Macfie Jenny
University of Tennessee.
Child Dev Perspect. 2009 Apr;3(1):66. doi: 10.1111/j.1750-8606.2008.00079.x.
A mother's mental illness may have a profound effect on her child's development, including an increased risk of the child developing the same disorder. From a developmental psychopathology perspective, offspring provide an opportunity to examine pathways to disorder versus resilience. Borderline personality disorder (BPD) is a severe disorder diagnosed in early adulthood involving stormy relationships, an unstable sense of identity, and self-destructive behavior. Interestingly, the domains of dysfunction are conceptually similar to developmental tasks in early childhood reworked in adolescence: attachment, self development, and self-regulation. Early deviation may increase the risk for later disorder. There are five empirical studies of children whose mothers have BPD, two conducted from a developmental perspective. This article proposes a theoretical framework and an innovative methodology with which to extend this research, and suggests an intervention to bring development back on track if necessary.
母亲的精神疾病可能会对其孩子的发育产生深远影响,包括孩子患同样疾病的风险增加。从发展心理病理学的角度来看,后代为研究通往疾病与恢复力的途径提供了一个机会。边缘型人格障碍(BPD)是一种在成年早期被诊断出的严重疾病,其特征包括关系动荡、身份认同感不稳定以及自我毁灭行为。有趣的是,功能失调的领域在概念上类似于幼儿期的发展任务在青春期的重新塑造:依恋、自我发展和自我调节。早期偏差可能会增加后期患疾病的风险。有五项针对母亲患有边缘型人格障碍的孩子的实证研究,其中两项是从发展的角度进行的。本文提出了一个理论框架和一种创新方法来扩展这项研究,并建议在必要时进行干预以使发展回归正轨。