Annette Löffler1, Jens Foell2, Robin Bekrater-Bodmann3. 1. Department of Cognitive and Clinical Neuroscience, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany. 2. Department of Psychology, Florida State University, Tallahassee, FL, USA. 3. Department of Cognitive and Clinical Neuroscience, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany. r.bekrater-bodmann@zi-mannheim.de.
Abstract
PURPOSE OF REVIEW: We review evidence for the potential importance of interoception, i.e., the processing of signals arising from inside the body, for deficient psychosocial functioning in borderline personality disorder (BPD). RECENT FINDINGS: Evidence suggests that variability in interoception interacts with higher-order psychological functions such as self, other, and emotion processing. These domains are characteristically impaired in BPD, suggesting a likely causal role of disturbed interoception in the etiology of the disorder. The inability to identify and describe one's own emotional states represents a proxy of impaired interoception which might further mediate between the perception of inner physiological conditions and psychosocial functioning in BPD. There is preliminary evidence explaining how early life stress might adversely affect central interoceptive representation and psychosocial functioning in BPD. Based on these findings and the specific pattern of disturbances in BPD, we propose the crucial role of interoception in an integrated biobehavioral model for BPD.
PURPOSE OF REVIEW: We review evidence for the potential importance of interoception, i.e., the processing of signals arising from inside the body, for deficient psychosocial functioning in borderline personality disorder (BPD). RECENT FINDINGS: Evidence suggests that variability in interoception interacts with higher-order psychological functions such as self, other, and emotion processing. These domains are characteristically impaired in BPD, suggesting a likely causal role of disturbed interoception in the etiology of the disorder. The inability to identify and describe one's own emotional states represents a proxy of impaired interoception which might further mediate between the perception of inner physiological conditions and psychosocial functioning in BPD. There is preliminary evidence explaining how early life stress might adversely affect central interoceptive representation and psychosocial functioning in BPD. Based on these findings and the specific pattern of disturbances in BPD, we propose the crucial role of interoception in an integrated biobehavioral model for BPD.
Authors: Marius Schmitz; Katja Bertsch; Annette Löffler; Sylvia Steinmann; Sabine C Herpertz; Robin Bekrater-Bodmann Journal: Borderline Personal Disord Emot Dysregul Date: 2021-05-17
Authors: Andrzej Jakubczyk; Elisa M Trucco; Anna Klimkiewicz; Jakub Skrzeszewski; Hubert Suszek; Justyna Zaorska; Malwina Nowakowska; Aneta Michalska; Marcin Wojnar; Maciej Kopera Journal: Front Psychiatry Date: 2020-02-03 Impact factor: 4.157