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Attachment and Reflective Functioning in Women With Borderline Personality Disorder

Badoud, D; Prada, P; Nicastro, R; Germond, C; Luyten, P; Perroud, N; Debbané, M; (2017) Attachment and Reflective Functioning in Women With Borderline Personality Disorder. Journal of Personality Disorders 10.1521/pedi_2017_31_283. (In press). Green open access

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Abstract

Insecure attachment and impairments in reflective functioning (RF) are thought to play a critical role in borderline personality disorder (BPD). In particular, the mentalization-based model argues that insecure attachment indirectly accounts for increased BPD features, notably via disruption of RF capacities. Although the mediation relationship between attachment, RF, and BPD is supported by previous evidence, it remains to be directly tested in adults with BPD. In the current study, a sample of 55 female adult BPD patients and 105 female healthy controls completed a battery of self-report measures to investigate the interplay between attachment, RF capacities, and BPD clinical status. Overall, the results showed that BPD patients predominantly reported insecure attachment, characterized by negative internal working models of the self as unlovable and unimportant to others, and decreased RF abilities. Our findings further indicated that actual RF capacities mediated the relationships between adult insecure attachment and BPD clinical status.

Type: Article
Title: Attachment and Reflective Functioning in Women With Borderline Personality Disorder
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1521/pedi_2017_31_283
Publisher version: http://doi.org/10.1521/pedi_2017_31_283
Language: English
Additional information: Deborah Badoud, Paco Prada, Rosetta Nicastro, Charlotte Germond, Patrick Luyten, Nader Perroud, and Martin Debbané (2017). Attachment and Reflective Functioning in Women With Borderline Personality Disorder. Journal of Personality Disorders.(2017). Copyright © Guilford Press. Reprinted with permission of The Guilford Press
Keywords: Borderline Personality Disorder, Mentalization, Reflective Functioning, Attachment, Internal working model
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology
URI: http://discovery.ucl.ac.uk/id/eprint/1544849
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