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De missing link tussen trauma en borderlineproblematiek.

Een benadering vanuit de hechtingstheorie

  • Published:
Tijdschrift voor Psychotherapie

Abstract

Onderzoek maakt duidelijk dat trauma noch een voldoende noch een noodzakelijke voorwaarde is voor het ontstaan van borderlinepathologie. Dit wijst op mediërende factoren, die de weerbaarheid tegen of kwetsbaarheid voor trauma beïnvloeden. Hechtingstheoretici en hechtingsonderzoekers hebben op dit gebied een belangrijke bijdrage geleverd. Speciale aandacht krijgt het onderzoek naar de intergenerationele transmissie van trauma en de functie van het mentaliserend vermogen in de weerbaarheid tegenover traumatische gebeurtenissen. De specifieke moeilijkheden van de borderlinepatiënt kunnen worden begrepen als gevolgen van de defensieve remming van het mentaliseringsvermogen. De therapeutische implicaties van deze theorie worden kort aangeduid.

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Literatuur

  • Adler, D., & Buie, D.H. (1979). Aloneness and borderline psychopathology: The possible relevance of child development issues. International Journal of Psycho-Analysis, 60, 83-96.

    CAS  PubMed  Google Scholar 

  • Ainsworth, M.D.S., Blehar, M. C., Waters, E., & Wall, S. (1978). Patterns of attachment: A psychological study of the strange situation. Hillsdale, NJ: Erlbaum.

    Google Scholar 

  • Allen, J.G. (2001). Traumatic relationships and serious mental disorders. Chichester: John Wiley & Sons.

    Google Scholar 

  • Bion, W.R. (1959). Attacks on linking. International Journal of Psychoanalysis, 40, 308-315.

    Google Scholar 

  • Bion, W.R. (1962). Learning from Experience. London: Heinemann.

    Google Scholar 

  • Coates, S.W. (1998). Having a mind of one's own and holding the other in mind. Commentary on paper by Peter Fonagy and Mary Target. Psychoanalytic Dialogues, 8, 115-148.

    Article  Google Scholar 

  • Eagle, M. (1995). The developmental perspectives of attachment and psychoanalytic theory. In S. Goldberg, R. Muir en J. Kerr (Eds.). Attachment Theory: Social, Developmental and Clinical Perspectives (pp. 123-150). Londen/Hillsdale, NJ: The Analytic Press.

    Google Scholar 

  • Fonagy, P. (1989). On tolerating mental states: theory of mind in borderline personality. Bulletin of the Anna Freud Centre, 12, 91-115.

    Google Scholar 

  • Fonagy, P. (1991). Thinking about thinking: some clinical and theoretical considerations in the treatment of the borderline patient. International Journal of Psychoanalysis, 72, 639-656.

    PubMed  Google Scholar 

  • Fonagy, P., Moran, G.S., & Target, M. (1993). Agression and the psychological self. International Journal of Psychoanalysis, 74, 471-485.

    PubMed  Google Scholar 

  • Fonagy, P., Steele, M., Moran, G., Steele, H., & Higgitt, A. (1993). Measuring the ghost in the nursery: an empirical study of the relationship between parents’ mental representations of childhood experiences and their infants’ security of attachment. International Journal of the American Psychoanalytic Association, 41, 959-989.

    Google Scholar 

  • Fonagy, P., Steele, M., Steele, H., Higgitt, A., & Target, M. (1994). The theory and practice of resilience. Journal of Child Psychology and Psychiatry, 35, 231-257.

    Article  CAS  PubMed  Google Scholar 

  • Fonagy, P. (1995a). Psychoanalytic and empirical approaches to developmental psychopathology: an object-relations perspective. In T. Shapiro en R.N. Emde (Eds.). Research in Psychoanalysis: Process, Development, Outcome (pp. 245-260). Madison, C.T.: International Universities Press.

    Google Scholar 

  • Fonagy, P. (1995b). Playing with reality: The development of psychic reality and its malfunction in borderline personalities. International Journal of Psycho-Analysis, 76, 39-44.

    Google Scholar 

  • Fonagy, P., & Target, M. (1995). Understanding the difficult patient: The use of the body and the role of the father. International Journal of Psychoanalysis, 76, 487-501.

    PubMed  Google Scholar 

  • Fonagy, P., Steele, M., Steele, H., Leigh, T., Kennedy, R., Mattoon, G., & Target, M. (1995). Attachment, the reflective self, and borderline states. The predictive specificity of the Adult Attachment Interview and pathological emotional development. In S. Goldberg, R. Muir en J. Kerr (Eds.). Attachment Theory. Social, Developmental, and Clinical Perspectives (pp. 233-278). Hillsdale, NJ/London: The Analytic Press

    Google Scholar 

  • Fonagy, P., & Target, M. (1996). Playing with reality: I. Theory of mind and the normal development of psychic reality. International Journal of Psychoanalysis, 77, 217-233.

    PubMed  Google Scholar 

  • Fonagy, P., Leigh, T., Steele, M., Steele, H., Kennedy, R. Mattoon, G., & Target, M. (1996). The relationship of attachment status, psychiatric classification, and response to psychotherapy. Journal of Consulting and Clinical Psychology, 64, 22-31.

    Article  CAS  PubMed  Google Scholar 

  • Fonagy, P. (1998). An attachment theory approach to the treatment of the difficult patient. Bulletin of the Menninger Clinic, 62, 147-169.

