One of the ongoing themes of this blog is the nonsensical
practice of some researchers in psychiatry of routinely labeling differences in size and
activity levels of parts of the brain, as seen on brain scans such as fMRI scans, between various
diagnostic groups and control subjects as abnormalities (See the posts http://davidmallenmd.blogspot.com/2010/03/neural-plasticity.html
and http://davidmallenmd.blogspot.com/2013/02/neural-plasticity-and-error-management.html).
These researchers seem oblivious to a now well-established process
within neurons called long term
potentiation (LTP). Briefly, if a synapse – the point between two nerve
cells at which a
nervous electrical impulse passes from one neuron to the other – is stimulated by individuals’ interactions with the
environment that leads to learning, this produces
a long-lasting increase in signal transmission between the synapses of those
two cells. In
other words, the power of the connection starts to increase. Conversely, if
such a connection is hardly ever stimulated, its power decreases. This is
probably the way memory works. Hearing a fact once in a lecture may not lead to its
being remembered for long, whereas if someone keeps studying the fact, the memory
of it becomes stronger.
It is
important to mention that structural changes in the size and shape of the
pre- and post-synapse parts of neurons may mediate permanent or near-permanent changes in
synaptic efficacy. Growth may allow for an increase in the size or number of
active zones on both sides of the synapse. The “spines” of the cell can
increase in volume after LTP induction. While the degree to which structural
re-organization of synapses occurs in adult animals is not yet clear, the
process seems to involve a neurotransmitter (a
chemical substance that is released at the end of a neuron cell by the arrival
of a nerve impulse and, by diffusing across the junction, causes the transfer
of the impulse to another neuron) called brain-derived neurotrophic factor (BDNF).
If a particular
synapse is almost never stimulated, it can disappear altogether. Conversely, LTP
is associated with an enhanced recycling of a part of the structure of the synapse,
and this process could eventually result in the formation of a new, immature
spine.
In
other words, the more a part of the brain used for a particular purpose is
used, the more likely it is to increase in size due to this process. When many synapses are involved in an individual's interactions with the environment, size differences in those parts of the brain can therefore easily be conditioned responses rather than abnormalities.
The brain learns by repetition. The problem with repetition is that it can then become an addiction, especially in certain groups. For example, according to a paper called, "Desperately driven and no brakes", having trauma at two different times (ages 3-5 yrs and adolescence) creates a compulsion to use drugs and stronger cues and this is based on three factors:
ReplyDelete1) a sensitized stress response system
2) sensitive periods of vulnerability
3) maturational processes during adolescence
So a compulsion to use drugs would explain the high incidence of drug use in Borderlines. But I think it's stupid to think that if the reward system has been affected that would create only one single compulsion/addiction. Notice how many of the symptoms of Borderline personality are in fact addictions (spending, gambling, speeding, cutting, cluttering, etc).
So I do believe I just answered your question of why Borderlines continue repetitive bad behaviors.
Re: Brain structure and response. There is one factor nobody seems to be considering and that is that brain structure and response to emotional stimuli is related to gut microbial profiles. (As a matter of fact, Borderlines have low levels of several types of gut bacteria, one of them being L. Reuteri, which produces and modulates Oxytocin and as you know, Borderlines have low oxytocin levels).
If stress-induced dysbiosis and bacterial profiles cause changes in brain structure and response, then that's going to throw many of the brain studies out the door.
My sources:
Desperately driven and no brakes
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2688959/
Brain Structure and Response to Emotional Stimuli as Related to Gut Microbial Profiles in Healthy Women
https://journals.lww.com/psychosomaticmedicine/Abstract/2017/10000/Brain_Structure_and_Response_to_Emotional_Stimuli.10.aspx