Sections
Neurobiology of Personality Disorders: Introduction | What Is a Neurobiology of Personality Disorders? | Representation | Metarepresentation | Motivation and Emotion | Conclusion | References
Excerpt
The personality disorders as represented in
the DSM-IV-TR (American Psychiatric Association 2000)
and ICD-10 (World Health Organization 1992) classification systems
are characterized by trait-like disturbances in emotion, cognition,
and social function. As a group, they share the important commonalities
of chronic course with early onset, relative preservation of intelligence,
and absence of gross neurological deficit. In order to summarize the
neurobiological literature, we have chosen a heuristic organization
that emphasizes the location of "lesion" of personality
disorder within neural networks mediating mental activity. This
is opposed to a model that locates the lesion in personality, phenomenology
(Siever and Davis 1991), or molecules. All of these
are equally valid as heuristics. The advantage of this approach
is that it allows a novel, useful reorganization of the existing
database, characterized by a close relationship between the identified
neurobiological abnormalities and a neurobiologically plausible
brain-based model.