The borderline empathy paradox: Evidence and conceptual models for empathic enhancements in borderline personality disorder

Journal of Personality Disorders

Volumn 27, Issue 2, 2013, Pages 172-195

  Dinsdale, Natalie ^a   Crespi, Bernard J ^a  

^a SIMON FRASER UNIVERSITY   (Canada)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; BORDERLINE STATE; EMOTIONAL INTELLIGENCE; EMPATHY; FEMALE; HUMAN; MALE; PHYSIOLOGY; PSYCHOLOGICAL ASPECT; PSYCHOLOGICAL MODEL; REVIEW; THEORY OF MIND;

ADULT; BORDERLINE PERSONALITY DISORDER; EMOTIONAL INTELLIGENCE; EMPATHY; FEMALE; HUMANS; MALE; MODELS, PSYCHOLOGICAL; THEORY OF MIND;

EID: 84879162129     PISSN: 0885579X     EISSN: 19432763     Source Type: Journal    
DOI: 10.1521/pedi.2013.27.2.172     Document Type: Article

References (93)

1. Amelang, M., & Steinmayr, R. (2006). Is there a validity increment for tests of emotional intelligence in explaining the variance of performance criteria. Intelligence, 34, 459-468.
2. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
3. Arntz, A., Bernstein, D., Oorschot, M., & Schobre, P. (2009). Theory of mind in borderline and cluster-C personality disorder. Journal of Nervous and Mental Disease, 197, 801-807.
4. Ayduk, Ö., Zayas, V., Downey, G., Cole, A. B., Shoda, Y., & Mischel, W. (2008). Rejection sensitivity and executive control: Joint predictors of borderline personality features. Journal of Research in Personality, 42, 151-168.
5. Barnow, S., Arens, E. A., Sieswerda, S., Dinu-Biringer, R., Spitzer, C., & Lang, S. (2010). Borderline personality disorder and psychosis: A review. Current Psychiatry Reports, 12, 186-195.
6. Baron-Cohen, S. (2011). The science of evil and the origins of cruelty. New York: Basic Books.
7. Baron-Cohen, S., Ashwin, E., Ashwin, C., Tavassoli, T., & Chakrabarti, B. (2009). Talent in autism: Hyper-systemizing, hyper-attention to detail and sensory hypersensitivity. Philosophical Transactions of the Royal Society B, 364, 1377-1383.
8. Baron-Cohen, S., Jolliffe, T., Mortimore, C., & Robertson, M. (1997). Another advanced test of theory of mind: Evidence from very high functioning adults with autism or Asperger syndrome. Journal of Child Psychology and Psychiatry, 38, 813-822.
9. Baron-Cohen, S., O'Riordan, M., Stone, V., Jones, R., & Plaisted, K. (1999). Recognition of faux pas by normally developing children and children with Asperger syndrome or high-functioning autism. Journal of Autism and Developmental Disorders, 29, 407-418.
10. Baron-Cohen, S., Wheelwright, S., Hill, J., Raste, Y., & 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. Journal of Child Psychology and Psychiatry, 42(2), 241-251.
11. Beblo, T., Pastuszak, A., Griepenstroh, J., Fernando, S., Driessen, M., Shütz, A., et al. (2010). Self-reported emotional dysregulation but no impairment of emotional intelligence in borderline personality disorder. Journal of Nervous and Mental Disesase, 198, 385-388.
12. Beckmann, D., & Richter, H. E. (1972). Gießen-Test (GT). Bern: Hans Huber.
13. Berthoz, S., Wessa, M., Kedia, G., Wicker, B., & Grezes, J. (2008). Cross-cultural validation of the empathy quotient in a French-speaking sample. Canadian Journal of Psychiatry, 53(7), 469-477.
14. Bland, A. R., Williams, C. A., Scharer, K., & Manning, S. (2004). Emotion processing in borderline personality disorders. Issues in Mental Health Nursing, 25, 655-672.
