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Can't stand the look in the mirror? Self-awareness avoidance in borderline personality disorder.

Winter D, Koplin K, Lis S - Borderline Personal Disord Emot Dysregul (2015)

Bottom Line: Results revealed altered reactions to self-awareness cues in BPD.While BPD patients avoided such a cue slightly more often, they were more often aware of their behavior than healthy participants.As possible explanations, a negative body related, shame-prone self-concept as well as a simultaneously increased degree of self-focused attention are suggested.

View Article: PubMed Central - PubMed

Affiliation: Department of Psychosomatic Medicine and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim/Heidelberg University, Mannheim, Germany.

ABSTRACT

Background: Patients with Borderline Personality Disorder (BPD) expect and perceive social rejection stronger than healthy individuals. Shifting ones attention from oneself to others has been suggested as a mechanism to deal with the experience of social rejection. Here, we investigated whether BPD participants avoid increased self-awareness and whether this is done intentionally.

Methods: Thirty BPD patients and 30 healthy control participants, all naïve of the study's purpose, were asked to choose either a seat facing a mirror (self-awareness) or not facing the mirror (avoidance of self-awareness). Afterwards they were asked to indicate if they have chosen the seat intentionally.

Results: BPD patients avoided as a trend the chair facing the mirror more often than healthy control participants. 90 % of the patients reported that they made their seating decision intentionally in contrast to 26.7 % of the healthy participants (odd ratio = 24.75).

Conclusions: Results revealed altered reactions to self-awareness cues in BPD. While BPD patients avoided such a cue slightly more often, they were more often aware of their behavior than healthy participants. As possible explanations, a negative body related, shame-prone self-concept as well as a simultaneously increased degree of self-focused attention are suggested.

No MeSH data available.


Related in: MedlinePlus

Experimental set up. Participants were supposed to choose either the chair facing the mirror (increased self-awareness, chair 1) or the chair facing the room (self-awareness avoidance, chair 2)
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Fig1: Experimental set up. Participants were supposed to choose either the chair facing the mirror (increased self-awareness, chair 1) or the chair facing the room (self-awareness avoidance, chair 2)

Mentions: After participants completed the study described in [25], participants were told that the experiment was over but that there were some final diagnostic questions that the experimenter would like to ask. That would take place in another corner of the laboratory room. There were two chairs standing with their back to a wall, one facing a standardized (= distortion-free) mirror (height 175 cm, width 95 cm) and one facing into the room. See Fig. 1 for illustration. The experimenter asked the participant to sit down while she would save some data and would join the participant afterwards. In case the participant asked which chair she should sit down on, the experimenter told her to feel free to sit down on any chair she prefers. The instructions were standardized in order to avoid an experimenter bias. The experimenter did not engage in any further verbal or nonverbal interaction with the participant at this stage of the experiment. Immediately after the participant sat down on one of the two chairs, the experimenter recorded the participant’s choice and asked whether it was made intentionally.


Can't stand the look in the mirror? Self-awareness avoidance in borderline personality disorder.

Winter D, Koplin K, Lis S - Borderline Personal Disord Emot Dysregul (2015)

Experimental set up. Participants were supposed to choose either the chair facing the mirror (increased self-awareness, chair 1) or the chair facing the room (self-awareness avoidance, chair 2)
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4644295&req=5

Fig1: Experimental set up. Participants were supposed to choose either the chair facing the mirror (increased self-awareness, chair 1) or the chair facing the room (self-awareness avoidance, chair 2)
Mentions: After participants completed the study described in [25], participants were told that the experiment was over but that there were some final diagnostic questions that the experimenter would like to ask. That would take place in another corner of the laboratory room. There were two chairs standing with their back to a wall, one facing a standardized (= distortion-free) mirror (height 175 cm, width 95 cm) and one facing into the room. See Fig. 1 for illustration. The experimenter asked the participant to sit down while she would save some data and would join the participant afterwards. In case the participant asked which chair she should sit down on, the experimenter told her to feel free to sit down on any chair she prefers. The instructions were standardized in order to avoid an experimenter bias. The experimenter did not engage in any further verbal or nonverbal interaction with the participant at this stage of the experiment. Immediately after the participant sat down on one of the two chairs, the experimenter recorded the participant’s choice and asked whether it was made intentionally.

Bottom Line: Results revealed altered reactions to self-awareness cues in BPD.While BPD patients avoided such a cue slightly more often, they were more often aware of their behavior than healthy participants.As possible explanations, a negative body related, shame-prone self-concept as well as a simultaneously increased degree of self-focused attention are suggested.

View Article: PubMed Central - PubMed

Affiliation: Department of Psychosomatic Medicine and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim/Heidelberg University, Mannheim, Germany.

ABSTRACT

Background: Patients with Borderline Personality Disorder (BPD) expect and perceive social rejection stronger than healthy individuals. Shifting ones attention from oneself to others has been suggested as a mechanism to deal with the experience of social rejection. Here, we investigated whether BPD participants avoid increased self-awareness and whether this is done intentionally.

Methods: Thirty BPD patients and 30 healthy control participants, all naïve of the study's purpose, were asked to choose either a seat facing a mirror (self-awareness) or not facing the mirror (avoidance of self-awareness). Afterwards they were asked to indicate if they have chosen the seat intentionally.

Results: BPD patients avoided as a trend the chair facing the mirror more often than healthy control participants. 90 % of the patients reported that they made their seating decision intentionally in contrast to 26.7 % of the healthy participants (odd ratio = 24.75).

Conclusions: Results revealed altered reactions to self-awareness cues in BPD. While BPD patients avoided such a cue slightly more often, they were more often aware of their behavior than healthy participants. As possible explanations, a negative body related, shame-prone self-concept as well as a simultaneously increased degree of self-focused attention are suggested.

No MeSH data available.


Related in: MedlinePlus