Modulation of Trust in Borderline Personality Disorder by Script-Based Imaginal Exposure to Betrayal.

Interpersonal and trust-related difficulties are central features of borderline personality disorder (BPD). In this study, we applied script-driven betrayal imagery to evoke mistrustful behavior in a social reinforcement learning task. In 21 BPD and 20 healthy control (HC) participants, we compared...

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Bibliographic Details
Published in:Journal of Personality Disorders Vol. 37; no. 5; pp. 508 - 525
Main Authors: Shapiro-Thompson, Rosa, Shah, Tanya V., Yi, Caroline, Jackson, Nasir, Trujillo Diaz, Daniel, Fineberg, Sarah K.
Format: pictorial research tables/charts Journal Article
Published: Guilford Publications Inc. Oct2023
Online Access:View this record in EBSCOhost
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      dt: Oct2023
      vid: 37
      iid: 5
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      pub: Guilford Publications Inc.
      place: New York, New York
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        10.1521/pedi.2023.37.5.508
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        atl: Modulation of Trust in Borderline Personality Disorder by Script-Based Imaginal Exposure to Betrayal.
      aug:
        au:
          Shapiro-Thompson, Rosa
          Shah, Tanya V.
          Yi, Caroline
          Jackson, Nasir
          Trujillo Diaz, Daniel
          Fineberg, Sarah K.
        affil: Department of Psychiatry, Yale University, New Haven, Connecticut
      sug:
        subj:
          Borderline Personality Disorder Therapy
          Trust
          Imagination
          Narratives
          Betrayal
          Social Behavior
          Task Performance and Analysis
          Reinforcement (Psychology)
          Desensitization, Psychologic
          Human
          Learning
          Affect
          Cues
          Deception
          Interpersonal Relations
          Comparative Studies
          Funding Source
          Psychotherapy
      ab: Interpersonal and trust-related difficulties are central features of borderline personality disorder (BPD). In this study, we applied script-driven betrayal imagery to evoke mistrustful behavior in a social reinforcement learning task. In 21 BPD and 20 healthy control (HC) participants, we compared this approach to the standard confederate paradigm used in research studies. The script-driven imagery evoked a transient increase in negative affect and also decreased trusting behavior to a similar degree in both groups. Across conditions, we also replicated previously reported between-group differences in negative affect (increased in BPD) and task behavior (more sensitive to social cues in BPD). These results support the validity of script-driven imagery as an alternative social task stimulus. This script-driven imagery approach is appealing for clinical research studies on reinforcement learning because it eliminates deception, scales easily, and evokes disorder-specific states of social difficulty.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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