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Paleologic thinking, a prelogical mode of reasoning described by Silvano Arieti, is characterized by emotion-driven, retrospective reasoning and has been observed in severe mental illnesses such as schizophrenia. The author explores its relevance to borderline personality disorder, an area that has been historically understudied. Patients with borderline personality disorder often regress into paleologic modes of thought during interpersonal distress, resulting in illogical conclusions driven by feelings rather than evidence. It is argued that this process underlies symptoms of paranoia, misperceptions of rejection, and interpersonal dysfunction. Historical perspectives linking borderline personality disorder and schizophrenia, as well as empirical findings from unstructured psychological tests, highlight overlaps in thought disorders between the two conditions. Clinical implications suggest that addressing paleologic thinking can improve treatment outcomes. Structured psychotherapies, such as transference-focused psychotherapy and dialectical behavior therapy, offer pathways to target and mitigate the impact of this pathological reasoning process in patients with borderline personality disorder.
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http://dx.doi.org/10.1521/pdps.2025.53.3.294 | DOI Listing |
Encephale
September 2025
Département de psychiatrie de l'adolescent et du jeune adulte, institut mutualiste Montsouris, 42, boulevard Jourdan, Paris, France; UVSQ, Inserm U1178, PsyDev, CESP université Paris-Saclay, Villejuif, France; Université Paris-Cité, Paris, France.
The body of knowledge on trauma is rapidly expanding. Since 2022, the WHO has been calling for the history of adversity to be systematically taken into account when assessing the state of health of all individuals. But at this stage, our understanding of the precise mechanisms of complex trauma remains incomplete.
View Article and Find Full Text PDFBorderline Personal Disord Emot Dysregul
September 2025
Department of Psychology, Clinical Child and Adolescent Psychology and Psychotherapy, Bielefeld University, Bielefeld, Germany.
Background: Family climate substantially influences children’s socio-emotional development. We examined mothers’ mental representations of their children and their relationships in three groups of mothers with young children (0–6 years): mothers (1) with a borderline personality disorder (BPD) (2), with a depressive or anxiety disorder but no BPD (AD/D), or (3) without a current mental disorder (CON). We expected both clinical groups to show more negative mental representations – more expressed emotion reflecting a critical attitude toward the child in general, more hostile attributions to child misbehavior in particular, and a less balanced view of the child (i.
View Article and Find Full Text PDFJ Affect Disord
September 2025
Department of Psychiatry, Taipei Veterans General Hospital, Taipei, Taiwan; Division of Psychiatry, School of Medicine, College of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan; Institute of Brain Science, National Yang Ming Chiao Tung University, Taipei, Taiwan. Electronic addr
Background: In adolescents, the role of functional dysconnectivity in the default mode network (DMN), salience network (SAN), frontoparietal network (FPN), and reward network as markers of borderline personality disorder (BPD) remains uncertain.
Methods: A total of 45 adolescents with BPD comorbid with a mood disorder (bipolar disorder or major depressive disorder), 31 adolescents without BPD but with a mood disorder, and 47 healthy adolescents were enrolled in the study. All participants underwent resting-state functional connectivity magnetic resonance imaging.
J Interpers Violence
September 2025
University of Oregon, Eugene, OR, USA.
Trauma-informed communication has shown promise in healthcare settings for supporting individuals affected by adverse childhood experiences (ACEs), yet its application in public health messaging remains underexplored. Given the strong link between ACEs and intimate partner violence victimization (IPVV), this study designed and tested a trauma-informed, text-based message aimed at promoting trauma understanding and positive behavioral intentions among women experiencing IPVV with self-reported ACEs. The message incorporated two core trauma-informed components-psychoeducation and empowerment-and was evaluated against a conventional IPVV message in a randomized controlled trial ( = 289).
View Article and Find Full Text PDFJ Affect Disord
September 2025
Department of Psychiatry, Strasbourg University Hospitals, France; Faculty of Medicine, Maieutic and Health Sciences, University of Strasbourg, France; INSERM UMR_S 1329, Team Psychiatry, Department of Psychiatry, Strasbourg, France. Electronic address:
Introduction: Emotion dysregulation is common in many different psychiatric disorders and it can be effectively treated with the well-established Dialectical Behavioral Therapy (DBT). Despite its clinical relevance and increasing scientific interest, emotional dysregulation (ED) is sometimes conflated with emotional lability (EL). However, these constructs differ: ED involves top-down neurobiological processes, while EL involves bottom-up processes.
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