Family Members' Retrospective Perceptions of Intrafamilial Relationships

Parents and daughters in 21 families of women with borderline personality disorder (BPD), 23 women with restricting anorexia nervosa (AN), and 25 women without clinical histories (NC) responded to the Parental Bonding Instrument (PBI) and the Beavers Self-Report Family Inventory (SFI). On the PBI, BPD daughters' perceptions differed from both their parents' whereas AN daughters' perceptions differed from their mothers'. On the SFI, both groups reported less family health than their parents. On both instruments, nonclinical daughters' perceptions were congruent with the parents'. These findings have implications for researchers and therapists for integrating and utilizing the varying perceptions of family members.     

Self-functioning and perceived parenting: relations of parental empathy and love inconsistency with narcissism, depression, and self-esteem

In Heinz Kohut's (1977, 1984) theory of the psychology of the self, good parenting provides a child with optimal frustration and just the right amount of loving empathic concern. In the present study, the authors examined the relations of perceived parental empathy and love inconsistency with measures of narcissism, self-esteem, and depression. In a sample of university undergraduates (N=232; 78 men, 153 women, and 1 nonresponder), perceived parental empathy predicted more adaptive self-functioning, whereas parental love inconsistency was related to psychological maladjustment. These results support the theoretical assumption that perceived parental empathy is associated with healthy self-development.     

Personal and parents’ life stories in patients with borderline personality disorder

Patients with borderline personality disorder (BPD) display disturbances in understanding self and others. We examined whether these disturbances extended to how patients described their personal and parents’ life stories and to measures of identity, alexithymia, empathy, and emotional intelligence. Thirty BPD patients and 30 matched control participants described personal and parents’ life stories and completed measures of identity disturbance, alexithymia, empathy, and emotional intelligence. Compared to the controls, patients with BPD described their personal and their parents’ life stories more negatively and with fewer themes of agency and communion fulfillment. Patients and controls showed equally complex reasoning about their personal life stories, but patients displayed less complexity and more self‐other confusion, when reasoning about their parents’ stories. Patients also differed from controls on identity disturbance, alexithymia, and empathy. The results suggest that patients’ storied understanding of themselves and others are disturbed and should be taken into account to better understand BPD.     

The borderline empathy effect: Do high BPD individuals have greater empathic ability? Or are they just more difficult to “read”?

Clinical psychologists have suggested that patients with borderline personality disorder (BPD) are unusually accurate at “reading” other people. We investigated this claim by obtaining measures of trait accuracy and empathic accuracy in 38 same-sex dyads, each composed of one high BPD and one low BPD member. At first glance, the results suggested that the high borderline dyad members displayed both better trait accuracy and better empathic accuracy. Additional analyses revealed, however, that these effects were instead a consequence of the high BPD participants having more unusual, harder-to-predict personalities and more difficult-to-infer thoughts and feelings than those of their low BPD counterparts. We conclude that the relative empathic advantage displayed by high BPD individuals does not reflect greater ability; instead, they are simply more difficult to “read” than low BPD individuals are.     

Internalization of values and self-esteem among Brazilian teenagers from authoritative, indulgent, authoritarian, and neglectful homes

The relation between parenting styles and adolescent outcomes was analyzed in a sample of 1,198 15-18-year-old Brazilians. The adolescents were classified into 1 of 4 groups (Authoritative, Authoritarian, Indulgent, and Neglectful) on the basis of their own ratings of their parents on two dimensions: Acceptance/ Involvement and Strictness/Imposition. The adolescents were then contrasted along two different outcomes: (1) priority given to Schwartz Self-transcendence and Conservation values, and (2) level of Self-esteem (appraised in 5 domains: Academic, Social, Emotional, Family, and Physical). Results showed that Authoritative and Indulgent parenting is associated with the highest internalization of Self-Transcendence and Conservation values of teenagers, whereas Authoritarian parenting is associated with the lowest. On the other hand, adolescents with Indulgent parents have equal or higher levels of Self-esteem than adolescents with Authoritative parents, while adolescents raised in Authoritarian and Neglectful homes have the lowest scores in Self-Esteem.     

