executive Clinical Director, Spectrum, Eastern Health, Richmond, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2018,11,7]]},"reference":[{"key":"bibr1-1039856218810154","volume-title":"Treatment of the borderline adolescent: a developmental approach","author":"Masterson J.","year":"1972"},{"key":"bibr2-1039856218810154","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.132.1.1"},{"key":"bibr3-1039856218810154","volume-title":"A secure base. 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