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Self-concept and mood: a comparative study between depressed patients with and without borderline personality disorder.

Within the framework of Self-Structure Theory, this study investigated the relationship between depressed mood and Borderline Personality Disorder (BPD) on self and others descriptions, with a special emphasis on the self-structure's valence, that is, its affective, negative and/or positive content. Seventeen DSM-III-R unipolar depressed patients with associated BPD (DSM-III-R axis II) and twelve unipolar depressed patients without BPD were compared to eighteen non-psychiatric controls on four measures of evaluation and of affective discrepancy of descriptions of self and others. Subjects were administered the grid repertory technique. The analysis of the resulting two-way valence matrix, with attributions as columns, and self and others as rows, showed that depressed patients with and without BPD differed from the non-psychiatric controls with regard to negativity of the descriptions. As compared with the two other groups, depressed patients with BPD showed a distinctive pattern characterised by the joint presence of a negative view of self and a larger affective discrepancy for others, with others being conjunctively assigned positive and negative attributes. Despite some limitations, the distinctive pattern evidenced corroborates the conflicted interpersonal relationship and is in keeping with clinical theorising on BPD.

Adult↗

Activities and well-being in older age: effects of self-concept and educational attainment.

The positive effect of activities on well-being is proposed to be mediated by self-conceptualizations and facilitated by socioeconomic status. The hypothesized processes were estimated with LISREL VIII using data from a large cross-sectional survey with a sample of 679 adults aged 65 and older who were representative of older adults living in the Detroit area. Findings indicate that the frequency of performing both leisure and productive activities yields an effect on physical health and depression and that these effects are mediated in part by a sense of self as agentic, but less clearly by a sense of self as social. Furthermore, socioeconomic status, operationalized as formal educational attainment, facilitates the effect of leisure to a greater extent than that of productive activities.

Activities of Daily Living↗

[Trauma of illness--crises in self concept regulation by cancer patients].

Oncological diseases often represent a psychic trauma, which leads affected patients into a narcissistic crisis. Starting from the concept of narcissistic regulation system (Deneke, 1989), the origins of the destabilisation of the self are described, and parallels to persecution trauma will be drawn. The longing of the patients for symbiotic relationships are investigated in their double sense. On the one hand they serve the patient to stabilise his self, on the other hand they involve the danger of traumatisation within an object relation. The consequences for the process of mourning and integration will be discussed.

Adaptation, Psychological↗