Social cognition in borderline personality disorder

Frontiers in Neuroscience

Volumn , Issue JAN, 2012, Pages

  Roepke, Stefan ^a,b   Vater, Aline ^b   Preißler, Sandra ^c   Heekeren, Hauke R ^b   Dziobek, Isabel ^b  

^a CHARITÉ UNIVERSITÄTSMEDIZIN BERLIN   (Germany)

^b FREIE UNIVERSITÄT BERLIN   (Germany)

^c FRIEDRICH SCHILLER UNIVERSITY JENA   (Germany)

Author keywords

Affective instability; Borderline personality disorder; Empathy; Posttraumatic stress disorder; Social cognition

Indexed keywords

OPIATE; OXYTOCIN; VASOPRESSIN;

ARTICLE; BEHAVIOR DISORDER; BORDERLINE STATE; CAUSAL ATTRIBUTION; COMORBIDITY; DEPRESSION; EMOTION; EMPATHY; FACIAL EXPRESSION; FRONTAL GYRUS; HUMAN; LEARNING; MENTAL HEALTH; MENTAL INSTABILITY; PSYCHOANALYSIS; SOCIAL COGNITION; TASK PERFORMANCE; THINKING;

EID: 84876559809     PISSN: 16624548     EISSN: 1662453X     Source Type: Journal    
DOI: 10.3389/fnins.2012.00195     Document Type: Article

References (116)

