Podcast
Questions and Answers
What was the main finding of the study by Rusch et al. (2007) regarding shame in people with borderline personality disorder?
What was the main finding of the study by Rusch et al. (2007) regarding shame in people with borderline personality disorder?
- The study found no difference in shame proneness between people with borderline personality disorder and the control groups.
- The study only included men with borderline personality disorder and found they were less prone to shame than healthy men.
- Shame was not associated with low self-esteem, low quality of life, or high levels of anger and hostility in people with borderline personality disorder.
- Women with borderline personality disorder were more likely to report shame than healthy women and women with social phobia. (correct)
In the scenario presented to participants, which reaction would indicate shame proneness?
In the scenario presented to participants, which reaction would indicate shame proneness?
- You think your coworker should have expected some accidents at such a big party.
- You would wonder why your coworker chose to serve red wine with the new light carpet.
- You would stay late to help clean up the stain after the party.
- You would wish you were anywhere but at the party. (correct)
What other psychological factors were found to be associated with the elevated tendency to experience shame in people with borderline personality disorder?
What other psychological factors were found to be associated with the elevated tendency to experience shame in people with borderline personality disorder?
- High levels of anxiety and depression.
- Improved social functioning and interpersonal relationships.
- Increased risk of suicidal behavior.
- Low self-esteem, low quality of life, and high levels of anger and hostility. (correct)
What was the relationship between shame and self-inflicted injury (e.g., cutting) found in the research on borderline personality disorder?
What was the relationship between shame and self-inflicted injury (e.g., cutting) found in the research on borderline personality disorder?
Which of the following best describes the participants included in the Rusch et al. (2007) study?
Which of the following best describes the participants included in the Rusch et al. (2007) study?
What type of research design was used in the Rusch et al. (2007) study?
What type of research design was used in the Rusch et al. (2007) study?
What type of scenario was presented to participants in the Rusch et al. (2007) study to assess their reactions?
What type of scenario was presented to participants in the Rusch et al. (2007) study to assess their reactions?
What was the purpose of the Rusch et al. (2007) study on shame in people with borderline personality disorder?
What was the purpose of the Rusch et al. (2007) study on shame in people with borderline personality disorder?
What is one of the core features of borderline personality disorder mentioned in the text?
What is one of the core features of borderline personality disorder mentioned in the text?
What is a common characteristic of self-injurious behaviors such as cutting?
What is a common characteristic of self-injurious behaviors such as cutting?
What percentage of people with borderline personality disorder achieve remission in the decade after seeking treatment?
What percentage of people with borderline personality disorder achieve remission in the decade after seeking treatment?
Which behavior is NOT mentioned as a form of self-injury in the text?
Which behavior is NOT mentioned as a form of self-injury in the text?
What is considered one of the best predictors of suicide in individuals with borderline personality disorder?
What is considered one of the best predictors of suicide in individuals with borderline personality disorder?
How is the group of individuals with borderline personality disorder described based on their emotional stability?
How is the group of individuals with borderline personality disorder described based on their emotional stability?
What is NOT mentioned as a possible area of instability in individuals with borderline personality disorder?
What is NOT mentioned as a possible area of instability in individuals with borderline personality disorder?
What is a common reason given for engaging in self-injurious behaviors like cutting?
What is a common reason given for engaging in self-injurious behaviors like cutting?
What did the study by Linehan et al. (2015) suggest about the effectiveness of DBT?
What did the study by Linehan et al. (2015) suggest about the effectiveness of DBT?
According to Linehan & Kehrer (1993), how were the women in the DBT group, compared to the 'treatment as usual' group, during the first 6 months of follow up?
According to Linehan & Kehrer (1993), how were the women in the DBT group, compared to the 'treatment as usual' group, during the first 6 months of follow up?
Based on Yen et al. (2009), what improvements were observed in individuals treated with DBT in an inpatient setting for approximately 5 days?
Based on Yen et al. (2009), what improvements were observed in individuals treated with DBT in an inpatient setting for approximately 5 days?
What is suggested by Zeitler et al. (2020) regarding symptomatic remission in BPD based on longitudinal studies?
What is suggested by Zeitler et al. (2020) regarding symptomatic remission in BPD based on longitudinal studies?
In the study by Linehan & DexterMazza (2008), what was one of the positive outcomes associated with DBT?
In the study by Linehan & DexterMazza (2008), what was one of the positive outcomes associated with DBT?
