Self-referential processing and perspective taking in patients with a borderline personality disorder.

Journal of Psychiatric Research
Saskia Doreen ForsterVerena Mainz

Abstract

Divergent self- and other-referential processes play a particular role in the development and maintenance of borderline personality disorder (BPD). This study investigated self-referential processes in patients with BPD and age-matched controls. Participants performed a trait-judgment task, taking their own and the perspective of a close other person. Memory was assessed during recall of the previous choices. Results revealed over all more negative self-appraisals in patients than controls, which seemed due to making less positive self-referential choices rather than an increased choice of negative traits. Interestingly, taking another perspective, patients had a healthier, predominantly positive self-assessment, albeit still attenuated compared to controls. The characteristics of the appraisals were mirrored in memory performances. Moreover, self-esteem seems to be a potential protective factor, as self-appraisals were more positive with higher self-esteem. Altogether, this study shows significantly deviant self-referential processes in patients with BPD, suggesting that patients do not integrate what they believe others think about them into their self-concept.

References

Jan 13, 2006·Behavior Research Methods·Roger Bakeman
Jan 12, 2007·Psychopathology·Martin BohusRolf-Dieter Stieglitz
Oct 24, 2007·Journal of Personality Disorders·Donna S Bender, Andrew E Skodol
Nov 10, 2009·Behavior Research Methods·Franz FaulAlbert-Georg Lang
Dec 21, 2013·Psychopathology·Dorina WinterChristian Schmahl
Oct 16, 2015·Psychological Medicine·C W KornS Roepke
Jun 22, 2018·Personality Disorders·Haang JeungSabine C Herpertz
Aug 31, 2018·Behaviour Research and Therapy·Dorina WinterStefanie Lis
May 19, 2019·Journal of Psycholinguistic Research·Sara BritzVerena Mainz

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