‘Still-face’ interactions between mothers with borderline personality disorder and their 2-month-old infants

Crandell, Lisa E.; Patrick, Matthew; Hobson, R. Peter

doi:10.1192/bjp.183.3.239

Cited by 167 publications

(140 citation statements)

References 25 publications

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“…in relation to their mothers in the Strange Situation. Third, we hypothesized that, just as women with BPD show characteristically intense and often intrusive relations with other adults, so their relations with their infants would be characterized by intrusive insensitivity, as indeed, we had found to be the case between mothers of this kind and their 2-month-old infants Crandell et al, 2003!.…”

Section: Hypothesesmentioning

confidence: 95%

Personal relatedness and attachment in infants of mothers with borderline personality disorder

Hobson

Patrick

Crandell

et al. 2005

Develop. Psychopathol.

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The principal aim of this study was to assess personal relatedness and attachment patterns in 12-month-old infants of mothers with borderline personality disorder~BPD!. We also evaluated maternal intrusive insensitivity toward the infants in semistructured play. We videotaped 10 mother-infant dyads with borderline mothers and 22 dyads where the mothers were free from psychopathology, in three different settings: a modification of Winnicott's Set Situation in which infants faced an initially unresponsive~"still-face"! stranger, who subsequently tried to engage the infant in a game of give and take; the Strange Situation of Ainsworth and Wittig; and a situation in which mothers were requested to teach their infants to play with miniature figures and a toy train. In relation to a set of a priori predictions, the results revealed significant group differences as follows:~a! compared with control infants, toward the stranger the infants of mothers with BPD showed lower levels of "availability for positive engagement," lower ratings of "behavior organization and mood state," and a lower proportion of interpersonally directed looks that were positive;~b! in the Strange Situation, a higher proportion~8 out of 10! of infants of borderline mothers were categorized as Disorganized; and~c! in play, mothers with BPD were rated as more "intrusively insensitive" toward their infants. The results are discussed in relation to hypotheses concerning the interpersonal relations of women with BPD, and possible implications for their infants' development.

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Section: Hypothesesmentioning

confidence: 95%

Personal relatedness and attachment in infants of mothers with borderline personality disorder

Hobson

Patrick

Crandell

et al. 2005

Develop. Psychopathol.

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130

152

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“…Disorganized attachment in infancy has also been shown to be related to mothers' HH states of mind; states of mind which the current report also finds more prevalent among BPD women . Finally, recent studies of mothers with BPD have revealed intrusive insensitivity with their own infants at 2 months and 12 months of age (Crandell, Patrick, & Hobson, 2003;Hobson et al, 2005).…”

mentioning

confidence: 98%

“…The 2-month-old infants of BPD mothers, compared to infants of mothers without psychopathology, responded to a ''still-face'' challenge with increased looking away, dazed looks, and subsequent lowering of affect (Crandell et al, 2003). At 12 months, the infants of BPD mothers showed lowered availability for positive engagement with a stranger and higher rates of disorganized attachment with their mothers when compared with infants of mothers without psychopathology (Hobson, Patrick, Crandell, Perez, & Lee, 2004;Hobson et al, 2005).…”

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confidence: 99%

A controlled study of Hostile-Helpless states of mind among borderline and dysthymic women

Lyons‐Ruth

Melnick

Patrick

et al. 2007

Attachment & Human Development

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The aim of this study was to determine whether women with borderline personality disorder (BPD) are more likely than those with dysthymia to manifest contradictory Hostile-Helpless (HH) states of mind. A reliable rater blind to diagnosis evaluated features of such mental representations in transcripts of Adult Attachment Interviews from 12 women with BPD and 11 women with dysthymia of similar socioeconomic status (SES), all awaiting psychotherapy. In keeping with three hierarchical (non-independent) a priori predictions regarding the mental representations of women with BPD, the results were that (a) all those with BPD, compared with half the group with dysthymia, displayed HH states of mind; (b) those with BPD manifested a significantly higher frequency of globally devaluing representations; and (c) they exhibited a strong trend toward identifying with the devalued hostile caregiver (58% BPD vs. 18% dysthymic). In addition, significantly more BPD than dysthymic patients made reference to controlling behavior towards attachment figures in childhood. These findings offer fresh insights into the nature of BPD and extend previous evidence concerning affected individuals' patterns of thinking and feeling about childhood attachment figures.

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“…In a former study, we found the offspring to perceive their borderline mothers as overprotective [13]. Furthermore, it has been reported that mothers with BPD are less structuring and less sensitive in their interaction and that they show a disrupted affective communication with their infants [14,15,16]. …”

Section: Introductionmentioning

confidence: 99%

Longitudinal Transmission Pathways of Borderline Personality Disorder Symptoms: From Mother to Child?

et al. 2013

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Background: There is evidence that the borderline symptomatology of the mother longitudinally predicts the number of borderline criteria met by the children. However, possible underlying mechanisms have rarely been examined. In line with transactional models of borderline personality disorder (BPD), we analyzed a broad concept of maladaptive mother-child interactions of mothers with BPD symptoms towards their children, including insensitive parenting and mother-child discrepancies, in reporting the child's psychopathological behavior. Sampling/Methods: The sample was drawn from the population-based Greifswald Family Study and consisted of 295 children and their biological mothers. Both were examined at two points in time, first when the children were about 15 years old (T₀) and again 5 years later (T₁), using path analyses. Results: Maladaptive mother-child interactions (especially an overprotective and rejecting parenting style and high discrepancies regarding internalizing problems) mediate the longitudinal transmission of borderline symptoms from mother to child. Furthermore, our data revealed that this result is consistent for various youth symptoms which are associated with BPD such as impulsivity or dissociation. Conclusion: The data of the current study imply that the transmission of borderline symptoms from mother to child is mediated by maladaptive mother-child interactions. For this reason early and professional support may be useful to prevent these children from developing severe psychopathology.

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‘Still-face’ interactions between mothers with borderline personality disorder and their 2-month-old infants

Abstract: The diagnosis of borderline personality disorder is associated with a particular pattern of mother-infant interaction. The infants' responses to the still-face challenge might suggest dysfunctional self-regulation, but the developmental significance remains to be assessed.

Cited by 167 publications

References 25 publications

Personal relatedness and attachment in infants of mothers with borderline personality disorder

Personal relatedness and attachment in infants of mothers with borderline personality disorder

A controlled study of Hostile-Helpless states of mind among borderline and dysthymic women

Longitudinal Transmission Pathways of Borderline Personality Disorder Symptoms: From Mother to Child?

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