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Borderline personality disorder is understood within a biosocial framework, that is, this pathology is understood to derive from the repeated interactions of a person who has difficulty regulating his or her emotions with an environment that is invalidating, dismissive, or punitive of the person s emotions and thoughts The patient s emotional dysregulation may result from temperamental factors ( low thresholds of emotion, rapid affective response rates, and intense levels of emotional reactivity) or from the failure to learn to modulate these emotions (Robins et al, 2001) Therapy in this model aims at correcting the patient factors that feed this pathology: validating the patient s unique perspective and experiences, while teaching tactics and strategies that better enable the patient to control, tolerate, and regulate his or her emotions.

Dialectical behavior therapists rely on the establishment of the validating relationship to assist the patient in forming a viable therapeutic contract and to serve as the interpersonal foundation of the patient s active involvement in self-monitoring and in learning and applying new skills Therapists use their assessment of the specifics of the patient s difficulties in self-regulation to suggest any viable technique drawn from the broad repertoire of cognitive-behavior therapy, as well as teaching Zen philosophy and meditation as aids in helping the patient to accept and tolerate painful aspects of reality (Robins et al, 2001) Magnavita (2002) introduced a new therapy for complex clinical syndromes such as personality disorders, known as integrative relational psychotherapy.

magnetic sense is disrupted. When Wolfgang Wiltschko and his colleagues subjected migrating birds to a strong magnetic pulse they found that the orientation behavior of their subjects differed signi cantly to that of their untreated control birds (Fig. 4.18). From these results the conclusion may be made that adult silvereyes rely upon magnetic eld information during their migratory journeys. I say adult birds here because earlier experiments using juvenile birds did not produce the same results. It would appear that the age of the subject animal is linked to its orientation behavior. With age one assumes comes experience. Adult migrants have made the journey before whereas juveniles have not. This difference in experience has led Wiltschko and his team to suggest that in this case magnetic eld information is used as a map rather than as a compass. The logic of this suggestion is as follows. The adult test birds and the adult control birds are familiar with the range of navigational factors in both their nonbreeding and breeding areas and along the migratory route between them. They have therefore had ample opportunity to fully develop

This theoretical and therapeutic synthesis is described by its author as a biopsychosocial approach in which basic psychodynamic concepts drawn from ego psychology, self psychology, drive theory, and object relations theory are integrated with systems concepts drawn from the work of family systems theorists such as Ackerman, Bowen, Bateson, and Kaslow This theoretical integration leads to a personality theory and diagnostic system in which personalitydisordered patients are assessed within a systemic conceptual framework that allows the categorization of the variables that lead to and maintain personality disorders Magnavita introduced the term dysfunctional personologic system to describe the theoretically derived system of intrapsychic, interpersonal, and environmental processes that make up the various personality disorders This therapy relies on what Magnavita has described as restructuring methods: interventions that are aimed at the systematic reorganization and modification of patterns of organizing experience and of integrating important relationships.

The ultimate targets of all therapeutic efforts at restructuring are the schemas that organize and process new experience and that sort that experience into maladaptive or new and productive units of meaning Magnavita suggests that the 10 dysfunctional personologic systems that he has identified can be conceptualized as having unique profiles of maladaptive cognitive, affective, and relational schema This therapy allows the therapist to target specific intrapersonal, interpersonal, familial, and larger units of person-environmental dysfunction for intervention once the specific dysfunctional personologic systems have been studied and carefully assessed Therapists who employ this model may choose to intervene through techniques that are aimed at.