Neurocognitive impairment as a moderator in the development of borderline personality disorder
Borderline personality disorder (BPD) is characterized by a pervasive instability of interpersonal relationships, affects, self-image, marked impulsivity, dissociation, and paranoia. The cognitive dimension of the disorder has received relatively little attention and is poorly understood. This paper...
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| Veröffentlicht in: | Development and psychopathology 2005-12, Vol.17 (4), p.1173-1196 |
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| container_title | Development and psychopathology |
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| creator | JUDD, PATRICIA HOFFMAN |
| description | Borderline personality disorder (BPD) is characterized by a pervasive
instability of interpersonal relationships, affects, self-image, marked
impulsivity, dissociation, and paranoia. The cognitive dimension of the
disorder has received relatively little attention and is poorly
understood. This paper proposes that neurocognitive impairment is a key
moderator in the development of BPD and elaborates a possible pathway for
the expression of the cognitive domain. Neurocognitive impairment is
hypothesized to moderate the relationship between caretaking and insecure
disorganized attachment and pathological dissociation in the formation of
the disorder contributing to impaired metacognition and a range of
cognitive difficulties. The empirical evidence from studies of cognitive
processes, brain function, attachment, and dissociation that support this
theory are reviewed and discussed. Areas for future research that might
verify or refute this theory are suggested.The author thanks Geralyn Windt for assistance in manuscript
preparation, Dr. Jack Maser for early review of the manuscript, and Dr.
Elizabeth Twamley for her invaluable consultation and expert review of the
manuscript. |
| doi_str_mv | 10.1017/S0954579405050558 |
| format | Article |
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instability of interpersonal relationships, affects, self-image, marked
impulsivity, dissociation, and paranoia. The cognitive dimension of the
disorder has received relatively little attention and is poorly
understood. This paper proposes that neurocognitive impairment is a key
moderator in the development of BPD and elaborates a possible pathway for
the expression of the cognitive domain. Neurocognitive impairment is
hypothesized to moderate the relationship between caretaking and insecure
disorganized attachment and pathological dissociation in the formation of
the disorder contributing to impaired metacognition and a range of
cognitive difficulties. The empirical evidence from studies of cognitive
processes, brain function, attachment, and dissociation that support this
theory are reviewed and discussed. Areas for future research that might
verify or refute this theory are suggested.The author thanks Geralyn Windt for assistance in manuscript
preparation, Dr. Jack Maser for early review of the manuscript, and Dr.
Elizabeth Twamley for her invaluable consultation and expert review of the
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instability of interpersonal relationships, affects, self-image, marked
impulsivity, dissociation, and paranoia. The cognitive dimension of the
disorder has received relatively little attention and is poorly
understood. This paper proposes that neurocognitive impairment is a key
moderator in the development of BPD and elaborates a possible pathway for
the expression of the cognitive domain. Neurocognitive impairment is
hypothesized to moderate the relationship between caretaking and insecure
disorganized attachment and pathological dissociation in the formation of
the disorder contributing to impaired metacognition and a range of
cognitive difficulties. The empirical evidence from studies of cognitive
processes, brain function, attachment, and dissociation that support this
theory are reviewed and discussed. Areas for future research that might
verify or refute this theory are suggested.The author thanks Geralyn Windt for assistance in manuscript
preparation, Dr. Jack Maser for early review of the manuscript, and Dr.