Forgiveness, Empathy and Gender—A Malaysian Perspective

Recent theorising has suggested that in non-Western collectivist contexts, the need for social harmony may play a greater role than empathy in motivating forgiveness, and that women may be more impacted than men by this cultural value. In this study, a sample of 233 Malaysian undergraduate students, 100 males and 133 females, recruited from four English-mediated universities completed the Interpersonal Reactivity Index (IRI) and the Transgression-Related Interpersonal Motivations Inventory-12 (TRIM-12) to assess dimensions of empathy and forgiveness. Women exhibited greater empathic concern than men, but not greater perspective-taking. Men were less forgiving in terms of revenge-seeking behaviour, but men and women did not differ in avoidance of transgressors. The relationships between empathic concern and both facets of forgiveness were similar for men and women, as was the relationship between empathic concern and avoidance. However, the relationship between perspective-taking and avoidance was stronger among men than women. We found little support for the prediction that in this collectivist cultural context, perspective-taking would play a greater role than empathic concern in forgiveness. Further research is recommended to explore empathy and forgiveness in non-Western populations, with a need to take into account cultural factors.     

The epigenesis of the family system as a context for individual development

In this article, the concept introduced by Lyman Wynne, that the individual develops epigenetically within the family system, is discussed and validated with data from a study of the characteristics and relationships of 27 women with borderline personality disorder and their parents. Each stage of the epigenetic process is impaired in one way or another, adversely affecting subsequent stages. Early impairment of attachment-care-giving processes is at least partly attributable to a lack of empathic parenting; effective communication is married by family members' inability to experience or express feelings (alexithymia); this, in turn, makes it difficult to engage in joint family problem solving. Mutuality between family members does not occur in such a context, and there is an absence of intimacy between family members. These are often abusive family systems, with multiple abuse and intrafamilial sexual abuse more specifically directed at the daughter with BPD. The symptoms of the daughter can be understood systemically, as representing both predispositional characteristics and reactions to the family system. It is suggested that the epigenetic paradigm could be used to characterize the specific failure of developmental processes in many different disorders.     

Alexithymia in the interpersonal domain: A general deficit of empathy?

Alexithymia and empathy have been related but very little is known on shared variance between their respective affective and cognitive dimensions. We examined this question with correlations, as well as both exploratory and confirmatory analyses, and controlled for anxiety and depression. The responses of 645 young adults to self-report questionnaires of alexithymia (TAS-20), empathy (IRI), anxiety (STAI-T) and depression (BDI-13) were examined. We observed associations between the proposed cognitive components of alexithymia (externally-oriented thinking) and that of empathy (perspective taking, fantasy) as well as empathic concern, which were insensitive to anxiety or depression. In contrast, associations between the proposed affective components of alexithymia (difficulty identifying feelings, difficulty describing feelings) and empathy (personal distress) were largely due to shared covariance with anxiety. A model encompassing an affective and a cognitive (including empathic concern) latent factors emerged, even after controlling for dysphoric affects. These findings suggest specific associations between cognitive and affective components of both constructs that were dissimilarly affected by anxiety and depression. The allocation of empathic concern to the cognitive factor is also discussed.     

Can Hovering Hinder Helping? Examining the Joint Effects of Helicopter Parenting and Attachment on Prosocial Behaviors and Empathy in Emerging Adults

While previous research has established links among multiple aspects of parenting, empathy, and prosocial behaviors in youth, little is known regarding the relations between helicopter parenting, a particular type of parental over control, and empathy and prosocial behaviors (Padilla-Walker, 2014). Because helicopter parenting could undermine empathic and prosocial outcomes by negatively impacting self-regulatory behaviors and promoting narcissistic tendencies (Padilla-Walker, 2014; Segrin, Woszidlo, Givertz, Bauer, & Murphy, 2012; Segrin, Woszidlo, Givertz, & Montgomery, 2013), the author sought to examine potential relationships among these constructs. A battery of self-report measures was administered to an emerging adult sample (N = 187 college students; 49% women; M age = 18.81 years; 71% White). Hierarchical multiple regression model results indicated that both maternal and paternal helicopter parenting predicted fewer positive prosocial and empathic outcomes, and these relations depended on parental attachment, gender, and specific outcome assessed. Helicopter parenting appears to be a distinct type of parental overcontrol that especially contributes to moral development.     

Mothers' and fathers' differential expectancies and behaviors: parent x child gender effects

In 3 studies using 6 subscales, the authors investigated (a) others' parenting expectancies for mothers and fathers and (b) parents' reports of the frequency of their parenting behaviors with their 3- to 6-year-old sons and daughters. Mothers rated higher for physical care and emotional support than did fathers, and mothers reported engaging in the parenting behaviors assessed more frequently than did fathers across subscales. In each study, the authors obtained Parent x Child Gender interactions only for personal-interaction parenting (e.g., hugging their child) and found the lowest scores for fathers with daughters. These findings and the relations between parents' ratings of appropriateness and of their own behaviors support the view that gender-based expectancies prescribe gender differences in parenting.     