15. Bosacki, S. L. (2000). Theory of mind and self-concept in preadolescents: Links with gender and language. Journal of Educational Psychology, 92, 709-717.
16. Brüne, M. (2005). Emotion recognition, "theory of mind" and social behaviour in schizophrenia. Psychiatry Research, 133, 135-147.
17. Cameron, L. (2009). Empathy: A review. Living with uncertainty: Metaphor and the dynamics of empathy in discourse. Retrieved March 14, 2011, from http://www.open.ac.uk/researchprojects/livingwithuncertainty/
18. Carter, L., & Rinsley, D. B. (1977). Vicissitudes of 'empathy' in a borderline adolescent. International Review of Psychoanalysis, 4, 317-326.
19. Conte, H. R., Plutchik, R., Karasu, T., & Jerrett, I. (1980). A self-report borderline scale. Journal of Nervous and Mental Disease, 168, 428-435.
20. Crespi, B. J., & Badcock, C. (2008). Psychosis and autism as diametrical disorders of the social brain. Behavioral and Brain Sciences, 31, 284-320.
21. Dammann, G. (2003). Borderline personality disorder and theory of mind: An evolutionary perspective. In M. Brüne, H. Ribbert, & W. Schiefenhövel (Eds.), The social brain: Evolution and pathology (pp. 373-417). Chichester, UK: John Wiley.
22. Davis, M. H. (1980). A multidimensional approach to individual differences in empathy. JSAS Catalog of Selected Documents in Psychology, 10, 85.
23. Davis, M. H. (1983). Measuring individual differences in empathy: Evidence for a multidimensional approach. Journal of Personality and Social Psychology, 44, 113-126.
24. Davis, P. J., & Gibson, M. G. (2000). Recognition of posed and genuine facial expression of emotion in paranoid and nonparanoid schizophrenia. Journal of Abnormal Psychology, 109(3), 445-450.
25. Day, A. L., & Carroll, S. A. (2004). Using an ability-based measure of emotional intelligence to predict individual performance, group performance, and group citizenship behaviours. Personality and Individual Differences, 36, 1443-1458.
26. Depaulo, B. M., & Rosenthal, R. (1979). Structure of nonverbal decoding skills. Journal of Personality, 47(3), 506-517.
27. Domes, G., Czieschnek, D., Weidler, F., Berger, C., Fast, K., & Herpertz, S. C. (2008). Recognition of facial affect in borderline personality disorder. Journal of Personality Disorders, 22(2), 135-147.
28. Domes, G., Schulze, L., & Herpertz, S. C. (2009). Emotion recognition in borderline personality disorder: A review of the literature. Journal of Personality Disorders, 23(1), 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. Psychological Medicine, 39, 855-864.
30. 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. Journal of Autism and Developmental Disorders, 36, 623-636.
31. Ekman, P. (1993). Facial expression and emotion. American Psychologist, 48(4), 384-392.
32. Ekman, P., & Friesen, W. V. (1976). Measuring facial movement. Environmental Psychology and Nonverbal Behaviour, 1, 56-75.
33. Ekman, P., & Friesen, W. V. (1979). Pictures of facial affect. Palo Alto, CA: Consulting Psychologists Press.
34. 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. Psychological Medicine, 39, 1-10.
35. Flury, J. M., Ickes, W., & Schweinle, W. (2008). The borderline empathy effect: Do high BPD individuals have greater empathic ability? Or are they just more difficult to 'read'? Journal of Research in Personality, 42, 312-332.
36. Fonagy, P., & Luyten, P. (2009). A developmental, mentalization-based approach to the understanding and treatment of borderline personality disorder. Development and Psychopathology, 21, 1355-1381.
37. Fonagy, P., Luyten, P., & Strathearn, L. (2011). Borderline personality disorder, mentalization, and the neurobiology of attachment. Infant Mental Health Journal, 32(1), 47-69.