1. Adolphs, R. (1999). Social cognition and the human brain. Trends Cogn. Sci. 3, 469-479.
2. American Psychiatric Association (APA). (2000). Diagnostic and Statistical Manual of Mental Disorders: DSM-IV-TR. Washington, DC: American Psychiatric Association.
3. Arntz, A., Bernstein, D., Oorschot, M., and Schobre, P. (2009). Theory of mind in borderline and cluster-C personality disorder. J. Nerv. Ment. Dis. 197, 801-807.
4. Arntz, A., Dreessen, L., Schouten, E., and Weertman, A. (2004). Beliefs in personality disorders: a test with the personality disorder belief questionnaire. Behav. Res. Ther. 42, 1215-1225.
5. Arntz, A., and ten Haaf, J. (2012). Social cognition in borderline personality disorder: evidence for dichotomous thinking but no evidence for less complex attributions. Behav. Res. Ther. 50, 707-718.
6. Arntz, A., and Veen, G. (2001). Evaluations of others by borderline patients. J. Nerv. Ment. Dis. 189, 513-521.
7. Bahnemann, M., Dziobek, I., Prehn, K., Wolf, I., and Heekeren, H. R. (2010). Sociotopy in the temporoparietal cortex: common versus distinct processes. Soc. Cogn. Affect. Neurosci. 5, 48-58.
8. Barnow, S., Stopsack, M., Grabe, H. J., Meinke, C., Spitzer, C., Kronmüller, K., et al. (2009). Interpersonal evaluation bias in borderline personality disorder. Behav. Res. Ther. 47, 359-365.
9. Baron-Cohen, S., Jolliffe, T., Mortimore, C., and Robertson, M. (1997). Another advanced test of theory of mind: evidence from very high functioning adults with autism or Asperger syndrome. J. Child Psychol. Psychiatry 38, 813-822.
10. Baron-Cohen, S., Wheelwright, S., Hill, J., Raste, Y., and Plumb, I. (2001). The "Reading the Mind in the Eyes" Test revised version: a study with normal adults, and adults with Asperger syndrome or high-functioning autism. J. Child Psychol. Psychiatry 42, 241-251.
11. Bartz, J., Simeon, D., Hamilton, H., Kim, S., Crystal, S., Braun, A., et al. (2011). Oxytocin can hinder trust and cooperation in borderline personality disorder. Soc. Cogn. Affect. Neurosci. 6, 556-563.
12. Berenson, K. R., Downey, G., Rafaeli, E., Coifman, K. G., and Paquin, N. L. (2011). The rejection-rage contingency in borderline personality disorder. J. Abnorm. Psychol. 120, 681-690.
13. Blair, R. J. (2005). Responding to the emotions of others: dissociating forms of empathy through the study of typical and psychiatric populations. Conscious. Cogn. 14, 698-718.
14. Blum, N., St John, D., Pfohl, B., Stuart, S., McCormick, B., Allen, J., et al. (2008). Systems Training for Emotional Predictability and Problem Solving (STEPPS) for outpatients with borderline personality disorder: a randomized controlled trial and 1-year follow-up. Am. J. Psychiatry 165, 468-478.
15. Brendel, G. R., Stern, E., and Silbersweig, D. A. (2005). Defining the neurocircuitry of borderline personality disorder: functional neuroimaging approaches. Dev. Psychopathol. 17 1197-1206.
16. Brodsky, B. S., Groves, S. A., Oquendo, M. A., Mann, J. J., and Stanley, B. (2006). Interpersonal precipitants and suicide attempts in borderline personality disorder. Suicide Life Threat. Behav. 36, 313-322.
17. Brüne, M. (2005). Emotion recognition, 'theory of mind,' and social behavior in schizophrenia. Psychiatry Res. 28, 135-147.
18. Camerer, C., and Weigelt, K. (1988). Experimental tests of a sequential equilibrium reputation model. Econometrica 56, 1-36.
19. Carter, L., and Rinsley, D. B. (1977). Vicissitudes of empathy in a borderline adolescent. Int. J. Psychoanal. 4, 317-326.
20. Cicchetti, D., Rogosch, F. A., Maughan, A., Toth, S. L., and Bruce, J. (2003). False belief understanding in maltreated children. Dev. Psychopathol. 15, 1067-1091.
21. Davis, M. H. (1983). Measuring individual differences in empathy: evidence for a multidimensional approach. J. Pers. Soc. Psychol. 44, 113-126.
22. Davis, M. H. (1994). Empathy: A Social Psychological Approach. Boulder, CO: Westview Press.
23. Decety, J., and Meyer, M. (2008). From emotion resonance to empathic understanding: a social developmental neuroscience account. Dev. Psychopathol. 20, 1053-1080.
24. de Groot, E. R., Verheul, R., and Trijsburg, R. W. (2008). An integrative perspective on psychotherapeutic treatments for borderline personality disorder. J. Pers. Disord. 22, 332-352.
