Children of Mothers With Borderline Personality Disorder: Identifying Parenting Behaviors as Potential Targets for Intervention
Children of Mothers With Borderline Personality Disorder: Identifying Parenting Behaviors as Potential Targets for Intervention
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DOI：
10.1037/a0023081
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发表时间：
2012-01-01
影响因子：
2.8
通讯作者：
Levine, Michele D.
中科院分区：
文献类型：
--
作者：
Stepp, Stephanie D.;Whalen, Diana J.;Levine, Michele D.
患有边缘性人格障碍 (BPD) 的母亲的孩子应被视为高危群体，因为在这些孩子中发现了一系列不良的社会心理结果。本文介绍了一些养育策略，这些策略可能可以解释患有边缘性人格障碍的母亲将脆弱性从婴儿期到青春期传递给后代的原因。我们的结论是，在与孩子的互动中，极端形式的敌意控制和被动冷漠之间的摇摆可能是患有边缘性人格障碍的母亲所特有的。我们概述了目前推荐给患有边缘性人格障碍的母亲和家庭成员的干预措施，即依恋疗法和心理教育方法。基于对养育和儿童结局的实证研究结果的整合，以及对当前干预方法的回顾，我们得出了治疗目标的建议。我们认为，患有边缘性人格障碍的母亲需要有关儿童发展的心理教育，并推荐育儿实践和技能，以提供持续的温暖和监督，包括基于正念的育儿策略。
Children of mothers with Borderline Personality Disorder (BPD) should be considered a high-risk group given the wide array of poor psychosocial outcomes that have been found in these children. This article describes the parenting strategies that might explain the transmission of vulnerability from mothers with BPD to their offspring, from infancy through adolescence. We conclude that oscillations between extreme forms of hostile control and passive aloofness in their interactions with their children may be unique to mothers with BPD. We provide an overview of interventions that are currently recommended for mothers and family members with BPD, namely attachment therapy and psychoeducational approaches. On the basis of an integration of the empirical findings on parenting and child outcomes, as well as from the review of current approaches to intervention, we conclude with recommendations for treatment targets. We argue that mothers with BPD need psychocducation regarding child development and recommended parenting practices and skills for providing consistent warmth and monitoring, including mindfulness-based parenting strategies.