Emotion Regulation, Behavioral Disinhibition, and Borderline情绪调节行为失控与边界.pptVIP

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2017-02-13 发布于上海
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Emotion Regulation, Behavioral Disinhibition, and Borderline情绪调节行为失控与边界.ppt

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Emotion Regulation, Behavioral Disinhibition, and Borderline情绪调节行为失控与边界

Borderline Personality Disorder Borderline Personality Disorder: As Defined by DSM-IV “…a pervasive pattern of instability of interpersonal relationships, self-image, and affects, and marked impulsivity beginning by early adulthood and present in a variety of contexts.” (p. 650). Defining features: efforts to avoid abandonment unstable interpersonal relations Unstable affect Unstable identity impulsive, self-damaging behavior suicidal and/or parasuicidal behavior problems with anger paranoia or dissociation in response to major stressors Borderline Personality Disorder: A Disorder of Dysregulation(Linehan, 1993) Cognitive Paranoia, suspiciousness, and dissociation when under stress Interpersonal Unstable interpersonal relations, fears of abandonment, frantic efforts to avoid abandonment. Borderline Personality Disorder: A Disorder of Dysregulation Emotional Intense anger and difficulty controlling anger Emotional instability/ mood reactivity Behavioral Self-destructive impulsive behavior Suicidal and self-harm behavior Borderline Personality Disorder: A Disorder of Dysregulation Why study BPD? HIGH RISK BEHAVIOR AND HEALTH SERVICE UTILIZATION Prevalence of BPD: 0.2% - 1.8% Up to 20% of psychiatric inpatients Up to 38% of successful suicides Up to 10% of BPD individuals commit suicide 80% of them self-harm. 75% have attempted suicide. When the parasuicide criterion is removed, most (86%) BPD individuals retain their diagnosis and still demonstrate more serious suicide attempts than depressed individuals (Friedman, Aronoff, Clarkin, Corn, Hurt, 1983). Research on the Course of BPD Generally Shows Unstable Course for More Extreme Behaviors Some studies have found that up to 75% of BPD individuals no longer meet criteria for the disorder after a 6-year period (i.e., Zanarini et al.) Studies generally suggest that the features of interpersonal instability and emotional vulnerability/instability are more stable across time. Crisis behaviors, such as