Hostname: page-component-7c8c6479df-995ml Total loading time: 0 Render date: 2024-03-27T15:06:31.443Z Has data issue: false hasContentIssue false

Social feedback processing in borderline personality disorder

Published online by Cambridge University Press:  15 October 2015

C. W. Korn*
Affiliation:
Department of Education and Psychology, Freie Universität Berlin, Berlin, Germany Department of Psychiatry, Psychotherapy, and Psychosomatics, University of Zurich, Zürich, Switzerland Neuroscience Center Zurich, University of Zurich, Switzerland
L. La Rosée
Affiliation:
Department of Education and Psychology, Freie Universität Berlin, Berlin, Germany Neuro-Cognitive Psychology Department, Ludwig-Maximilians-Universität München, Munich, Germany
H. R. Heekeren
Affiliation:
Department of Education and Psychology, Freie Universität Berlin, Berlin, Germany
S. Roepke
Affiliation:
Department of Psychiatry, Charité-Universitätsmedizin Berlin, Campus Benjamin Franklin, Germany
*
*Address for correspondence: Dr C. W. Korn, Department of Education and Psychology, Freie Universität Berlin, Habelschwerdter Allee 45, 14195 Berlin, Germany. (Email: christoph.w.korn@gmail.com)

Abstract

Background

Patients with borderline personality disorder (BPD) show negative and unstable self- and other-evaluations compared to healthy individuals. It is unclear, however, how they process self- and other-relevant social feedback. We have previously demonstrated a positive updating bias in healthy individuals: When receiving social feedback on character traits, healthy individuals integrate desirable more than undesirable feedback. Here, our aim was to test whether BPD patients exhibit a more negative pattern of social feedback processing.

Method

We employed a character trait task in which BPD patients interacted with four healthy participants in a real-life social interaction. Afterwards, all participants rated themselves and one other participant on 80 character traits before and after receiving feedback from their interaction partners. We compared how participants updated their ratings after receiving desirable and undesirable feedback. Our analyses included 22 BPD patients and 81 healthy controls.

Results

Healthy controls showed a positivity bias for self- and other-relevant feedback as previously demonstrated. Importantly, this pattern was altered in BPD patients: They integrated undesirable feedback for themselves to a greater degree than healthy controls did. Other-relevant feedback processing was unaltered in BPD patients.

Conclusions

Our study demonstrates an alteration in self-relevant feedback processing in BPD patients that might contribute to unstable and negative self-evaluations.

