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虐待、否定和缺乏早期温暖与人格障碍中的自我批评、自我同情和对自我同情的恐惧有明显的关系。

Abuse, invalidation, and lack of early warmth show distinct relationships with self-criticism, self-compassion, and fear of self-compassion in personality disorder.

机构信息

Department of Psychology, Universidad de los Andes, Bogota, Colombia.

Research Department of Clinical, Educational and Health Psychology, University College London, London, UK.

出版信息

Clin Psychol Psychother. 2019 May;26(3):350-361. doi: 10.1002/cpp.2357. Epub 2019 Feb 27.

Abstract

BACKGROUND

Cultivating self-compassion is increasingly recognized as a powerful method to regulate hyperactive threat processes such as shame and self-criticism, but fear of self-compassion (FSC) can inhibit this. These difficulties are underexplored in personality disorder (PD) despite their prevalence. Furthermore, little evidence exists regarding how these factors relate to adverse childhood experiences (ACEs) and attachment.

METHOD

Fifty-three participants with a diagnosis of PD completed measures including childhood abuse/neglect, invalidation, early warmth, self-compassion, shame, self-criticism, FSC, and anxious/avoidant attachment.

RESULTS

Self-compassion was predicted uniquely by low early warmth; self-inadequacy by invalidation and abuse; and FSC by multiple ACEs. FSC and self-compassion were significantly correlated with self-criticism and shame, but not with one another.

CONCLUSIONS

Low self-compassion and high FSC appear to be distinct problems, substantiating physiological models proposing distinct threat and soothing systems. Results are consistent with theories positing that low self-compassion has distinct origins to shame, self-criticism, and FSC.

摘要

背景

培养自我同情被越来越多地认为是调节过度活跃的威胁过程(如羞耻和自我批评)的有效方法,但对自我同情的恐惧(FSC)可能会抑制这种方法。尽管这些困难在人格障碍(PD)中很普遍,但却很少有人探索。此外,关于这些因素如何与不良的童年经历(ACEs)和依恋相关,几乎没有证据。

方法

53 名被诊断为 PD 的参与者完成了包括儿童期虐待/忽视、无效、早期温暖、自我同情、羞耻、自我批评、FSC 和焦虑/回避依恋在内的多项测量。

结果

自我同情仅由低早期温暖预测;自我不足由无效和虐待预测;而 FSC 由多种 ACEs 预测。FSC 和自我同情与自我批评和羞耻显著相关,但彼此不相关。

结论

低自我同情和高 FSC 似乎是不同的问题,这支持了提出不同威胁和舒缓系统的生理模型。研究结果与假设自我同情具有与羞耻、自我批评和 FSC 不同起源的理论一致。

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