https://doi.org/10.4081/ripppo.2020.463
Reflective functioning and personal recovery process of users with borderline personality disorder on Instagram: an explorative study using computerized and thematic analysis
Submitted: May 3, 2020
Accepted: September 12, 2020
Published: January 18, 2021
Accepted: September 12, 2020
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
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Although recent literature has stated that mentalizing (or reflective functioning; RF) promoted the clinical recovery (symptomatic remission; CR) of individuals with borderline personality disorder (BPD), to our knowledge, there have been no studies that analyzed the relationship between RF and a process more complex than CR, namely personal recovery (PR) - a deep and unique process of change in one’s attitudes, values, feelings, goals and/or roles. Furthermore, while there have been a few studies concerning PR of BPD individuals, but to date none analyzed PR of BPD individuals through online narratives shared on social media platforms. This study investigates the relationship between RF and PR of 14 Instagram users with a selfreported diagnosis of BPD. Two groups of users were distinguished on the basis of hashtags, #bpd and #bpdrecovery. Seventy randomized text posts (5 from each user) were extracted from users’ profiles: 35 from the #bpd group and 35 from #bpdrecovery. Two methods of analysis were applied: i) a thematic analysis, by using the theoretical framework CHIME, which identifies five dimensions of PR; and ii) a stylistic analysis of RF utilizing computerized reflective functioning (CRF), which identifies RF lexical markers. Results indicate that the #bpdrecovery group presented more dimensions of PR, and that its posts showed a significantly higher RF than the #bpd group. These findings suggest that RF could be involved in the PR of BPD individuals, thus mentalization-based treatment could be effective in supporting PR processes and enhancing the impaired RF in BPD users even in the online context.
Adler, N. (2017) Who Posts Selfies and Why? Personality, Attachment Style, and Mentalization as Predictors of Selfie Posting on Social Media (Doctoral dissertation, Cuny University of New York).
Allen, J. G., Fonagy, P., & Bateman, A. W. (2008). Mentalizing in clinical practice. Washington, DC: American Psychiatric Press.
American Psychiatric Association (APA). (2013). Diagnostic and statistical manual of mental disorders (DSM-5®). Arlington, VA: American Psychiatric Publishing.
DOI: https://doi.org/10.1176/appi.books.9780890425596
Andalibi, N., Ozturk, P., & Forte, A. (2015). Depression-related Imagery on Instagram. In: Proceedings of the 18th ACM Conference Companion on Computer Supported Cooperative Work & Social Computing - CSCW’15 Companion. doi: 10.1145/2685553.2699014
DOI: https://doi.org/10.1145/2685553.2699014
Anthony W. A. (1993). Recovery from mental illness: The guiding vision of the mental health service system in the 1990s. Psychosocial Rehabilitation Journal, 16(4), 11-23. Doi: 10.10372/095655
Antonsen, B. T., Johansen, M. S., Rø, F. G., Kvarstein, E. H., & Wilberg, T. (2016). Is reflective functioning associated with clinical symptoms and long-term course in patients with personality disorders? Comprehensive Psychiatry, 64, 46-58. Doi: 10.1016/j.comppsych.2015.05.016
DOI: https://doi.org/10.1016/j.comppsych.2015.05.016
Article 13, General Data Protection Regulation, 679/2016.
DOI: https://doi.org/10.2966/scrip.130316.258
Bateman, A. W., & Fonagy, P. (2004). Mentalization-based treatment of BPD. Journal of Personality Disorders, 18(1), 36-51. Doi: 10.1521/pedi.18.1.36.32772
DOI: https://doi.org/10.1521/pedi.18.1.36.32772
Bateman, A., & Fonagy, P. (2008). 8-year follow-up of patients treated for borderline personality disorder: mentalization-based treatment versus treatment as usual. American Journal of Psychiatry, 165(5), 631-638. Doi: 10.1176/appi.ajp.2007.07040636
DOI: https://doi.org/10.1176/appi.ajp.2007.07040636
Bateman, A. W., & Fonagy, P. (2012). Handbook of mentalizing in mental health practice. Washington, DC: American Psychiatric Publishing.