    CAS  PubMed  Google Scholar 

  • Fonagy, P., & Target, M. (1998). Mentalization and the changing aims of child psychoanalysis. Psychoanalytic Dialogues, 8, 87-114.

    Article  Google Scholar 

  • Fonagy, P., & Target, M. (2000). Playing with reality: III. The persistence of dual psychic reality in borderline patients. International Journal of Psychoanalysis, 81, 853-873.

    Article  PubMed  Google Scholar 

  • Fonagy, P., Target, M., & Gergeley, G. (2000). Attachment and borderline personality disorder. The Psychiatric Clinics of North America, 23, 103-122.

    Article  CAS  PubMed  Google Scholar 

  • Fonagy, P. (2001). Attachment theory and psychoanalysis. New York: Other Press.

    Google Scholar 

  • George, C., Kaplan, N., & Main, M. (1996). The Adult Attachment Interview. Unpublished manuscript. Department of Psychology, University of California, Berkeley.

    Google Scholar 

  • Gomperts, W. (2000). Dyscivilisatie en dysmentalisatie. De ontsporing van het civilisatieproces psychoanalytisch bezien. Tijdschrift voor Psychoanalyse, 6, 193-213.

    Google Scholar 

  • Holmes, J. (1995). ‘Something there is that doesn’t love a wall’. John Bowlby, attachment theory, and psychoanalysis. In S. Goldberg, R. Muir en J. Kerr (Eds.). Attachment Theory: Social, Developmental, and Clinical Perspectives (pp. 19-43). Londen/Hillsdale, NJ: The Analytic Press.

    Google Scholar 

  • Kernberg, O.F. (1975). Borderline Conditions and Pathological Narcissism. New York: Jason Aronson.

    Google Scholar 

  • Klein, M., & Tribich, D. (1981). Kernbergs object-relations theory: A critical evaluation. International Journal of Psycho-Analysis, 62, 27-43.

    CAS  PubMed  Google Scholar 

  • Masterson, J.F., & Rinsley, D.B. (1975). The borderline syndrome: The role of the mother in the genesis and psychic structure of the borderline personality. International Journal of Psycho-Analysis, 56, 163-177.

    CAS  PubMed  Google Scholar 

  • Muir, R.C. (1995). Transpersonal processes: A bridge between object relations and attachment theory in normal and psychopathological development. British Journal of Medical Psychology, 68, 243-257.

    PubMed  Google Scholar 

  • Nicolai, N (2001a). Hechting en psychopathologie: een literatuuroverzicht. Tijdschrift voor Psychiatrie, 43, 333-342.

    Google Scholar 

  • Nicolai, N. (2001b). Hechting en psychopathologie: de reflectieve functie. Tijdschrift voor Psychiatrie, 43, 705-714.

    Google Scholar 

  • Paris, J. (1998). Does childhood trauma cause personality disorders in adults? Canadian Journal of Psychiatry, 43, 148-153.

    CAS  Google Scholar 

  • Rinsley, D.B. (1978). Borderline psychopathology: A review of etiology, dynamics and treatment. International Review of Psychoanalysis, 5, 45-54.

    Google Scholar 

  • Sabo, A.N. (1997). The etiological significance of associations between childhood trauma and borderline personality disorder: Conceptual and clinical implications. Journal of Personality Disorders, 11, 50-69.

    CAS  PubMed  Google Scholar 

  • Target, M., & Fonagy, P. (1996). Playing with reality: II. The development of psychic reality from a theoretical perspective. International Journal of Psychoanalysis, 77, 459-479.

    PubMed  Google Scholar 

  • Van Gael, M. (1996). Borderline-pathologie: posttraumatische stoornis of ontwikkelingsstoornis? Tijdschrift voor Psychotherapie, 22, 160-177.

    Google Scholar 

  • Van IJzendoorn, M.H. (1995). Adult attachment representations, parental responsiveness, and infant attachment: a meta-analysis on the predictive validity of the Adult Attachment Interview. Psychological Bulletin, 117, 387-403.

    Article  CAS  PubMed  Google Scholar 

  • Winnicott, D.W. (1967). Mirror-role of the mother and family in child development. In P. Lomas (Ed.), The predicament of the family: A psycho-analytic symposium (pp. 26-33). London: Hoghart.

    Google Scholar 

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Correspondence to Myriam Van Gael.

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The missing link between trauma and borderline personality. An attachment theory approach.

Research has made it clear that trauma is neither a necessary nor sufficient condition for the development of borderline pathology. Other factors are at work, which determine resiliency or vulnerability to trauma. A description is given of the contributions of attachment theory and attachment research to this subject. Attention is given to the research results concerning the intergenerational transmission of trauma and to the protective function of mentalization. This theory leads to a better understanding of the specific difficulties of the borderline patient. The therapeutic implications of this theory are shortly addressed.

Myriam Van Gael, psychotherapeut, is werkzaam op de afdeling klinische psychotherapie van het psychiatrisch centrum St. Amedeus te Mortsel.

Correspondentieadres: Deurnestraat 252, 2640 Mortsel, België.

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Van Gael, M. De missing link tussen trauma en borderlineproblematiek.. PSIE 28, 110–121 (2002). https://doi.org/10.1007/BF03061968

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