Baptista Axel, Cohen David, Jacquet Pierre Olivier, Chambon Valérian
Institut Jean Nicod, Département d'études Cognitives, ENS, EHESS, CNRS, PSL University, Paris, France.
Service de Psychiatrie de l'Enfant et de l'Adolescent, GH Pitié-Salpêtrière Charles Foix, APHP.6, Paris, France.
Front Psychiatry. 2021 Sep 30;12:707091. doi: 10.3389/fpsyt.2021.707091. eCollection 2021.
Self-disturbance is recognized as a key symptom of Borderline Personality Disorder (BPD). Although it is the source of significant distress and significant costs to society, it is still poorly specified. In addition, current research and models on the etiology of BPD do not provide sufficient evidence or predictions about who is at risk of developing BPD and self-disturbance, and why. The aim of this review is to lay the foundations of a new model inspired by recent developments at the intersection of social cognition, behavioral ecology, and developmental biology. We argue that the sense of agency is an important dimension to consider when characterizing self-disturbances in BPD. Second, we address the poorly characterized relation between self-disturbances and adverse life conditions encountered early in life. We highlight the potential relevance of Life-History Theory-a major framework in evolutionary developmental biology-to make sense of this association. We put forward the idea that the effect of early life adversity on BPD symptomatology depends on the way individuals trade their limited resources between competing biological functions during development.
自我干扰被认为是边缘型人格障碍（BPD）的一个关键症状。尽管它是造成巨大痛苦和社会重大成本的根源，但对其仍缺乏明确的界定。此外，目前关于BPD病因的研究和模型并未提供足够的证据或预测，来表明谁有患BPD和自我干扰的风险以及原因。本综述的目的是为一个受社会认知、行为生态学和发育生物学交叉领域近期发展启发的新模型奠定基础。我们认为，能动性意识是在描述BPD中的自我干扰时需要考虑的一个重要维度。其次，我们探讨了自我干扰与早年遇到的不良生活状况之间特征描述不足的关系。我们强调了生命史理论——进化发育生物学中的一个主要框架——对于理解这种关联的潜在相关性。我们提出这样的观点，即早年逆境对BPD症状的影响取决于个体在发育过程中在相互竞争的生物学功能之间分配其有限资源的方式。
