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Übersichtsarbeit

Emotionale Dysregulation bei der Borderline-Persönlichkeitsstörung

Published Online:February 28, 2015https://doi.org/10.1024/1661-4747/a000115

Abstract

Zusammenfassung: Die zentrale Psychopathologie der Borderline-Persönlichkeitsstörung (BPS) ist durch eine gestörte Emotionsverarbeitung sowie Probleme bei der Emotionsregulation gekennzeichnet. Patienten mit BPS erleben intensive und instabile Emotionen sowie aversive Anspannungszustände, die besonders häufig in sozialen Situationen auftreten. Anspannungszustände hängen wiederum mit einer erhöhten Wahrscheinlichkeit für Problemverhalten (z. B. Selbstverletzungen) und einer gestörten Schmerzwahrnehmung zusammen. Da Schmerz zu einer Reduktion der Anspannung führt, könnte Selbstverletzendes Verhalten dazu führen, dass emotionales Lernen nur eingeschränkt stattfinden kann, so dass die Symptomatik aufrechterhalten wird. In dieser Übersichtsarbeit sollen neuere Forschungsarbeiten zur dysfunktionalen Emotionsregulation bei der BPS vorgestellt und der Zusammenhang zu anderen Symptomen hergestellt werden.


Emotional Dysregulation in Borderline Personality Disorder

Abstract.The core feature of Borderline Personality Disorder (BPD) is disturbed emotion processing and dysfunctional emotion regulation. Patients with BPD experience intensive and unstable emotions as well as aversive inner tension, often occurring in situations with social interaction. Aversive inner tension is related to problem behavior such as self-injurious behaviour and disturbances in pain perception. Since the experience of pain can lead to decrease of inner tension in BPD, one may assume that it impedes emotional learning, therefore maintaining these symptoms. In this article, we provide an overview of studies on dysfunctional emotion regulation in BPD and the connection to other symptoms of the disorder.

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