Advertisement

Theory of Mind pp 303-317 | Cite as

Theory of Mind und Borderline-Persönlichkeitsstörung

  • Michael RentropEmail author
  • Elisa SchellerEmail author
Chapter

Zusammenfassung

Ausgehend von den derzeit gültigen diagnostischen Kriterien, den biologischen Faktoren und Risikobedingungen zur Entwicklung einer Borderline-Persönlichkeitsstörung soll im Folgenden auf die Fähigkeit der Patienten, Gedanken und Gefühle anderer zu erfassen – also die Theory of Mind (ToM) – eingegangen werden.

Literatur

  1. American Psychiatric Association (1994) Diagnostic and statistical manual of mental disorders (DSM IV) 4th edn, American Psychiatric Press, Washington DC (Dt. Bearbeitung: Saß H, Wittchen HU, Zaudig M (1996) Diagnostisches und statistisches Manual psychischer Störungen DSM IV, Hogrefe, Göttingen)Google Scholar
  2. Bandelow B, Krause J, Wedekind D et al (2005) Early traumatic life events, parental attitudes, family history, and birth risk factors in patients with borderline personality disorder and healthy controls. Psychiatry Res 134: 169–179PubMedCrossRefGoogle Scholar
  3. Bateman AW, Fonagy P (2004) Mentalization-based treatment of BPD. J Personal Dis 18: 36‒51CrossRefGoogle Scholar
  4. Bateman AW, Fonagy P (2008) 8-year follow-up of patients treated for borderline personality disorder: mentalization-based treatment versus treatment as usual. Am J Psychiatry 165: 631–638PubMedCrossRefGoogle Scholar
  5. Baumann MH, Ayestas MA, Rothman RB (1998) Functional consequences of central serotonin depletion produced by repeated fenfluramine administration in rats. J Neurosci 18(21): 9069–9077PubMedGoogle Scholar
  6. Bender DS, Dolan RT, Skodol AE et al (2001) Treatment utilization by patients with personality disorders. Am J Psychiatry 158: 295–302PubMedCrossRefGoogle Scholar
  7. Bohus M (2002) Borderline-Störung. Hogrefe, GöttingenGoogle Scholar
  8. Caligor E, Stern B, Kernberg O et al (2004) Strukturiertes Interview zur Erfassung von Persönlichkeitsorganisation (STIPO) – wie verhalten sich Objektbeziehungstheorie und Bindungstheorie zueinander? Persönlichkeitsstörungen 8: 209–216Google Scholar
  9. Clarkin JF, Hull JW, Hurt SW (1993) Factor structure of borderline personality disorder criteria. J Personal Disord 7: 137–143CrossRefGoogle Scholar
  10. Clarkin JF, Yeomans FE, Kernberg OF (2001) Psychotherapie der Borderline Persönlichkeit. Manual zur psychodynamischen Therapie. Schattauer, StuttgartGoogle Scholar
  11. Clarkin JF, Levy KN, Lenzenweger MF, Kernberg OF (2007) Evaluating three treatments for borderline personality disorder: a multiwave study. Am J Psychiatry 164(6): 922–928PubMedCrossRefGoogle Scholar
  12. Dammann G (2001) Bausteine einer allgemeinen Psychotherapie der Borderline Störung. In: Dammann G, Janssen PL (Hrsg) Psychotherapie der Borderline-Störungen. Thieme, Stuttgart, S 232–257Google Scholar
  13. Doering S, Horz S, Rentrop M et al (2010) Transference-focused psychotherapy v. treatment by community psychotherapists for borderline personality disorder: randomised controlled trial. Br J Psychiatry 196(5): 389–395PubMedCrossRefGoogle Scholar
  14. Driessen M, Herrmann J, Stahl K et al (2000) Magnetic resonance imaging volumes of the hippocampus and the amygdala in women with borderline personality disorder and early traumatization. Arch Gen Psychiatry 57: 1115–1122Google Scholar
  15. Fertuck EA, Jekal A, Song I et al (2009) Enhanced ‘Reading the Mind in the Eyes’ in borderline personality disorder compared to healthy controls. Psych Med 39(12): 1979–1988Google Scholar
  16. Fonagy P (1991) Thinking about thinking: some clinical and theoretical considerations in the treatment of a borderline patient. Int J Psycho-Sanal 72: 639–656Google Scholar
