Difficulties With Being Socially Accepted: An Experimental Study in Borderline Personality Disorder
Difficulties With Being Socially Accepted: An Experimental Study in Borderline Personality Disorder
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被社会接受的困难：边缘性人格障碍的实验研究
DOI：
10.1037/abn0000373
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发表时间：
2018
影响因子：
4.6
通讯作者：
. . . Lis
中科院分区：
文献类型：
--
作者：
Liebke;Bungert;Hauschild;Defiebre;. . . Lis
焦虑专注于真实的或想象的抛弃是边缘性人格障碍(BPD)的一个关键特征。最近的实验研究表明，BPD患者不仅仅表现出对排斥反应的情绪过度反应。相反，在社会包容的情况下，他们与他人的联系会减少。这些特征对社会行为造成的后果还没有得到调查。本研究的目的是调查社会接受和拒绝对BPD患者的社会期望和随后的社会行为的不同影响。为此，我们开发了曼海姆虚拟群体互动范式，参与者与一组计算机控制的化身进行互动。他们被误导相信，这些人代表着真正的人类合作伙伴。在这些互动中，参与者自我介绍，评估他们的合作伙伴，评估他们的社会期望，并收到反馈，表明其他参与者要么接受要么拒绝。随后，参与者玩了一种改进的信任游戏，该游戏衡量了合作和攻击行为。56名未服用药物的BPD患者和56名健康对照参与者被随机双盲分配到接受组或拒绝组的条件下。与健康对照组相比，BPD患者对被社会接受的初始期望更低。在反复呈现社会反馈后，他们调整了自己的期望，以应对负面反馈，而不是正面反馈。在经历了社会接纳之后，BPD患者表现出更不合作的行为。这些实验发现指出了BPD的一个临床相关问题：对社会接受的认知和行为反应的改变可能会阻碍稳定的合作关系的形成，并对未来的人际关系产生负面影响。
Anxious preoccupation with real or imagined abandonment is a key feature of borderline personality disorder (BPD). Recent experimental research suggests that patients with BPD do not simply show emotional overreactivity to rejection. Instead, they experience reduced connectedness with others in situations of social inclusion. Resulting consequences of these features on social behavior are not investigated yet. The aim of the present study was to investigate the differential impact of social acceptance and rejection on social expectations and subsequent social behavior in BPD. To this end, we developed the Mannheim Virtual Group Interaction Paradigm in which participants interacted with a group of computer-controlled avatars. They were led to believe that these represented real human coplayers. During these interactions, participants introduced themselves, evaluated their coplayers, assessed their social expectations and received feedback signaling either acceptance or rejection by the alleged other participants. Subsequently, participants played a modified trust game, which measured cooperative and aggressive behavior. Fifty-six nonmedicated BPD patients and 56 healthy control participants were randomly and double-blindly assigned to either the group-acceptance or group-rejection condition. BPD patients showed lower initial expectations of being socially accepted than healthy controls. After repeated presentation of social feedback, they adjusted their expectations in response to negative, but not to positive feedback. After the experience of social acceptance, BPD patients behaved less cooperatively. These experimental findings point to a clinically relevant issue in BPD: Altered cognitive and behavioral responses to social acceptance may hamper the forming of stable cooperative relationships and negatively affect future interpersonal relationships.(PsycInfo Database Record (c) 2022 APA, all rights reserved)