Department of Psychology, The Pennsylvania State University, USA.
Department of Psychology, The Pennsylvania State University, USA.
Curr Opin Psychol. 2018 Jun;21:94-104. doi: 10.1016/j.copsyc.2017.09.011. Epub 2017 Sep 23.
Borderline personality disorder (BPD) is characterized by disadvantageous decisions that are often expressed in close relationships and associated with intense negative emotions. Although functional neuroimaging studies of BPD have described regions associated with altered social cognition and emotion processing, these correlates do not inform an understanding of how brain activity leads to maladaptive choices. Drawing on recent research, we argue that formal models of decision-making are crucial to elaborating theories of BPD that bridge psychological constructs, behavior, and neural systems. We propose that maladaptive interactions between Pavlovian and instrumental influences play a crucial role in the expression of interpersonal problems. Finally, we articulate specific hypotheses about how clinical features of BPD may map onto neural systems that implement separable decision processes.
边缘型人格障碍（BPD）的特征是做出不利的决策，这些决策通常在亲密关系中表现出来，并与强烈的负面情绪有关。尽管对 BPD 的功能神经影像学研究已经描述了与改变的社会认知和情绪处理相关的区域，但这些相关性并不能说明大脑活动如何导致适应不良的选择。借鉴最近的研究，我们认为，决策的形式模型对于阐述 BPD 理论至关重要，这些理论将心理结构、行为和神经系统联系起来。我们提出，条件作用和工具性影响之间的适应不良相互作用在人际关系问题的表现中起着关键作用。最后，我们阐述了关于 BPD 的临床特征如何映射到执行可分离决策过程的神经系统的具体假设。
