EPISTEMIC PETRIFICATION AND THE RESTORATION OF EPISTEMIC TRUST: A NEW CONCEPTUALIZATION OF BORDERLINE PERSONALITY DISORDER AND ITS PSYCHOSOCIAL TREATMENT
EPISTEMIC PETRIFICATION AND THE RESTORATION OF EPISTEMIC TRUST: A NEW CONCEPTUALIZATION OF BORDERLINE PERSONALITY DISORDER AND ITS PSYCHOSOCIAL TREATMENT
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DOI：
10.1521/pedi.2015.29.5.575
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发表时间：
2015-10-01
影响因子：
2.3
通讯作者：
Allison, Elizabeth
中科院分区：
文献类型：
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作者：
Fonagy, Peter;Luyten, Patrick;Allison, Elizabeth
基于依恋、心智化和认知信任在精神病理学发展中的作用的进化考虑，提出了边缘型人格障碍（BPD）及其治疗的新发展模型。我们认为，对精神病理的脆弱性通常与认知信任的损害有关，这会导致健康发生过程的中断，而健康发生过程与从社会环境中受益的能力有关。BPD也许是最能说明这一观点的疾病。我们认为，这种概念化解释了BPD中存在的显著刚性和不稳定性，并对干预具有深远的影响。
A new developmental model of borderline personality disorder (BPD) and its treatment is advanced based on evolutionary considerations concerning the role of attachment, mentalizing, and epistemic trust in the development of psychopathology. We propose that vulnerability to psychopathology in general is related to impairments in epistemic trust, leading to disruptions in the process of salutogenesis, the positive effects associated with the capacity to benefit from the social environment. BPD is perhaps the disorder par excellence that illustrates this view. We argue that this conceptualization makes sense of the presence of both marked rigidity and instability in BPD, and has far-reaching implications for intervention.