38. Frank, H., & Hoffman, N. (1986). Borderline empathy: An empirical investigation. Comprehensive Psychiatry, 27, 387-395.
39. 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 behaviour in a virtual trust game. Psychiatry Research, 187, 224-233.
40. Frick, C., Lang, S., Kotchoubey, B., Sieswerda, S., Dinu-Biringer, R., Berger, M., et al. (2012). Hypersensitivity in borderline personality during mindreading. PLoS ONE, 7, e41650. doi: 10.1371/journal.pone.0041650.
41. Gallup, G. G., Jr. (1979). Self-awareness in primates. American Scientist, 67, 417-421.
42. Gardner, H. (1983.) Frames of mind: The theory of multiple intelligences. New York: Basic Books.
43. Gardner, K., & Qualter, P. (2009). Emotional intelligence and borderline personality disorder. Personality and Individual Differences, 47, 94-98.
44. Gardner, K. J., Qualter, P., Stylianou, M., & Robinson, A. J. (2010). Facial affect recognition in non-clinical adults with borderline personality features: The role of effortful control and rejection sensitivity. Personality and Individual Differences, 49, 799-804.
45. Geary, D. C. (2010). Male, female: The evolution of human sex differences (2nd ed.). Washington, DC: American Psychological Association.
46. Ghiassi, V., Dimaggio, G., & Brune, M. (2010). Dysfunctions in understanding other minds in borderline personality disorder: A study using cartoon picture stories. Psychotherapy Research, 20(6), 657-667.
47. Glaser, J. P., Van Os, J., Thewissen, V., & Myin-Germeys, I. (2010). Psychotic reactivity in borderline personality disorder. Acta Psychiatrica Scandinavica, 121, 125-134.
48. Goodman, M., & Siever, L. J. (2011). Hypermentalization in adolescents with borderline personality traits: Extending the conceptual framework to younger ages. Journal of the American Academy of Child and Adolescent Psychiatry, 50(6), 536-537.
49. Guitart-Masip, M., Pascual, J. C., Carmona, S., Hoekzema, E., Bergé, D., Pérez, V., et al. (2009). Neural correlates of impaired emotional discrimination in borderline personality disorder: An fMRI study. Progress in Neuro-Psychopharmacology & Biological Psychiatry, 33, 1537-1545.
50. Gunderson, J. G., & Lyons-Ruth, K. (2008). BPD's interpersonal hypersensitivity phenotype: A gene-environment-developmental model. Journal of Personality Disorders, 22(1), 22-41.
51. Gur, R. C., Radim, S., Hagendoorn, M., Marom, O., Hughett, P., Macy, L., et al. (2002). A method for obtaining 3-dimensional facial expressions and its standardization for use in neurocognitive studies. Journal of Neuroscience Methods, 115, 137-143.
52. Guttman, H. A., & Laporte, L. (2000). Empathy in families of women with borderline personality disorder, anorexia nervosa, and a control group. Family Processes, 39, 345-358.
53. 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. Journal of Autism and Developmental Disorders, 24, 129-154.
54. Harari, H., Shamay-Tsoory, S. G., Ravid, M., & Levkovitz, Y. (2010). Double dissociation between cognitive and affective empathy in borderline personality disorder. Psychiatry Research, 175, 277-299.
55. Hertel, J., Shütz, A., & Lammers, C. H. (2009). Emotional intelligence and mental disorder. Journal of Clinical Psychology, 65, 942-954.
56. Hooley, J. M. (2010). Social factors in schizophrenia. Current Directions in Psychological Science, 19, 238-242.
57. Ickes, W. (1993). Empathic accuracy. Journal of Personality, 61(4), 587-610.
58. Klin, A., Lin, D. J., Gorrindo, P., Ramsay, G., & Jones, W. (2009). Two-year-olds with autism orient to non-social contingencies rather than biological motion. Nature, 459(7244), 257-261.
