ReviewBorderline personality disorder and emotion dysregulation2017
What we have changed our minds about: Part 2. Borderline personality disorder, epistemic trust and the developmental significance of social communication.
Review in Borderline personality disorder and emotion dysregulation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
62 citing papers in PubMed, 266 citations in OpenAlex.
- Trial
- Cracks in the foundation: disrupted epistemic trust as a link between trauma, PTSD and disturbances in self-organization.Translational psychiatry · 2026Article
- Childhood Trauma and Aggression: The Role of Epistemic Trust.Journal of child & adolescent trauma · 2026Article
- Shaping personality functioning: type and timing effects of childhood maltreatment on personality functioning.European child & adolescent psychiatry · 2026Article
- Changes of borderline symptoms, personality functioning, and dysfunctional personality traits after dialectical-behavioral therapy in borderline personality disorder.European archives of psychiatry and clinical neuroscience · 2026Article
- Mentalizing and Attachment From Infancy to Young Adulthood: Insights From the Metera Adoption Study.Personality and mental health · 2026Article
- Childhood Maltreatment and Psychopathology: The Mediating Roles of Mentalizing and Attachment Styles.Psychopathology · 2026Article
- Replicability or revision? Further evidence on the psychometric quality of the German version of the epistemic trust, mistrust and credulity questionnaire.BMC psychology · 2026Article
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- Article
- Integrating autonomic and affective pathways in borderline personality disorder: the triangle therapy hypothesis.Frontiers in psychology · 2026Article
- Can we trust this short scale? Validation of a Brief Self-Report Measure of Epistemic Trust, Mistrust and Credulity (ETMCQ-R-6) in a sample of the U.K. general population.PLOS mental health · 2026Article
- Conducting Effective Therapy for Attachment Trauma Requires Skill in Being Human.Clinical neuropsychiatry · 2025Article
- The validity and reliability of self-report measures of mentalising for adults: a protocol for systematic review.BMJ open · 2025Article
- Trauma, personality structure and psychopathology: a cartography of psychodynamic constructs.Borderline personality disorder and emotion dysregulation · 2025Article
- Psychometric Properties of the Questionnaire Epistemic Trust in People With Mild to Moderate Intellectual Disabilities or Borderline Intellectual Functioning.Journal of applied research in intellectual disabilities : JARID · 2025Article
- Destigmatizing borderline personality disorder with social justice and intersectional cultural humility: How researchers can construct and deconstruct stigma.Feminism & psychology · 2025Article
- Disruption of Epistemic Trust in Borderline Personality Disorder: A Possible Adaptation to Avoid Making Costly Mistakes.Personality and mental health · 2025Article
- Article
- A leader I can(not) trust: understanding the path from epistemic trust to political leader choices via dogmatism.Politics and the life sciences : the journal of the Association for Politics and the Life Sciences · 2025Article
2 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
In Part 1 of this paper, we discussed emerging evidence suggesting that a general psychopathology or 'p' factor underlying the various forms of psychopathology should be conceptualized in terms of the absence of resilience, that is, the absence of positive reappraisal mechanisms when faced with adversity. These impairments in the capacity for positive reappraisal seem to provide a comprehensive explanation for the association between the p factor and comorbidity, future caseness, and the 'hard-to-reach' character of many patients with severe personality pathology, most notably borderline personality disorder (BPD). In this, the second part of the paper, we trace the development of the absence of resilience to disruptions in the emergence of human social communication, based on recent evolutionary and developmental psychopathology accounts. We argue that BPD and related disorders may be reconceptualized as a form of social understanding in which epistemic hypervigilance, distrust or outright epistemic freezing is an adaptive consequence of the social learning environment. Negative appraisal mechanisms become overriding, particularly in situations of attachment stress. This constitutes a shift towards a more socially oriented perspective on personality psychopathology in which the absence of psychological resilience is seen as a learned response to the transmission of social knowledge. This shift in our views has also forced us to reconsider the role of attachment in BPD. The implications for prevention and intervention of this novel approach are discussed.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.