scholarly journals Deficits of Affect Mentalization in Patients with Drug Addiction: Theoretical and Clinical Aspects

2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Svetoslav Savov ◽  
Nikola Atanassov
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Drug Addiction ◽  
Self Regulation ◽  
Complex Form ◽  
Borderline Personality ◽  
Clinical Aspects ◽  
Empirical Testing ◽  
Affective States ◽  
Psychodynamically Oriented

Traditionally treated with wariness, drug addictions have provoked a serious interest in psychodynamically oriented clinicians in recent decades. This paper discusses the development of contemporary psychodynamic conceptualizations of addictions, focusing specifically on mentalization-based theories. The concept of mentalization refers to a complex form of self-regulation which includes attribution of psychological meaning to one’s own behavior and affective states, as well as those of the others. We hypothesize that drug-addicted patients have severe impairments in mentalizing, associated with developmental deficits, characteristic for the borderline personality disorder and psychosomatic conditions. Psychodynamic models of mentalization and their corresponding research operationalizations are reviewed, and implications for a contemporary understanding of drug addictions and psychotherapy are drawn. The authors propose that mentalization-oriented theories provide an adequate conceptualization, which is open to empirical testing and has clear and pragmatic guidelines for treatment.

scholarly journals Self-Regulation and Psychodynamics in Bioenergetic Analysis

2021 ◽  
Vol 31 (1) ◽  
pp. 59-78
Author(s):  
Jens Tasche
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Affect Regulation ◽  
Self Regulation ◽  
Borderline Personality ◽  
The Self ◽  
Structural Disorders ◽  
Bioenergetic Analysis ◽  
Polish Society ◽  
Theoretical Considerations

This article presents ten theses containing theoretical considerations for a postgraduate curriculum as currently tested by the Polish Society for Bioenergetic Analysis. The bioenergetic notion of the self, of affect regulation and of mental defense are modified in order to allow for psychodynamic conflict-, structureand trauma-pathological concepts to be integrated into Bioenergetic Analysis. Among other advantages, this approach facilitates the work with structural disorders (narcissism, borderline personality disorder) in Bioenergetic Analysis.

scholarly journals ‘Still-face’ interactions between mothers with borderline personality disorder and their 2-month-old infants

2003 ◽  
Vol 183 (3) ◽  
pp. 239-247 ◽  
Author(s):  
Lisa E. Crandell ◽  
Matthew P. H. Patrick ◽  
R. Peter Hobson
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Psychiatric Disorder ◽  
Self Regulation ◽  
Borderline Personality ◽  
Diagnostic Group ◽  
Face To Face ◽  
Play Interactions ◽  
Developmental Significance

BackgroundThere is evidence that psychopathology in mothers may be associated with dysfunctional mother–infant interactions.AimsTo investigate mother–infant relations when mothers have borderline personality disorder.MethodEight mothers with borderline personality disorder and twelve mothers without psychiatric disorder were videotaped interacting with their 2-month-old infants in three successive phases of interaction: face-to-face play; an episode when the mother adopted a ‘still face’ and was unreactive; and a period when play interactions were resumed. The videotapes were rated by judges blind to the diagnostic group of the mother.ResultsThe mothers with borderline personality disorder were more intrusively insensitive towards their infants. During the still-face period, their infants showed increased looking away and dazed looks. Following this, mother–infant interactions were less satisfying and their infants showed dazed looks and lowering of affect.ConclusionsThe diagnosis of borderline personality disorder is associated with a particular pattern of mother–infant interaction. The infants' responses to the still-face challenge might suggest dysfunctional self-regulation, but the developmental significance remains to be assessed.

Cognitive and Affective Theory of Mind in Female Patients With Borderline Personality Disorder

2021 ◽  
Vol 35 (5) ◽  
pp. 672-690
Author(s):  
Karen Hillmann ◽  
Corinne Neukel ◽  
Marlene Krauch ◽  
Angelika Spohn ◽  
Knut Schnell ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Theory Of Mind ◽  
Childhood Trauma ◽  
Affective State ◽  
Borderline Personality ◽  
False Belief ◽  
Affective States ◽  
Experimental Conditions ◽  
Childhood Trauma Questionnaire

Empirical studies have identified deficits in cognitive and affective theory of mind (ToM) in patients with borderline personality disorder (BPD), but results remain heterogeneous and not much is known about the role of childhood trauma. The current study assessed cognitive and affective ToM in 80 patients with BPD and 41 healthy controls in a false-belief cartoon task. Childhood trauma was measured with the Childhood Trauma Questionnaire (CTQ). Patients with BPD responded slower in all experimental conditions in false-belief situations, but not when false beliefs were resolved; made more errors in the cognitive ToM condition; and reported worse affective states more often in and after false-belief situations. No significant correlations between ToM and childhood trauma could be found. The current study revealed deficits in cognitive and affective ToM in patients with BPD that may be related to a more negative affective state raised by the false-belief stories.

