Attachment and borderline personality disorder as the dance unfolds: A quantitative analysis of a novel paradigm

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dc.contributor.authorMancinelli, Federicoen
dc.contributor.authorNolte, Tobiasen
dc.contributor.authorGriem, Juliaen
dc.contributor.authorLohrenz, Terryen
dc.contributor.authorFeigenbaum, Janeten
dc.contributor.authorCasas, Brooksen
dc.contributor.authorMontague, P. Readen
dc.contributor.authorFonagy, Peteren
dc.contributor.authorMathys, Christophen
dc.date.accessioned2024-08-30T19:39:26Zen
dc.date.available2024-08-30T19:39:26Zen
dc.date.issued2024-04-17en
dc.description.abstractCurrent research on personality disorders strives to identify key behavioural and cognitive facets of patient functioning, to unravel the underlying root causes and maintenance mechanisms. This process often involves the application of social paradigms — however, these often only include momentary affective depictions rather than unfolding interactions. This constitutes a limitation in our capacity to probe core symptoms, and leaves potential findings uncovered which could help those who are in close relationships with affected individuals. Here, we deployed a novel task in which subjects interact with four unknown virtual partners in a turn-taking paradigm akin to a dance, and report on their experience with each. The virtual partners embody four combinations of low/high expressivity of positive/negative mood. Higher scores on our symptomatic measures of attachment anxiety, avoidance, and borderline personality disorder (BPD) were all linked to a general negative appraisal of all the interpersonal experiences. Moreover, the negative appraisal of the partner who displayed a high negative/low positive mood was tied with attachment anxiety and BPD symptoms. The extent to which subjects felt responsible for causing partners’ distress was most strongly linked to attachment anxiety. Finally, we provide a fully-fledged exploration of move-by-move action latencies and click distances from partners. This analysis underscored slower movement initiation from anxiously attached individuals throughout all virtual interactions. In summary, we describe a novel paradigm for second-person neuroscience, which allowed both the replication of established results and the capture of new behavioural signatures associated with attachment anxiety, and discuss its limitations.en
dc.description.versionPublished versionen
dc.format.extentPages 470-478en
dc.identifier.doihttps://doi.org/10.1016/j.jpsychires.2024.03.046en
dc.identifier.eissn1879-1379en
dc.identifier.issn0022-3956en
dc.identifier.otherS0022-3956(24)00189-4 (PII)en
dc.identifier.pmid38823203en
dc.identifier.urihttps://hdl.handle.net/10919/121044en
dc.identifier.volume175en
dc.publisherElsevieren
dc.relation.urihttps://www.ncbi.nlm.nih.gov/pubmed/38823203en
dc.rightsCreative Commons Attribution-NonCommercial 4.0 Internationalen
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/en
dc.subjectAttachmenten
dc.subjectBehaviouralen
dc.subjectBorderlineen
dc.subjectPersonality disorderen
dc.subjectProxemicsen
dc.subjectSocial paradigmen
dc.titleAttachment and borderline personality disorder as the dance unfolds: A quantitative analysis of a novel paradigmen
dc.title.serialJournal of Psychiatric Researchen
dc.typeArticle - Refereeden
dc.type.otherJournal Articleen
dcterms.dateAccepted2024-03-25en
pubs.organisational-groupVirginia Techen
pubs.organisational-groupVirginia Tech/Faculty of Health Sciencesen
pubs.organisational-groupVirginia Tech/All T&R Facultyen
pubs.organisational-groupVirginia Tech/VT Carilion School of Medicineen
pubs.organisational-groupVirginia Tech/VT Carilion School of Medicine/Psychiatry and Behavioral Medicineen
pubs.organisational-groupVirginia Tech/VT Carilion School of Medicine/Psychiatry and Behavioral Medicine/Secondary Appointment-Psychiatry and Behavioral Medicineen
pubs.organisational-groupVirginia Tech/University Research Institutesen
pubs.organisational-groupVirginia Tech/University Research Institutes/Fralin Biomedical Research Institute at VTCen

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