25. de Haas, M. A., Bakermans-Kranenburg, M. J., and van Ijzendoorn, M. H. (1994). The Adult Attachment Interview and questionnaires for attachment style, temperament, and memories of parental behavior. J. Genet. Psychol. 155, 471-486.
26. Dimberg, U., Thunberg, M., and Elmehed, K. (2000). Unconscious facial reactions to emotional facial expressions. Psychol. Sci. 11, 86-89.
27. Domes, G., Czieschnek, D., Weidler, F., Berger, C., Fast, K., and Herpertz, S. C. (2008). Recognition of facial affect in Borderline Personality Disorder. J. Pers. Disord. 22, 135-147.
28. Domes, G., Schulze, L., and Herpertz, S. C. (2009). Emotion recognition in borderline personality disorder-a review of the literature. J. Pers. Disord. 23, 6-19.
29. Dyck, M., Habel, U., Slodczyk, J., Schlummer, J., Backes, V., Schneider, F., et al. (2009). Negative bias in fast emotion discrimination in borderline personality disorder. Psychol. Med. 39, 855-864.
30. Dziobek, I. (2012). Towards a more ecologically valid assessment of empathy. Emotion Rev. 4, 18-19.
31. Dziobek, I., Fleck, S., Kalbe, E., Rogers, K., Hassenstab, J., Brand, M., et al. (2006). Introducing MASC: a movie for the assessment of social cognition. J. Autism Dev. Disord. 36, 623-636.
32. Dziobek, I., Preissler, S., Grozdanovic, Z., Heuser, I., Heekeren, H. R., and Roepke, S. (2011). Neuronal correlates of altered empathy and social cognition in borderline personality disorder. Neuroimage 15, 539-548.
33. Dziobek, I., Rogers, K., Fleck, S., Bahnemann, M., Heekeren, H. R., Wolf, O. T., et al. (2008). Dissociation of cognitive and emotional empathy in adults with Asperger syndrome using the Multifaceted Empathy Test (MET). J. Autism Dev. Disord. 38, 464-473.
34. Eisenberg, N., Fabes, R. A., Murphy, B., Karbon, M., Maszk, P., Smith, M., et al. (1994). The relations of emotionality and regulation to dispositional and situational empathy-related responding. J. Pers. Soc. Psychol. 66, 776-797.
35. Eisenberg, N., and Miller, P. A. (1987). The relation of empathy to prosocial and related behaviors. Psychol. Bull. 101, 91-119.
36. Ekman, P., Irwin, W., and Rosenberg, E. (1994). EMFACS: Coders Instructions (EMFACS-8). San Francisco, CA: University of California San Francisco Press.
37. Fertuck, E. A., Jekal, A., Song, I., Wyman, B., Morris, M. C., Wilson, S. T., et al. (2009). Enhanced 'Reading the Mind in the Eyes' in borderline personality disorder compared to healthy controls. Psychol. Med. 39, 1979-1988.
38. Flury, J. M., Ickes, W., and Schweinle, W. (2008). The borderline empathy effect: do high BPD individuals have greater empathic ability? Or are they just more difficult to 'read?' J. Res. Pers. 42, 312-332.
39. Fonagy, P., Leigh, T., Steele, M., Steele, H., Kennedy, R., Mattoon, G., et al. (1996). The relation of attachment status, psychiatric classification, and response to psychotherapy. J. Consult. Clin. Psychol. 64, 22-31.
40. Frank, H., and Hoffman, N. (1986). Borderline empathy: an empirical investigation. Compr. Psychiatry 27, 387-395.
41. Franzen, N., Hagenhoff, M., Baer, N., Schmidt, A., Mier, D., Sammer, G., et al. (2011). Superior 'theory of mind' in borderline personality disorder: an analysis of interaction behavior in a virtual trust game. Psychiatry Res. 15, 224-233.
42. Frith, C. (2009). Role of facial expressions in social interactions. Philos. Trans. R. Soc. Lond. B Biol. Sci. 364, 3453-3458.
43. Frith, C. D., and Frith, U. (2007). Social cognition in humans. Curr. Biol. 17, 724-732.
44. Ghiassi, V., Dimaggio, G., and Brune, M. (2010). Dysfunctions in understanding other minds in borderline personality disorder: a study using cartoon picture stories. Psychother. Res. 20, 657-677.
45. Gunderson, J. G. (2007). Disturbed relationships as a phenotype for borderline personality disorder. Am. J. Psychiatry 164, 1637-1640.
46. Gunderson, J. G., and Lyons-Ruth, K. (2008). BPD's interpersonal hypersensitivity phenotype: a gene-environment-developmental model. J. Pers. Disord. 22, 22-41.
47. Guttman, H., and Laporte, L. (2002). Alexithymia, empathy, and psychological symptoms in a family context. Compr. Psychiatry 43, 448-455.
48. Guttman, H. A., and Laporte, L. (2000). Empathy in families of women with borderline personality disorder, anorexia nervosa, and a control group. Fam. Process 39, 345-358.
