[Shame Proneness in Borderline Personality Disorder: Critical Reflection Based on Data from the Province of Quebec].
Bibliographic record
Abstract
Objectives Shame is a painful feeling that one feels when under the impression of having committed an offence or contravened to a personal or moral standard. Shame experiences are often intense and entail a global, negative self-evaluation; persons then feel like they are bad, weak, worthless, or deserving others' contempt. Some people are more prone to shame feelings. Although shame is not listed as a diagnostic criterion of borderline personality disorder (BPD) in the DSM-5, studies suggest that shame is an important feature in individuals with BPD. The aim of this study is to garner additional data to document shame proneness in individuals presenting with borderline symptomatology in the population from the Province of Quebec. Method Overall, 646 community adults from the Province of Quebec completed online the brief version of the Borderline Symptom List (BSL-23), measuring the severity of symptoms associated with BPD from a dimensional perspective, and to the Experience of Shame Scale (ESS), measuring shame proneness in various areas of a person's life. Participants were then compared on their shame scores after they were assigned to one of the four groups based on Kleindienst et al. (2020) classification of severity of borderline symptoms: (a) none or low symptoms (n = 173), (b) mild symptoms (n = 316), (c) moderate symptoms (n = 103), or (d) high, very high or extremely high symptoms (n = 54). Results Between-group differences were found with large effect sizes in all shame areas measured by the ESS, suggesting that shame feelings tend to be greater in persons presenting more borderline traits. Conclusion Results are discussed in a clinical perspective of BPD, emphasizing the importance of having shame as a clinical target in psychotherapy with these clients. Furthermore, our results raise conceptual questions regarding how to integrate shame in the assessment and treatment of BPD.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.003 | 0.009 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.002 | 0.004 |
| Science and technology studies | 0.004 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.003 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".