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边缘型人格障碍中认知信任的破坏:一种避免犯代价高昂错误的可能适应方式。

Disruption of Epistemic Trust in Borderline Personality Disorder: A Possible Adaptation to Avoid Making Costly Mistakes.

作者信息

Kurt Yağızcan

机构信息

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

Anna Freud, London, UK.

出版信息

Personal Ment Health. 2025 Feb;19(1):e70006. doi: 10.1002/pmh.70006.

Abstract

This paper applies error management theory (EMT) (Haselton and Buss 2000) to explore how disruptions in epistemic trust-trust in communicated information-can be understood as adaptive responses to early adversity in individuals with borderline personality disorder (BPD). I propose that epistemic mistrust (EM) and epistemic credulity (EC), characterized by inappropriate trust patterns, arise from the differential costs of trusting unreliable versus mistrusting reliable information. Although these biases may seem maladaptive, they function as evolutionary survival mechanisms in response to harsh environments. Signal detection analysis can provide empirical evidence for these trust biases by assessing how individuals with BPD make trust-related decisions. Clinically, understanding these biases as evolutionary adaptations helps reduce stigma and informs evolutionary-informed interventions to recalibrate trust responses and improve interpersonal relationships. This approach highlights the significance of integrating evolutionary perspectives in treating trust disturbances in BPD.

摘要

本文应用错误管理理论(EMT)(哈塞尔顿和巴斯,2000年)来探讨认知信任(即对所传达信息的信任)的破坏如何被理解为边缘型人格障碍(BPD)个体对早期逆境的适应性反应。我提出,以不适当的信任模式为特征的认知不信任(EM)和认知轻信(EC),源于信任不可靠信息与不信任可靠信息的不同代价。尽管这些偏差看似适应不良,但它们作为对恶劣环境的进化生存机制发挥作用。信号检测分析可以通过评估BPD个体如何做出与信任相关的决策,为这些信任偏差提供实证证据。在临床上,将这些偏差理解为进化适应有助于减少污名化,并为基于进化的干预措施提供依据,以重新校准信任反应并改善人际关系。这种方法凸显了在治疗BPD中的信任障碍时整合进化观点的重要性。

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