A biosocial developmental model of borderline personality: Elaborating and extending Linehan's theory.

A biosocial developmental model of borderline personality: Elaborating and extending Linehan's theory.
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DOI:
10.1037/a0015616
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发表时间:
2009-05
影响因子:
22.4
通讯作者:
Linehan, Marsha M.
Linehan, Marsha M.
中科院分区:
心理学1区
文献类型:
--
作者:
Crowell, Sheila E.;Beauchaine, Theodore P.;Linehan, Marsha M.

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在过去的几十年里,研究越来越多地集中在心理障碍的发展前兆上,这些心理障碍以前被认为只会在成年期出现。这种关注点的变化是因为人们认识到,生物脆弱性和心理社会风险因素之间的复杂交易从受孕开始就塑造了情感和行为的发展。然而,迄今为止,关于边缘性人格发展的实证研究极为有限。事实上,在M. M. Linehan最初提出了边缘型人格障碍发展的生物社会模型,但很少有人尝试在高危青少年中测试该模型。在这篇综述中,不同的文献进行了审查,可以告知边缘病理的个体发生的理解,并提出了可检验的假设,以指导未来的研究与高危儿童和青少年。一个可能的途径是确定,导致边缘型人格障碍;它开始于早期的脆弱性,最初表现为冲动,其次是高度的情绪敏感性。这些脆弱性在整个发展过程中会因环境风险因素而加剧,这些因素会导致更极端的情绪,行为和认知失调。
Over the past several decades, research has focused increasingly on developmental precursors to psychological disorders that were previously assumed to emerge only in adulthood. This change in focus follows from the recognition that complex transactions between biological vulnerabilities and psychosocial risk factors shape emotional and behavioral development beginning at conception. To date, however, empirical research on the development of borderline personality is extremely limited. Indeed, in the decade since M. M. Linehan initially proposed a biosocial model of the development of borderline personality disorder, there have been few attempts to test the model among at-risk youth. In this review, diverse literatures are reviewed that can inform understanding of the ontogenesis of borderline pathology, and testable hypotheses are proposed to guide future research with at-risk children and adolescents. One probable pathway is identified that leads to borderline personality disorder; it begins with early vulnerability, expressed initially as impulsivity and followed by heightened emotional sensitivity. These vulnerabilities are potentiated across development by environmental risk factors that give rise to more extreme emotional, behavioral, and cognitive dysregulation.
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