Homo Developmentalis: An evolutionary proposal relevant for child and adolescent mental health

Cohen, David; Baptista, Axel

doi:10.3389/frcha.2022.940827

Cited by 2 publications

(1 citation statement)

References 33 publications

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“…This vision differs from the more traditional medical view of a mental disorder as a deficit caused by brain damage [72], may be particularly useful as a tool for a better understanding of the rationale underlying the disorder, and may help build more confidence, especially for adolescents. Also, this view highlights the importance of considering somatic interventions in the care of adolescents with BPD patients and puts special attention on early sexual behavior and its specific risks (sexually transmitted diseases, sexual abuse, unwanted early pregnancy, or parenthood) [75].…”

Section: An Evolutionary Outlook On Bpdmentioning

confidence: 99%

Therapeutic and Preventive Interventions in Adolescents with Borderline Personality Disorder: Recent Findings, Current Challenges, and Future Directions

Bourvis,

Cohen,

Benarous

2023

JCM

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Background: Borderline personality disorder (BPD) has long suffered from overshadowing in adolescents and hopelessness from the psychiatrists themselves. Comprehensive guidelines for this age group are lacking. Aims: This narrative review aims to describe current recommendations for BPD and recent empirical evidence on effective treatments (both pharmacological and non-pharmacological) and preventive approaches. Innovative approaches, based on recent and original research on BPD adolescents, are also discussed. Results: Very low-certainty evidence has supported that medication has a positive effect on core BPD symptoms in adolescents. Medication prescribed for suicidal crises or associated disorders should be included in a global therapeutic plan, including efficacy reassessment, treatment duration, and a security plan. The overall benefit of structured psychotherapy for adolescents with BPD (cognitive behavioral therapy, mentalization-based therapy, dialectic behavioral therapy, and group therapy) is more important for self-harm behaviors than other BPD symptoms. Their specific efficacy, although difficult to distinguish from the overall non-specific effect of integrative care. Conclusions: structured care of young BPD individuals should be based on the following principles: (1) setting the frame of care, including recognition of the diagnosis, and sharing information with patients and families about symptoms, prognosis, and putative psychological mechanisms involved; and (2) promoting comprehensive approaches, including both specific and non specific therapy, ecological interventions, community care, and preventive interventions in at-risk groups.

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Section: An Evolutionary Outlook On Bpdmentioning

confidence: 99%