Type
Original Articles
Copyright
Copyright © Cambridge University Press 2015 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Alicke, MD, Sedikides, C (2009). Self-enhancement and self-protection: what they are and what they do. European Review of Social Psychology 20, 148.Google Scholar
APA (2000). Diagnostic and Statistical Manual of Mental Disorders, 4th edn. American Psychiatric Association: Washington, DC.Google Scholar
APA (2013). Diagnostic and Statistical Manual of Mental Disorders, 5th edn. American Psychiatric Association: Washington, DC.Google Scholar
Arntz, A, Dreessen, L, Schouten, E, Weertman, A (2004). Beliefs in personality disorders: a test with the personality disorder belief questionnaire. Behaviour Research and Therapy 42, 12151225.Google Scholar
Arntz, A, ten Haaf, J (2012). Social cognition in borderline personality disorder: evidence for dichotomous thinking but no evidence for less complex attributions. Behaviour Research and Therapy 50, 707–18.Google Scholar
Barnow, S, Stopsack, M, Grabe, HJ, Meinke, C, Spitzer, C, Kronmüller, K, Sieswerda, S (2009). Interpersonal evaluation bias in borderline personality disorder. Behaviour Research and Therapy 47, 359365.Google Scholar
Beck, A, Steer, R, Garbin, M (1988). Psychometric properties of the Beck Depression Inventory: twenty-five years of evaluation. Clinical Psychology Review 8, 77100.Google Scholar
Bohus, M, Limberger, MF, Frank, U, Chapman, AL, Kühler, T, Stieglitz, R-D (2007). Psychometric properties of the Borderline Symptom List (BSL). Psychopathology 40, 126132.Google Scholar
Bowles, DP, Armitage, CJ, Drabble, J, Meyer, B (2013). Self-esteem and other-esteem in college students with borderline and avoidant personality disorder features: an experimental vignette study. Personality and Mental Health 319, 307319.CrossRefGoogle Scholar
Disner, SG, Beevers, CG, Haigh, EaP, Beck, AT (2011). Neural mechanisms of the cognitive model of depression. Nature Reviews Neuroscience 12, 467477.Google Scholar
First, MB, Gibbon, M, Spitzer, RL, Williams, JBW, Benjamin, LS (1997). Structured Clinical Interview for DSM-IV axis II Personality Disorders (SCID-II) . American Psychiatric Press, Inc.: Washington, DC.Google Scholar
Franke, GH (1995). SCL-90-R the Symptom Checklist of Derogatis. German Version. Testzentrale: Göttingen, Germany.Google Scholar
Franzen, N, Hagenhoff, M, Baer, N, Schmidt, A, Mier, D, Sammer, G, Gallhofer, B, Kirsch, P, Lis, S (2011). Superior ‘theory of mind’ in borderline personality disorder: an analysis of interaction behavior in a virtual trust game. Psychiatry Research 187, 224233.Google Scholar
Hautzinger, M, Bailer, M, Worall, H (1994). The Beck Depression Inventory (BDI) [in German] . Huber: Bern.Google Scholar
Huang, Y, Kendrick, KM, Yu, R (2014). Conformity to the opinions of other people lasts for no more than 3 days. Psychological Science 25, 13881393.Google Scholar
King-Casas, B, Sharp, C, Lomax-Bream, L, Lohrenz, T, Fonagy, P, & Montague, PR (2008). The rupture and repair of cooperation in borderline personality disorder. Science 321, 806810.Google Scholar
Klein, MH, Wonderlich, SA, Crosby, R (2001). Self-concept correlates of the personality disorders. Journal of Personality Disorders 15, 150156.Google Scholar
Korn, CW, Fan, Y, Zhang, K, Wang, C, Han, S, Heekeren, HR (2014 a). Cultural influences on social feedback processing of character traits. Frontiers in Human Neuroscience 8, 118.Google Scholar
Korn, CW, Prehn, K, Park, SQ, Walter, H, Heekeren, HR (2012). Positively biased processing of self-relevant social feedback. Journal of Neuroscience 32, 1683216844.Google Scholar
Korn, CW, Sharot, T, Walter, H, Heekeren, HR, Dolan, RJ (2014 b). Depression is related to an absence of optimistically biased belief updating about future life events. Psychological Medicine 44, 579592.Google Scholar
Leary, MR (2007). Motivational and emotional aspects of the self. Annual Review of Psychology 58, 317344.Google Scholar
Levy, KN, Edell, WS, McGlashan, TH (2007). Depressive experiences in inpatients with borderline personality disorder. Psychiatric Quarterly 78, 129143.Google Scholar
Matzke, B, Herpertz, SC, Berger, C, Fleischer, M, Domes, G (2014). Facial reactions during emotion recognition in borderline personality disorder: a facial electromyography study. Psychopathology 47, 101110.CrossRefGoogle ScholarPubMed
McEwen, BS, Gray, JD, Nasca, C (2015). 60 years of neuroendocrinology: redefining neuroendocrinology: stress, sex and cognitive and emotional regulation. Journal of Endocrinology 226, T67T83.Google Scholar
Pretzer, J (1990). Borderline personality disorder. In Cognitive Therapy of Personality Disorder (ed. Beck, T. A. and Freeman, A.), pp. 176207. Guilford Press: New York.Google Scholar
Renneberg, B, Herm, K, Hahn, A, Staebler, K, Lammers, C-H, Roepke, S (2012). Perception of social participation in borderline personality disorder. Clinical Psychology & Psychotherapy 19, 473480.Google Scholar
