Borderline personality disorder, mentalization, and the neurobiology of attachment
Bibliographic Data
| ID | 11276599 |
|---|---|
| Authors | P Fonagy (0000-0003-0229-0091, UCL Australia, corresponding author), Patrick Luyten (0000-0002-1161-2817, KU Leuven), Lane Strathearn (0000-0001-5870-8843) |
| Year | 2011 |
| Volume | 32 |
| Issue | 1 |
| Pages | 47-69 |
| Publication date | 2011-01-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Infant Mental Health Journal (JOURNAL) |
| Journal identifiers | ISSN: 0163-9641 • E-ISSN: 1097-0355 |
| Publisher | Wiley (PUBLISHER • GB) |
| DOI | 10.1002/imhj.20283 |
| PMID | 28543560 |
| OpenAlex | W2027412517 |
| Language | EN |
| Citations received | 29 |
| References cited | 159 |
We discuss the neural and neurobiological underpinnings of the core features of borderline personality disorder (BPD), including emotion dysregulation, impulsivity, disturbed interpersonal functioning, identity diffusion, and feelings of inner pain. We review neurobiological research that supports a developmental, biobehavioral switch‐model of the relationship between mentalization, stress, and attachment. Although it is likely that there are different developmental pathways to BPD, involving complex interactions between environmental, biological, and psychosocial factors, the final common outcome of these pathways is a low threshold for the activation of the attachment system and for deactivation of controlled mentalization, coupled with impairments in the ability to differentiate mental states of self and other. This leads to hypersensitivity and increased susceptibility to contagion from other people's mental states, poor integration of cognitive and affective aspects of mentalization, and dysfunctions in stress‐regulation systems. The treatment implications of this neurobiologically informed model of BPD are discussed
Attachment theory · Borderline personality disorder · Mentalization · Personality · Psychoanalysis · Psychotherapist · Clinical Psychology · Neuroscience · Obsessive-Compulsive Spectrum Disorders · Personality Disorders and Psychopathology · Psychology · Psychotherapy Techniques and Applications
A relational frame approach to perspective taking in persons with Borderline Personality Disorder
The Psychodynamic Diagnostic Manual M Axis
Difficulties in Emotion Regulation Mediated the Relationship Between Reflective Functioning and Borderline Personality Symptoms Among Non-Clinical Adolescents
Attachment Problems and Mentalizing Capacity Relate to Parent–Child Informant Discrepancies in Female Adolescents with Borderline Personality Disorder
Parental Reflective Functioning
The parental reflective functioning questionnaire
The Influence of Attachment Styles and Personality Organization on Emotional Functioning After Childhood Trauma
Childhood Trauma, Personality, and Substance Use Disorder
Attachment-Based Mentalization Profiles of Iranian Children
Relationship of maternal childhood maltreatment and children’s emotional-behavioral problems
Increasing Mentalization to Reduce Maladaptive Defense in Patients With Mental Disorders
Contribution of the alternative model for DSM-5 personality disorders to relationship satisfaction
Psychedelic-assisted therapy, metacognition, and the problem of integration
Souls shaped by our land – how rural communities have adapted infant mental health services to meet the needs of their population
Beyond Descriptive Models of Personality Problems
Borderline personality mediates the link between attachment insecurities and subjective working memory deficits
The “Favorite Person” in Borderline Personality Disorder
The agony and the empathy
Destigmatizing borderline personality disorder with social justice and intersectional cultural humility
The mediating role of adult attachment insecure style on the relationship between mentalization and adverse childhood experiences in a sample of community-dwelling adults
Impact of infant crying on mothers with a diagnosis of borderline personality disorder
Various mentalizing concepts in mothers with postpartum depression, comorbid anxiety, and personality disorders
Intergenerational Transmission of Attachment in Abused and Neglected Mothers
The affective basis of violence
Boys, Early Risk Factors for Alcohol Problems, and the Development of the Self
The early biopsychosocial development of boys and the origins of violence in males
Personality, Psychopathology, and Health Through the Lens of Interpersonal Relatedness and Self-Definition
Does it Matter if There is a Nonverbal Period of Development? On the Infant’s Understanding the Social World and its Implications for Psychoanalytic Therapy
Attachment Theory and Substance Abuse
Attachment and loss
Mentalizing in Clinical Practice
Advances In Experimental Social Psychology
Affective Neuroscience
Psychotherapy for Borderline Personality Disorder
Change in attachment patterns and reflective function in a randomized control trial of transference-focused psychotherapy for borderline personality disorder.
The relation of attachment status, psychiatric classification, and response to psychotherapy.
The parent–infant dyad and the construction of the subjective self
Social support and oxytocin interact to suppress cortisol and subjective responses to psychosocial stress
Childhood Adversities, Interpersonal Difficulties, and Risk for Suicide Attempts During Late Adolescence and Early Adulthood
The neural basis of romantic love
Adolescent attachment and psychopathology.
Oxytocin increases trust in humans
Prevalence, Correlates, Disability, and Comorbidity of DSM-IV Borderline Personality Disorder
The debate over dopamine’s role in reward
Social Cognitive Neuroscience
Effectiveness of Partial Hospitalization in the Treatment of Borderline Personality Disorder
Beautiful Faces Have Variable Reward Value
The neural correlates of maternal and romantic love
The Attachment Behavioral System In Adulthood
Effects of Partner Support on Resting Oxytocin, Cortisol, Norepinephrine, and Blood Pressure Before and After Warm Partner Contact
Understanding Feelings and Coping with Emotional Situations
Effects of maltreatment on school-age children's socioemotional development
Effect of maltreatment on preschoolers' narrative representations of responses to relieve distress and of role reversal
Maternal facial behavior and the recognition and production of emotional expression by maltreated and nonmaltreated children
Responses of abused and disadvantaged toddlers to distress in agemates
Physically abused preschoolers' responses to peers' distress
Attachment and Borderline Personality Disorder
Five types of personality continuity in childhood and adolescence
Adult attachment representations, parental responsiveness, and infant attachment
| Unique citing works | 29 |
|---|---|
| Citations per year | 2,07 |
| Citation span | 2012 - 2026 (15) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 27 |