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Disruption of Epistemic Trust in Borderline Personality Disorder: A Possible Adaptation to Avoid Making Costly Mistakes.
Personal Ment Health
February 2025
Department of Clinical, Educational and Health Psychology, University College London, London, UK.
This paper applies error management theory (EMT) (Haselton and Buss 2000) to explore how disruptions in epistemic trust-trust in communicated information-can be understood as adaptive responses to early adversity in individuals with borderline personality disorder (BPD). I propose that epistemic mistrust (EM) and epistemic credulity (EC), characterized by inappropriate trust patterns, arise from the differential costs of trusting unreliable versus mistrusting reliable information. Although these biases may seem maladaptive, they function as evolutionary survival mechanisms in response to harsh environments.
View Article and Find Full Text PDFQueering as a tool of narrative knowledge in Ali Smith's and .
J Lesbian Stud
January 2025
Department of English, University of Miskolc, Miskolc, Hungary.
My paper analyses Ali Smith's innovative use of queering as a narrative strategy in (2007) and (2008), focusing on her transformation of narrative structures, epistemic realities, and identity through intertextual engagement. Smith's fiction queers temporality and narrative agency by reimagining classical and literary texts, including Ovid's , John Lyly's , Shakespeare's plays, and . I suggest that in , Smith reinterprets Ovid's myth of Iphis and Ianthe to celebrate fluid and transformative identities, intertwining this with feminist activism and queer desire.
View Article and Find Full Text PDFSomatic symptom disorder and the role of epistemic trust, personality functioning and child abuse: Results from a population-based representative German sample.
J Affect Disord
December 2024
Department of Psychosomatic Medicine and Psychotherapy, Justus Liebig University Giessen, Giessen, Germany; Department for Psychosomatic Medicine and Psychotherapy, Medical Center of the Philipps University Marburg, Marburg, Germany.
Background: A growing body of evidence explored symptom burden of somatic symptom disorder (SSD) and its complex etiology involving psychosocial aspects. Child abuse has been linked to numerous psychopathologies including somatic symptoms as well as impaired personality functioning and disruptions in epistemic trust. This work aims to investigate personality functioning and epistemic trust in the association between child abuse and somatic symptom burden.
View Article and Find Full Text PDFMentalizing, epistemic trust and interpersonal problems in emotion regulation: A sequential path analysis across common mental health disorders and community control samples.
J Affect Disord
March 2025
Research Department of Clinical, Educational and Health Psychology, University College London, London, United Kingdom; Anna Freud National Centre for Children and Families, London, United Kingdom.
Background: Emotion regulation is a crucial function implicated in multiple mental health disorders; understanding the mechanisms by which emotion regulation has such impact is essential. Mentalizing has been posited as a prerequisite for effective emotion regulation. The current study aims to examine the roles of epistemic trust and interpersonal problems in driving the association between mentalizing and emotion regulation, contrasting clinical and non-clinical populations.
View Article and Find Full Text PDFMentalization-Based Work with Families.
Psychodyn Psychiatry
December 2024
Research Department of Clinical, Educational and Health Psychology, University College, London, UK; The Anna Freud Centre, London, UK.
This article reviews an approach to working with families that grounds in systemic thinking the framework of mentalization-based treatment. Employing a mentalizing stance, this approach aims to interrupt coercive, nonmentalizing cycles of interaction within the family system and replace them with mentalizing conversations in which epistemic trust and the shared social-emotional learning of the we-mode can be generated. The process thus promoted is a spiral of shared attention and co-mentalizing, constantly lost and then recovered, in which therapist and family members learn to hear, recognize, understand, and trust one another and repair the inevitable disruptions in mentalizing and trust that allow family members to experience a way of shared knowing- the we-mode-that they can apply to communicate and solve problems both within the family system and in the broader social systems in which the family is embedded.
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