Purpose of Review: Unstable relationships are a core feature of borderline personality disorder (BPD). Impairments in trust processes (i.e., appraisal and learning regarding others’ trustworthiness) can subserve interpersonal problems associated with BPD, but the determinants, mechanisms, consequences, and variations in trust impairments among individuals with BPD remain poorly characterized. Thus, a better understanding of such impairments could help target interventions that address the interpersonal problems of individuals with BPD beyond emotion dysregulation, impulsivity, and aggression. Recent Findings: We conducted a pre-registered systematic review of empirical studies on trust processes and BPD features (k = 29). Results are organized around a heuristic model of trust processes in BPD comprising the following stages: developmental factors, prior beliefs and dispositions, situation perception, emotional states, trust appraisal, behavioral manifestations, and trust learning. Summary: Based on the synthesis of the findings, we recommended directions for future research and clinical assessment and intervention, such as managing trust during the early stages of therapy and considering improvements in trust processes as a central mechanism of change in treating individuals with BPD.

Preti, E., Richetin, J., Poggi, A., Fertuck, E. (2023). A Model of Trust Processes in Borderline Personality Disorder: A Systematic Review. CURRENT PSYCHIATRY REPORTS, 25(11), 555-567 [10.1007/s11920-023-01468-y].

A Model of Trust Processes in Borderline Personality Disorder: A Systematic Review

Preti E.
;
Richetin J.;Poggi A.;
2023

Abstract

Purpose of Review: Unstable relationships are a core feature of borderline personality disorder (BPD). Impairments in trust processes (i.e., appraisal and learning regarding others’ trustworthiness) can subserve interpersonal problems associated with BPD, but the determinants, mechanisms, consequences, and variations in trust impairments among individuals with BPD remain poorly characterized. Thus, a better understanding of such impairments could help target interventions that address the interpersonal problems of individuals with BPD beyond emotion dysregulation, impulsivity, and aggression. Recent Findings: We conducted a pre-registered systematic review of empirical studies on trust processes and BPD features (k = 29). Results are organized around a heuristic model of trust processes in BPD comprising the following stages: developmental factors, prior beliefs and dispositions, situation perception, emotional states, trust appraisal, behavioral manifestations, and trust learning. Summary: Based on the synthesis of the findings, we recommended directions for future research and clinical assessment and intervention, such as managing trust during the early stages of therapy and considering improvements in trust processes as a central mechanism of change in treating individuals with BPD.
Articolo in rivista - Review Essay
Borderline personality disorder; Interpersonal problems; Systematic review; Trust;
English
27-ott-2023
2023
25
11
555
567
open
Preti, E., Richetin, J., Poggi, A., Fertuck, E. (2023). A Model of Trust Processes in Borderline Personality Disorder: A Systematic Review. CURRENT PSYCHIATRY REPORTS, 25(11), 555-567 [10.1007/s11920-023-01468-y].
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10281/466902
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