Renneberg, B, Heyn, K, Gebhard, R, Bachmann, S (2005). Facial expression of emotions in borderline personality disorder and depression. Journal of Behavior Therapy and Experimental Psychiatry 36, 183196.Google Scholar
Roepke, S, Schröder-Abé, M, Schütz, A, Jacob, G, Dams, A, Vater, A, Rüter, A, Merkl, A, Heuser, I, Lammers, C, Franklin, B (2011). Dialectic behavioural therapy has an impact on self-concept clarity and facets of self-esteem in women with borderline personality disorder. Clinical Psychology and Psychotherapy 18, 148158.Google Scholar
Roepke, S, Vater, A, Preißler, S, Heekeren, HR, Dziobek, I (2013). Social cognition in borderline personality disorder. Frontiers in Neuroscience 6, 195.Google Scholar
Rosenberg, M (1965). Society and the Adolescent Self-Image. Princeton University Press: Princeton, New Jersey.Google Scholar
Rüsch, N, Lieb, K, Göttler, I, Hermann, C, Schramm, E, Richter, H, Jacob, GA, Corrigan, PW, Bohus, M (2007). Shame and implicit self-concept in women with borderline personality disorder. American Journal of Psychiatry 164, 500508.Google Scholar
Schilbach, L, Timmermans, B, Reddy, V, Costall, A, Bente, G, Schlicht, T, Vogeley, K (2013). Toward a second-person neuroscience. The Behavioral and Brain Sciences 36, 393414.Google Scholar
Schmidt, KH, Metzler, P (1992). Wortschatztest (WST) . Beltz Test GmbH: Weinheim, Germany.Google Scholar
Schuermann, B, Kathmann, N, Stiglmayr, C, Renneberg, B, Endrass, T (2011). Impaired decision making and feedback evaluation in borderline personality disorder. Psychological Medicine 41, 19171927.Google Scholar
Sharot, T, Fleming, SM, Yu, X, Koster, R, Raymond, J (2013). Is choice-induced preference change long lasting? Psychological Science 23, 11231129.Google Scholar
Sheehan, DV, Lecrubier, Y, Sheehan, KH, Amorim, P, Janavs, J, Weiller, E, Hergueta, T, Baker, R, Dunbar, GC (1998). The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. Journal of Clinical Psychiatry 59 (Suppl. 20:22), quiz 3457.Google Scholar
Sieswerda, S, Arntz, A, Wolfis, M (2005). Evaluations of emotional noninterpersonal situations by patients with borderline personality disorder. Journal of Behavior Therapy and Experimental Psychiatry 36, 209225.Google Scholar
Staebler, K, Renneberg, B, Stopsack, M, Fiedler, P, Weiler, M, Roepke, S (2011). Facial emotional expression in reaction to social exclusion in borderline personality disorder. Psychological Medicine 41, 19291938.Google Scholar
Steyer, R, Schwenkmezger, P, Notz, P, Eid, M (1997). Multidimensional Mood State Questionnaire (MDBF) [in German]. Hogrefe: Göttingen, Germany.Google Scholar
Stiglmayr, CE, Grathwol, T, Linehan, MM, Ihorst, G, Fahrenberg, J, Bohus, M (2005). Aversive tension in patients with borderline personality disorder: a computer-based controlled field study. Acta Psychiatrica Scandinavica 111, 372379.CrossRefGoogle ScholarPubMed
Taylor, SE, Brown, JD (1988). Illusion and well-being: a social psychological perspective on mental health. Psychological Bulletin 103, 193210.Google Scholar
Taylor, SE, Collins, RL, Skokan, LA, Aspinwall, LG (1989). Maintaining positive illusions in the face of negative information: getting the facts without letting them get you. Journal of Social and Clinical Psychology 8, 114129.Google Scholar
Tolpin, HL, Gunthert, KC, Cohen, LH, O'Neill, S (2004). Borderline personality features and instability of daily negative affect and self-esteem. Journal of Personality 72, 111138.Google Scholar
Unoka, Z, Seres, I, Aspan, N, Bodi, N, Keri, S (2009). Tust game reveals restricted interpersonal transactions in patients with borderline personality disorder. Journal of Personality Disorders 23, 399409.Google Scholar
Vater, A, Schröder-Abé, M, Weißgerber, S, Roepke, S, Schütz, A (2015). Self-concept structure and borderline personality disorder: evidence for negative compartmentalization. Journal of Behavior Therapy and Experimental Psychiatry 46, 5058.Google Scholar
Veen, G, Arntz, A (2000). Multidimensional dichotomous thinking characterizes borderline personality disorder. Cognitive Therapy and Research 24, 2345.Google Scholar
Westen, D (1990). Towards a revised theory of borderline object relations: contributions of empirical research. The International Journal of Psychoanalysis 71, 661693.Google Scholar
Wilkinson-Ryan, T, Westen, D (2000). Identity sisturbance in borderline personality disorder: an empirical investigation. American Journal of Psychiatry 157, 528541.Google Scholar
Zeigler–Hill, V, Abraham, J (2006). Borderline personality features: instability of self-esteem and affect. Journal of Social and Clinical Psychology 25, 668687.Google Scholar
Supplementary material: File

Korn supplementary material

Korn supplementary material 1

Download Korn supplementary material(File)
File 33.1 KB