Elizabeth Twamley for her invaluable consultation and expert review of the
manuscript.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Awareness - physiology</subject><subject>Borderline Personality Disorder - diagnosis</subject><subject>Borderline Personality Disorder - physiopathology</subject><subject>Borderline Personality Disorder - psychology</subject><subject>Brain - physiopathology</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Children & youth</subject><subject>Cognition Disorders - diagnosis</subject><subject>Cognition Disorders - physiopathology</subject><subject>Cognition Disorders - psychology</subject><subject>Cognitive ability</subject><subject>Defense Mechanisms</subject><subject>Dissociative Disorders - diagnosis</subject><subject>Dissociative Disorders - physiopathology</subject><subject>Dissociative Disorders - psychology</subject><subject>Humans</subject><subject>Language disorders</subject><subject>Neuropsychological Tests</subject><subject>Object Attachment</subject><subject>Psychopathology</subject><subject>Reality Testing</subject><issn>0954-5794</issn><issn>1469-2198</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkU1LHTEUhoO06K31B7iR0EV3U3NuPiZZFmm14gdSS3eGzMwZGzszGZMZqf--ud5LhRYpWQTyPufwhJeQfWAfgEF5-JUZKWRpBJOrI_UWWYBQpliC0a_IYhUXq3yHvEnpjjEmuZDbZAeUAi64WpCbC5xjqMPt4Cf_gNT3o_Oxx2GiLlFH-9BgdFOI1A90-oG0wQfswvhEhJZWIWag8wPSEWMKg-v89Egbn56Ct-R167qEe5t7l3z7_On66KQ4uzz-cvTxrHCSmanQWVJrZFyJttUAwDjqRkIpnRZVk01BSNB8qaSsjQOFUqiqdk2LTOY3vkver_eOMdzPmCbb-1Rj17kBw5xsyUAKY_4PguFiyRnL4Lu_wLswx_y9ZJcMlFFK8QzBGqpjSClia8foexcfLTC7qsj-U1GeOdgsnqsem-eJTScZKNaATxP--pO7-NOqkpfSquMre3qtvvPzU2FPMs83Eq6vom9u8Vn1ZY3fMP6pYw</recordid><startdate>20051201</startdate><enddate>20051201</enddate><creator>JUDD, PATRICIA HOFFMAN</creator><general>Cambridge University Press</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AM</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BGRYB</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K7.</scope><scope>K9.</scope><scope>M0O</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20051201</creationdate><title>Neurocognitive impairment as a moderator in the development of borderline personality disorder</title><author>JUDD, PATRICIA HOFFMAN</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a509t-857988e0364ff811103e8d5175a84bd4361451832655c9a16e546bcadfe056553</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Awareness - physiology</topic><topic>Borderline Personality Disorder - diagnosis</topic><topic>Borderline Personality Disorder - physiopathology</topic><topic>Borderline Personality Disorder - psychology</topic><topic>Brain - physiopathology</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Children & youth</topic><topic>Cognition Disorders - diagnosis</topic><topic>Cognition Disorders - physiopathology</topic><topic>Cognition Disorders - psychology</topic><topic>Cognitive ability</topic><topic>Defense Mechanisms</topic><topic>Dissociative Disorders - diagnosis</topic><topic>Dissociative Disorders - physiopathology</topic><topic>Dissociative Disorders - psychology</topic><topic>Humans</topic><topic>Language disorders</topic><topic>Neuropsychological Tests</topic><topic>Object Attachment</topic><topic>Psychopathology</topic><topic>Reality Testing</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>JUDD, PATRICIA HOFFMAN</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Criminal Justice Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Criminology Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Criminal Justice (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Criminal Justice Database (ProQuest)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Development and psychopathology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>JUDD, PATRICIA HOFFMAN</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Neurocognitive impairment as a moderator in the development of borderline personality disorder</atitle><jtitle>Development and psychopathology</jtitle><addtitle>Dev Psychopathol</addtitle><date>2005-12-01</date><risdate>2005</risdate><volume>17</volume><issue>4</issue><spage>1173</spage><epage>1196</epage><pages>1173-1196</pages><issn>0954-5794</issn><eissn>1469-2198</eissn><abstract>Borderline personality disorder (BPD) is characterized by a pervasive
instability of interpersonal relationships, affects, self-image, marked
impulsivity, dissociation, and paranoia. The cognitive dimension of the
disorder has received relatively little attention and is poorly
understood. This paper proposes that neurocognitive impairment is a key
moderator in the development of BPD and elaborates a possible pathway for
the expression of the cognitive domain. Neurocognitive impairment is
hypothesized to moderate the relationship between caretaking and insecure
disorganized attachment and pathological dissociation in the formation of
the disorder contributing to impaired metacognition and a range of
cognitive difficulties. The empirical evidence from studies of cognitive
processes, brain function, attachment, and dissociation that support this
theory are reviewed and discussed. Areas for future research that might
verify or refute this theory are suggested.The author thanks Geralyn Windt for assistance in manuscript
preparation, Dr. Jack Maser for early review of the manuscript, and Dr.
Elizabeth Twamley for her invaluable consultation and expert review of the
manuscript.</abstract><cop>New York, USA</cop><pub>Cambridge University Press</pub><pmid>16613436</pmid><doi>10.1017/S0954579405050558</doi><tpages>24</tpages></addata></record> |
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| ispartof | Development and psychopathology, 2005-12, Vol.17 (4), p.1173-1196 |
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| source | MEDLINE; Cambridge University Press Journals Complete |
| subjects | Adolescent Adult Awareness - physiology Borderline Personality Disorder - diagnosis Borderline Personality Disorder - physiopathology Borderline Personality Disorder - psychology Brain - physiopathology Child Child, Preschool Children & youth Cognition Disorders - diagnosis Cognition Disorders - physiopathology Cognition Disorders - psychology Cognitive ability Defense Mechanisms Dissociative Disorders - diagnosis Dissociative Disorders - physiopathology Dissociative Disorders - psychology Humans Language disorders Neuropsychological Tests Object Attachment Psychopathology Reality Testing |
| title | Neurocognitive impairment as a moderator in the development of borderline personality disorder |
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