The Independent Contributions of Emotion Dysregulation and Hypermentalization to the “Double Dissociation” of Affective and Cognitive Empathy in Female Adolescent Inpatients With BPD

Published on Apr 23, 2015in Journal of Personality Disorders
· DOI :10.1521/PEDI_2015_29_192
Allison Kalpakci7
Estimated H-index: 7
(BCM: Baylor College of Medicine),
Jon D. Elhai75
Estimated H-index: 75
(UT: University of Toledo),
Carla Sharp59
Estimated H-index: 59
(BCM: Baylor College of Medicine)
Harari, Shamay-Tsoory, Ravid, and Levkovitz (2010) demonstrated a “double dissociation” in empathy in borderline personality disorder (BPD), such that BPD patients had higher affective than cognitive empathy, whereas controls exhibited the opposite pattern. Two processes that may relate to this dissociation are emotion dysregulation (ER) and hypermentalization. However, these interrelated processes have not been studied concomitantly, and the dissociation of empathy types has not been examined in adolescents with BPD. This study examined the relations between ER, hypermentalization, and cognitive and affective empathy in 252 adolescent inpatients with and without BPD. Participants completed a computerized task of hypermentalization and measures of ER and empathy. Findings only partially replicated Harari et al.'s findings, with differential performance in cognitive and affective empathy demonstrated across groups. Multivariate analyses revealed that in both groups, ER related to increased affective empath...
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