Empathy, values, morality and Asperger's syndrome

The aims of this study were, first, to re-address the issue of empathy among people with autism conditions; second, to explore the relationships between empathy and values among autistic populations and controls; and third, to explore the capacity for moral agency among those affected by autism. We compared responses of an Asperger group (N = 41) and a control group (N = 139) to measures of self-reported empathy (Davis's IRI) and value priorities (Schwartz's PVQ). Control group results were largely in line with previous studies, such that empathy subscales of perspective taking and empathic concern showed their strongest positive and negative relations to the Schwartz self-transcendence/self-enhancement dimensions. Results for the Asperger group showed that although on the one hand there were self-reported difficulties in perspective taking and the cognitive recognition of affect, and that on the other hand there were less connections between the empathy and value measures, there was nevertheless a comparable prioritization of moral values. Conclusions suggest that different people may acquire moral values through different mechanisms.     

The Role of Perspective Taking and Empathy in Children's Machiavellianism,Prosocial Behavior,and Motive for Helping

Fourth- and fifth-grade children (N = 117) were categorized into high- and low-empathy and affective-perspective-taking (APT) groups based on their scores on the Bryant (1982) empathy scale and a modified version of the Rothenberg (1970) and Silvern, Waterman, Sobesky, and Ryan (1979) APT measures. Children in the low-empathy/high-APT group had significantly higher Machiavellianism scores on Braginsky's (1970) measure than did children in the other empathy/APT groups. Highly empathic children were rated by their teachers as more helpful under certain circumstances and cited other-oriented reasons for their own helping behavior more frequently than did less empathic children.     

Relationships of borderline features to parental mental illness, childhood abuse, Axis I disorder, and current functioning

Although a number of studies have investigated single, putative etiological factors for borderline personality disorder (BPD), few studies have assessed the relations between multiple etiological factors and borderline features within the same study. Borderline features, parental psychopathology, childhood physical and sexual abuse, lifetime Axis I disorder, and current functioning were assessed in 65 nonclinical participants, a portion of which exhibited significant BPD features. Multivariate models were tested and results indicated that parental mental illness and lifetime Axis I disorder were significant and unique predictors of borderline scores. Borderline features accounted for significant variance in current functioning beyond what was accounted for by other predictors; borderline scores mediated the relations between lifetime Axis I disorder and current functioning.     

Sensory sensitivity, attachment experiences, and rejection responses among adults with borderline and avoidant features

Both avoidant and borderline personality disorder (APD and BPD) are theoretically associated with temperamental vulnerabilities, adverse attachment experiences, and negative (pessimistic or catastrophic) reactions to the threat of perceived rejection; however, more work is needed to differentiate how these processes account for the etiology and maintenance of both disorders. In this study, 156 adults completed questionnaires measuring APD and BPD features, temperament (sensory-processing sensitivity), mood, and attachment experiences. A vignette task was devised to examine pessimistic cognitive-affective reactions in situations signaling potential rejection. Both APD and BPD were associated with temperamental sensitivity, but BPD was uniquely linked with a subscale measuring sensitivity to mental and emotive stimuli, whereas APD was uniquely linked with a subscale measuring the control and avoidance of aversive stimulation. Compared to APD, BPD was more strongly linked with negative moods (anxiety, anger, sadness) and insecure attachment to parents, whereas APD was more strongly linked (than BPD) to pessimistic cognitive-affective responses to rejection-related situations.     

Psychopathology, childhood trauma, and personality traits in patients with borderline personality disorder and their sisters

The aim of this study was to document and compare adverse childhood experiences, and personality profiles in women with borderline personality disorder (BPD) and their sisters, and to determine how these factors impact current psychopathology. Fifty-six patients with BPD and their sisters were compared on measures assessing psychopathology, personality traits, and childhood adversities. Most sisters showed little evidence of psychopathology. Both groups reported dysfunctional parent-child relationships and a high prevalence of childhood trauma. Subjects with BPD reported experiencing more emotional abuse and intrafamilial sexual abuse, but more similarities than differences between probands and sisters were found. In multilevel analyses, personality traits of affective instability and impulsivity predicted DIB-R scores and SCL-90-R scores, above and beyond trauma. There were few relationships between childhood adversities and other measures of psychopathology. Sensitivity to adverse experiences, as reflected in the development of psychopathology, appears to be influenced by personality trait profiles.     

Do Mothers Spend More on Daughters While Fathers Spend More on Sons?

