New Antonia S
Icahn School of Medicine at Mount Sinai.
Personal Disord. 2015 Oct;6(4):395-6. doi: 10.1037/per0000152.
The articles assembled in this special issue demonstrate the broadening acceptance that a failure of "mentalization" is central in borderline personality disorder (BPD). This idea has emerged from a number of places, from astute clinicians who recognized that individuals with BPD were often limited in their ability to recognize and describe their own emotions to empirical work on emotion recognition in BPD. These articles provide a compelling argument that mentalization, with its relatively distinct and testable cognitive components, is a fertile ground for translational research. They also suggest a pathway by which empirical studies can illuminate clinical understanding. To highlight this point, it is now the routine to explain the laboratory evidence for deficits in emotional interoception to patients with BPD. This has been useful in helping to explain the internal and nuanced nature of patients' difficulties (apparent in laboratory testing but not obvious in casual encounters. This translational discussion with patients maps very closely onto an approach the editors argue for in this special issue.
本期特刊收录的文章表明，“心理化”功能障碍是边缘型人格障碍（BPD）的核心这一观点正得到越来越广泛的认可。这一观点来源于多个方面，从敏锐的临床医生认识到BPD患者在识别和描述自身情绪方面能力往往受限，到关于BPD患者情绪识别的实证研究。这些文章提供了令人信服的论据，表明心理化具有相对独特且可测试的认知成分，是转化研究的肥沃土壤。它们还提出了一条实证研究能够阐明临床理解的途径。为突出这一点，现在向BPD患者解释情绪内感受缺陷的实验室证据已成为常规做法。这有助于解释患者困难的内在细微本质（在实验室测试中明显，但在日常接触中不明显）。与患者的这种转化性讨论与编辑们在本期特刊中所倡导的方法非常契合。
