Esposito Giovanna, Perla Viviana, Passeggia Raffaella, Fertuck Erik, Mergenthaler Erhard
Department of Humanities, University of Naples Federico II, Italy.
City University of New York Graduate Center, New York, NY, USA.
Res Psychother. 2021 Jan 18;23(3):463. doi: 10.4081/ripppo.2020.463. eCollection 2020 Dec 31.
Although recent literature has stated that mentalizing (or reflective functioning; RF) promoted the clinical recovery (symptomatic remission; CR) of individuals with borderline personality disorder (BPD), to our knowledge, there have been no studies that analyzed the relationship between RF and a process more complex than CR, namely recovery (PR) - a deep and unique process of change in one's attitudes, values, feelings, goals and/or roles. Furthermore, while there have been a few studies concerning PR of BPD individuals, but to date none analyzed PR of BPD individuals through online narratives shared on social media platforms. This study investigates the relationship between RF and PR of 14 Instagram users with a selfreported diagnosis of BPD. Two groups of users were distinguished on the basis of hashtags, #bpd and #bpdrecovery. Seventy randomized text posts (5 from each user) were extracted from users' profiles: 35 from the #bpd group and 35 from #bpdrecovery. Two methods of analysis were applied: i) a thematic analysis, by using the theoretical framework CHIME, which identifies five dimensions of PR; and ii) a stylistic analysis of RF utilizing computerized reflective functioning (CRF), which identifies RF lexical markers. Results indicate that the #bpdrecovery group presented more dimensions of PR, and that its posts showed a significantly higher RF than the #bpd group. These findings suggest that RF could be involved in the PR of BPD individuals, thus mentalization-based treatment could be effective in supporting PR processes and enhancing the impaired RF in BPD users even in the online context.
尽管近期文献表明心理化（或反思功能；RF）促进了边缘型人格障碍（BPD）个体的临床康复（症状缓解；CR），但据我们所知，尚无研究分析RF与比CR更复杂的过程之间的关系，即人格康复（PR）——一个人在态度、价值观、情感、目标和/或角色方面深刻且独特的变化过程。此外，虽然有一些关于BPD个体人格康复的研究，但迄今为止，没有研究通过社交媒体平台上分享的在线叙事来分析BPD个体的人格康复。本研究调查了14名自我报告诊断为BPD的Instagram用户的RF与PR之间的关系。根据标签#bpd和#bpdrecovery区分了两组用户。从用户资料中提取了70篇随机文本帖子（每位用户5篇）：35篇来自#bpd组，35篇来自#bpdrecovery组。应用了两种分析方法：i）主题分析，使用理论框架CHIME，该框架确定了人格康复的五个维度；ii）利用计算机化反思功能（CRF）对RF进行文体分析，该功能可识别RF词汇标记。结果表明，#bpdrecovery组呈现出更多的人格康复维度，且其帖子显示出的RF显著高于#bpd组。这些发现表明，RF可能与人BPD个体的人格康复有关，因此基于心理化的治疗即使在网络环境中也可能有效地支持人格康复过程并改善BPD用户受损的RF。
