Mentalization of complex emotions in borderline personality disorder: The impact of parenting and exposure to trauma on the performance in a novel cartoon-based task

Comprehensive Psychiatry
Martin BrüneGiancarlo Dimaggio

Abstract

Borderline personality disorder (BPD) is characterized by a range of interpersonal difficulties, which are, in part, related to adverse experiences during childhood. Unresponsive parenting and traumatization may cause functional impairment of mentalization, i.e. the ability to reflect upon own and others' mental states. However, the relationship of poor parenting, trauma and mentalization in BPD has not exhaustively been studied. Thirty patients diagnosed with BPD and 30 matched control subjects were asked to sequence a novel cartoon-based mentalization task involving complex emotions such as jealousy, shame, guilt etc. In addition, they were required to reason about cognitive and affective mental states of the cartoon characters. The quality of parental care was assessed using a self-report measure for recalled parental rearing style, and childhood trauma was measured in retrospect using the Childhood Trauma Questionnaire. Patients with BPD performed more poorly in all aspects of the cartoon task. Mentalizing skills, particularly relating to affective mental states, were uniquely associated with the quality of recalled parental care and childhood trauma. Together, the quality of parental care and the experience of childhood tr...Continue Reading

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Citations

Oct 28, 2015·Comprehensive Psychiatry·Giancarlo Dimaggio, Martin Brüne
Jun 1, 2016·Frontiers in Psychology·Francesca M BoscoSilvia Testa
Feb 27, 2016·The Journal of Nervous and Mental Disease·Raffaele PopoloPaul H Lysaker
Oct 4, 2018·PloS One·David M GreenbergPeter J Rentfrow
Feb 4, 2019·Psychology and Psychotherapy·Pauline MaillardUeli Kramer
Mar 29, 2019·Journal of Personality Disorders·Sebastian EulerUNKNOWN Personality and Mood Disorders Research Network
Sep 3, 2020·Journal of American College Health : J of ACH·Min-Jeong YangTeresa M Leyro
Aug 27, 2018·European Psychiatry : the Journal of the Association of European Psychiatrists·Karolina I RokitaGary Donohoe
Nov 7, 2019·Psychology and Psychotherapy·Tamer GoueliMohamed Farouk
Jul 22, 2020·Harvard Review of Psychiatry·Rui M SalgadoAntónio J Bastos-Leite
Apr 20, 2018·Journal of Neuropsychology·Michitaka FunayamaTakayuki Abe
Oct 28, 2020·Journal of Personality Disorders·Karen HillmannKatja Bertsch
Apr 19, 2021·Neuroscience and Biobehavioral Reviews·Lauren HanegraafAntonio Verdejo-Garcia
Apr 16, 2020·Psychopathology·Yu Lien HuangUNKNOWN and London Personality and Mood Disorder Research Consortium

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