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

Autor: Forster SD; Institute of Medical Psychology and Medical Sociology, University Hospital of the RWTH Aachen University, Aachen, Germany. Electronic address: sforster@ukaachen.de., Beblo T; Department of Psychiatry and Psychotherapy, Research Division, Evangelisches Klinikum Bethel, Bielefeld, Germany; Department of Psychology, Bielefeld University, Bielefeld, Germany., Pohl S; Department of Psychiatry and Psychotherapy, Research Division, Evangelisches Klinikum Bethel, Bielefeld, Germany., Steuwe C; Department of Psychiatry and Psychotherapy, Research Division, Evangelisches Klinikum Bethel, Bielefeld, Germany., Gauggel S; Institute of Medical Psychology and Medical Sociology, University Hospital of the RWTH Aachen University, Aachen, Germany., Mainz V; Institute of Medical Psychology and Medical Sociology, University Hospital of the RWTH Aachen University, Aachen, Germany.
Jazyk: angličtina
Zdroj: Journal of psychiatric research [J Psychiatr Res] 2021 Aug; Vol. 140, pp. 87-94. Date of Electronic Publication: 2021 May 28.
DOI: 10.1016/j.jpsychires.2021.05.065
Abstrakt: 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.
(Copyright © 2021 Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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