How childhood maltreatment alters perception and cognition - the predictive processing account of borderline personality disorder.

ABSTRACT: Borderline personality disorder (BPD) is a severe mental disorder, comprised of heterogeneous psychological and neurobiological pathologies. Here, we propose a predictive processing (PP) account of BPD to integrate these seemingly unrelated pathologies. In particular, we argue that the experience of childhood maltreatment, which is highly prevalent in BPD, leaves a developmental legacy with two facets: first, a coarse-grained, alexithymic model of self and others - leading to a rigidity and inflexibility concerning beliefs about self and others. Second, this developmental legacy leads to a loss of confidence or precision afforded beliefs about the consequences of social behavior. This results in an over reliance on sensory evidence and social feedback, with concomitant lability, impulsivit

SUBMITTER: Herzog P 

PROVIDER: S-EPMC9693729 | biostudies-literature | 2022 Aug

REPOSITORIES: biostudies-literature