Psihodinamika i epigenetika poremećaja ličnosti i poremećaja hranjenja

master's thesis

• Title (english): Psychodynamics and epigenetics of personality disorders and eating disorders
• Author: Antonia Lukaš
• Mentor: Darko Marčinko (mentor)
• Committee member: Maja Bajs Janović (predsjednik povjerenstva)
• Committee member: Ljiljana Šerman (član povjerenstva)
• Committee member: Darko Marčinko (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Psychiatry and Psychological Medicine); Zagreb
• Defense date and country: 2021-07-16, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Psychiatry

Abstract

Iako postoje brojni radovi na temu poremećaja ličnosti i poremećaja hranjenja, dosadašnje suštinsko razumijevanje tih poremećaja još je uvijek nedostatno što se ponajprije može vidjeti u skromnoj uspješnosti liječenja tih poremećaja. U ovom preglednom radu, prikazano je ono što se smatra najvažnijim dijelom psihodinamike poremećaja ličnosti i poremećaja hranjenja kako bismo dodatno osvijetlili moguće puteve koji vode dobrim ishodima liječenja navedenih poremećaja. Psihodinamska teorija razvoja obuhvaća teorije koji su izvorno nastali na temelju rada Sigmunda Freuda i njegove psihoanalize. Naš unutarnji život i sva naša osobna iskustva, osjećaji, želje i fantazije upravljaju nama i izravno djeluju na naše ponašanje i komunikaciju s okolinom. Psihodinamika poremećaja ličnosti definirana je kroz snagu ega pojedinca, mehanizme obrane te objektne odnose i reprezentacije. Dodatno, razumijevanje introjekata može pomoći pri uočavanju razlika na koji pacijenti doživljavaju sebe, ali i ljude oko sebe. Središte moga rada za psihodinamiku poremećaja hranjenja čini teorija privrženosti i reflektivno funkcioniranje, ali i način na koji emocionalno iskustvo djeluje na pojedinca i na razvoj poremećaja hranjenja. Osim psihodinamike, u ovom preglednom radu obrađena je i epigenetika navedenih poremećaja koja pomaže u razumijevanju njihove etiologije. Epigenetika je znanstvena disciplina unutar genetike koja proučava nasljedne promjene u ekspresiji gena koje nisu uzrokovane promjenom u DNA nizu. Pregled epigenetskih modifikacija nam govori o važnosti interakcije gena i okoliša tijekom cijelog života pojedinca. Kako okoliš utječe na gensku ekspresiju od velike je važnosti u shvaćanju uzroka poremećaja čijim razumijevanjem možemo pridonijeti u sprječavanju nastanka tih bolesti.

Abstract (english)

Although there are numerous papers on the topic of personality disorders and eating disorders, the current essential understanding of these disorders is still insufficient, which can be seen primarily in the modest success of the treatment of these disorders. This review paper presents what is considered to be the most important parts of the psychodynamics of personality disorders and eating disorders to further illuminate possible pathways leading to good treatment outcomes for these disorders. Psychodynamic theory of development encompasses theories that were originally developed based on Sigmund Freud’s work and his psychoanalysis. Our inner life and all our personal experiences, feelings, desires, and fantasies govern us and directly affect our behavior and communication with the environment. I defined the psychodynamics of personality disorders through the strength of the individual's ego, defense mechanisms, and object relations and representations. Additionally, understanding introjects can help spot differences about how patients see themselves and the people around them. The focus of my work on the psychodynamics of eating disorders is attachment theory and reflective functioning, but also the way in which emotional experience affects the individual and the development of eating disorders. In addition to psychodynamics, this review paper also deals with the epigenetics of these disorders, which helps to understand their etiology. Epigenetics is a scientific discipline within genetics that studies inherited changes in gene expression that are not caused by change in the DNA sequence. An overview of epigenetic modifications tells us about the important interaction of genes and the environment throughout an individual’s life. How the environment affects gene expression is of great importance in understanding the causes of disorders whose understanding can contribute to preventing the onset of these diseases.

• Keywords: psihodinamika; epigenetika; poremećaji ličnosti; poremećaji hranjenja
• Keywords (english): psychodynamics; epigenetics; personality disorders; eating disorders
• Language: croatian
• URN:NBN: urn:nbn:hr:105:560037
• Study programme: Title: Medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2022-03-09 12:25:41