59. Krohn, A. (1974). Borderline 'empathy' and differentiation of object representations: A contribution to the psychology of object relations. International Journal of Psychoanalytic Psychotherapy, 3(2), 142-165.
60. Ladisich, W., & Feil, W. B. (1988). Empathy in psychiatric patients. British Journal of Medical Psychology, 61, 155-162.
61. Langdon, R., Corner, T., McLaren, J., Coltheart, M., & Ward, P. B. (2006). Attentional orienting triggered by gaze in schizophrenia. Neuropsychologia, 44(3), 417-429.
62. Levine, D., Marziali, E., & Hood, J. (1997). Emotion processing in borderline personality disorders. Journal of Nervous and Mental Disease, 185(4), 240-246.
63. Lieb, K., Zanarini, M. C., Schmahl, C., Linehan, M. M., & Bohus, M. (2004). Borderline personality disorder. Lancet, 364, 453-461.
64. Linehan, M. M. (1993). Cognitive-behavioral treatment for borderline personality disorder. New York: Guilford.
65. Lynch, T. R., Rosenthal, M. Z., Kosson, D. S., Cheavens, J. S., Lejuez, C. W., & Blair, R. J. B. (2006). Heightened sensitivity to facial expressions of emotion in borderline personality disorder. Emotion, 6, 647-655.
66. Mayer, J. D., & Salovey, P. (1997). What is emotional intelligence? In P. Salovey & D. J. Sluyter (Eds.), Emotional development and emotional intelligence: Educational implications (pp. 3-31). New York: Basic Books.
67. Mayer, J. D., Salovey, P., & Caruso, D. R. (2002). Mayer-Salovey-Caruso Emotional Intelligence Test (MSCEIT) user's manual. Toronto: MHS.
68. Merkl, A., Ammelburg, N., Aust, S., Roepke, S., Reinecker, H., Trahms, L., et al. (2010). Processing of visual stimuli in borderline personality disorder: A combined behavioural and magnetoencephalographic study. International Journal of Psychophysiology, 78, 257-264.
69. Mestre, M. V., Samper, P., Frias, M. D., & Tur, A. M. (2009). Are women more empathetic than men? A longitudinal study in adolescence. Spanish Journal of Psychology, 12, 76-83.
70. Minzenberg, M. J., Poole, J. H., & Vinogradov, S. (2006). Social-emotion recognition in borderline personality disorder. Comprehensive Psychiatry, 47, 468-474.
71. Montag, C., Dziobek, I., Richter, I. S., Neuhaus, K., Lehmann, A., Sylla, R., et al. (2011). Different aspects of theory of mind in paranoid schizophrenia: Evidence from a video-based assessment. Psychiatry Research, 186(2-3), 203-209.
72. Mottron, L., & Burack, J. (2001). Enhanced perceptual functioning in the development of autism. In J. A., Burack, T. Charman, N. Yirmiya, & P. R. Zelazo (Eds.), The development of autism: Perspectives from theory and research (pp. 131-148). Mahwah, NJ: Erlbaum.
73. Mottron, L., Dawson, M., Soulieres, I., Hubert, B., & Burack, J. (2006). Enhanced perceptual functioning in autism: An update and eight principles of autistic perception. Journal of Autism and Developmental Disorders, 36, 27-43.
74. O'Connor, L. E., Berry, J. W., Lewis, T., Mulherin, K., & Yi, E. (2007). Empathy and depression: The moral system on overdrive. In T. F. D. Farrow & P. W. R. Woodruff (Eds.), Empathy and mental illness (pp. 49-75). Cambridge, UK: Cambridge University Press.
75. Park, L. C., Imboden, J. B., Park, T. J., Hulse, S. H., & Unger, H. T. (1992). Giftedness and psychological abuse in borderline personality disorder: Their relevance to genesis and treatment. Journal of Personality Disorders, 6, 226-240.
76. Perugi, G., Fornaro, M., & Akiskal, H. S. (2011). Are atypical depression, borderline personality disorder and bipolar II disorder overlapping manifestations of a common cyclothymic diathesis? World Psychiatry, 10, 45-51.
