Biosocial developmental model of BPD

Biosocial model of BPD


The biosocial developmental model presented here is based on theoretical and empirical evidence reviewed below, which suggests the following:

  1. Poor impulse control likely emerges early in the development of borderline pathology, and this may account for the overlapping biological vulnerabilities for BPD and other impulse control disorders.
  2. The development of extreme emotional lability characteristic of BPD is shaped and maintained by the caregiving environment and is based on characteristics of the child (e.g., baseline emotional sensitivity) and the developmental context.
  3. Reciprocal reinforcing transactions between biological vulnerabilities and environmental risk processes potentiate emotion dysregulation and more extreme behavioral dyscontrol and thereby contribute to negative cognitive and social outcomes.
  4. By mid- to late adolescence there is a constellation of identifiable features and maladaptive coping strategies that indicate heightened risk for later BPD.
  5. These traits and behaviors may exacerbate risk for BPD across development, due to evocative effects on interpersonal relationships and social functioning and via interference with healthy emotional development.

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