EMOTION RECOGNITION IN BORDERLINE PERSONALITY DISORDER - A REVIEW OF THE LITERATURE

被引:247
|
作者
Domes, Gregor [2 ]
Schulze, Lars
Herpertz, Sabine C. [1 ]
机构
[1] Univ Rostock, Dept Psychiat & Psychotherapy, D-18147 Rostock, Germany
[2] Univ Zurich, Zurich, Switzerland
关键词
ANTERIOR CINGULATE CORTEX; FACIAL EXPRESSION RECOGNITION; MENTALIZATION-BASED TREATMENT; POSITRON-EMISSION-TOMOGRAPHY; BILATERAL AMYGDALA DAMAGE; NEURAL SYSTEMS; SELECTIVE IMPAIRMENT; NEGATIVE EMOTION; CHILDHOOD ABUSE; FEMALE-PATIENTS;
D O I
10.1521/pedi.2009.23.1.6
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Borderline personality disorder (BPD) is characterized by distinct impairments in emotion regulation, resulting in affective instability especially in the social context. It has been suggested that impaired social cognitive functioning such as impaired facial emotion recognition contributes to the social disturbances in BPD. In accordance with this notion, a number of behavioral studies have revealed a pattern of alterations in facial emotion recognition associated with BPD: subtle impairments in basic emotion recognition, a negativity or anger bias, and a heightened sensitivity to the detection of negative emotions. Furthermore, there is increasing evidence for structural and functional changes in the neural networks underlying affective dysregulation and emotional hyperreactivity in BPD. Merging these lines of evidence, we propose that emotional hyperreactivity interferes with the cognitive processes of facial emotion recognition, thereby contributing to the specific pattern of altered emotion recognition in BPD. Suggestions for future research and clinical implications are discussed.
引用
收藏
页码:6 / 19
页数:14
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