The Cognitive, Ecological, and Developmental Origins of Self-Disturbance in Borderline Personality Disorder

Frontiers in Psychiatry

Pierre Olivier Jacquet¹  Axel Baptista²  David Cohen⁴  Valérian Chambon⁵ 

[1] Computationnelles, Département d'études Cognitives, École Normale Supérieure, INSERM, PSL University, Paris, France;Faculté de Médecine, Sorbonne Université, Paris, France;Institut Jean Nicod, Département d'études Cognitives, ENS, EHESS, CNRS, PSL University, Paris, France;Institut des Systèmes Intelligents et de Robotique, Sorbonne Université, ISIR CNRS UMR 7222, Paris, France;Institut du Psychotraumatisme de l'Enfant et de l'Adolescent, Centre Hospitalier de Versailles et Conseil départemental des Yvelines et des Hauts de Seine, Versailles, France;;Laboratoire de Neurosciences Cognitives &Service de Psychiatrie de l'Enfant et de l'Adolescent, GH Pitié-Salpêtrière Charles Foix, APHP.6, Paris, France;Université de Paris, Paris, France;

关键词: borderline personality disorder;    self;    agency;    social cognition;    early life adversity;    life history theory;   

DOI  :  10.3389/fpsyt.2021.707091

来源: DOAJ

【 摘 要 】

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.

【 授权许可】

Unknown