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对边缘型人格障碍个体的零熟悉度下的负面评价。

Negative evaluation of individuals with borderline personality disorder at zero acquaintance.

机构信息

Department of Psychosomatic Medicine, Central Institute of Mental Health, Medical Faculty Mannheim at Heidelberg University, Mannheim, Germany.

Department of Psychosomatic Medicine, Central Institute of Mental Health, Medical Faculty Mannheim at Heidelberg University, Mannheim, Germany.

出版信息

Behav Res Ther. 2018 Dec;111:84-91. doi: 10.1016/j.brat.2018.09.009. Epub 2018 Sep 29.

Abstract

Previous research suggests that individuals with Borderline Personality Disorder (BPD) tend to evaluate other people as untrustworthy or hostile, which could contribute to the marked interpersonal problems in BPD. In contrast, alterations in first impressions of potential interaction partners of those with BPD remain under-researched and poorly understood. Herein, we focused on how naïve raters evaluate BPD individuals, hypothesizing that raters would tend to evaluate them negatively. To test this hypothesis, we recruited 26 BPD and 26 healthy control participants (46% male) as targets in the 'Thin Slices' paradigm. Targets were video-taped while talking about their personal preferences (e.g. hobbies). Subsequently, these short videos ('Thin Slices') were presented to two rater samples (n = 92 and n = 44), who evaluated targets' likeability, trustworthiness, and cooperative behavior in an economic game. In both studies, raters evaluated BPD targets as less likeable and trustworthy, and in one study also as less cooperative. These findings are contrasted with results from an economic game, in which BPD targets behaved no less cooperatively than controls. We discuss limitations with regard to socioeconomic differences between the target groups and explore how negative evaluations by others may contribute to the interpersonal difficulties in BPD. We suggest that - given future replication with more strictly matched target groups- interventions aimed at improving impression management could be beneficial for BPD patients.

摘要

先前的研究表明,边缘型人格障碍(BPD)患者往往会将他人评估为不值得信任或怀有敌意,这可能导致 BPD 患者出现明显的人际问题。相比之下,BPD 患者对潜在互动伙伴的第一印象改变仍然研究不足且理解欠佳。在此,我们专注于天真的评估者如何评估 BPD 个体,假设评估者会倾向于对他们进行负面评价。为了检验这一假设,我们招募了 26 名 BPD 患者和 26 名健康对照组参与者(46%为男性)作为“薄片”范式中的目标。目标在谈论个人偏好(例如爱好)时被录像。随后,这些短视频(“薄片”)被呈现给两个评估者样本(n=92 和 n=44),他们在经济游戏中评估目标的可爱度、可信度和合作行为。在两项研究中,评估者都将 BPD 目标评估为不太可爱和值得信赖,在一项研究中也将其评估为不太合作。这些发现与经济游戏中的结果形成对比,在经济游戏中,BPD 目标的合作行为并不逊于对照组。我们讨论了目标群体之间的社会经济差异的局限性,并探讨了他人的负面评价如何导致 BPD 中的人际困难。我们建议,鉴于未来与更严格匹配的目标群体进行的复制研究,旨在改善印象管理的干预措施可能对 BPD 患者有益。

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