Ορίζοντας τη Συναισθηµατική...

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Τόμος 6 - Τεύχος 4 [3] (HARV REV PSYCHIATRY 2012, 20:298-308) Ορίζοντας τη Συναισθηματική Αστάθεια Suzane M. Renaud and Camillo Zacchia THAI Clinic (Dr. Renaud) and Department of Psychology, Douglas Institute, Montreal, Quebec, Canada Correspondence: Suzane M. Renaud, MD, Douglas Institute–THAI, 6875 boulevard Lasalle, Pavillion Newman, Montreal, Quebec H4H 1R3, Canada. Email: [email protected] DOI: 10.3109/10673229.2012.747798 ΠΕΡΙΛΗΨΗ Η συναισθηματική αστάθεια είναι ψυχοφυσιολογικό σύμπτωμα το οποίο παρατηρείται σε ορισμέ- νες ψυχικές διαταραχές. Είναι μια σύνθετη δομή που περιλαμβάνει: 1) πρωτογενή ή δευτερογε- νή συναισθήματα, με την κάθε κατηγορία να έχει τα δικά της χαρακτηριστικά, ένταση και διάρκεια, 2) ταχεία αλλαγή από ουδέτερα ή ήπιας έντασης συναισθήματα σε έντονα και 3) δυσλειτουργική ρύθμιση των συναισθημάτων . Η συναισθηματική αστάθεια συχνά συγχέεται με την αστάθεια της διάθεσης, όπως στη διπολική διαταραχή, αλλά και με άλλους όρους. Για να αποσαφηνιστεί η έννοιά της, ερευνήσαμε βάσεις δεδομένων με τον όρο συναισθηματική αστάθεια και μελετήσαμε τα σχε- τικά άρθρα. Στο παρόν άρθρο τοποθετούμε τον όρο στο πλαίσιο της τρέχουσας ορολογίας και στο πλαίσιο της συναισθηματικής εμπειρίας, διερευνούμε τα ψυχοπαθολογικά χαρακτηριστικά του και τον τοποθετούμε στο περιβάλλον της ψυχοπαθολογίας. Αιτιολογούμε γιατί ο όρος συγχέεται με την παθολογία της διάθεσης και κατόπιν ορίζουμε τη συναισθηματική αστάθεια ως εγγενές χαρακτη- ριστικό της προσωπικότητας που τροποποιείται κατά την ανάπτυξη. Λέξεις-κλειδιά: συναισθηματική αστάθεια, διπολική διαταραχή τύπου ΙΙ, οριακή διαταραχή προ- σωπικότητας, αστάθεια της διάθεσης

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!"µ#$ 6 - !%&'#$ 4 [7]

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!"#$%#$&"$ $'(#"$)*+#%",*$ #$%#)&"#$$-./0123µ/4056 127.89H 06!'$04-µ'"$%& '0"/4,$' 06!&45; '!'7:#,"'$ 0,'#!-"$%/ 06!'$04&µ'"' %'$ )>$ 0, 4,"$%/, 205; .$)"$ "'4,"$%/ 06!'$04&µ'"' ,2!'$ ,6>/#$0"' %'$, 5; ,% "1=-"16, '!,%"/. 8$ Tragesser %'$ 06!. (9,10) .$'(20"50'!)"$ - (#1.$/4,0- 3$' ,!'++'3& µ,"'E= /3>16; %'$ %'"/-4+$?-;, )(5; ,(20-; %'$ µ,"'E= ,671#2'; %'$ 46µ1=,,2!'$ 1$ %'+=",#1$ (#13!50"$%12 ('#/31!",; 3$' "-!,µ7/!$0- 1#$'%&; .$'"'#'>&; (#105($%)"-"';. 8$Ebner-Priemer %'$ 06!. (17,27) .$,E&3'3'! 245#,;µ,"#&0,$; "-; 06!'$04-µ'"$%&; ,µ(,$#2'; '04,!C! (16:('0>'! '() 1#$'%& .$'"'#'>&. 8$ '04,!,2; '!:7,#'!(,#$00)",#' '#!-"$%/ 06!'$04&µ'"' '(’ )"$ 4,"$%/.I(&#E,, ,(20-;, .$'%=µ'!0- )01! '71#/ "' 4,"$%/ 06!'$-04&µ'"' 0"16; 1#$'%1=; '04,!,2;. 8 Stein (28) '!'7:-#,$ 6?-+)",#1 (1010") 4,"$%&; .$/4,0-;, '++/ µ, µ,3'-+=",#- .$'%=µ'!0- 0"16; 1#$'%1=; '04,!,2; 063%#$"$%/µ, '04,!,2; (16 :('0>'! '() ?6>13,!& '!1#,E2'. I(/#->16!, ,(1µ:!5;, :#,6!,; (16 ",%µ-#$C!16! "-! (#1-.$/4,0- 3$' '#!-"$%/ 06!'$04&µ'"' 0, '04,!,2; µ,1#$'%& .$'"'#'>& (#105($%)"-"';.

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[8] !""#$%&' ()*%+,%&' -#. /+0#")1-%&2. !3%0-2µ#.