77. Pierce, K., Conant, D., Hazin, R., Stoner, R., & Desmond, J. (2011) Preference for geometric patterns early in life as a risk factor for autism. Archives of General Psychiatry, 68, 101-109.
78. Preißler, S., Dziobek, I., Ritter, K., Heekeren, H. R., & Roepke, S. (2010). Social cognition in borderline personality disorder: Evidence for disturbed recognition of the emotions, thoughts, and intentions of others. Frontiers in Behavioural Neuroscience, 4, 1-8.
79. Rankin, K. P., Kramer, J. H., & Miller, B. L. (2005). Patterns of cognitive and emotional empathy in frontotemporal lobar degeneration. Cognitive and Behavioural Neurology, 18(1), 28-36.
80. Russell, T. A., Tchanturia, K., Rahman, Q., & Schmidt, U. (2007). Sex differences in theory of mind: A male advantage on Happé's "cartoon" task. Cognition and Emotion, 21(7), 1554-1564.
81. Schmidt-Atzert, L., & Buehner, M. (2002). Entwicklung eines Leistungstests zur Emotionalen Intelligenz [Development of a performance test for emotional intelligence]. Paper presented at the 43 Kongress der Deutschen Gesellschaft für Psychologie, Berlin.
82. Schutte, N. S., Malouff, J. M., Hall, L. E., Haggerty, D. J., Cooper, J. T., Golden, C. G., et al. (1998). Development and validation of a measure of emotional intelligence. Personality and Individual Differences, 25, 167-177.
83. Scott, L. N., Levy, K. N., Adams, R. B., Jr., & Stevenson, M. T. (2011). Mental state decoding abilities in young adults with borderline personality disorder traits. Personality Disorders: Theory, Research, and Treatment, 2, 98-112.
84. Shamay-Tsoory, S. G. (2011). The neural bases for empathy. Neuroscientist, 17(1), 18-24.
85. 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. Journal of the American Academy of Child and Adolescent Psychiatry, 50(6), 563-573.
86. Singer, T. (2006). The neuronal basis and ontogeny of empathy and mind reading: Review of literature and implications for future research. Neuroscience and Biobehavioral Reviews, 30(6), 855-863.
87. Smeets, T., Dziobek, I., & Wolf, O. T. (2009). Social cognition under stress: Differential effects of stress-induced cortisol elevations in healthy young men and women. Hormones and Behaviour, 55(4), 507-513.
88. Smith, A. (2006). Cognitive empathy and emotional empathy in human behaviour and evolution. Psychological Record, 56, 3-21.
89. Unoka, Z., Fogd, D., Füzy, M., & Csukly, G. (2011). Misreading the facial signs: Specific impairments and error patterns in recognition of facial emotions with negative valence in borderline personality disorder. Psychiatry Research, 189, 419-425.
90. Wagner, A. W., & Linehan, M. M. (1999). Facial expression recognition ability among women with borderline personality disorder: Implications for emotion regulation? Journal of Personality Disorders, 13(4), 329-344.
91. Zahn-Waxler, C., Crick, N., Shirtcliff, E. A., & Woods, K. (2006). The origins and development of psychopathology in females and males. In D. Cicchetti & D. J. Cohen (Eds.), Developmental psychopathology (Vol. 1, pp. 76-138). Hoboken, NJ: Wiley.
92. Zahn-Waxler, C., Shirtcliff, E. A., & Marceau, K. (2008). Disorders of childhood and adolescence: Gender and psychopathology. Annual Review of Clinical Psychology, 4, 275-303.
93. Zanarini, M. C., Vujanovic, A. A., Parachini, E. A., Boulanger, J. L., Frankenburg, F. R., & Hennen, J. (2003). A screening measure for BPD: The McLean Screening Instrument for Borderline Personality Disorder (MSI-BPD). Journal of Personality Disorders, 17, 568-573.