바로가기메뉴

본문 바로가기 주메뉴 바로가기

ACOMS+ 및 학술지 리포지터리 설명회

  • 한국과학기술정보연구원(KISTI) 서울분원 대회의실(별관 3층)
  • 2024년 07월 03일(수) 13:30
 

logo

사회적 배척 상황에 따른 경계선 성격장애 경향군의 공격성 양상

Aggression of Individuals with Borderline Personality Disorder Tendency under Conditions of Social Exclusion

한국심리학회지: 건강 / The Korean Journal of Health Psychology, (P)1229-070X; (E)2713-9581
2019, v.24 no.3, pp.647-667
https://doi.org/10.17315/kjhp.2019.24.3.007
정다연 (경북대학교)
임종민 (경북대학교)
곽호완 (경북대학교)
장문선 (경북대학교)
이종환 (육군사관학교 심리경영학과)

초록

불안정한 대인관계 패턴과 공격적인 행동은 경계선 성격장애의 핵심 특성으로 간주되고 있다. 경계선 성격장애의 행동 문제는 종종 부정적인 대인관계 사건 및 유기불안에 의해 야기되므로, 부정적인 대인관계 사건이 유발된 후 공격적인 행동이 어떻게 변화하는가에 대해 알아볼 필요가 있다. 본 연구에서는 경계선 성격장애 척도(PAI-BOR)의 점수에 따라 참가자들을 경계선 성격장애 경향집단(n=35)과 정상통제집단(n=38)으로 구분하였다. 각 집단의 참가자들은 사회적 수용상황과 배척상황에 무선 할당된 후 Cyberball 과제를 실시하였다. 이후, 반응적-외현적 공격성을 측정하기 위해 Point Subtraction Aggression Paradigm(PSAP)를 사용하였으며, 반응적-관계적 공격성을 측정하기 위해 Linder, Werner와 Lyle(2010) 등이 개발한 관계적 공격성 시나리오를 사용하였다. 연구결과, 경계선 성격장애 경향집단은 정상통제집단에 비해 전반적으로 강하게 공격성을 표출하였다. 특히, 경계선 성격장애 경향집단이 소외감을 경험할 때 반응적-관계적 공격성이 두드러지게 상승함을 확인하였다.

keywords
borderline personality disorder, social exclusion, reactive-overt aggression, reactive-relational aggression, 경계선 성격장애, 사회적 배척, 반응적-외현적 공격성, 반응적-관계적 공격성

Abstract

Unstable interpersonal patterns and aggressive behavior are central characteristics of the borderline personality disorder. Behavioral problems of borderline personality disorders are often caused by negative interpersonal events and/or experiences such as abandonment. For this reason, it is crucial to examine aggressive behavior during such negative interpersonal events. Participants who participated in the experiment were divided into two groups, borderline personality trait group (n=35) and control group (n=34), according to the PAI-BOR score. They were randomly assigned situations emulating social acceptance or exclusion during a cyberball game. The Point Subtraction Aggression Aggregation Paradigm (PSAP) was used to measure reactive-overt aggression, and the scenario, developed by Lyle (2010), was used to measure reactive-relational aggression. According to this study, borderline personality trait groups generally expressed more aggression than control groups. In particular, when the borderline personality trait group experienced a strong sense of alienation, reactive-relational aggression markedly increased.

keywords
borderline personality disorder, social exclusion, reactive-overt aggression, reactive-relational aggression, 경계선 성격장애, 사회적 배척, 반응적-외현적 공격성, 반응적-관계적 공격성

참고문헌

1.

배라영, 최지영 (2018). 한국판 관계적 공격성 척도의타당화 연구. 한국심리학회지: 상담 및 심리치료, 30(1), 55-79.

2.

이종환, 곽호완, 이상일, 장문선 (2013). 경계선 성격장애 성향군의 정서조절 능력. Korean Journal of Clinical Psychology, 32(3), 543-565.

3.

임지영, 황순택 (2011). 경계선과 반사회성 성격병리에서의 충동성과 공격성 비교. Korean Journal of Clinical Psychology, 30(1), 71-92.

