A Patient Diagnosed with Borderline Personality Disorder Self-Inflicted Wrist Lacerations

A patient diagnosed with borderline personality disorder self-inflicted wrist lacerations after gaining new privileges on the unit. In this case, the self-mutilation may have been due to which of the following?

A) An inherited disorder that manifests itself as an incapacity to tolerate stress
B) Use of projective identification and splitting to bring anxiety to manageable levels
C) A constitutional inability to regulate affect, predisposing to psychic disorganization
D) Fear of abandonment associated with progress toward autonomy and independence