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Frontalhirn pp 291-313 | Cite as

Frontale Dysfunktionen als ätiologische Faktoren bei der Borderline- und antisozialen Persönlichkeitsstörung?

  • H. J. Kunert
  • S. Herpertz
  • H. Sass

Zusammenfassung

Der durch die amerikanische Psychiatrie geprägte Begriff der Persönlichkeitsstörung bezieht sich auf definierte Veränderungen des Charakters bzw. Wesenszüge eines Menschen. Diese machen sich durch Auffälligkeiten in den Bereichen Denken, Affektivität, Beziehungsgestaltung oder Impulskontrolle bemerkbar. Eine Persönlichkeitsstörung wird nach den Kriterien der modernen operationalisierten Diagnosesysteme (DSM-IV oder ICD-10) dann diagnostiziert, wenn ein andauerndes Muster von innerem Erleben und Verhalten erkennbar ist, das merklich von den Erwartungen der soziokulturellen Umgebung abweicht und zu Beeinträchtigungen in sozialen, beruflichen oder anderen wichtigen Funktionsbereichen führt. Die in Frage stehenden Persönlichkeitszüge müssen zudem seit dem frühen Erwachsenenalter in Erscheinung getreten sein. Abgegrenzt werden Persönlichkeitsstörungen von Manifestationen oder Folgeerscheinungen einer anderen psychischen Störung (z. B. affektiven Störungen), situativen Belastungen oder vorübergehenden psychischen Zuständen. Auch die direkte körperliche Wirkung einer Substanz (z. B. Droge, Medikament) oder eines medizinischen Krankheitsfaktors (z. B. Kopftrauma) darf nicht ursächlich mit der Diagnose einer Persönlichkeitsstörung in Zusammenhang stehen.

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Authors and Affiliations

  • H. J. Kunert
  • S. Herpertz
  • H. Sass

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