4.

한영경, 김은정 (2011). 초기청소년기 관계적 공격성 하위유형의 특성 탐색. Korean Journal of Clinical Psychology, 30(4), 985-1002.

5.

홍상황, 김영환 (1998). 경계선 성격장애 척도의 타당화연구. Korean Journal of Clinical Psychology, 17(1), 259-271.

6.

Adler, G., & Buie, D. (1979). The psychotherapeutic approach to aloneness in borderline patients. Advances in Psychotherapy of The Borderline Patient, 433-448.

7.

Diagnostic, A. P. A. (2013). statistical manual of mental disorders: DSM-5 (ed.) American Psychiatric Association. Washington, DC.

8.

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5®). American Psychiatric Pub.

9.

Ayduk, O., Downey, G., Testa, A., Yen, Y., & Shoda, Y. (1999). Does rejection elicit hostility in rejection sensitive women? Social Cognition, 17(2), 245-271.

10.

Benjamin, L. S. (1993). Interpersonal diagnosis and treatment of personality disorders. New York:Guilford Press.

11.

Berenson, K. R., Downey, G., Rafaeli, E., Coifman, K. G., & Paquin, N. L. (2011). The rejection–rage contingency in borderline personality disorder. Journal of Abnormal Psychology, 120(3), 681.

12.

Brodsky, B. S., Groves, S. A., Oquendo, M. A., Mann, J. J., & Stanley, B. (2006). Interpersonal precipitants and suicide attempts in borderline personality disorder. Suicide and Life-Threatening Behavior, 36(3), 313-322.

13.

Brown, M. Z., Comtois, K. A., & Linehan, M. M. (2002). Reasons for suicide attempts and nonsuicidal self-injury in women with borderline personality disorder. Journal of Abnormal Psychology, 111(1), 198.

14.

Carré, J. M., & McCormick, C. M. (2008). Aggressive behavior and change in salivary testosterone concentrations predict willingness to engage in a competitive task. Hormones and Behavior, 54(3), 403-409.

15.

Cherek, D. R.(1981). Effects of smoking different doses of nicotine on human aggressive behavior. Psychopharmacology, 75(4), 339-345.

16.

Choi-Kain, L. W., Zanarini, M. C., Frankenburg, F. R., Fitzmaurice, G. M., & Reich, D. B. (2010). A longitudinal study of the 10-year course of interpersonal features in borderline personality disorder. Journal of Personality Disorders, 24(3), 365-376.

17.

Critchfield, K. L., Levy, K. N., Clarkin, J. F., & Kernberg, O. F. (2008). The relational context of aggression in borderline personality disorder:Using adult attachment style to predict forms of hostility. Journal of Clinical Psychology, 64(1), 67-82.

18.

Crowell, S. E., Beauchaine, T. P., & Linehan, M. M. (2009). A biosocial developmental model of borderline personality: Elaborating and extending linehan’s theory. Psychological Bulletin, 135(3), 495.

19.

De Panfilis, C., Riva, P., Preti, E., Cabrino, C., & Marchesi, C. (2015). When social inclusion is not enough: Implicit expectations of extreme inclusion in borderline personality disorder. Personality Disorders: Theory, Research, and Treatment, 6(4), 301.

20.

Dodge, K. A., & Coie, J. D. (1987). Socialinformation-processing factors in reactive and proactive aggression in children's peer groups. Journal of Personality and Social Psychology, 53(6), 1146.

21.

Dougherty, D. M., Bjork, J. M., Huckabee, H. C., Moeller, F. G., & Swann, A. C. (1999). Laboratory measures of aggression and impulsivity in women with borderline personality disorder. Psychiatry Research, 85(3), 315-326.

22.

Downey, G., Mougios, V., Ayduk, O., London, B. E., & Shoda, Y. (2004). Rejection sensitivity and the defensive motivational system: Insights from the startle response to rejection cues. Psychological Science, 15(10), 668-673.

23.

