Borderline Personality Disorder and Theory of Mind: An Evolutionary Perspective

2003 ◽  
pp. 373-417 ◽  
Author(s):  
Gerhard Dammann
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Theory Of Mind ◽  
Borderline Personality ◽  
Evolutionary Perspective

A meta-analysis of theory of mind and ‘mentalization’ in borderline personality disorder: a true neuro-social-cognitive or meta-social-cognitive impairment?

2021 ◽  
pp. 1-11
Author(s):  
Emre Bora
Keyword(s):  
Cognitive Impairment ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Theory Of Mind ◽  
Cognitive Style ◽  
Social Cognitive ◽  
Meta Analysis ◽  
Borderline Personality ◽  
Healthy Controls ◽  
Meta Analyses

Abstract Background It is widely accepted that borderline personality disorder (BPD) is associated with significant impairments in mentalization and theory of mind (ToM) which are considered as closely related concepts by many authors particularly in psychoanalytical circles. However, for understanding interpersonal difficulties in personality disorders, it is important to distinguish neuro-social cognitive impairment from the abnormal meta-social-cognitive style of patients. Methods The current systematic review aimed to conduct separate meta-analyses of ‘mentalization’ [reflective functioning (RF] and different aspects of ToM in BPD. A literature search was conducted to locate relevant articles published between January 1990 to July 2021. Random-effect meta-analyses were conducted in 34 studies involving 1448 individuals with BPD and 2006 healthy controls. Results A very large impairment in RF was evident in BPD [d = 1.68, confidence interval (CI) = 1.17–2.19]. In contrast, ToM impairment was modest (d = 0.36, CI = 0.24–0.48). BPD patients underperformed healthy controls in ToM-reasoning (d = 0.44, CI = 0.32–0.56) but not ToM-decoding. Increased HyperToM (d = 0.60, CI = 0.41–0.79) and faux pas recognition (d = 0.62, CI = 0.35–0.90) errors in BPD compared to healthy controls were most robust ToM findings in this meta-analysis. Conclusions BPD is characterized by very severe deficits in RF and modest and selective abnormalities in ToM. Interpersonal problems and difficulties in processing social information in BPD can be best explained by patients' maldaptive meta-social cognitive style and top-down effects of these abnormalities rather than having a primary neuro-social cognitive deficit.

scholarly journals Are Impairments in Theory of Mind Specific to Borderline Personality Disorder?

2020 ◽  
Vol 34 (6) ◽  
pp. 827-841 ◽  
Author(s):  
Eivind Normann-Eide ◽  
Bj⊘rnar Torske Antonsen ◽  
Elfrida Hartveit Kvarstein ◽  
Geir Pedersen ◽  
Anja Vaskinn ◽  
...  
Keyword(s):  
Social Cognition ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Theory Of Mind ◽  
Personality Disorders ◽  
Interpersonal Problems ◽  
Borderline Personality ◽  
Healthy Controls ◽  
Per Se ◽  
The Relationship

Impaired theory of mind (ToM) is an assumed feature of borderline personality disorder (BPD). Yet, no studies have compared ToM abilities in patients with BPD, other personality disorders, and healthy controls, or investigated the relationship between ToM and severity of psychopathology and interpersonal problems. In this study, ToM was investigated by the Movie for the Assessment of Social Cognition. No differences were found between the three groups in overall ToM abilities. The BPD group was, however, characterized by more excessive ToM (interpreted as hypermentalization). Yet, when differentiating between BPD and further severity indicators, excessive ToM was not specifically associated with a BPD diagnosis per se. Finally, there was a moderate association between hypermentalization and interpersonal problems in the BPD group. This study suggests that BPD patients tend to hypermentalize when they misinterpret social information, and that this tendency is related to the severity of their psychopathology.

Theory of mind and depersonalization in borderline personality disorder

2017 ◽  
Vol 27 ◽  
pp. S874-S875
Author(s):  
S.L. Romero Guillena ◽  
F. Gotor Sanchez-Luengo ◽  
B.O. Plasencia Garcia de Diego
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Theory Of Mind ◽  
Borderline Personality

Theory of mind disturbances in borderline personality disorder: A meta-analysis

2018 ◽  
Vol 270 ◽  
pp. 143-153 ◽  
Author(s):  
Nándor Németh ◽  
Péter Mátrai ◽  
Péter Hegyi ◽  
Boldizsár Czéh ◽  
László Czopf ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Theory Of Mind ◽  
Meta Analysis ◽  
Borderline Personality

Relations of Maternal Borderline Personality Disorder Features With Preschooler Executive Functioning and Theory of Mind

2020 ◽  
Vol 34 (4) ◽  
pp. 565-576 ◽  
Author(s):  
Maureen Zalewski ◽  
Nicole Musser ◽  
Grace Binion ◽  
Jennifer K. Lewis ◽  
Jacqueline R. O'Brien
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Theory Of Mind ◽  
Executive Functioning ◽  
Perspective Taking ◽  
Family Income ◽  
Risk Group ◽  
Borderline Personality ◽  
High Risk Group ◽  
Child Age

Although children of mothers who have elevated borderline personality disorder (BPD) features are a high-risk group, there remains little research examining developmental mechanisms that place these offspring at risk for emerging psychopathology. The current study included 68 mother–preschooler dyads, in which mothers with elevated BPD features were oversampled. Preschoolers (aged 3 and 4 years) completed a battery of executive functioning (EF) and theory of mind (ToM) measures. Accounting for several covariates (family income, maternal depression, child age, and child cognitive ability), maternal BPD features were associated with preschoolers' poorer EF and, although not associated with the overall ToM measure, were associated with affect perspective taking, a component of ToM.

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