Book contents
- The Cambridge Handbook of Personality Disorders
- The Cambridge Handbook of Personality Disorders
- Copyright page
- Contents
- Figures
- Tables
- Contributors
- Preface
- Part I Etiology
- Part II Models
- Part III Individual Disorders and Clusters
- 9 Cluster A Personality Disorders
- 9a Conceptual and Methodological Reflections on Schizotypy, Schizotypic Psychopathology, Cluster A Disorders, and Schizophrenia: Commentary on Cluster A Personality Disorders
- 9b Improved Operationalization and Measurement Are Central to the Future of Cluster A Personality Disorders: Commentary on Cluster A Personality Disorders
- 9c Cluster A Heterogeneity: Author Rejoinder to Commentaries on Cluster A Personality Disorders
- 10 Borderline Personality Disorder
- 10a Further Reflections on Assessment, Etiology, and Treatment: Commentary on Borderline Personality Disorder
- 10b Integrating Neuroscience and Psychotherapy: Commentary on Borderline Personality Disorder
- 10c The Promise of Applying a Developmental Psychopathology Framework to the Etiology and Treatment of Borderline Personality Disorder: Author Rejoinder to Commentaries on Borderline Personality Disorder
- 11 An Integrative Biobehavioral Trait Perspective on Antisocial Personality Disorder and Psychopathy
- 11a What Do We Talk about When We Talk about Psychopathy? Commentary on an Integrative Biobehavioral Trait Perspective on Antisocial Personality Disorder and Psychopathy
- 11b Issues of Emphasis in the Triarchic Psychopathy Model: Commentary on an Integrative Biobehavioral Trait Perspective on Antisocial Personality Disorder and Psychopathy
- 11c An Agreeable Response to Questions and Criticisms: Author Rejoinder to Commentaries on an Integrative Biobehavioral Trait Perspective on Antisocial Personality Disorder and Psychopathy
- 12 Narcissistic and Histrionic Personality Disorders
- 12a A Call for Scientific Caution: Commentary on Narcissistic and Histrionic Personality Disorders
- 12b Beyond Nucleus Diagnostic Conceptualizations: Commentary on Narcissistic and Histrionic Personality Disorders
- 12c Clinical Personality Science of Narcissism Should Include the Clinic: Author Rejoinder to Commentaries on Narcissistic and Histrionic Personality Disorders
- 13 Cluster C Anxious-Fearful Personality Pathology and Avoidance
- 13a Epidemiological, Factor-Analytic, and Cognitive Factors in the Position of Obsessive-Compulsive Personality Disorder among the Cluster C Personality Disorders: Commentary on Cluster C Anxious-Fearful Personality Pathology and Avoidance
- 13b Examining Cluster C Personality Pathology Using an Interpersonal Lens: Commentary on Cluster C Anxious-Fearful Personality Pathology and Avoidance
- 13c Processes, Mechanisms, and Progress: Author Rejoinder to Commentaries on Cluster C Anxious-Fearful Personality Pathology and Avoidance
- Part IV Assessment
- Part V Treatment
- Index
- References
10b - Integrating Neuroscience and Psychotherapy: Commentary on Borderline Personality Disorder
from Part III - Individual Disorders and Clusters
Published online by Cambridge University Press: 24 February 2020
- The Cambridge Handbook of Personality Disorders
- The Cambridge Handbook of Personality Disorders
- Copyright page
- Contents
- Figures
- Tables
- Contributors
- Preface
- Part I Etiology
- Part II Models
- Part III Individual Disorders and Clusters
- 9 Cluster A Personality Disorders
- 9a Conceptual and Methodological Reflections on Schizotypy, Schizotypic Psychopathology, Cluster A Disorders, and Schizophrenia: Commentary on Cluster A Personality Disorders
- 9b Improved Operationalization and Measurement Are Central to the Future of Cluster A Personality Disorders: Commentary on Cluster A Personality Disorders
- 9c Cluster A Heterogeneity: Author Rejoinder to Commentaries on Cluster A Personality Disorders
- 10 Borderline Personality Disorder
- 10a Further Reflections on Assessment, Etiology, and Treatment: Commentary on Borderline Personality Disorder
- 10b Integrating Neuroscience and Psychotherapy: Commentary on Borderline Personality Disorder
- 10c The Promise of Applying a Developmental Psychopathology Framework to the Etiology and Treatment of Borderline Personality Disorder: Author Rejoinder to Commentaries on Borderline Personality Disorder
- 11 An Integrative Biobehavioral Trait Perspective on Antisocial Personality Disorder and Psychopathy
- 11a What Do We Talk about When We Talk about Psychopathy? Commentary on an Integrative Biobehavioral Trait Perspective on Antisocial Personality Disorder and Psychopathy
- 11b Issues of Emphasis in the Triarchic Psychopathy Model: Commentary on an Integrative Biobehavioral Trait Perspective on Antisocial Personality Disorder and Psychopathy
- 11c An Agreeable Response to Questions and Criticisms: Author Rejoinder to Commentaries on an Integrative Biobehavioral Trait Perspective on Antisocial Personality Disorder and Psychopathy
- 12 Narcissistic and Histrionic Personality Disorders
- 12a A Call for Scientific Caution: Commentary on Narcissistic and Histrionic Personality Disorders
- 12b Beyond Nucleus Diagnostic Conceptualizations: Commentary on Narcissistic and Histrionic Personality Disorders
- 12c Clinical Personality Science of Narcissism Should Include the Clinic: Author Rejoinder to Commentaries on Narcissistic and Histrionic Personality Disorders
- 13 Cluster C Anxious-Fearful Personality Pathology and Avoidance
- 13a Epidemiological, Factor-Analytic, and Cognitive Factors in the Position of Obsessive-Compulsive Personality Disorder among the Cluster C Personality Disorders: Commentary on Cluster C Anxious-Fearful Personality Pathology and Avoidance
- 13b Examining Cluster C Personality Pathology Using an Interpersonal Lens: Commentary on Cluster C Anxious-Fearful Personality Pathology and Avoidance
- 13c Processes, Mechanisms, and Progress: Author Rejoinder to Commentaries on Cluster C Anxious-Fearful Personality Pathology and Avoidance
- Part IV Assessment
- Part V Treatment
- Index
- References
Summary
This commentary gives an overview of two types of interaction between neuroscience and psychotherapy in BPD and beyond. First, neuroscientific research, particularly neuroimaging, can be used to better understand the mechanisms how successful psychotherapy exerts its effects. Since emotion dysregulation is one of the core features of BPD and the main target of Dialectical Behavior Therapy (DBT), neuroimaging studies have investigated emotional hyperreactivity and dysfunctional regulation before and after DBT. These studies found normalization of limbic hyper-reactivity as well as a decrease of dysfunctional pain-induced emotion regulation, which is assumed to underly self-injurious behavior. A second line of research tries to use neuroimaging in the development of new therapeutic approaches such as real-time fMRI neurofeedback. Preliminary studies revealed rapid normalization of amygdala hyperreactivity and restoration of the connectivity between amygdala and medial prefrontal cortex. This was accompanied by reductions of BPD symptomatology, affective instability, and startle response. With these new approaches, there is hope to better understand mechanisms of change in BPD treatment as well as to develop innovative therapy approaches for severe emotion dysregulation.
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- The Cambridge Handbook of Personality Disorders , pp. 246 - 248Publisher: Cambridge University PressPrint publication year: 2020