Fonagy, P., Target, M., & Gergely, G. (2000). Attachment and borderline personality disorder: A theory and some evidence. Psychiatric Clinics, 23(1), 103-122.

24.

Fossati, A., Barratt, E. S., Borroni, S., Villa, D., Grazioli, F., & Maffei, C. (2007). Impulsivity, aggressiveness, and DSM-IV personality disorders. Psychiatry Research, 149(1-3), 157-167.

25.

Fossati, A., Barratt, E. S., Carretta, I., Leonardi, B., Grazioli, F., & Maffei, C. (2004). Predicting borderline and antisocial personality disorder features in nonclinical subjects using measures of impulsivity and aggressiveness. Psychiatry Research, 125(2), 161-170.

26.

Gardner, D. L., & Cowdry, R. W. (1986). Positive effects of carbamazepine on behavioral dyscontrol in borderline personality disorder. Am J Psychiatry, 143(4), 519-522.

27.

Gardner, K. J., Archer, J., & Jackson, S. (2012). Does maladaptive coping mediate the relationship between borderline personality traits and reactive and proactive aggression? Aggressive Behavior, 38(5), 403-413.

28.

Golomb, B. A., Cortez-Perez, M., Jaworski, B. A., Mednick, S., & Dimsdale, J. (2007). Point subtraction aggression paradigm: validity of a brief schedule of use. Violence and Victims, 22(1), 95.

29.

Goodman, M., & New, A. (2000). Impulsive aggression in borderline personality disorder. Current Psychiatry Reports, 2(1), 56-61.

30.

Gowin, J. L., Swann, A. C., Moeller, F. G., & Lane, S. D. (2010). Zolmitriptan and human aggression:interaction with alcohol. Psychopharmacology, 210(4), 521-531.

31.

Gunderson, J. G. (1996). The borderline patient's intolerance of aloneness: insecure attachments and therapist availability. The American Journal of Psychiatry, 153(6), 752.

32.

Gunderson, J. G. (2007). Disturbed relationships as a phenotype for borderline personality disorder. American Journal of Psychiatry, 164(11), 1637-1640.

33.

Gunderson, J. G. (2009). Borderline personality disorder: A clinical guide. American Psychiatric Pub.

34.

Gunderson, J. G., & Lyons-Ruth, K. (2008). BPD's interpersonal hypersensitivity phenotype: A gene-environment-developmental model. Journal of Personality Disorders, 22(1), 22-41.

35.

Gutz, L., Küpper, C., Renneberg, B., & Niedeggen, M. (2011). Processing social participation: an event-related brain potential study. Neuroreport, 22(9), 453-458.

36.

Herpertz, S. (1995). Self‐injurious behaviour Psychopathological and nosological characteristics in subtypes of self‐injurers. Acta Psychiatrica Scandinavica, 91(1), 57-68.

37.

Herr, N. R., Keenan-Miller, D., Rosenthal, M. Z., & Feldblum, J. (2013). Negative interpersonal events mediate the relation between borderline features and aggressive behavior: Findings from a nonclinical sample of undergraduate women. Personality Disorders: Theory, Research, and Treatment, 4(3), 254.

38.

Jacob, G. A., Guenzler, C., Zimmermann, S., Scheel, C. N., Rüsch, N., Leonhart, R., ..., & Lieb, K. (2008). Time course of anger and other emotions in women with borderline personality disorder: A preliminary study. Journal of Behavior Therapy and Experimental Psychiatry, 39(3), 391-402.

39.

Joyce, P. R., Light, K. J., Rowe, S. L., Cloninger, C. R., & Kennedy, M. A. (2010). Self-mutilation and suicide attempts: relationships to bipolar disorder, borderline personality disorder, temperament and character. Australian and New Zealand Journal of Psychiatry, 44(3), 250-257.

40.

Kernberg, O. (1967). Borderline personality organization. Journal of the American psychoanalytic Association, 15(3), 641-685.

41.

Knight, R. P. (1954). Management and psychotherapy of the borderline schizophrenic patient In RP Knight & C.

42.

