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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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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DOI: https://doi.org/10.1007/BF03061968