The rejection–rage contingency in borderline personality disorder.

Berenson, Kathy R.; Downey, Geraldine; Rafaeli, Eshkol; Coifman, Karin G.; Paquin, Nina Leventhal

doi:10.1037/a0023335

Cited by 177 publications

(184 citation statements)

References 61 publications

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“…Fear of abandonment is one of the core features in BPD (Berenson et al, 2011;Rosenbach and Renneberg, 2014;Staebler et al, 2011). Rosenbach and Renneberg (2014) recently were able to show that 'rejection sensitivity' mediates the relationship between parental rejection and BPD characteristics.…”

Section: Discussionmentioning

confidence: 99%

Inconsistency and social decision making in patients with Borderline Personality Disorder

Preuss

Brändle

Hager

et al. 2016

Psychiatry Research

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Inconsistent social behavior is a core psychopathological feature of borderline personality disorder. The goal of the present study was to examine inconsistency in social decision-making using simple economic social experiments. We investigated the decisions of 17 female patients with BPD, 24 patients with major depressive disorder (MDD), and 36 healthy controls in three single shot economic experiments measuring trust, cooperation, and punishment. BPD severity was assessed using the Zanarini Rating Scale for BPD. Investments across identical one-shot trust and punishment games were significantly more inconsistent in BPD patients than in controls. Such inconsistencies were only found in the social risk conditions of the trust and punishment conditions but not in the non-social control conditions. MDD patients did not show such inconsistencies. Furthermore, social support was negatively correlated with inconsistent decision-making in the trust and punishment game, which underscores the clinical relevance of this finding.

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Section: Discussionmentioning

confidence: 99%

Inconsistency and social decision making in patients with Borderline Personality Disorder

Preuss

Brändle

Hager

et al. 2016

Psychiatry Research

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“…Participants who met criteria for a current DSM-IV diagnosis (DSM-IV-TR; American Psychiatric Association, 2000) of BPD and HC participants were recruited as part of a larger study on BPD (Berenson, Downey, Rafaeli, Coifman, & Leventhal, 2011;Coifman et al, 2012). In total, 81 individuals who met current diagnostic criteria for BPD were recruited for the larger study.…”

Section: Methods Participantsmentioning

confidence: 99%

Emotion Differentiation as a Protective Factor Against Nonsuicidal Self-Injury in Borderline Personality Disorder

et al. 2013

Self Cite

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Evidence that nonsuicidal self-injury (NSSI) serves a maladaptive emotion regulation function in borderline personality disorder (BPD) has drawn attention to processes that may increase risk for NSSI by exacerbating negative emotion, such as rumination. However, more adaptive forms of emotion processing, including differentiating broad emotional experiences into nuanced emotion categories, might serve as a protective factor against NSSI. Using an experience-sampling diary, the present study tested whether differentiation of negative emotion was associated with lower frequency of NSSI acts and urges in 38 individuals with BPD who reported histories of NSSI. Participants completed a dispositional measure of rumination and a 21-day experience-sampling diary, which yielded an index of negative emotion differentiation and frequency of NSSI acts and urges. A significant rumination by negative emotion differentiation interaction revealed that rumination predicted higher rates of NSSI acts and urges in participants with difficulty differentiating their negative emotions. The results extend research on emotion differentiation into the clinical literature and provide empirical support for clinical theories that suggest emotion identification and labeling underlie strategies for adaptive self-regulation and decreased NSSI risk in BPD.

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“…They also demonstrate how positive feedback loops might occur, such that perceived coldness/quarrelsomeness sparks additional cold/quarrelsome behavior on the partner's behalf, escalating the maladaptive transaction cycle. Others have investigated similar interpersonal processes in borderline PD that can be interpreted in this framework (e.g., Berenson, Downey, Rafaeli, Coifman, & Paquin, 2011;Coifman, Berenson, Rafaeli, & Downey, 2012;Scott et al, in press). Taken together, these studies provide strong evidence that affective dysregulation and interpersonal hostility in borderline PD reflect contextualized dynamic processes, and they have important implications for potential maintenance mechanisms and points of intervention.…”

Section: Contemporary Interpersonal Theory and The Interpersonal Situmentioning

confidence: 99%

The Effect of Pathological Narcissism on Interpersonal and Affective Processes in Social Interactions

Wright¹,

Stepp²,

Scott³

et al. 2017

Preprint

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Narcissism has significant interpersonal costs, yet little research has examined behavioral and affective patterns characteristic of narcissism in naturalistic settings. Here we studied the effect of narcissistic features on the dynamic processes of interpersonal behavior and affect in daily life. We used interpersonal theory to generate transactional models of social interaction (i.e., linkages among perceptions of others' behavior, affect, and one's own behavior) predicted to be characteristic of narcissism. Psychiatric outpatients (N=102) completed clinical interviews and a 21-day ecological momentary assessment protocol using smartphones. After social interactions (N=5,781), participants reported on perceptions of their interaction partner's behavior (scored along the dimensions of dominant-submissive and affiliative-quarrelsome), their own affect, and their own behavior. Multilevel structural equation modeling was used to examine dynamic links among behavior and affect across interactions, and the role of narcissism in moderating these links. Results showed that perceptions of others' dominance did not predict dominant behavior, but did predict quarrelsome behavior, and this link was potentiated by narcissism. Further, the link between others' dominance and one's own quarrelsome behavior was mediated by negative affect. Moderated mediation was also found: Narcissism amplified the link between ratings of others' dominance and one's own quarrelsomeness and negative affect. Narcissism did not moderate the link between other dominance and own dominance, nor the link between other affiliation and own affiliation. These results suggest that narcissism is associated with specific interpersonal and affective processes, such that sensitivity to others' dominance triggers antagonistic behavior in daily life.Keywords: Narcissism, Narcissistic Personality Disorder, Dynamic Processes, Ambulatory Assessment, Event Contingent Recording, Multilevel Structural Equation Modeling. NARCISSISM IN SOCIAL INTERACTIONS 3 General Scientific SummaryPatients higher in narcissistic personality disorder features were more likely to respond with quarrelsomeness when they perceived their interaction partner as behaving more dominantly in daily life. The link between perceptions of dominance and quarrelsomeness was mediated by negative affect. NARCISSISM IN SOCIAL INTERACTIONS 4 The Effect of Pathological Narcissism on Interpersonal and Affective Processes in Social InteractionsNarcissism is associated with significant interpersonal problems (Gurtman, 1992;Ogrodniczuk, Piper, Joyce, Steinberg, & Duggal, 2009; Pincus et al., 2009) and negative impacts on others (Campbell, Bush, Brunell, & Shelton, 2005;Campbell, Foster, & Finkel, 2002). In addition, the social processes driving narcissism's negative impacts exert cumulative effects, even spoiling early advantages (Miller, Campbell, & Pilkonis, 2007; Lavner et al., 2016;Oltmanns & Turkheimer, 2009;Paulhus, 1998). However, little systematic research has addressed the manner in which ...

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The rejection–rage contingency in borderline personality disorder.

Cited by 177 publications

References 61 publications

Inconsistency and social decision making in patients with Borderline Personality Disorder

Inconsistency and social decision making in patients with Borderline Personality Disorder

Emotion Differentiation as a Protective Factor Against Nonsuicidal Self-Injury in Borderline Personality Disorder

The Effect of Pathological Narcissism on Interpersonal and Affective Processes in Social Interactions

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