49. Happé, F. G. E. (1994). An advanced test of theory of mind: understanding of story characters' thoughts and feelings by able autistic, mentally handicapped, and normal children and adults. J. Autism Dev. Disord. 24, 129-154.
50. Harari, H., Shamay-Tsoory, S. G., Ravid, M., and Levkovitz, Y. (2010). Double dissociation between cognitive and affective empathy in borderline personality disorder. Psychiatry Res. 175, 277-279.
51. Harned, M. S., Rizvi, S. L., and Linehan, M. M. (2010). Impact of co-occurring posttraumatic stress disorder on suicidal women with borderline personality disorder. Am. J. Psychiatry 167, 1210-1217.
52. Hassenstab, J., Dziobek, I., Rogers, K., Wolf, O. T., and Convit, A. (2007). Knowing what others know, feeling what others feel: a controlled study of cognitive and affective empathy in psychotherapists. J. Nerv. Ment. Dis. 195, 277-281.
53. Herpertz, S. C., Werth, U., Lucas, G., Qunaibi, M., Schuerkens, A., Kunert, H.-J., et al. (2001). Emotion in criminal offenders with psychopathy and borderline personality disorders. Arch. Gen. Psychiatry 58, 737-745.
54. Hill, J., Pilkonis, P., Morse, J., Feske, U., Reynolds, S., Hope, H., et al. (2008). Social domain dysfunction and disorganization in borderline personality disorder. Psychol. Med. 38, 135-146.
55. Ickes, W. (2011). Everyday mind reading is driven by motives and goals. Psychol. Inquiry 22, 200-206.
56. Johnson, J. G., Cohen, P., Brown, J., Smailes, E. M., and Bernstein, D. P. (1999). Childhood maltreatment increases risk for personality disorders during early adulthood. Arch. Gen. Psychiatry 56, 600-606.
57. Kelly, K. J., and Metcalfe, J. (2011). Metacognition of emotional face recognition. Emotion 11, 896-906.
58. Kernberg, O. (1967). Borderline personality organization. J. Am. Psychoanal. Assoc. 15, 641-685.
59. King-Casas, B., Sharp, C., Lomax-Bream, L., Lohrenz, T., Fonagy, P., and Montague, P. R. (2008). The rupture and repair of cooperation in borderline personality disorder. Science 321, 806-810.
60. Koenigsberg, H. W. (2010). Affektive instability: toward an integration of neuroscience and psychological perspectives. J. Pers. Disord. 24, 60-82.
61. Korzekwa, M. I., Dell, P. F., Links, P. S., Thabane, L., and Webb, S. P. (2008). Estimating the prevalence of borderline personality disorder in psychiatric outpatients using a two-phase procedure. Compr. Psychiatry 49, 380-386.
62. Krohn, A. (1974). Borderline "empathy" and differentiation of object representations: a contribution to the psychology of object relations. Int. J. Psychoanal. Psychother. 3, 142-165.
63. Ladisich, W., and Feil, W. B. (1988). Empathy in psychiatric patients. Br. J. Med. Psychol. 61, 155-162.
64. Lerner, H., and St. Peter, S. (1984). The Rorschach H response and object relations. J. Pers. Assess. 48, 345-350.
65. Limberg, A., Barnow, S., Freyberger, H. J., and Hamm, A. O. (2011). Emotional vulnerability in borderline personality disorder is cue specific and modulated by traumatisation. Biol. Psychiatry 69, 574-582.
66. Linehan, M. M. (1993). Cognitive-Behavioral Treatment of Borderline Personality Disorder. New York, NY: Guilford Press.
67. Lobbestael, J., and Arntz, A. (2010). Emotional, cognitive and physiological correlates of abuse-related stress in borderline and antisocial personality disorder. Behav. Res. Ther. 48, 116-124.
68. Lobbestael, J., Arntz, A., and Bernstein, D. P. (2010). Disentangling the relationship between different types of childhood maltreatment and personality disorders. J. Pers. Disord. 24, 285-295.
69. Lynch, T. R., Rosenthal, M. Z., Kosson, D. S., Cheavens, J. S., Lejuez, C. W., and Blair, R. J. (2006). Heightened sensitivity to facial expressions of emotion in borderline personality disorder. Emotion 6, 647-655.
70. Mehrabian, A., and Epstein, N. (1972). A measure of emotional empathy. J. Pers. 40, 525-543.
71. Mier, D., Lis, S., Esslinger, C., Sauer, C., Hagenhoff, M., Ulfens, J., et al. (2012). Neuronal correlates of social cognition in borderline personality disorder. Soc. Cogn. Affect. Neurosci. doi: 10.1093/scan/nss028.
72. Minzenberg, M. J., Poole, J. H., and Vinogradov, S. (2006). Social-emotion recognition in borderline personality disorder. Compr. Psychiatry 47, 468-474.
