Attachment mental states and inferred pathways of development in borderline personality disorder: a study using the Adult Attachment Interview

2011 ◽  
Vol 13 (5) ◽  
pp. 451-469 ◽  
Author(s):  
Lavinia Barone ◽  
Andrea Fossati ◽  
Valentina Guiducci
2019 ◽  
Vol 33 (6) ◽  
pp. 736-750 ◽  
Author(s):  
Martijn Van Heel ◽  
Patrick Luyten ◽  
Celine De Meulemeester ◽  
Dominique Vanwalleghem ◽  
Rudi Vermote ◽  
...  

Extant research suggests that borderline personality disorder (BPD) is associated with impairments in mentalizing, that is, comprehending behavior in terms of underlying mental states. However, the precise nature of these impairments remains unclear. The literature is mixed concerning mental-izing based on external features of others, and specifically facial emotion recognition (FER) in BPD patients. This study investigated FER differences in 79 BPD patients and 79 matched healthy controls using the Reading the Mind in the Eyes Test (RMET). The authors also investigated attachment dimensions and childhood trauma in relation to mentalizing based on external features. Results showed that BPD patients performed worse on positive and negative emotions. Furthermore, avoidant attachment was negatively related to FER for neutral emotions, particularly in the control group. Trauma was negatively related to FER at trend level, particularly in BPD patients. The implications for this understanding of mentalizing based on external features in BPD are discussed.


Author(s):  
V. Morozova

The article presents the results of an empirical study of the psychological features of people with signs of borderline personality disorder. The study involved 40 people with signs of borderline personality disorder aged 14-56 years. According to the purpose of the study, the following tasks have been set: To investigate personality with borderline disorder; Identify and evaluate the neurotic states of a person with a borderline personality disorder; Conduct correlation analysis to investigate trends in the relationship between the indicator of the number of signs of borderline disorder and personal characteristics. The following research methods were used: 5PFQ Big Five technique (R. McCray, P. Costa), Clinical questionnaire for the detection and evaluation of neurotic conditions (KK Yakhin, DM Mendelevich) and Methods for diagnosing borderline personality disorder (TY Lasovskaya, CP Korolenko, SV Yaechnikov). The data obtained were subjected to a mathematical and statistical analysis procedure using the SPSS Statistic program. It is proved that emotional lability (instability of emotions), impulsiveness and self-harming behavior are important diagnostic criteria of a borderline personality disorder. High level of manifestation of signs of borderline personality disorder is accompanied by such mental states of disadaptation as neurotic depression, asthenia, tension and anxiety.


Author(s):  
Tomasz Cyrkot ◽  
Remigiusz Szczepanowski ◽  
Kamila Jankowiak-Siuda ◽  
Łukasz Gawęda ◽  
Ewelina Cichoń

AbstractCurrent psychopathology attempts to understand personality disorders in relation to deficits in higher cognition such as mindreading and metacognition. Deficits in mindreading are usually related to limitations in or a complete lack of the capacity to understand and attribute mental states to others, while impairments in metacognition concern dysfunctional control and monitoring of one’s own processes. The present study investigated dysfunctional higher cognition in the population of patients with borderline personality disorder (BPD) by analyzing the accuracy of metacognitive judgments in a mindreading task [reading the mind in the eyes Test (RMET)] and a subsequent metacognitive task based on self-report scales: a confidence rating scale (CR) versus a post-decision wagering scale (PDW). It turned out that people from the BPD group scored lower in the RMET. However, both groups had the same levels of confidence on the PDW scale when giving incorrect answers in the RMET test. As initially hypothesized, individuals with BPD overestimated their confidence in incorrect answers, regardless of the type of metacognitive scales used. The present findings indicate that BPD individuals show dysfunctional patterns between instances of mindreading and metacognition.


2021 ◽  
Vol 12 ◽  
Author(s):  
Talia Hashworth ◽  
Samantha Reis ◽  
Brin F. S. Grenyer

BackgroundPersonal agency- the degree to which one believes they have control over their life- is thought to influence how people understand their interpersonal relationships. Links between adult attachment and personal agency are theoretically relevant to the experience of borderline personality disorder (BPD) but this has yet to be empirically examined. The present research examines the impact of personal agency and adult attachment styles for individuals meeting criteria for BPD.MethodsParticipants consented to an online community study examining measures of locus of control (as an index of personal agency), BPD, and adult attachment. Participants meeting criteria for BPD (N = 96; mean age = 30.63; 70.5% female) were compared to age-matched healthy controls (N = 96; mean age = M = 31.99; 89.0% female).ResultsIndividuals who met criteria for BPD displayed lower personal agency and higher fearful and preoccupied attachment styles in their close relationships, compared to Controls. Controls reported greater personal agency and were more securely attached in their relationships. Using multiple mediation modeling, the indirect effect of personal agency on BPD was significant for preoccupied, fearful, and secure attachment, but was non-significant for dismissive attachment. Lower personal agency was associated with insecure adult attachment styles.ConclusionsFindings highlight the previously unexplored relationship between BPD and personal agency and indicate that adult attachment style plays a significant role. Low personal agency may increase challenges for individuals with symptoms of BPD by exacerbating relationship difficulties. People in treatment for BPD may benefit from focusing on both relationship insecurity and its impact on their perceived personal control.


2018 ◽  
Vol 51 (1) ◽  
pp. 44-60 ◽  
Author(s):  
Jens Kalleklev ◽  
Sigmund Karterud

Aims: The purpose of this study was to explore how mentalization-based group therapy (MBT-G) for patients with borderline personality disorder may be both different and similar to a more traditional psychodynamic group psychotherapy approach. Material and methods: The study is a comparative case-study examining a supposedly representative clinical example of MBT-G and a supposedly representative clinical example of a psychodynamic group (PDG). Both groups were composed mainly of patients with borderline personality disorder. The study used a mixed methodological approach with quantitative research methods, including MBT-G Adherence and Quality Scale and Reflective Functioning Scale (RF-scale), and qualitative content analysis. Results: 1) The MBT-G therapists focused consistently on mental states and emotions. This was reflected both in a significantly higher intervention frequency, and in a higher proportion of theoretically assumed mentalizing-promoting interventions. 2) We observed an increase in mentalizing (defined as RF) among some patients in the MBT-G group. In the PDG session, RF development were less systematic, and had lesser impact. 3) Interventions with ‘demand’ characteristics might play an important role in developing a mentalizing group discourse. 4) In both groups, therapists and patients actively structured the sessions, but the MBT-G session more explicitly engaged in ‘meta’ discussions about it, i.e. discussing whether a topic should or should not be put on the agenda. Conclusion: Despite similarities between the approaches, differences in choice of therapeutic focus and consistency suggest that the two methods engage patients in different therapy processes. The results warrant studies that include more sessions in order to validate or falsify the resulting hypotheses.


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