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Psihijatrija danas
2001, vol. 33, br. 1-2, str. 101-112
jezik rada: srpski
vrsta rada: neklasifikovan

Poremećaji ličnosti i porodični odnosi
Univerzitet u Beogradu, Medicinski fakultet, Institut za mentalno zdravlje

Sažetak

Istraživanje uzajamnog uticaja poremećaja porodice i individualne psihopatologije praćeno je brojnim kontroverzama. Postoje uglavnom tri različita tumačenja ove povezanosti: 1) da porodica uslovljava pojavu psihopatologije kod pojedinačnog člana; 2) da individualna psihopatologija podstiče disfunkcionalne reakcije kod članova porodice i 3) da se povezanost zasniva na nekoj trećoj varijabli, kao što je genetska predispozicija za psihopatologiju. Specifičnosti strukture ličnosti bračnih partnera i njihova eventualna individualna psihopatologija ispoljavaju se kroz različite oblike disfunkcionalnosti porodice. Patologija strukture ličnosti roditelja može umanjiti kvalitet roditeljstva, utičući tako na psihološki razvoj dece. Multidimenzionalni model razvoja mentalnih poremećaja podrazumeva interakciju psiholoških faktora rizika i konstitucionalnih faktora. Kao psihološki faktori rizika, udruženi sa iskustvima u ranom detinjstvu, od značaja za razvoj poremećaja ličnosti (prevashodno graničnog koji će pretežno i biti diskutovan u ovom radu), u okviru pomenutog modela pominju se trauma, rana separacija ili gubitak i disfunkcionalno roditeljstvo. S druge strane, kod roditelja graničnih pacijenata u velikom procentu registruju se određeni poremećaji (najčešće poremećaji kontrole impulsa i afektivni poremećaji). U ovom radu će biti prikazani samo neki aspekti porodičnih odnosa kao i specifičnosti dinamike unutar dijade majka/dete odnosno otac/dete u okviru porodičnog sistema, koje smatramo značajnim u strukturaciji poremećaja ličnosti. Biće diskutovane i neke specifičnosti poremećaja ličnosti koje su važne za održavanje porodične disfunkcionalnosti.

Ključne reči

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