Neural correlates of attachment trauma in borderline personality disorder: A functional magnetic resonance imaging study

Buchheim, Anna; Erk, Susanne; George, Carol; Kächele, Horst; Kircher, Tilo; Martius, Philipp; Pokorný, Dan; Ruchsow, Martin; Spitzer, Manfred; Walter, Henrik

doi:10.1016/j.pscychresns.2007.07.001

Cited by 134 publications

(134 citation statements)

References 43 publications

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“…Training requires a 2-week seminar, after which raters are required to classify 25 interviews to 80% reliability. The AAP has been used in studies in which participants provided narratives while simultaneously having brain functional MRI [53,54]. Buchheim et al presented evidence of the potential neural mechanisms of attachment trauma in patients with borderline personality disorder.…”

Section: The Adult Attachment Projectivementioning

confidence: 99%

Adult attachment measures: A 25-year review

Ravitz

Maunder

Hunter

et al. 2010

Journal of Psychosomatic Research

535

473

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Section: The Adult Attachment Projectivementioning

confidence: 99%

Adult attachment measures: A 25-year review

Ravitz

Maunder

Hunter

et al. 2010

Journal of Psychosomatic Research

535

473

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“…In self-report assessments, the attachment style of patients with BPD has been classified as unresolved, preoccupied, and fearful [e.g., [115], for a review, see [116]]. Concordantly, the narrative patterns of patients with BPD were characterized as unresolved during the Adult Attachment Projective task, which measured narrative and neural responses to monadic pictures (characters facing attachment threats alone) and dyadic pictures (interaction between characters in an attachment context) [117]. Monodic pictures were more traumatic for female BPD patients (n = 11) than for healthy controls (n = 17) and were associated with more anterior midcingulate cortex activation, respectively.…”

Section: Impaired Intimacymentioning

confidence: 99%

Impairments of Interpersonal Functioning: Empathy and Intimacy in Borderline Personality Disorder

Jeung¹,

Herpertz²

2014

Psychopathology

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Impairments of interpersonal functioning are central to borderline personality disorder (BPD). Patients with BPD suffer from severe psychosocial dysfunction in general and - among others - disturbed romantic relationships. Compounding the problem, the diagnosis of BPD interferes with therapeutic relationships and results in pejorative and discriminatory clinical practices. Previously, interpersonal dysfunction has been related to emotional dysregulation, behavioral dyscontrol, and impaired social cognition. However, these features may be intertwined yet separate. In this review, we will focus on disturbed empathy and intimacy as they are referred to as two discrete impairments of interpersonal functioning in the new DSM-5 Section III. The aim of this review is to contribute to a comprehensive, integral understanding of interpersonal dysfunction in BPD based on the behavioral and neurobiological studies available up to now. Despite some inconsistencies, behavioral studies in BPD patients indicate impaired cognitive and affective empathy particularly in complex and ecologically valid measurements. These findings are reflected even more consistently in functional magnet resonance imaging studies. Low quality of intimate relationships in BPD may at least partially result from lower mentalizing abilities and cognitive empathy, higher personal distress and affective empathy in the social context. Finally, the evaluation of the severity and quality of impairment of interpersonal functioning may enable clinicians and researchers to describe and to understand the mechanisms of interpersonal dysfunction better, and to improve the effectiveness of the treatment of patients with BPD.

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“…Buchheim et al [59] investigated neural responses to pictures depicting attachment situations. Participants had to tell stories about monadic (characters facing attachment threats alone) or dyadic pictures (interaction between characters in an attachment context).…”

Section: Social Interaction Problemsmentioning

confidence: 99%

The Latest Neuroimaging Findings in Borderline Personality Disorder

Mauchnik

Schmahl

2010

Curr Psychiatry Rep

207

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This review provides an overview of the most recent neuroimaging findings in borderline personality disorder. The contributions of the structural and functional imaging studies of the past 3 years are presented to help us better understand this severe psychiatric disorder. There are three domains of functional imaging findings: 1) affective dysregulation; 2) the complex of dissociation, self-injurious behavior, and pain processing; and 3) social interaction. Knowledge of the neurobiological basis of borderline personality disorder has grown considerably. Therefore, these findings convey a good impression of the current findings from neuroimaging research in this disorder and also of the necessary next steps with regard to content and methodology.

show abstract

Neural correlates of attachment trauma in borderline personality disorder: A functional magnetic resonance imaging study

Cited by 134 publications

References 43 publications

Adult attachment measures: A 25-year review

Adult attachment measures: A 25-year review

Impairments of Interpersonal Functioning: Empathy and Intimacy in Borderline Personality Disorder

The Latest Neuroimaging Findings in Borderline Personality Disorder

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