What aspect of DBT was highlighted as beneficial in the study by McMain et al. (2013)?
What aspect of DBT was highlighted as beneficial in the study by McMain et al. (2013)?
According to Linehan (2014), what is the current evidence suggesting about the effectiveness of DBT?
According to Linehan (2014), what is the current evidence suggesting about the effectiveness of DBT?
Which of the following disorders is not mentioned as having a potential association with a history of childhood trauma?
Which of the following disorders is not mentioned as having a potential association with a history of childhood trauma?
According to the passage, what is the role of childhood sexual abuse and physical abuse in the etiology of borderline personality disorder?
According to the passage, what is the role of childhood sexual abuse and physical abuse in the etiology of borderline personality disorder?
According to the passage, what is the first vulnerability (or diathesis) described in the integrative model for borderline personality disorder?
According to the passage, what is the first vulnerability (or diathesis) described in the integrative model for borderline personality disorder?
Which of the following statements is true about individuals with borderline personality disorder, according to the passage?
Which of the following statements is true about individuals with borderline personality disorder, according to the passage?
According to the integrative model described in the passage, what is the second vulnerability (or diathesis) for borderline personality disorder?
According to the integrative model described in the passage, what is the second vulnerability (or diathesis) for borderline personality disorder?
Based on the information provided in the passage, which of the following statements is true?
Based on the information provided in the passage, which of the following statements is true?
Which of the following disorders is mentioned in the passage as having a potential association with a history of childhood trauma?
Which of the following disorders is mentioned in the passage as having a potential association with a history of childhood trauma?
According to the passage, what is the role of genetics in the development of borderline personality disorder?
According to the passage, what is the role of genetics in the development of borderline personality disorder?
What is the main finding from studies of monozygotic and dizygotic twins regarding borderline personality disorder?
What is the main finding from studies of monozygotic and dizygotic twins regarding borderline personality disorder?
What is the main focus of the important genetic studies mentioned in the passage?
What is the main focus of the important genetic studies mentioned in the passage?
What is the main conclusion from the neuroimaging studies mentioned in the passage?
What is the main conclusion from the neuroimaging studies mentioned in the passage?
What is the main conclusion from the family studies mentioned in the passage?
What is the main conclusion from the family studies mentioned in the passage?
What is the main limitation of the genetic research on borderline personality disorder mentioned in the passage?
What is the main limitation of the genetic research on borderline personality disorder mentioned in the passage?
What is the main aspect of borderline personality disorder that has led researchers to investigate the role of genetics?
What is the main aspect of borderline personality disorder that has led researchers to investigate the role of genetics?
What is the main link between borderline personality disorder and mood disorders mentioned in the passage?
What is the main link between borderline personality disorder and mood disorders mentioned in the passage?
What is the main conclusion from the research on the neurochemical serotonin and borderline personality disorder?
What is the main conclusion from the research on the neurochemical serotonin and borderline personality disorder?
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Study Notes
Shame and Borderline Personality Disorder
- Women with borderline personality disorder (BPD) are more likely to experience shame than healthy women and women with social phobia.
- Elevated shame is associated with low self-esteem, low quality of life, and high levels of anger and hostility.
Emotion Dysregulation
- Dysfunction in the area of emotion is a core feature of BPD.
- Emotion dysregulation is a significant predictor of suicide in individuals with BPD.
Impulsivity and Self-Injurious Behaviors
- Impulsivity is a characteristic of BPD, manifested in drug misuse and self-mutilation.
- Self-injurious behaviors, such as cutting, are sometimes described as tension-reducing by individuals who engage in these behaviors.
Treatment and Outcome
- Dialectical behavior therapy (DBT) has been shown to reduce suicide attempts, dropouts from treatment, and hospitalizations in individuals with BPD.
- DBT can lead to improvements in depression, hopelessness, anger expression, and dissociation.
Childhood Trauma and Etiology
- A history of childhood trauma, including sexual and physical abuse, is common in individuals with BPD, but not exclusive to BPD.
- Childhood trauma is not necessary or sufficient to produce BPD.
Genetic and Neurobiological Factors
- Family studies suggest that BPD is more prevalent in families with the disorder and linked to mood disorders.
- Genetic studies indicate a higher concordance rate among monozygotic twins, supporting the role of genetics in BPD.
- Research is ongoing to identify genetic factors, including genes associated with serotonin, that contribute to BPD.
- Neuroimaging studies point to the limbic network as a key area in the brain contributing to BPD.
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