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BPD's InterpersonalHypersensitivityPhenotype: AGene-Environment-Developmental Model John G. GundersonKarlen Lyons‐Ruth2008 год

BPD's Interpersonal Hypersensitivity Phenotype: A Gene-Environment-Developmental Model
review

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Аннотация: This paper explores the development of BPD as it might emerge in the child's early interpersonal reactions and how such reactions might evolve into the interpersonal pattern that typifies BPD. It begins to bridge the relevant bodies of clinical literature on the borderline's prototypic interpersonal problems with the concurrently expanding relevant literature on early child development. We will start by considering how a psychobiological disposition to BPD is likely to include a constitutional diathesis for relational reactivity, that is, for hypersensitivity to interpersonal stressors. Data relevant to this disposition's manifestations in adult clinical samples and to its heritability and neurobiology will be reviewed. We then consider how such a psychobiological disposition for interpersonal reactivity might contribute to the development of a disorganized-ambivalent form of attachment, noting especially the likely contributions of both the predisposed child and of parents who are themselves predisposed to maladaptive responses, leading to an escalation of problematic transactions. Evidence concerning both the genetics and the developmental pathways associated with disorganized attachments will be considered. Emerging links between such developmental pathways and adult BPD will be described, in particular the potential appearance by early- to middle-childhood of controlling-caregiving or controlling-punitive interpersonal strategies. Some implications from this gene-environment interactional theory for a better developmental understanding of BPD's etiology are discussed.
Год издания: 2008
Авторы: John G. Gunderson, Karlen Lyons‐Ruth
Издательство: Guilford Press
Источник: Journal of Personality Disorders
Ключевые слова: Child and Adolescent Psychosocial and Emotional Development, Attachment and Relationship Dynamics, Child Abuse and Trauma
Другие ссылки: Journal of Personality Disorders (HTML)
Europe PMC (PubMed Central) (PDF)
Europe PMC (PubMed Central) (HTML)
PubMed Central (HTML)
PubMed (HTML)