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Trust Beliefs, Biases, and Behaviors in Borderline Personality Disorder: Empirical Findings and Relevance to Epistemic Trust

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Abstract

Purpose of Review

This review summarizes empirical research on trust in BPD, including three primary areas: the prevalence of paranoia, trustworthiness appraisals, and trust-related behaviors in economic exchange paradigms. Connections to the largely theoretical study of epistemic trust in BPD are highlighted.

Recent Findings

In trust appraisal paradigms, people with BPD have a bias to rate others as untrustworthy. In behavioral exchange games, they report lower trust in partners and are more likely to rupture cooperation. Recent research has suggested potential explanations for these findings, including differences in affective processing, aberrant social norms and expectations, and difficulty attending to and incorporating social cues.

Summary

People with BPD commonly experience paranoia, generally regard others as untrustworthy, and act accordingly. Further research is needed to understand the mechanisms of altered trust processing and to integrate empirical research with recent theoretical research on epistemic trust.

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Masland, S.R., Schnell, S.E. & Shah, T.V. Trust Beliefs, Biases, and Behaviors in Borderline Personality Disorder: Empirical Findings and Relevance to Epistemic Trust. Curr Behav Neurosci Rep 7, 239–249 (2020). https://doi.org/10.1007/s40473-020-00220-7

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