Attentional mechanisms of borderline personality disorder Posner et al. (2002)

Slides:

Advertisements

Similar presentations

SAMH Mental Health & Alcohol Conference Transforming the concept of Dual Diagnosis to the concept of Complex Needs Dr Fraser Shaw Consultant Psychiatrist.

Advertisements

Child and Adolescent Psychopathology

ATTENTION AS AN ORGAN SYSTEM: Implications for education, training and rehabilitation OFFICE OF NAVAL RESEARCH MARCH 31, 2010 MICHAEL I. POSNER UNIVERSITY.

Sexual Abuse and Borderline Personality Disorder: The Process of Therapy M. Sc. Teja Bandel Psychologist.

DSM-5 diagnostic criteria for borderline personality disorder (APA, 2013) A pervasive pattern of instability of interpersonal relationships, self-image.

1 Personality Disorders and Substance Use Disorders “What’s the connection?”

Personality disorders

Understanding a person’s challenging behaviour A psychiatric perspective Tony Holland University of Cambridge.

Investigation of Neglect with Cue- Target Paradigm Posner et al. (late 1970s) used a cue- target paradigm Parietal Lobe patients are profoundly impaired.

Borderline Personality Disorder

Morey and Zanarini (2000).  Patients with BPD described as having unstable emotions, difficulty maintaining relationships & a higher probability of self.

Treating Borderline Personality Disorder in the Primary Care Setting Presented by: Jonathan Betlinski, MD Date: 11/20/2014.

Assessing Borderline Personality Disorder in the Primary Care Setting Presented by: Jonathan Betlinski, MD Date: 11/13/2014.

1 Comorbidity of Alcohol and Psychiatric Problems NIAAA Social Work Education Module 10E (revised 3/04)

 ADHD IN Adults What Is ADHD (attention deficit hyperactivity disorder)? ADHD is characterized by a pattern of behavior, present in multiple settings.

CHILD PSYCHIATRY Fatima Al-Haidar Professor, child & adolescent psychiatrist College of medicine - KSU.

Dialectical Behaviour Therapy and Borderline Personality Disorder.

BORDERLINE PERSONALITY DISORDER BRENDA ORTIZ PERIOD 1 APRIL 14, 2012.

1.Emotional responses, especially anger. 2. impulsive behaviors that harm themselves or others. 3. suspiciousness, poor sense of identity, and an unstable.

BORDERLINE PERSONALITY DISORDER. CAUSES -Genetic factors since twins and families member might inherit them from others in their family or strong associated.

Borderline Personality Disorder

BORDERLINE PERSONALITY DISORDER I HATE YOU, PLEASE DON’T LEAVE ME Tori Collins.

By: Stephanie Cervantes Period:3. What is borderline disorder?  A serious mental illness characterized by persuasive instability in moods, interpersonal.

Social and emotional processing in Borderline Personality Disorder James Cusack Research Fellow in Psychiatry University of Aberdeen.

Meredith Bailey, LCSW Timberlawn Hospital February 26,

Emotion Perception and Social Functioning in Serious Mental Illness: Differential Relationships Among Inpatients and Outpatients Melissa Tarasenko, Petra.

 Incidence of mental illness was 1/5 (NIMH, 2004)  Varying definitions and diagnostic criteria  Words like mental illness have had negative connotations.

Categories of Mental Disorders 1 Child and youth mental health problems can be classified into two broad categories: 1Internalizing problems  withdrawal.

Defining the mechanisms of Borderline Personality Disorder J. Clarkin and M. Posner (2005)

By “Loverboy” Robert Cooper BORDERLINE PERSONALITY DISORDER.

IzBen C. Williams, MD, MPH Instructor. Lecture - 8 MOOD DISORDERS.

What’s in a name …….. emotional instability in Adolescence Demelza Heneghan CNM 2 St. Josephs Adolescent Day Hospital,Demelza Heneghan CNM 2 St. Josephs.

Relating bilingualism and language proficiency in Relating bilingualism and language proficiency in executive attention: Comparison of children and adults.

ADHD Fatima Al-Haidar Professor, Child & Adolescent Psychiatrist KSU.

Psychological Disorders. Definition  Patterns of behaviour and thought that are atypical, viewed as undesirable, maladaptive and that usually causes.

Introduction: Medical Psychology and Border Areas

Differential Diagnosis: Borderline Personality Disorder DSM IV Diagnostic Criteria –A pervasive pattern of instability of interpersonal relationships,

BORDERLINE PERSONALITY DISORDER By: Brenda Vazquez, Doua Xiong, Dominique Yang.

1 Mental Health in US Adults: The Role of Positive Social Support and Social Negativity in Personal Relationships Elizabeth M. Bertera, PhD Associate Professor.

Borderline Personality Disorder. Borderline Personality Disorder (BPD) Relatively new (defined in the 1980s) Not depression, bipolar, or suicidal Quick.

Child Psychopathology Learning Disorders and Peers Attention Disorders Diagnostic Criteria for ADHD Assessment and theories Reading: Chapter 5.

Study regarding psychoeducation of bipolar affective disorder patients Author:Lepădatu Ioana Coordinator:Nireteanu Aurel Lukacs Emese Lukacs Emese.

Stable and state-dependent impulsivity in Bipolar disorder Maja Milavec, psychologist, Ph. D. student Lilijana Šprah, Assistant Professor and Research.

