The development of borderline personality disorder - A mentalizing model
The development of borderline personality disorder - A mentalizing model
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DOI：
10.1521/pedi.2008.22.1.4
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发表时间：
2008-02-01
影响因子：
2.3
通讯作者：
Bateman, Anthony
中科院分区：
文献类型：
--
作者：
Fonagy, Peter;Bateman, Anthony
本文描述了一个基于心理化的边缘型人格障碍（BPD）发展模型。该模型考虑了体质脆弱性，并植根于依恋理论及其当代发展心理学家的阐述。该模型表明，依恋关系的早期破坏与依恋环境中后来的创伤经历相结合，与神经生物学的发展相互作用。这种结合会导致依恋系统的超反应性，这使得心理化，即从心理状态来理解自己和他人的能力，在情绪唤醒时不稳定。早期心理功能模式在这些时期的出现说明了BPD的症状。该模型具有临床意义，并表明治疗的目的不仅是鼓励心智化的发展，而且在依恋系统受到刺激时促进其维持。
This paper describes a mentalization-based model of the development of borderline personality disorder (BPD). The model takes into account constitutional vulnerability and is rooted in attachment theory and its elaboration by contemporary developmental psychologists. The model suggests that disruption of the attachment relationship early in development in combination with later traumatic experiences in an attachment context interacts with neurobiological development. The combination leads to hyper-responsiveness of the attachment system which makes mentalizing, the capacity to make sense of ourselves and others in terms of mental states, unstable during emotional arousal. The emergence of earlier modes of psychological function at these times accounts for the symptoms of BPD. The model has clinical implications and suggests that the aim of treatment is not only to encourage development of mentalizing but also to facilitate its maintenance when the attachment system is stimulated.