Koenigsberg, H. W., Harvey, P. D., Mitropoulou, V., New, A. S., Goodman, M., Silverman, J., ..., & Siever, L. J. (2001). Are the interpersonal and identity disturbances in the borderline personality disorder criteria linked to the traits of affective instability and impulsivity? Journal of Personality Disorders, 15(4), 358-370.

43.

Kullgren, G. (1988). Factors associated with completed suicide in borderline personality disorder. Journal of Nervous and Mental Disease.

44.

Látalová, K., & Praško, J. (2010). Aggression in borderline personality disorder. Psychiatric Quarterly, 81(3), 239-251.

45.

Lazarus, S. A., Cheavens, J. S., Festa, F., & Rosenthal, M. Z. (2014). Interpersonal functioning in borderline personality disorder: a systematic review of behavioral and laboratory-based assessments. Clinical Psychology Review, 34(3), 193-205.

46.

Lieb, K., Zanarini, M. C., Schmahl, C., Linehan, M. M., & Bohus, M. (2004). Borderline personality disorder. The Lancet, 364(9432), 453-461.

47.

Linder, J. R., Werner, N. E., & Lyle, K. A. (2010). Automatic and controlled social information processing and relational aggression in young adults. Personality and Individual Differences, 49(7), 778-783.

48.

Linehan, M. M. (1993). Skills training manual for treating borderline personality disorder. Guilford Press.

49.

Links, P. S., & Heslegrave, R. J. (2000). Prospective studies of outcome: Understanding mechanisms of change in patients with borderline personality disorder. Psychiatric Clinics of North America, 23(1), 137-150.

50.

Links, P. S., Eynan, R., Heisel, M. J., Barr, A., Korzekwa, M., McMain, S., & Ball, J. S. (2007). Affective instability and suicidal ideation and behavior in patients with borderline personality disorder. Journal of Personality Disorders, 21(1), 72-86.

51.

Lish, J. D., Kavoussi, R. J., & Coccaro, E. F. (1996). Aggressiveness. In C. G. Costello (Ed.), Personality Characteristics of the Personality Disordered (pp. 24-28). New York: John Wiley and Sons.

52.

Little, T. D., Henrich, C. C., Jones, S. M., & Hawley, P. H. (2003). Disentangling the “whys” from the “whats” of aggressive behaviour. International Journal of Behavioral Development, 27(2), 122-133.

53.

Lobbestael, J., Cima, M., & Lemmens, A. (2015). The relationship between personality disorder traits and reactive versus proactive motivation for aggression. Psychiatry Research, 229(1-2), 155-160.

54.

Masterson, J. (1972). Treatment of the borderline adolescent: A developmental approach. New York:Wiley.

55.

McCloskey, M. S., New, A. S., Siever, L. J., Goodman, M., Koenigsberg, H. W., Flory, J. D., & Coccaro, E. F. (2009). Evaluation of behavioral impulsivity and aggression tasks as endophenotypes for borderline personality disorder. Journal of Psychiatric Research, 43(12), 1036-1048.

56.

Moeller, F. G., Barratt, E. S., Dougherty, D. M., Schmitz, J. M., & Swann, A. C. (2001). Psychiatric aspects of impulsivity. American Journal of Psychiatry, 158(11), 1783-1793.

57.

Morey, L. C. (1991). Personality assessment inventory. Odessa, FL: Psychological Assessment Resources.

58.

Ostrov, J. M., & Houston, R. J. (2008). The utility of forms and functions of aggression in emerging adulthood: Association with personality disorder symptomatology. Journal of Youth and Adolescence, 37(9), 1147-1158.

59.

Ostrov, J. M., Hart, E. J., Kamper, K. E., & Godleski, S. A. (2011). Relational aggression in women during emerging adulthood: A social process model. Behavioral Sciences & the Law, 29(5), 695-710.

60.

Oumaya, M., Friedman, S., Pham, A., Abou, T. A., Guelfi, J. D., & Rouillon, F. (2008). Borderline personality disorder, self-mutilation and suicide:literature review. L'Encephale, 34(5), 452-458.

