Biased thinking assessed by external observers in borderline personality disorder

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State: Public
Version: Author's accepted manuscript
Serval ID
serval:BIB_3D25AECB513F
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Biased thinking assessed by external observers in borderline personality disorder
Journal
Psychology and Psychotherapy
Author(s)
Kramer U., Vaudroz C., Ruggeri O., Drapeau M.
ISSN
2044-8341 (Electronic)
ISSN-L
1476-0835
Publication state
Published
Issued date
2013
Peer-reviewed
Oui
Volume
86
Number
2
Pages
183-196
Language
english
Notes
Publication types: Journal ArticlePublication Status: ppublish
Abstract
Objectives. Biased thinking (to some extent overlapping with the concepts of cognitive distortions and cognitive errors) is a key concept in cognitive therapy of Borderline Personality Disorder (BPD). Specific contents and cognitive processes related to BPD functioning are known. However, most studies are based on self-report measures which present a number of important limitations, in particular the difficulty in assessing non-conscious processes infused by affect. So far, no studies were conducted using valid observer-rated methodology addressing the question of biased thinking in BPD as it unfolds spontaneously in session. Design. This is a controlled interview study comparing two matched groups, BPD patients and healthy controls. Methods. A total of N= 25 clinical dynamic interviews with patients presenting with BPD were transcribed and rated using the Cognitive Errors Rating Scale (Drapeau, Perry, & Dunkley, 2008); their cognitive profiles were compared to those of N= 25 healthy controls who underwent the same procedure. Results. Overall, results indicated that no between-group difference in the frequency of specific biases was found. However, heightened levels of negative cognitive biases, in particular over-generalizing and fortune-telling, were associated with BPD. Furthermore, negative over-generalizing was associated with the number of BPD symptoms. Conclusions. These results have high levels of ecological validity and are promising for the refinement of cognitive theory of BPD. Clinical implications for assessment and intervention are discussed.
Pubmed
Web of science
Open Access
Yes
Create date
20/06/2013 16:38
Last modification date
20/08/2019 13:33
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