73. Montag, C., Ehrlich, A., Neuhaus, K., Dziobek, I., Heekeren, H. R., Heinz, A., et al. (2010). Theory of mind impairments in euthymic bipolar patients. J. Affect. Disord. 123, 264-269.
74. New, A. S., Rot, M. A., Ripoll, L. H., Perez-Rodriguez, M. M., Lazarus, S., Zipursky, E., et al. (2012). Empathy and alexithymia in borderline personality disorder: clinical and laboratory measures. J. Pers. Disord. 26, 660-675.
75. New, A. S., and Stanley, B. (2010). An opiod deficit in borderline personality disorder: self-cutting, substance abuse, and social dysfunction. Am. J. Psychiatry 167, 882-885.
76. Nigg, J. T., Lohr, N. E., Western, D., Gold, L. J., and Silk, K. R. (1992). Malevolent object representations in borderline personality disorder and major depression. J. Abnorm. Psychol. 101, 61-67.
77. Paus, T. (2005). Mapping brain maturation and cognitive development during adolescence. Trends Cogn. Sci. 9, 60-68.
78. Pears, K., and Fisher, P. A. (2005). Emotion understanding and theory of mind among maltreated children in foster care: evidence of deficits. Dev. Psychopathol. 17, 47-65.
79. Preißler, S., Dziobek, I., Ritter, K., Heekeren, H. R., and Roepke, S. (2010). Social cognition in borderline personality disorder: evidence for disturbed recognition of the emotions, thoughts, and intentions of others. Front. Behav. Neurosci. 4:182. doi: 10.3389/fnbeh.2010.00182
80. Pretzer, J. (1990). "Borderline personality disorder," in Cognitive Therapy of Personality Disorders, eds T. A. Beck and A. Freemann (New York, NY: Guilford Publications), 176-207.
81. Renneberg, B., Herm, K., Hahn, A., Staebler, K., Lammers, C.-H., and Roepke, S. (2012). Perception of social participation in borderline personality disorder. Clin. Psychol. Psychother. 19, 473-480.
82. Renneberg, B., Heyn, K., Gebhard, R., and Bachmann, S. (2005). Facial expression of emotions in borderline personality disorder and depression. J. Behav. Ther. Exp. Psychiatry 36, 183-196.
83. Ritter, K., Dziobek, I., Preissler, S., Rüter, A., Vater, A., Fydrich, T., et al. (2011). Lack of empathy in patients with narcissistic personality disorder. Psychiatry Res. 187, 241-247.
84. Rüsch, N., Lieb, K., Göttler, I., Hermann, C., Schramm, E., Richter, H., et al. (2007). Shame and implicit self-concept in women with borderline personality disorder. Am. J. Psychiatry 164, 500-508.
85. Ruocco, A. C., Medaglia, J. D., Tinker, J. R., Ayaz, H., Forman, E. M., Newman, C. F., et al. (2010). Medial prefrontal cortex hyperactivation during social exclusion in borderline personality disorder. Psychiatry Res. 181, 233-236.
86. Sally, D., and Hill, E. (2006). The development of interpersonal strategy: autism, theory-of- mind, cooperation and fairness. J. Econ. Psychol. 27, 73-97.
87. Saxe, R., and Kanwisher, N. (2003). People thinking about thinking people. The role of the temporo-parietal junction in "theory of mind". Neuroimage 19, 1835-1842.
88. Schilling, L., Wingenfeld, K., Löwe, B., Moritz, S., Terfehr, K., Köther, U., et al. (2012). Normal mind-reading capacity but higher response confidence in borderline personality disorder patients. Psychiatry Clin. Neurosci. 66, 322-327.
89. Segal, H. G., Westen, D., Lohr, N. E., and Silk, K. R. (1992). Assessing object relations and social cognition in borderline personality disorders from stories told to the Picture Arrangement subtest of the WAIS-R. J. Pers. Disord. 6, 458-470.
90. Segal, H. G., Westen, D., Lohr, N. E., and Silk, K. R. (1993). Clinical assessment of object relations and social cognition using stories told to the picture arrangement subtest of the WAIS-R. J. Pers. Assess. 61, 58-80.
91. Seres, I., Unoka, Z., and Kéri, S. (2009). The broken trust and cooperation in borderline personality disorder. Neuroreport 20, 388-392.
92. Sharp, C., Pane, H., Ha, C., Venta, A., Patel, A. B., Sturek, J., et al. (2011). Theory of mind and emotion regulation difficulties in adolescents with borderline traits. J. Am. Acad. Child Adolesc. Psychiatry 50, 563-573.
93. Simeon, D., Bartz, J., Hamilton, H., Crystal, S., Braun, A., Ketay, S., et al. (2011). Oxytocin administration attenuates stress reactivity in borderline personality disorder: a pilot study. Psychoneuroendocrinology 36, 1418-1421.
