In this study, it was aimed at evaluating the importance of emotional regulation difficulty in the ethiology of Borderline Personality Disorder (BPD) and related current research as well as emotion focused therapy approaches regarding the treatment of BPD. Assumption that the capacity of regulating emotions affects a person's ability to organize many other processes such as cognition and learning, attention, identity, social interaction and behavior, it is regarded as a central feature to be evaluated in BPD. Emotional regulation and the improvement of emotional regulation have become one of the main topics in BPD research in recent years. The concept of ‘emotional regulation difficulty’ is known to have many different sub-themes and to be related to BPD symptomatology. In order to cure emotional regulation difficulties, the term of ‘emotional regulation' (ER) is defined as a series of strategies aimed at changing an emotional experience. In recent years, ER has gained more attention as a central mechanism in the development, expression and maintenance of psychopathology, and ER's research area has been developing with many sub-concepts such as emotional regulation choices and emotion goals. It seems that ER strategies, Dialectical Behavior Therapy (DBT) and Unified Protocol (UP), which are based on ER strategies, come to the fore in the treatment process of BPD's emotional regulation difficulties; however, it is understood that more systematic research is needed for their effectiveness and development. As the premises of the development of emotional regulation difficulties and BPD have increasingly been clear, prevention and treatment efforts are seen promising in reducing long-term problems, functional impairment, and serious social costs associated with BPD.
Bu çalışmada, duygu düzenleme güçlüğünün borderline kişilik bozukluğunun (BKB) etiyolojisindeki yerinin ve bu kapsamda yapılan güncel araştırmaların değerlendirilmesinin yanı sıra BKB’nin tedavisine yönelik duygu düzenleme odaklı terapi yaklaşımlarının incelenmesi amaçlanmıştır. Duyguları düzenleme kapasitesinin bir kişinin biliş ve öğrenme, dikkat, kimlik, sosyal etkileşim ve davranış gibi diğer birçok süreci düzenleme yeteneğini etkilediği varsayımı, BKB'de değerlendirilecek merkezi bir özellik olarak görülmektedir. Duygu düzenleme güçlüğü ve duygu düzenlemenin geliştirilmesi, son yıllarda BKB araştırmalarında temel konulardan biri haline gelmiştir. Duygu düzenleme güçlükleri, çok farklı alt temalarla ele alınabilmekte ve BKB semptomatolojisi ile ilişkili olduğu anlaşılmaktadır. Bu güçlüklere yönelik, duygusal bir deneyimi değiştirmeyi amaçlayan bir dizi strateji olarak duygu düzenleme (DD) kavramı tanımlanmaktadır. DD; son yıllarda psikopatolojinin gelişmesi, ifadesi ve sürdürülmesinde merkezi bir mekanizma olarak daha fazla ilgi görmektedir ve DD’nin araştırma alanları, duygu düzenleme seçimleri ve duygu hedefleri gibi birçok alt kavramla gelişmektedir. BKB’nin duygu düzenleme güçlüklerine yönelik tedavi sürecinde, DD stratejilerinin ve bu stratejileri temel alan Diyalektik Davranış Terapisi’nin (DDT) ve Birleşik Protokol’ün (BP) ön plana çıktığı görülmekle birlikte tüm bunların etkinliği ve gelişimi için daha fazla sistematik araştırmaya ihtiyaç olduğu anlaşılmaktadır. BKB'nin gelişiminin öncüllerinin ve duygu düzenleme güçlüğünün giderek netlik kazanması; önleme ve tedavi çabaları, uzun vadeli problemlerin azaltılması, işlevsel bozulma ve BKB ile ilişkili ciddi sosyal maliyetleri azaltma konularında umut vaat etmektedir.
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