Psychiatric Impact of Childhood Sexual Abuse: Life on the Borderline Survivors of Abuse – Access to Justice Information Seminar, 14 May 2004 Ian Curtis.

DaJuan Ferrell AFFECT AND ALCOHOL USE IN BORDERLINE PERSONALITY DISORDER.

INTRODUCTION Previous literature suggests that schizophrenia is characterized by a disturbed, fragmented and/or poorly elaborated personal identity (e.g.,

Suicidal Behavior ,655 suicide deaths in the US – per 100,000 Persons who attempt suicide are 38 to 40 times as likely to commit suicide as.

Problem solving as overview problems & difficulties symptoms therapeutic responses.

Comorbidity of 10 common conditions Guthrie B et al. BMJ 2012;345:bmj.e6341.

The Construct of Effortful Control: An Approach to Borderline Personality Disorder Heterogeneity Hoerman, Clarkin, Hull & Levy (2005)

What Happens When he Grows Up, Doctor? Peter Szatmari MD Offord Centre for Child Studies McMaster University and McMaster Children’s Hospital.

Borderline Personality Disorder

BORDERLINE PERSONALITY; TRAIT AND DISORDER Morey and Zanarini.

Borderline Personality Disorder Mallory and Sonia.

1 Esther Parigger The relation between Attention Deficit Hyperactivity Disorder (ADHD) and (Specific) Language Impairment ((S)LI) Esther Parigger.

 Borderline Personality Disorder – Is a condition in which people have long term patterns of unstable or turbulent emotions, such as feelings about themselves.

Personality Disorders. Features of Personality Disorders  Early onset  Evident at least since late adolescence  Stability  No significant period when.

Anita R. Webb, PhD JPS Health Network Fort Worth, TX.

The NIMH Research Domain Criteria Initiative (RDoC): A Framework for Psychopathology Research February 20, 2014 Jill Heemskerk, PhD Deputy Director, Division.

Orienting network dysfunction in progressive multiple sclerosis (ID 208) Chalah MA 1,2, Palm U 1,3, Nguyen R 1,4, Créange A 1,4, Lefaucheur JP 1,2, Ayache.

Psychology 101: General  Chapter 13 Part 2 Psychological Disorders Instructor: Mark Vachon.

What is Borderline Personality Disorder (BPD)? Presentation is often in early adulthood BPD is a cluster B personality trait BPD affects how the individual.

MENTAL DISORDERS CLINICAL OUTPATIENT VENEZUELA – 18 YEARS19 – 55 YEARS Mentally RetardedSchizophrenic Psychosis EpilepsyAffective Psychosis.

Norming Study Mechanisms of Emotion Regulation: The Role of Attentional Control Lindsey R. Wallace, M. A. & Elisabeth J. Ploran, Ph.D. Department of Psychology,

ERFCON th International Conference of the Faculty of Education and Rehabilitation Sciences University of Zagreb 17 – 19 May 2017, Zagreb SOCIAL COMPETENCE.

Cognitive Biomarker of MS

Personality Disorders MOHAMAD NADI M.D PSYCHIATRIST

PSY 6669 Behavioral Pathology

Assessing your mindfulness

Dr Neil Hunt Consultant Psychiatrist

Presentation transcript:

Attentional mechanisms of borderline personality disorder Posner et al. (2002)

Borderline Personality Disorder (BPD): Emotional disregulation Black and white thinking Instability of mood and behaviour  E.g. inappropriate and intense anger Difficulty integrating self-image and interpersonal relationships Co-Morbidity with Bi-Polar, depression, anxiety disorders, ADD, eating disorders.

This Study: Possible to relate higher order cognitive functions to brain systems. (Kandel; 1998, 1999) Patients with BPD => high negative affect and low effortful control These reflect the DSM-IV criteria of chronic emptiness and poor control of moods and emotions. If this is the case, do BPD patients show impairment on tasks using systems implied in emotional control and attention? What can this tell us about the aetiology of BPD

Method (1): 3 subject groups assessed for effortful control (EC) & negative affect (NA): 39 BPD patients 22 temperament matched controls (ATQ assessed) 30 controls (average temperament) Compared performance on RT task: ANT-assesses efficiency of 3 attentional control networks (Fan et al., 2002) Alerting Orienting Conflict resolution

Method(2): ANT

Results(1): Sig. effects of cue and target, but no between group differences in overall mean RT. No between group diff. in alerting / orienting scores. Sig. effect of group membership on Conflict res. Scores. => BPD differed from normal controls BUT not matched controls =>Why?

Results (2): Correlated conflict res. scores with effortful control (EC) measures (ATQ): Sig. negative correlation: r = -.29 (p<0.01) i.e. the lower a Ss EC, the slower their RT in incongruent target condition. EC showed negative correlation with Negative Affect (NA): r = -.68 i.e. the higher a Ss NA the lower their EC

Conclusions(1): BPD Ss =>Impairment in attentional network involved in conflict resolution (i.e.cognitve control) Found in purely cog. Task; no emotional aspect. =>links BPD to neural mechanisms. This impairment only present in patients =>EC temperament may be a risk factor for BPD but not the whole story. BPD patients often present with backgrounds of abuse =>EC temp. combined with aspects of socialisation combine to produce BPD. OR: social factors => inappropriate development of attentional systems.

Conclusions(2): Causes of BDP? Attentional deficit tells us about anatomy of BPD impairments. Links between network & EC. Links between development, network, & BPD. Link between EC, empathy & BPD characteristics.