  17. Fonagy P (1998) Attachment and borderline personality disorder. J Am Psychoanal Ass 48: 1129–1146CrossRefGoogle Scholar
  18. Fonagy P, Luyten P (2009) A developmental, mentalization-based approach to the understanding and treatment of borderline personality disorder. Dev Psychopathol 21(04): 1355–1381Google Scholar
  19. Fonagy P, Leigh T, Steele M et al (1996) The relation of attachment status, psychiatric classification and response to psychotherapy. J Consult Clin Psychol 64: 22–31PubMedCrossRefGoogle Scholar
  20. Fonagy P, Target M, Steele H, Steele M (1998) Reflective-functioning manual for application to Adult Attachment Interviews. University College, LondonGoogle Scholar
  21. Fonagy P, Target M, Gergely G et al (2004) Entwicklungspsychologische Wurzeln der Borderline-Persönlichkeitsstörung – Reflective Functioning und Bindung. Persönlichkeitsstörungen 8: 217–229Google Scholar
  22. Gabbard GO (2005) Mind, brain, and personality disorders. Am J Psychiatry 162(4): 648–655PubMedCrossRefGoogle Scholar
  23. Gunderson JG, Zanarini MC, Kisiel C (1995) Borderline prsonality disorder. In: Livesley WJ (ed) The DSM IV personality disorders. Guilford, New York, pp 141–157Google Scholar
  24. Jerschke S, Meixner K, Richter H, Bohus M (1998) Zur Behandlungsgeschichte und Versorgungssituation von Patientinnen mit Borderline-Persönlichkeitsstörung in der Bundesrepublik Deutschland. Fortschr Neurol Psychiatrie 66: 545–552CrossRefGoogle Scholar
  25. Koenigsberg HW, Siever LJ, Lee H et al (2009) Neural correlates of emotion processing in borderline personality disorder. Psych Res: Neuroimaging 3(30): 192–199CrossRefGoogle Scholar
  26. Leihener F, Schehr K (2002) Manual zum Skillstraining, Bearbeitung der deutschen Übersetzung. Abteilung für Psychiatrie und Psychotherapie des Klinikums der Universität FreiburgGoogle Scholar
  27. Lenzenweger MF, Lane MC, Loranger AW, Kessler RC (2007) DSM-IV personality disorders in the National Comorbidity Survey Replication. Biol Psychiatry 62: 553–564PubMedCrossRefGoogle Scholar
  28. Lenzenweger MF, Clarkin JF, Yeomans FE et al (2008) Refining the borderline personality disorder phenotype through finite mixture modeling: implications for classification. J Pers Disord 22(4): 313–331PubMedCrossRefGoogle Scholar
  29. Levy K, Clarkin JF, Kernberg OF (2004) Das Adult Atachment Interview (AAI) als Veränderungsmaß in der Behandlung von Borderline Patienten. Persönlichkeitsstörungen 8: 244–250Google Scholar
  30. Lieb K, Zanarini MC, Schmahl C et al (2004). Borderline personality disorder. Lancet 364(9432): 453–461Google Scholar
  31. Lieb K, Vollm B, Rucker G et al (2010) Pharmacotherapy for borderline personality disorder: Cochrane systematic review of randomised trials. Br J Psychiatry 196: 4–12PubMedCrossRefGoogle Scholar
  32. Linehan M (1993) Skills training manual for treating borderline personality disorders. Guilford, New YorkGoogle Scholar
  33. Linehan MM (1996) Dialektisch Behaviorale Therapie der Borderline-Persönlichkeitsstörung. CIP Medien, MünchenGoogle Scholar
  34. Linehan MM, Comtois KA, Murray AM et al (2006) Two-year randomized controlled trial and follow-up of dialectical behavior therapy vs therapy by experts for suicidal behaviors and borderline personality disorder. Arch Gen Psychiatry 63(7): 757–766PubMedCrossRefGoogle Scholar
  35. Mauchnik J, Schmahl C (2010) The latest neuroimaging findings in borderline personality disorder. Curr Psychiatry Rep 12: 46–55PubMedCrossRefGoogle Scholar
  36. Nunes PM, Wenzel A, Borges KT et al (2009) Volumes of the hippocampus and amygdala in patients with borderline personality disorder: a meta-analysis. J Pers Disord 23(4): 333–345PubMedCrossRefGoogle Scholar
