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[执行系统失调与心理理论:边缘型人格障碍神经科学概念的临床意义]

[Dysregulation of the executive system and theory of mind: clinical interest of a neuroscientific conception of BPD].

作者信息

Bouchard Sébastien, Lemelin Sophie, Dubé Claude, Giguère Jean-François

机构信息

Santé mentale et psychologie, TÉLUQ-UQAM.

出版信息

Sante Ment Que. 2010 Autumn;35(2):227-51. doi: 10.7202/1000561ar.

Abstract

Borderline personality disorder (BPD) is a complex psychopathology. Through recent developments, neuroscience is able to contribute to better understanding the neurobiological underpinnings of BPD manifestations. This article aims to demonstrate that BPD is in part due to executive and frontal dysregulation of the mechanisms responsible for the optimal functioning of inferences specific to theory of mind. To do so, four types of observations will be examined: parallels between frontal personality and BPD, the presence of frontal cognitive deficits in BPD, the consequences of childhood abuse and neglect on brain development and finally, the results of brain imagery in BPD. This article follows in the path of a growing interest in the integration of the neuroscientific perspective of BPD to current conceptualisations in psychopathology. The final aim is to try to offer an understanding of BPD manifestations that avoids the traditional splitting between mind and brain-psychology and biology-and to show the numerous associations between clinical psychology and neurobiology.

摘要

边缘型人格障碍(BPD)是一种复杂的精神病理学现象。随着近期的发展,神经科学能够为更好地理解BPD表现的神经生物学基础做出贡献。本文旨在证明,BPD部分归因于负责心智理论特定推理最佳功能的机制的执行和额叶功能失调。为此,将审视四类观察结果:额叶人格与BPD之间的相似之处、BPD中额叶认知缺陷的存在、童年期虐待和忽视对大脑发育的影响,以及最后BPD的脑成像结果。本文沿着一条道路前行,即人们越来越关注将BPD的神经科学视角与当前精神病理学概念相结合。最终目标是尝试提供一种对BPD表现的理解,避免传统上心智与大脑、心理学与生物学之间的分裂,并展示临床心理学与神经生物学之间的众多关联。

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