Developmental Clinical Psychology Unit, Faculty of Psychology, University of Geneva, Switzerland, and Office Médico-Pédagogique Research Unit, Department of Psychiatry, University of Geneva School of Medicine.
Program TRE, Service of Psychiatric Specialties, Department of Mental Health and Psychiatry, University Hospitals of Geneva.
J Pers Disord. 2018 Feb;32(1):17-30. doi: 10.1521/pedi_2017_31_283. Epub 2017 Mar 6.
Insecure attachment and impairments in reflective functioning (RF) are thought to play a critical role in borderline personality disorder (BPD). In particular, the mentalization-based model argues that insecure attachment indirectly accounts for increased BPD features, notably via disruption of RF capacities. Although the mediation relationship between attachment, RF, and BPD is supported by previous evidence, it remains to be directly tested in adults with BPD. In the current study, a sample of 55 female adult BPD patients and 105 female healthy controls completed a battery of self-report measures to investigate the interplay between attachment, RF capacities, and BPD clinical status. Overall, the results showed that BPD patients pre- dominantly reported insecure attachment, characterized by negative internal working models of the self as unlovable and unimportant to others, and decreased RF abilities. Our findings further indicated that actual RF capacities mediated the relationships between adult insecure attachment and BPD clinical status.
不安全的依恋和反思功能 (RF) 的损伤被认为在边缘型人格障碍 (BPD) 中起着关键作用。特别是，基于心理化的模型认为，不安全的依恋通过破坏 RF 能力，间接地导致 BPD 特征的增加。尽管以前的研究证据支持依恋、RF 和 BPD 之间的中介关系，但在 BPD 成年患者中直接检验这一关系仍然是必要的。在当前的研究中，一个由 55 名女性 BPD 成年患者和 105 名女性健康对照组组成的样本完成了一系列的自我报告测量，以调查依恋、RF 能力和 BPD 临床状况之间的相互作用。总的来说，结果表明，BPD 患者主要报告不安全的依恋，其特征是自我的消极内在工作模式，认为自己不可爱，对他人不重要，以及 RF 能力下降。我们的研究结果进一步表明，实际的 RF 能力在成年不安全依恋与 BPD 临床状况之间的关系中起中介作用。