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!"µ#$% ‘&"'()$*’ +,'-./"0#1 02 32/*4"$$5,'*67 8/2-9-0µ"'" =$ $7$):'/04$ '0&#4$ µ/ '4+* 4#4:4+* ') #/0$1)334,'$%2/0/.:!µ)') /,/084#4$49, '( !+,)$!.(µ)'$%- )!'2./$),/$7$%2 !/ )!./,/:* µ/ 40$)%- 7$)')0);- #04!"#$%&'(-')*, ;0-C4+, µ/36'(*. (30,44-46) =$ 7$2540/* /,)33)-86* !+,)$!.(µ2'", ./"0/:')$ &'$ #04%9#'4+, "* ),':-70)!( !/ /B"'/0$%2 8/84,&'), "!'&!4 µ#40/: ,) #(82C4+,%)$ )#& )0,('$%6* !%6?/$* 8$) '4, /)+'&, µ/ )#4'63/-!µ) '( 7(µ$4+08:) /,4;>,, )$!.-µ)'4* )#&00$?(* -/8%)'23/$?(*. @) !+,)$!.-µ)') )+'2 1$>,4,')$ !+;,2)#& )!./,/:* µ/ 40$)%- 7$)')0);-. E$) µ/36'( 6;/$ 7/:-B/$ &'$ !/ )!./,/:* µ/ 40$)%- 7$)')0);- µ&,4 '4 30%'", )33)8>, '(* 7$2./!(* #04%3-.(%/ )#& /B"'/0$%28/84,&'). (35) @) 7/+'/048/,- !+,)$!.-µ)') #$.),2!+µ12334+, !/ #)0)'/')µ6,( 7+!540:), %).>* #)0)-'/:,4+, '4 )0;$%& 7$)#04!"#$%& !'0/* %)$ )$'$434849,'(, '2!( 8$) )+'4%)')!'045$%6* !+µ#/0$5406*. (12,29,44)

:";2-" 8,"$$"<= >?,"*09#µ7'@, µ2 :?;"-5 :/%A5F ');/:) /,)33)8- !+,)$!.(µ2'", #/0$8025/$ )#&3+-') '( !+,)$!.(µ)'$%- )!'2./$). (29,33,45) G)0)'(0/:-')$ 8$) 40$!µ6,) 3/#'2 - µ/0$%6* >0/* %)$ 6;/$ 10)-;/:) 7$20%/$). (15) =$ Cowdry %)$ !+,. (47) %)$ 4 Stein(28) 7$)#:!'"!), &'$ 4$ ,4!(3/+&µ/,4$ )!./,/:* µ/ 40$)-%- 7$)')0);- #)04+!$2C4+, µ/8)39'/0( (µ/0-!$) 7$)-%9µ),!( '(* 7$2./!(* %)$ #$4 '+;):) %)'),4µ- '",#0"$,>, 7$).6!/", )#’ &'$ 4$ )!./,/:* µ/ µ/:C4,) %)'2-.3$?( - 4$ +8$/:* µ20'+0/*. A, '49'4$*, 4$ )!./,/:* µ/40$)%- 7$)')0);- 5):,/')$ ,) 1$>,4+, #$4 #)0)'/')-µ6,) !+,)$!.-µ)') &!4, )5402 '4 .+µ&. (48)

= Benazzi (5,49) ),)560/$ &'$, µ/')B9 µ/$C&,", /#/$-!47:",, )!./,/:* µ/ 7$#43$%- 7$)')0);- 1$>,4+, µ$%'6*%)')!'2!/$* #4+ ;)0)%'(0:C4,')$ )#& )!'2./$) '(* 7$2-./!(* %)$ /+)$!.(!:) !'$* 7$)#04!"#$%6* !;6!/$*. A7>4 !+880)56)* ;0(!$µ4#4$/: /,)33)%'$%2 '4+* &04+*7$2./!( %)$ !+,):!.(µ), %).$!'>,')* 79!%43( '(, )#4-!)5-,$!( '", /,,4$>,.

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!"µ#$ 6 - !%&'#$ 4 [9]

! "#$#µ%&!'!. (16,22,44,45,52-55) ()*+ '!µ#,-./ +*/ 0/#'1.-.,2 µ. 0$/#34 5/#*#$#64 "0) %60)- 7/8'./ *$#)-µ#*/3%2 .µ"./$,.2 4 #"0'*%$!'! 3#*9 *!- "#/5/34 !&/-3,# 5.- %60)- #-#"*:;./ *!- .<3.=#&/34 3#/ >)60&0</34/3#-+*!*# -# #-*#".;%$60-*#/ '. ".$,"&03# 4 5)-#*9')-#/'14µ#*# "%$#- *!2 7#'/342 #"+3$/'!2. (56)

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G- *0:*0/2, 0/ =#/-+*)"0/ ')-41@2 .,-#/ ".$,"&03#3#/ "0&:-<.-.*/39 =#/-+µ.-# - ! µ.&%*! *0)2 .,-#/ #",-1#-0 -# 58'./ #"&%2 #"#-*4'./2 4 */µ%2 '!µ#-*/342

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Tomos6_t4 7/4/14 4:10 PM Page 9

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[10] !""#$%&' ()*%+,%&' -#. /+0#")1-%&2. !3%0-2µ#.

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