Biases in Affective Forecasting and Recall as a Function of Borderline Personality Disorder Features

2019 ◽  
Vol 38 (3) ◽  
pp. 200-223
Author(s):  
Christopher D. Hughes ◽  
Shireen L. Rizvi
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Emotion Dysregulation ◽  
Borderline Personality ◽  
Specific Pattern ◽  
Affective Forecasting ◽  
Affective States ◽  
Film Clip ◽  
Decision Making Processes ◽  
Negative Affective States

Introduction: The ability to predict emotional experiences, “affective forecasting,” is an essential factor in individuals' decision-making processes. Research has shown that, generally, individuals are inaccurate in their affective forecasts/recollections, and that certain psychological disorders may be related to individual differences in these inaccuracies, or biases. Understanding the role of affective biases in disorders characterized by emotion dysregulation, like Borderline Personality Disorder (BPD), may provide important information regarding the sources of said dysregulation. The present study aimed to identify specific or unique patterns in affective forecasting/recall biases as a function of BPD features. Method: Using a sample of undergraduates (n = 185), we compared predicted and recalled affective states with actual affect following a sadness-evoking film clip. We predicted that higher levels of BPD features would be associated with greater affective forecasting and recall biases. Results: Results indicated that BPD features predicted a specific pattern of forecasting and recall biases regarding the clip. Counter to our hypotheses, as BPD features increased, forecasts/recollections of their affective states following the sadness-evoking film clip were more accurate (less biased). Discussion: Results indicate that BPD features may be related to a specific pattern of bias with negative affective states and warrant further study. Furthermore, this study provides evidence that disorder-specific patterns of forecasting/recall bias can be studied with a laboratory-based paradigm.

Cognitive and Affective Theory of Mind in Female Patients With Borderline Personality Disorder

2020 ◽  
pp. 1-19
Author(s):  
Karen Hillmann ◽  
Corinne Neukel ◽  
Marlene Krauch ◽  
Angelika Spohn ◽  
Knut Schnell ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Theory Of Mind ◽  
Childhood Trauma ◽  
Affective State ◽  
Borderline Personality ◽  
False Belief ◽  
Affective States ◽  
Experimental Conditions ◽  
Childhood Trauma Questionnaire

Empirical studies have identified deficits in cognitive and affective theory of mind (ToM) in patients with borderline personality disorder (BPD), but results remain heterogeneous and not much is known about the role of childhood trauma. The current study assessed cognitive and affective ToM in 80 patients with BPD and 41 healthy controls in a false-belief cartoon task. Childhood trauma was measured with the Childhood Trauma Questionnaire (CTQ). Patients with BPD responded slower in all experimental conditions in false-belief situations, but not when false beliefs were resolved; made more errors in the cognitive ToM condition; and reported worse affective states more often in and after false-belief situations. No significant correlations between ToM and childhood trauma could be found. The current study revealed deficits in cognitive and affective ToM in patients with BPD that may be related to a more negative affective state raised by the false-belief stories.

scholarly journals Mentalization-based treatment for patients with borderline personality disorder: an overview

2009 ◽  
Vol 31 (1) ◽  
pp. 72-75 ◽  
Author(s):  
Mariana Eizirik ◽  
Peter Fonagy
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Mental Health Professionals ◽  
Therapeutic Process ◽  
Psychological Trauma ◽  
Borderline Personality ◽  
Randomized Controlled ◽  
Effective Interventions ◽  
Psychodynamically Oriented ◽  
The Individual

OBJECTIVE: To describe the concept of mentalization, and its application in understanding the development of psychopathology in patients with borderline personality disorder; to give an account of the main features of mentalization-based treatment; to summarise the evidence supporting its effectiveness. DISCUSSION: Mentalization is a predominantly preconscious mental activity that enables the individual to understand him/herself and others in terms of subjective states and mental processes. Psychological trauma in childhood is associated with deficits in mentalization and with the development of borderline personality disorder. Mentalization-based treatment is a psychodynamically-oriented manualized psychotherapy for borderline personality disorder that aims to develop a therapeutic process in which the patient's capacity for mentalization becomes the focus of treatment. Randomized controlled trials have demonstrated the effectiveness of this treatment for patients with borderline personality disorder. CONCLUSIONS: The development of a psychodynamically-oriented therapeutic intervention that specifically targets the deficits involved in the psychopathology of borderline personality disorder is a crucial step in increasing the effectiveness of treatment. Mental health professionals should be adequately prepared to deliver effective interventions to their patients, such as mentalization-based treatment.

Metacognition of daily self-regulation processes and personality traits in borderline personality disorder

2020 ◽  
Vol 267 ◽  
pp. 243-250 ◽  
Author(s):  
Daniel Vega ◽  
Rafael Torrubia ◽  
Josep Marco-Pallarés ◽  
Angel Soto ◽  
Antoni Rodriguez-Fornells
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Personality Traits ◽  
Self Regulation ◽  
Borderline Personality
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