Department of Psychology, University of Utah, USA.
Department of Psychology, University of Utah, USA.
Curr Opin Psychol. 2021 Feb;37:121-128. doi: 10.1016/j.copsyc.2020.12.003. Epub 2020 Dec 15.
The development of personality pathology is an interactive process between biologically based susceptibilities, interpersonal patterns, and contextual factors across the lifespan. In this paper, we argue that these interactions begin before birth. We describe the perinatal period (i.e. pregnancy and up to one year postpartum) as a sensitive developmental window during which regulatory and stress response systems that confer risk for personality pathology begin forming. In addition, we present converging evidence for significant associations between perinatal factors and later life personality disorders. Finally, we present this perinatal perspective through the lens of dynamical systems theory and emphasize the promise of this framework for guiding future personality disorder research, prevention, and intervention.
人格病理学的发展是一个在整个生命周期中生物基础易感性、人际模式和环境因素相互作用的过程。在本文中,我们认为这些相互作用始于出生前。我们将围产期(即怀孕和产后一年)描述为一个敏感的发育窗口,在此期间,赋予人格病理学风险的调节和应激反应系统开始形成。此外,我们还提供了围产期因素与后期生活人格障碍之间存在显著关联的证据。最后,我们通过动态系统理论的视角呈现了这种围产期观点,并强调了该框架指导未来人格障碍研究、预防和干预的前景。