Do parents favor some children over others? The overwhelming majority of parents state that they treat their children equally, but parents rarely track their spending on each child. We investigate in four studies whether mothers and fathers favor specific children depending on the biological sex of the child. Evidence from the field, laboratory, and community (online panel) showed that parents exhibit systematic biases when forced to choose between spending on sons and daughters. Mothers consistently favored daughters, whereas fathers consistently favored sons. For example, parents were more likely to choose a real prize and give a real U.S. Treasury bond to the child of the same sex as themselves. These parenting biases were found in two different cultures and appear to be driven by parents identifying more strongly with children of the same sex as the parent.     

Parental burden associated with borderline personality disorder in female offspring

To identify aspects of parental burden associated with borderline personality disorder (BPD), an anonymous internet survey linked to BPD support websites was developed for parents to complete on their BPD offspring and unaffected siblings. The questions cover aspects of the child's life from pregnancy through young adulthood, and query about the impact of the child's BPD on six domains of the parent's life, including physical and emotional health, marriage, job, standard of living, social life, and career trajectory. Additionally, financial burden was assessed with questions pertaining to insurance and out-of pocket costs associated with the BPD disorder. BPD offspring were identified by meeting diagnostic criteria embedded within the survey and having been given a diagnosis of BPD by a professional at some point in their life. We report on 233 female offspring meeting strict criteria for BPD. Parents of daughters with BPD endorsed varying levels of impact on the six domains comprising burden with the largest impact on emotional health which was impacted in over 88% of the respondents. Over 50% of parents endorsed four or greater of the six burden items. Particular aspects of the offspring's BPD symptom profile correlated with intensity of parental burden included including problems in adolescence with acting out behavior (p < .000), property destruction (.003), delusional symptoms (.007), and hallucinatory symptoms (.008). A subgroup of respondents provided data on specific financial expenses. The average and median out-of-pocket expense was $60,087, and $10,000. Insurance costs totaled an average of $108,251 with a mean of $20,000. The average cost per year after diagnosis was $14,606 out-of-pocket and $45,573 billed to insurance. The median cost per year after diagnosis was $3,667 out-of-pocket, and $12,500 billed to insurance. After adjusting for household income, a female proband who had been raped incurred roughly $40,000 more in BPD-related costs, while a diagnosis of conduct disorder led to about $50,000 in additional costs. Parents of female offspring with BPD experience burden in multiple domains of their life and many have incurred substantial financial expense. Increasing awareness of co-morbid conditions in the BPD proband that significantly increase parental burden may be indicators for the provision of increased family support.     

Emotionally controlled decision-making and a gene variant related to serotonin synthesis in women with borderline personality disorder

The Iowa Gambling Task (IGT) was used to examine (i) social decision-making in women with borderline personality disorder (BPD), and (ii) the relationship between impaired decision-making and the tryptophan hydroxylase-1 (TPH-1) gene, involved in serotonin synthesis. Forty-two women with BPD and a history of suicide attempts were genotyped, and the frequency of a TPH-1 haplotype previously uniquely associated with BPD was calculated. The BPD group scored significantly lower than a control group in the IGT. Furthermore, the TPH-1 haplotype displayed a significantly higher frequency in BPD participants with impaired decision making, compared to BPD participants with normal scores. These findings suggest that impaired decision-making as determined by the IGT is a feature of BPD and may be (i) associated with serotonin dysfunction, and (ii) possibly relevant for suicidal behavior.     

Grandiosity,trauma and self

Distortions and inversions of Kohut's phase of grandiosity play a major role in multi-generational patterns of child-abuse and neglect. Such families are considered ‘upside down’ in their organization: parents enact unmet needs for mirroring and grandiose assertion, while the child experiences anxiety and endures a split between defensive compliance and a turbulent, trauma-ridden inner life. Within the space of this lonely inner life, the child fixates on atavistic power fantasies and dreams of possessing or controlling its objects. Hence, distortions of power and grandiosity replicate themselves from one generation to the next. The therapeutic play of children from upside down families typically passes through four phases: 1) re-enactment of trauma vignettes; 2) restoration of appropriate grandiose and mirroring themes; 3)restoration of rudimentary empathic abilities and empathy longing; 4) the search for an appropriate parenting object. Psycho-analytically based play therapy is effective when combined with other interventions to stabilize the child's milieu.     

Gender differences in the relationship between empathy and forgiveness

Much research has shown that women are more empathic than men. Yet, women and men are equally forgiving. However, it is not clear whether empathy is more important to forgiveness for men or for women. The purpose of the present study was to examine gender differences in levels of empathy and forgiveness and the extent to which the association of empathy and forgiveness differed by gender. Participants were 127 community residents who completed self-report measures of empathy and forgiveness. The present results showed that women were more empathic than men, but no gender difference for forgiveness was apparent. However, the association between empathy and forgiveness did differ by gender. Empathy was associated with forgiveness in men--but not in women.