Personality Disorders as Relational Disorders
10 hours ago
- #computational psychiatry
- #personality disorders
- #relational disorders
- Personality disorders are conceptualized as relational disorders, emerging from early caregiving relationships.
- Descriptive models in personality pathology describe but do not explain how personality difficulties operate.
- Generative models, inspired by computational psychiatry, explain personality pathology as computational miscomputations.
- Key assumptions include personality's role in adaptive self-other experience and relation, active perception, unconscious beliefs, and dynamic processes.
- Simulations show personality problems stem from imbalanced internal/external mentalization and can be ameliorated through authentic, compassionate clinical relationships.
- Personality pathology is better understood as an imbalance in self-functioning and social-functioning rather than a deficit in personality functioning.
- The field should move from abstract concepts like 'personality functioning' to specific ones like 'self-relating' and 'other-relating'.