Emotional instability, poor emotional awareness, and the development of borderline personality
Abstract
Emotional instability and poor emotional awareness are cardinal features of the emotional dysregulation associated with borderline personality disorder (BPD). Most models of the development of BPD include child negative emotional reactivity and grossly inadequate caregiving (e.g., abuse, emotional invalidation) as major contributing factors. However, early childhood emotional reactivity and exposure to adverse family situations are associated with a diverse range of long-term outcomes. We examine the known effects of these risk factors on early childhood emotional functioning and their potential links to the emergence of chronic emotional instability and poor emotional awareness. This examination leads us to advocate new research directions. First, we advocate for enriching the developmental assessment of children's emotional functioning to more closely capture clinically relevant aspects. Second, we advocate for conceptualizing children's early family experiences in terms of the proximal emotional environment to which young children may be or become sensitive. Such approaches should contribute to our ability to identify risk for BPD and guide preventive intervention.
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Childhood neglect, abuse and trauma are proposed to negatively impact the foundational relational processes that foster healthy emotion regulation during early childhood development.
“childhood neglect, abuse and trauma, all of which are proposed to negatively impact the foundational relational processes that foster healthy emotion regulation during early childhood development (Cole et al., 2009; Crowell et al., 2009; Weiss et al., 2013b)”
From An Emotion Regulation and Impulse Control (ERIC) Intervention for Vulnerable Young People: A Multi-Sectoral Pilot Study (2021) · cites this paper as Cole et al., 2009
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- Authors
- Cole, P. M., Llera, S. J., & Pemberton, C. K.
- Affiliations
- Pennsylvania State University (US)
- Corresponding author
- Cole, Pamela M.
- Venue
- Development and Psychopathology
- Publisher
- Cambridge University Press (CUP)
- Published
- 2009-10-14
- Volume
- 21
- Issue
- 4
- Pages
- 1293-1310
- ISSN
- 0954-5794 (ISSN-L)
- 1469-2198
- OpenAlex
- W2153521828
- Cited by
- 53
- References
- 150
- Citations by year
- 2026: 4 · 2025: 2 · 2024: 6 · 2023: 2 · 2022: 2 · 2021: 3 · 2020: 2 · 2019: 2 · 2018: 4 · 2017: 3 · 2016: 5 · 2015: 1 · 2014: 5 · 2013: 2 · 2012: 4
- FWCI
- 2.47
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Development and Psychopathology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Psychology › Clinical Psychology › Personality Traits and Psychology
- Keywords
- borderline personality disorder, neuroticism, emotional awareness, emotional dysregulation, adverse childhood experiences, emotional invalidation, caregiving quality, risk factors, preventive interventions
- MeSH terms
- Adolescent, Adult, Affective Symptoms, Awareness, Borderline Personality Disorder, Child, Child Abuse, Developmental Disabilities, Emotions, Family, Humans, Individuality, Learning, Social Behavior, Temperament, Caregivers
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