Thursday, September 23, 2010

[Article removed] Personality disorders as disorganisation of attachment and affect regulation

The original post has been altered to removed the material quoted from Sarkar and Adshead. They have requested a public apology for sharing their paper with people who otherwise would have never seen their work or heard of them.

So, here it is:

I publicly apologize for sharing their research and writing without their permission and exposing them to a wider audience.

It's called Creative Commons, people - and it's the future.

* * * * *

Affect regulation is generally a function of attachment - good (secure) attachment = good affect regulation; poor (insecure) attachment = poor affect regulation. We also know that insecure attachment and/or poor affect regulation in childhood are linked to personality disorders later in life. If you want to know more about this topic, the man to read in Allan Schore - he has three incredibly dense and heavily cited books on affect regulation (Affect Regulation).

Journal Reference:
Sarkar, J. & Adshead, G. (2006). Personality disorders as disorganization of attachment and affect regulation. Advances in Psychiatric Treatment; 12(4): 297-305.
Several of the articles in the references section are free online - very cool. I highly recommend them - this is an important topic that even the CDC and NIMH are finally funding in their research programs, especially as affect/emotional regulation relates to public health issues.

Traditionally, personality disorders have been considered untreatable - if you have one, the best you can hope for is to be more functional and less dysfunctional. What a hopeless perspective. Many of us do not believe this need be true.

Dan Siegel, Allan Schore, Diane Fosha, Marco Iacoboni, Stephen Porges, Pat Ogden, Diana Fosha, Louis Cozolino, and many others have launched the new field of interpersonal neurobiology - and one of the beautiful things about this is that Siegel has figured out how to "re-attach" those of us who had insecure attachment in one way or another.


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