J Pers Disord. 2014 Feb;28(1):70-7. doi: 10.1521/pedi.2014.28.1.70.
In this commentary, the authors note that Gratz and colleagues (2014) have made an important step in understanding the effect of maternal borderline personality (BP) pathology on children's developing emotion regulation. The emphasis on mechanisms of transmission in their article has implications for our understanding of the relationships between parental mental health and child functioning more generally. The authors of the commentary argue that using a biopsychosocial framework to understand the multiple levels that characterize the developmental system will push this kind of focus on behavioral mechanisms a step further. A biopsychosocial framework implies that a set of hierarchically organized, but reciprocally interacting, processes, from the genetic to the environmental, provide the essential elements of development (Gottlieb, 2007). Thus, in studying the effects of maternal BP pathology on child outcomes, consideration may also be given to the role of underlying biological processes that are influenced by maternal functioning and may alter child outcomes. Challenges to using this general approach in studying the effects of parental psychopathology are discussed.
在这篇评论中,作者指出,Gratz 及其同事(2014 年)在理解母婴边缘型人格障碍(BP)病理学对儿童发展中情绪调节的影响方面迈出了重要一步。他们的文章强调了传递机制,这对我们更广泛地理解父母心理健康与儿童功能之间的关系具有重要意义。评论的作者认为,使用生物心理社会框架来理解描述发展系统的多个层面,将进一步关注行为机制。生物心理社会框架意味着,从遗传到环境,一系列层次化组织但相互作用的过程为发展提供了基本要素(Gottlieb,2007)。因此,在研究母婴 BP 病理学对儿童结果的影响时,也可以考虑到受母婴功能影响并可能改变儿童结果的潜在生物学过程的作用。本文还讨论了在研究父母精神病理学影响时使用这种一般方法所面临的挑战。