61.

Pompili, M., Girardi, P., Ruberto, A., & Tatarelli, R. (2005). Suicide in borderline personality disorder:a meta-analysis. Nordic Journal of Psychiatry, 59(5), 319-324.

62.

Rafaeli, E., Howland, M., Vorus, T., Skodol, A. E., & Gunderson, J. G. (2007). Emotional reactivity to social context in patients with persistent versus remitted borderline personality disorder. Unpublished manuscript.

63.

Renneberg, B., Herm, K., Hahn, A., Staebler, K., Lammers, C. H., & Roepke, S. (2012). Perception of social participation in borderline personality disorder. Clinical Psychology & Psychotherapy, 19(6), 473-480.

64.

Sadikaj, G., Moskowitz, D. S., Russell, J. J., Zuroff, D. C., & Paris, J. (2013). Quarrelsome behavior in borderline personality disorder: Influence of behavioral and affective reactivity to perceptions of others. Journal of Abnormal Psychology, 122(1), 195.

65.

Sansone, R. A., & Sansone, L. A. (2012). Borderline personality and externalized aggression. Innovations in Clinical Neuroscience, 9(3), 23.

66.

Staebler, K., Renneberg, B., Stopsack, M., Fiedler, P., Weiler, M., & Roepke, S. (2011). Facial emotional expression in reaction to social exclusion in borderline personality disorder. Psychological Medicine, 41(9), 1929-1938.

67.

Stern, A. (1938). Psychoanalytic investigation of and therapy in the border line group of neuroses. The Psychoanalytic Quarterly, 7(4), 467-489.

68.

Stiglmayr, C. E., Grathwol, T., Linehan, M. M., Ihorst, G., Fahrenberg, J., & Bohus, M. (2005). Aversive tension in patients with borderline personality disorder: a computer‐based controlled field study. Acta Psychiatrica Scandinavica, 111(5), 372-379.

69.

Stockdale, L. A., Coyne, S. M., Nelson, D. A., & Erickson, D. H. (2015). Borderline personality disorder features, jealousy, and cyberbullying in adolescence. Personality and Individual Differences, 83, 148-153.

70.

Tangney, J. P., Wagner, P., Fletcher, C., & Gramzow, R. (1992). Shamed into anger? The relation of shame and guilt to anger and self-reported aggression. Journal of Personality and Social Psychology, 62(4), 669.

71.

Tragesser, S. L., Lippman, L. G., Trull, T. J., & Barrett, K. C. (2008). Borderline personality disorder features and cognitive, emotional, and predicted behavioral reactions to teasing. Journal of Research in Personality, 42(6), 1512-1523.

72.

Washburn, J. J., Romero, E. G., Welty, L. J., Abram, K. M., Teplin, L. A., McClelland, G. M., & Paskar, L. D. (2007). Development of antisocial personality disorder in detained youths: the predictive value of mental disorders. Journal of Consulting and Clinical Psychology, 75(2), 221.

73.

Werner, N. E., & Crick, N. R. (1999). Relational aggression and social-psychological adjustment in a college sample. Journal of Abnormal Psychology, 108(4), 615.

74.

Weschke, S., & Niedeggen, M. (2013). The effect of the physical presence of co-players on perceived ostracism and event-related brain potentials in the cyberball paradigm. PloS one, 8(8), e71928.

75.

Widiger, T. A., & Trull, T. J. (2007). Plate tectonics in the classification of personality disorder:shifting to a dimensional model. American Psychologist, 62(2), 71.

76.

Williams, K. D., Cheung, C. K., & Choi, W. (2000). Cyberostracism: effects of being ignored over the Internet. Journal of Personality and Social Psychology, 79(5), 748.

77.

Zanarini, M. C., Frankenburg, F. R., Reich, D. B., Silk, K. R., Hudson, J. I., & McSweeney, L. B. (2007). The subsyndromal phenomenology of borderline personality disorder : a 10-year follow-up study. American Journal of Psychiatry, 164(6), 929-935.

한국심리학회지: 건강