Impaired complex theory of mind and low emotional self-awareness in outpatients with borderline personality disorder compared to healthy controls: A cross-sectional study

Pourmohammad, Parisa; imani, mahdi; Goodarzi, Mohammad Ali; Sarafraz, Mahdi Reza

doi:10.1016/j.jpsychires.2021.10.009

Cited by 5 publications

(3 citation statements)

References 47 publications

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“…As a result of the evaluation, Paul was assessed as not criminally responsible. Legal precedents, such as Supreme Court a demonstrable link between the mental disorder and the offense (Fornari, 2006;Perrella and Russo, 2018). The risk assessment was carried out using the LS/CMI model, adhering to the principles of Risk-Need-Responsivity (RNR; Andrews et al, 1990Andrews et al, , 2011Wormith and Bonta, 2020;Sorge et al, 2022).…”

Section: Discussionmentioning

confidence: 99%

“…It consisted of four session of interviews and psychological testing allowed by the judge. We ensured the internal validity through the use of standardized assessment tools (Perrella and Russo, 2018). Additionally, we established a discussion group consisting of four experienced professionals in the field of correctional psychology, providing valuable insights and perspectives and then enhancing the overall validity of the assessment process.…”

Section: Participant and Proceduresmentioning

confidence: 99%

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Exploring the connection between childhood trauma, dissociation, and borderline personality disorder in forensic psychiatry: a comprehensive case study

Scognamiglio,

Sorge,

Borrelli

et al. 2024

Front. Psychol.

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This case study examines the complex relationship between childhood trauma, dissociation, and Borderline Personality Disorder (BPD) within the context of forensic psychiatry. It focuses on a young murder defendant named “Paul,” who has experienced various traumatic events, including childhood maltreatment and domestic violence. These experiences have led to dissociative states marked by high emotional intensity, particularly of an aggressive nature, and impaired impulse control, resulting in violent behavior during dissociative episodes. The study employs advanced assessment tools like Raven’s Standard Progressive Matrices (SPM), the Millon Clinical Multiaxial Inventory-III (MCMI-III), and the Level of Service/Case Management Inventory (LS/CMI) to gain a comprehensive understanding of Paul’s psychopathological condition, risk factors, and rehabilitation needs. The LS/CMI assessment highlights a high risk of recidivism, mainly influenced by family relationships, educational challenges, interpersonal connections, and aggressive tendencies. To address the multifaceted needs of individuals like Paul, the study emphasizes the importance of using transdiagnostic models for trauma and dissociation. This approach informs tailored treatment programs that include processing past traumatic experiences, improving self-identity, nurturing healthy relational patterns, and enhancing emotional regulation. Although this study is based on a single case, it serves as a model for integrating assessment tools and theoretical-clinical models in the field of forensic psychiatry. Understanding the intricate dynamics of childhood trauma, dissociation, and BPD is crucial for making informed decisions, conducting risk assessments, and developing rehabilitation programs within the justice system. Future research should expand the scope of cases and further validate assessment tools to advance our understanding of this complex relationship.

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Section: Discussionmentioning

confidence: 99%

Section: Participant and Proceduresmentioning

confidence: 99%

Exploring the connection between childhood trauma, dissociation, and borderline personality disorder in forensic psychiatry: a comprehensive case study

Scognamiglio,

Sorge,

Borrelli

et al. 2024

Front. Psychol.

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“…Online assessments may also serve as an auxiliary intervention in and of itself. Both the regular and daily assessments promote improved self-awareness, which has been shown to be impaired in adults with BPD [16]. While there has been limited research regarding feedback on neuropsychological assessments, numerous published case studies have reported the benefits of feedback, which also increases self-awareness and allows support to be focused on areas of more severe impairment, while enhancing areas of higher ability [17][18][19][20][21].…”

Section: Introductionmentioning

confidence: 99%

Online psychoeducation and digital assessments as a first step of treatment for borderline personality disorder: A protocol for a pilot randomized controlled trial

Choi-Kain,

Murray,

Jurist

et al. 2023

PLoS ONE

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Background Treatment trials for borderline personality disorder (BPD) have consistently demonstrated that approaches that are diagnostically tailored are superior to those which are not. Currently, gold standard treatments for BPD are highly intensive, lengthy, and specialized, leading to a critical gap between the supply and demand of effective, evidence-based treatment for patients who receive a diagnosis of BPD. Psychoeducation, which is a common component of most treatments known to be effective, is a low-cost, low-burden intervention proven to relieve symptoms. The present study builds on psychoeducation research, assessing online video prescriptions as a means of disseminating information patients need to know about their diagnosis and care. Methods This article presents the study protocol for a safety, feasibility, and preliminary efficacy trial of psychoeducational video prescriptions and online assessment with feedback for newly diagnosed individuals with BPD. We aim to recruit 100 adults recently diagnosed with BPD to be randomly assigned to receive videos about BPD or videos about non-BPD mental health topics that are matched in length in the first step of the study. All participants will complete daily surveys about their emotions, interpersonal interactions, and behaviors, as well as self-report assessments and cognitive tests at 4 different time points. Half of the participants in the intervention group will receive feedback on their symptom ratings and cognitive test performance to assess whether there is incremental value in tailoring this online set of interventions with individualized feedback unique to each participant. This study aims to assess the effects of BPD-focused psychoeducational videos with and without personalized feedback, on BPD and depressive symptom severity as well as core mechanisms of the disorder such as loneliness, rejection sensitivity, cognitive control difficulties, and self-clarity. Results will inform efforts to progress to a larger, more definitive trial. Trial registration Clinical trials registration: The protocol is registered with ClinicalTrials.gov NCT05358925.

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Theory of Mind and Psychopathology: A Comprehensive Assessment and an Overview of Impairments in Neuropsychiatric Disorders

de la Higuera-González,

Galvez-Merlin,

Rodríguez-Toscano

et al. 2023

Logic, Argumentation &Amp; Reasoning

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Impaired complex theory of mind and low emotional self-awareness in outpatients with borderline personality disorder compared to healthy controls: A cross-sectional study

Cited by 5 publications

References 47 publications

Exploring the connection between childhood trauma, dissociation, and borderline personality disorder in forensic psychiatry: a comprehensive case study

Exploring the connection between childhood trauma, dissociation, and borderline personality disorder in forensic psychiatry: a comprehensive case study

Online psychoeducation and digital assessments as a first step of treatment for borderline personality disorder: A protocol for a pilot randomized controlled trial

Theory of Mind and Psychopathology: A Comprehensive Assessment and an Overview of Impairments in Neuropsychiatric Disorders

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