The association between reflective function and global functionality in patients with borderline personality disorder

2020 ◽  
pp. 103985622098180
Author(s):  
Glaydcianne Pinheiro Bezerra ◽  
Pricilla Braga Laskoski ◽  
Luciana Terra ◽  
Luis Francisco Ramos-Lima ◽  
Fernanda Barcellos Serralta ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Global Assessment ◽  
Reflective Functioning ◽  
Borderline Personality ◽  
Reflective Function ◽  
Global Assessment Of Functioning ◽  
Defensive Style ◽  
Self Reporting Questionnaire ◽  
Uncertainty Score

Objective: To examine the association between reflective function and global functionality in borderline personality disorder (BPD) patients, controlling for symptomatology and defensive style. Method: Thirty-nine female inpatients were evaluated employing a sociodemographic questionnaire, the Structured Clinical Interview for Personality Disorders-II (SCID-II), the Self-Reporting Questionnaire (SRQ-20), the Reflective Functioning Questionnaire (RFQ), the Defence Style Questionnaire-40 (DSQ-40) and the Global Assessment of Functioning (GAF). Results: Functionality was inversely associated with the reflective function uncertainty score (–.458; p < .01) and neurotic defences (–.335; p < .05). Symptom severity (SRQ-20) was associated with the use of immature defences (–.445; p < .01). The association between functionality and the reflective function uncertainty score remained significant, even when controlled for symptoms and defensive style ( p = .002). Conclusion: The ability to mentalise seems to play a central and somehow independent role in BPD psychopathology.

scholarly journals Psychometric properties of the Reflective Functioning Questionnaire in a Colombian population sample.

2020 ◽  
Author(s):  
Ricardo Camilo Rueda ◽  
Stefano Vinaccia Alpi ◽  
Yuli Jimenez ◽  
Brayan Vinasco ◽  
Yecid Baltazar Vidal
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Psychometric Properties ◽  
Population Sample ◽  
Reflective Functioning ◽  
Borderline Personality ◽  
Spanish Version ◽  
Reflective Function ◽  
Internal States ◽  
Key Factor

The capacity to understand the behavior of oneself and others in terms of internal states as emotions, beliefs, and desires (Reflective function or mentalization) is a key factor in the development of Borderline Personality Disorder (BPD). The present study aimed to analyze the psychometric properties in the Spanish version of the Reflective Functioning Questionnaire (RFQ).

scholarly journals Transference-focused psychotherapy for borderline personality disorder: Change in reflective function

2015 ◽  
Vol 207 (2) ◽  
pp. 173-174 ◽  
Author(s):  
Melitta Fischer-Kern ◽  
Stephan Doering ◽  
Svenja Taubner ◽  
Susanne Hörz ◽  
Johannes Zimmermann ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Controlled Trial ◽  
Reflective Functioning ◽  
Borderline Personality ◽  
Medium Size ◽  
Reflective Function ◽  
Personality Functioning ◽  
Randomised Controlled ◽  
Transference Focused Psychotherapy

SummaryBorderline personality disorder is associated with deficits in personality functioning and mentalisation. In a randomised controlled trial 104 people with borderline personality disorder received either transference-focused psychotherapy (TFP) or treatment by experienced community therapists. Among other outcome variables, mentalisation was assessed by means of the Reflective Functioning Scale (RF Scale). Findings revealed only significant improvements in reflective function in the TFP group within 1 year of treatment. The between-group effect was of medium size (d = 0.45). Improvements in reflective function were significantly correlated with improvements in personality organisation.

scholarly journals The Italian version of the Reflective Functioning Questionnaire: Validity data for adults and its association with severity of borderline personality disorder

PLoS ONE ◽  
2018 ◽  
Vol 13 (11) ◽  
pp. e0206433 ◽  
Author(s):  
Niccolò Morandotti ◽  
Natascia Brondino ◽  
Alessia Merelli ◽  
Annalisa Boldrini ◽  
Giulia Zelda De Vidovich ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Reflective Functioning ◽  
Borderline Personality ◽  
Italian Version ◽  
Validity Data ◽  
Questionnaire Validity

scholarly journals Attachment and Reflective Functioning in Women With Borderline Personality Disorder

2018 ◽  
Vol 32 (1) ◽  
pp. 17-30 ◽  
Author(s):  
Deborah Badoud ◽  
Paco Prada ◽  
Rosetta Nicastro ◽  
Charlotte Germond ◽  
Patrick Luyten ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Clinical Status ◽  
Critical Role ◽  
Reflective Functioning ◽  
Borderline Personality ◽  
Insecure Attachment ◽  
Self Report ◽  
Working Models ◽  
Internal Working

Insecure attachment and impairments in reflective functioning (RF) are thought to play a critical role in borderline personality disorder (BPD). In particular, the mentalization-based model argues that insecure attachment indirectly accounts for increased BPD features, notably via disruption of RF capacities. Although the mediation relationship between attachment, RF, and BPD is supported by previous evidence, it remains to be directly tested in adults with BPD. In the current study, a sample of 55 female adult BPD patients and 105 female healthy controls completed a battery of self-report measures to investigate the interplay between attachment, RF capacities, and BPD clinical status. Overall, the results showed that BPD patients pre- dominantly reported insecure attachment, characterized by negative internal working models of the self as unlovable and unimportant to others, and decreased RF abilities. Our findings further indicated that actual RF capacities mediated the relationships between adult insecure attachment and BPD clinical status.

Psychopathology in Offspring of Mothers with Borderline Personality Disorder: A Pilot Study

1996 ◽  
Vol 41 (5) ◽  
pp. 285-290 ◽  
Author(s):  
Margaret Weiss ◽  
Phyllis Zelkowitz ◽  
Ronald B Feldman ◽  
Judy Vogel ◽  
Marsha Heyman ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Affective Disorders ◽  
Impulse Control ◽  
Global Assessment ◽  
Diagnostic Interview ◽  
Borderline Personality ◽  
Verbal Abuse ◽  
Psychiatric Diagnoses ◽  
Spectrum Disorders

Objective: Children of mothers with borderline personality disorder (BPD) were hypothesized to be at greater risk for psychopathology, particularly impulse spectrum disorders, than children of mothers with other personality disorders. Method: Twenty-one index children were compared with 23 children of mothers with a nonborderline personality disorder. Diagnoses were obtained using the Kiddie Schedule for Affective Disorders and Schizophrenia–Episodic Version (KSADS-E) and the Child Diagnostic Interview for BPD (CDIB), and functioning was rated with the Child Global Assessment Schedule (CGAS). Physical, sexual, and verbal abuse, as well as family violence and placements, were also assessed. Results: The children of the borderline mothers, as compared with controls, had more psychiatric diagnoses, more impulse control disorders, a higher frequency of child BPD, and lower CGAS scores. There were no differences between the groups for trauma. Conclusion: The offspring of borderline mothers are at high risk for psychopathology.

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