Zusammenfassung
Kapitel 3 beschreibt entwicklungspsychologische, psychodynamische und neurobiologische Einflüsse auf die ätiologischen Modelle von Persönlichkeitsstörungen. Neurobiologische Prädispositionen und negative psychosoziale Belastungen führen zur Entwicklung einer maladaptiven Persönlichkeitsstruktur mit Beeinträchtigungen in der Identität und dem zwischenmenschlichen Funktionsniveau, gekennzeichnet durch affektive Dysregulation und Impulsivität. Anhand der Objektbeziehungstheorie wird dargestellt, dass frühe Erfahrungen mit primären Bezugspersonen zur Entwicklung von internalisierten mentalen Repräsentationen von sich selbst und von anderen führen. Der Hauptfokus des Kapitels ist die anschauliche Darstellung der Identitätsentwicklung in verschiedenen Altersgruppen sowie die Unterscheidung zwischen Identitätskrise und Identitätsdiffusion bei Jugendlichen. Eine Identitätsstörung zeigt sich klinisch als Identitätsdiffusion, die sich durch die fehlende Integration des Konzepts von sich selbst und bedeutsamen Anderen kombiniert mit extremen affektiven Zuständen darstellt.
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Foelsch, P.A., Schlüter-Müller, S., Odom, A.E., Arena, H., Borzutzky H., A., Schmeck, K. (2013). Theoretische Grundlagen. In: Behandlung von Jugendlichen mit Identitätsstörungen (AIT). Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-38394-6_3
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