94. Singer, T. (2006). The neuronal basis and ontogeny of empathy and mind reading: review of literature and implications for future research. Neurosci. Biobehav. Rev. 30, 855-863.
95. Smith, M., and Walden, T. (1999). Understanding feelings and coping with emotional situations: a comparison of maltreated and nonmaltreated preschoolers. Soc. Dev. 8, 93-116.
96. Staebler, K., Renneberg, B., Stopsack, M., Fiedler, P., Weiler, M., and Roepke, S. (2011). Facial emotional expression in reaction to social exclusion in borderline personality disorder. Psychol. Med. 41, 1929-1938.
97. Stanley, B., and Siever, L. J. (2010). The interpersonal dimension of borderline personality disorder: toward a neuropeptide model. Am. J. Psychiatry 167, 24-39.
98. Stern, A. (1938). Psychoanalytic investigation of and therapy in the Border Line Group of Neuroses. Psychoanal. Q. 7, 467-489.
99. Stiglmayr, C. E., Grathwol, T., Linehan, M. M., Ihorst, G., Fahrenberg, J., and Bohus, M. (2005). Aversive tension in patients with borderline personality disorder: a computer-based controlled field study. Acta Psychiatr. Scand. 111, 372-379.
100. Stuart, J., Westen, D., Lohr, N., Benjamin, J., Becker, S., Vorus, N., et al. (1990). Object relations in borderlines, depressives, and normals: an examination of human responses on the Rorschach. J. Pers. Assess. 55, 296-318.
101. Tracy, J. L., and Robins, R. W. (2004). Putting the self into self-conscious emotions: a theoretical model. Psychol. Inq. 15, 103-125.
102. Trull, T. J., Jahng, S., Tomko, R. L., Wood, P. K., and Sher, K. J. (2010). Revised NESARC personality disorder diagnoses: gender, prevalence, and comorbidity with substance dependence disorders. J. Pers. Disord. 24, 412-426.
103. Unoka, Z., Seres, I., Aspan, N., Bodi, N., and Keri, S. (2009). Trust game reveals restricted interpersonal transactions in patients with borderline personality disorder. J. Pers. Disord. 23, 399-409.
104. Veen, G., and Arntz, A. (2000). Multidimensional dichotomous thinking characterizes borderline personality disorder. Cogn. Ther. Res. 24, 23-45.
105. Wagner, A. W., and Linehan, M. M. (1999). Facial expression recognition ability among women with borderline personality disorder: implications for emotion regulation? J. Pers. Disord. 13, 329-344.
106. Westen, D. (1990). Towards a revised theory of borderline object relations: contributions of empirical research. Int. J. Psychoanal. 71, 661-693.
107. Westen, D. (1991a). Clinical assessment of object relations using the TAT. J. Pers. Assess. 56, 56-74.
108. Westen, D. (1991b). Social cognition and object relations. Psychol. Bull. 109, 429-455.
109. Westen, D., Lohr, N., Silk, K. R., Gold, L., and Kerber, K. (1990a). Object relations and social cognition in borderlines, major depressives, and normals: a thematic apperception test analysis. Psychol. Assess. 2, 355-364.
110. Westen, D., Ludolph, P., Block, M. J., and Wixom, J. (1990b). Developmental history and object relations in psychiatrically disturbed adolescent girls. Am. J. Psychiatry 147, 1061-1068.
111. Westen, D., Ludolph, P., Lerner, H., and Ruffins, S. (1990c). Object relations in borderline adolescents. J. Am. Acad. Child Adolesc. Psychiatry 29, 338-348.
112. Westen, D., Ludolph, P., Silk, K. R., Kellam, A., Gold, L., and Lohr, N. (1990d). "Object relations in borderline adolescents and adults: developmental differences," in Adolescent Psychiatry: Developmental and Clinical Studies, Vol. 17. eds S. C. Feinstein, A. H. Esman, J. G. Looney, G. H. Orvin, J. L. Schimel, A. Z. Schwartzberg, et al. (Chicago, IL: University of Chicago Press), 360-384.
113. Williams, K. D. (2007). Ostracism. Annu. Rev. Psychol. 58, 425-452.
114. Zanarini, M. C. (2000). Childhood experiences associated with the development of borderline personality disorder. Psychiatr. Clin. North Am. 23, 89-101.
115. Zanarini, M. C., Frankenburg, F. R., Dubo, E. D., Sickel, A. E., Trikha, A., Levin, A., et al. (1998). Axis I comorbidity of borderline personality disorder. Am. J. Psychiatry 155, 1733-1739.
116. Zanarini, M. C., Williams, A. A., Lewis, R. E., Reich, R. B., Vera, S. C., Marino, M. F., et al. (1997). Reported pathological childhood experiences associated with the development of borderline personality disorder. Am. J. Psychiatry 154, 1101-1106.