Schemas and modes in borderline personality disorder: The mistrustful, shameful, angry, impulsive, and unhappy child

Psychiatry Research
B Bach, Joan M Farrell

Abstract

In this study we investigated how early maladaptive schemas and schema modes uniquely characterize Borderline Personality Disorder (BPD) patients versus comparison groups. BPD patients (n = 101) were systematically matched with personality disordered patients without BPD (n = 101) and healthy controls (n = 101). Differences were investigated using one-way ANOVA and multinomial logistic regression analyses. Results indicated that schemas of Mistrust/Abuse and Defectiveness/Shame along with modes of Angry Child, Impulsive Child, and (low) Happy Child uniquely differentiated BPD patients from patients with other personality disorders. Likewise, schemas of Mistrust/Abuse, Defectiveness/Shame, and Insufficient Self-Control along with modes of Vulnerable Child, Enraged Child, and (low) Happy Child, uniquely differentiated BPD patients from healthy controls. The results are overall consistent with propositions in the schema therapy literature as well as previous findings, and suggest that underlying schemas of Mistrust/Abuse and Defectiveness/Shame as well as manifest modes of Angry/Enraged Child, Impulsive Child, and (low) Happy Child comprise key features of BPD. Consequently, these features may be important foci in the conceptualiz...Continue Reading

Citations

Dec 20, 2017·Cognitive Behaviour Therapy·Bo BachJeffrey E Young
Oct 10, 2018·Current Opinion in Psychiatry·Bo Bach, David P Bernstein
Feb 17, 2019·Clinical Psychology & Psychotherapy·Nasrin EsmaeilianKristof Hoorelbeke
May 18, 2019·European Psychiatry : the Journal of the Association of European Psychiatrists·Susana Jiménez-MurciaJosé M Menchón
Nov 22, 2018·Borderline Personality Disorder and Emotion Dysregulation·Marlies HoubenKristof Vansteelandt
Dec 5, 2020·Psychotherapy Research : Journal of the Society for Psychotherapy Research·David KoppersJack J M Dekker
Feb 25, 2021·Journal of Clinical Psychology·Priya PuriMadhavaran Thomas Kishore
Jul 23, 2021·Current Opinion in Psychiatry·Darko MarčinkoFilip Mustač

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