  37. Oquendo MA, Krunic A, Parsey RV et al (2005) Positron emission tomography of regional brain metabolic responses to a serontonergic challenge in major depressive disorder with and without borderline personality disorder. Neuropsychopharmacology 30(6): 1163–1172PubMedCrossRefGoogle Scholar
  38. Patrick, M, Hobson RP, Castle D et al (1994) Personality disorder and the mental representation of early social experience. Dev Psychpathol 6: 375–388CrossRefGoogle Scholar
  39. Pears KC, Fisher PA (2005) Emotion understanding and the theory of mind among maltreated children in foster care: evidence of deficits. Dev Psychopathol 17: 47–65PubMedCrossRefGoogle Scholar
  40. Premack D, Woodruff G (1978) Does the chimpanzee have a theory of mind? Behav Brain Sci 4: 515–526CrossRefGoogle Scholar
  41. Roth G, Dicke U (2005) Evolution of the brain and intelligence. Trends Cogn Sci 9: 250–257PubMedCrossRefGoogle Scholar
  42. Saxe R (2006) Uniquely human social cognition. Curr Opin Neurobiol 16(2): 235–239PubMedCrossRefGoogle Scholar
  43. Schenkel LS, Spaulding WD, Silverstein SM (2005) Poor premorbid social functioning and theory of mind deficit in schizophrenia: evidence of reduced context processing? J Psychiatric Res 39: 499–508CrossRefGoogle Scholar
  44. Schmahl CG, Vermetten E, Elzinga BM, Bremner JD (2003) Magnetic resonance imaging of hippocampal and amygdala volume in women with childhood abuse and borderline personality disorder. Psychiatry Res Neuroimaging 122: 193–198CrossRefGoogle Scholar
  45. Shedler J, Westen D (2004) Refining personality disorder diagnosis: integrating science and practice. Am J Psychiatry 161: 1350–1365PubMedCrossRefGoogle Scholar
  46. Silbersweig D, Clarkin JF, Goldstein M et al (2007) Failure of frontolimbic inhibitory function in the context of negative emotion in borderline personality disorder. Am J Psychiatry 164: 1832–1841PubMedCrossRefGoogle Scholar
  47. Skodol AE, Bender DS (2003) Why are women diagnosed borderline more than men? Psychiatric Quat 74: 349–360CrossRefGoogle Scholar
  48. Skodol AE, Gunderson JG, Pfohl B et al (2002a) The borderline diagnosis I: psychopathology, comorbidity, and personality structure. Biol Psychiatry 51: 936–950CrossRefGoogle Scholar
  49. Skodol AE, Siever LJ, Livesley WJ et al (2002b) The borderline diagnosis II: biology, genetics, and clinical course. Biol Psychiatry 51: 951–963CrossRefGoogle Scholar
  50. Skodol AE, Gunderson JG, Shea MT et al (2005) The collaborative longitudinal personality disorders study (CLPS): overview and implications. J Pers Disord: Special Issue on Longitudinal Studies 19(5): 487–504CrossRefGoogle Scholar
  51. Schnell K, Herpertz SC (2007) Effects of dialectic-behavioral-therapy on the neural correlates of affective hyperarousal in borderline personality disorder. J Psychiatr Res 41(10): 837–847PubMedCrossRefGoogle Scholar
  52. Stanley B, Siever LJ (2010) The interpersonal dimension of borderline personality disorder: toward a neuropeptide model. Am J Psychiatry 167(1): 24–39PubMedCrossRefGoogle Scholar
  53. Torgersen S, Kringelen E, Cramer V (2001) The prevalence of personality disorders in a community sample. Arch Gen Psychiatry 58: 590–596PubMedCrossRefGoogle Scholar
  54. WHO/Weltgesundheitsorganisation (1991) Internationale Klassifikation psychischer Störungen: ICD-10, Kapitel V (F), Dilling H, Mombour W, Schmidt MH (Hrsg). Huber, BernGoogle Scholar
  55. Zittel Conklin C, Westen D (2005) Borderline personality disorder in clinical practice. Am J Psychiatry 162: 867–875CrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  1. 1.Klinik für Psychiatrie und Psychotherapie der TU MünchenKlinikum rechts der Isar der TU MünchenMünchenDeutschland
  2. 2.Universitätsklinikum Freiburg, Abteilung für Psychiatrie und PsychotherapieFreiburg Brain ImagingFreiburgDeutschland

Personalised recommendations