Zusammenfassung
Das Wissen über Psychopathologie, Ätiopathogenese und Behandlungsmöglichkeiten der Borderline-Persönlichkeitsstörung (BPS) hat sich in den letzten Jahren deutlich verbessert. Heute sehen die meisten Wissenschaftler eine generalisierte Störung der Affektregulation im Zentrum der BPS, deren Ursachen in Wechselwirkungen zwischen genetischen Faktoren, traumatischen biographischen Erfahrungen und dysfunktionalen Verhaltensmustern liegen. Störungsspezifische Therapieverfahren, insbesondere die Dialektisch Behaviorale Therapie (DBT) nach Linehan, flankiert von psychopharmakologischer Behandlung, zeigen gute Behandlungsergebnisse sowohl im stationären als auch im ambulanten Bereich. In jüngster Zeit wurden viel versprechende Konzepte zur Behandlung schwerer komorbider Störungen [Alkohol und Drogenabhängigkeit, Posttraumatische Belastungsstörung (PTBS)] entwickelt.
Abstract
During the last years, empirically based knowledge concerning psychopathology, etiopathogenesis and treatment of borderline personality disorder (BPD) has significantly improved. Today, most researchers postulate a pervasive affective dysregulation at the core of borderline symptomatology. Affective dysregulation in BPD is seen as a consequence of an interplay between genetic vulnerability, sociobiographic experience and dysfunctional behaviour. Disorder-specific psychotherapeutic treatments, especially the dialectical behaviour therapy (DBT) developed by Linehan reach significant treatment effects under both outpatient and inpatient conditions. In addition, recent studies on psychopharmacological treatment with promising results have been published. Most recently, DBT has been expanded to treat severe BPD comorbidity like substance abuse and post-traumatic stress disorder (PTSD).
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Bohus, M., Höschel, K. Psychopathologie und Behandlung der Borderline-Persönlichkeitsstörung. Psychotherapeut 51, 261–270 (2006). https://doi.org/10.1007/s00278-006-0497-7
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DOI: https://doi.org/10.1007/s00278-006-0497-7