Where are the active ingredients for borderline personality disorder? The importance of heightened triggers, two arguments for traits, and two arguments for Criterion A.
Where are the active ingredients for borderline personality disorder? The importance of heightened triggers, two arguments for traits, and two arguments for Criterion A.
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DOI：
10.1037/per0000564
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发表时间：
2022-09
影响因子：
2.8
通讯作者：
Miskewicz, Kelly
中科院分区：
文献类型：
--
作者：
Fleeson, William;Furr, R Michael;Miskewicz, Kelly
我们感谢有见地的专家花时间对我们的文件发表评论，我们认为他们的评论既阐明了问题，又提出了问题。作为对评论的回应，我们考虑了产生BPD症状的活性成分的三个可能位置。首先，我们提供了一个更乐观的情况，即活性成分可能存在于PID-5性状中，因为触发频率升高在解释症状升高方面发挥了重要作用（有一些警告）。第二，我们支持评论者的论点，即活性成分可能在自我和关系中功能障碍，如标准A。第三，我们提出了一个论点，即活性成分可能在正常特质中，但正常特质的概念和测量需要根据正常特质和人格障碍之间的联系进行更新。
We are grateful that insightful experts took the time to comment on our paper, and we find their comments both elucidating and advancing. In response to the commentaries, we consider three possible locations for the active ingredients producing BPD symptoms. First, we offer a more optimistic case that the active ingredients may be in PID-5 traits because of the important role of heightened trigger frequency in accounting for elevated symptoms (with some caveats). Second, we support the commenters’ arguments that active ingredients may be in dysfunction in the self and in relationships, as in Criterion A. Third, we offer an argument that the active ingredients may be in normal traits, but that the conception and measurement of normal traits need to be updated in light of the connection between normal traits and personality disorders.