Birnbaum, M. L., Rizvi, A. F., Correll, C. U., Kane, J. M., & Confino, J. (2017). Role of social media and the Internet in pathways to care for adolescents and young adults with psychotic disorders and non psychotic mood disorders. Early intervention in psychiatry, 11(4), 290-295. Doi:10.1111/eip.12237
DOI: https://doi.org/10.1111/eip.12237
Bogolyubova, O., Upravitelev, P., Churilova, A., & Ledovaya, Y. (2018). Expression of Psychological Distress on Instagram Using Hashtags in Russian and English: A Comparative Analysis. SAGE Open, 8(4), 1-9. Doi: 2158244018811409.
DOI: https://doi.org/10.1177/2158244018811409
Boldrini, T., Nazzaro, M. P., Damiani, R., Genova, F., Gazzillo, F., & Lingiardi, V. (2018). Mentalization as a predictor of psychoanalytic outcome: An empirical study of transcribed psychoanalytic sessions through the lenses of a computerized text analysis measure of reflective functioning. Psychoanalytic Psychology, 35(2), 196. Doi: 10.1037/pap0000154
DOI: https://doi.org/10.1037/pap0000154
Borg, M., & Davidson, L. (2008). The nature of recovery as lived in everyday experience. Journal of mental health, 17(2), 129-140. Doi: 10.1080/09638230701498382
DOI: https://doi.org/10.1080/09638230701498382
Boursier, V., & Manna, V. (2018). Selfie expectancies among adolescents. Construction and validation of an instrument to assess expectancies toward selfies among boys and girls. Frontiers in psychology, 9, 839. Doi: 10.3389/fpsyg.2018.00839
DOI: https://doi.org/10.3389/fpsyg.2018.00839
Boursier, V., Manna, V., Gioia, F., Coppola, F., & Venosa, N. (2018). Cyber-moms facing motherhood: Holding functions and regressive movements in parenting websites. In: Sekalala, S., Niezgoda B. C. (Eds.), Innovations in Global Prospective on Health Communication in the Age of Social Media (pp. 29-58). Doi: 10.4018/978-1-5225-3716-8
DOI: https://doi.org/10.4018/978-1-5225-3716-8
Brijnath, B. (2015). Applying the CHIME recovery framework in two culturally diverse Australian communities: Qualitative results. International Journal of Social Psychiatry, 61(7), 660-667. Doi: 10.1177/0020764015573084
DOI: https://doi.org/10.1177/0020764015573084
British Psychological Society (2013). Ethics guidelines for internet-mediated research. Leicester, UK: British Psychological Society.
Cohen, J. (1960). A coefficient of agreement for nominal scales. Educational & Psychological Measurement, 20(1), 37-46. Doi: 10.1177/001316446002000104
DOI: https://doi.org/10.1177/001316446002000104
Coppersmith, G., Dredze, M., Harman, C., & Hollingshead, K. (2015). From ADHD to SAD: Analyzing the language of
mental health on Twitter through self-reported diagnoses. In: Proceedings of the 2nd Workshop on Computational Linguistics and Clinical Psychology: From Linguistic Signal to Clinical Reality. 1-10. The AAAI Press. Doi: 10.3115/v1/
W15-1201
Corrigan, P. W. (2002). Empowerment and serious mental illness: Treatment partnershipsand community opportunities. Psychiatric Quarterly, 73(3), 217-228. Doi: 10.1023/A:1016040805432
DOI: https://doi.org/10.1023/A:1016040805432
Corrigan, P. W., & Phelan, S. M. (2004). Social support and recovery in people with serious mental illnesses. Community Mental Health Journal, 40(6), 513-523. Doi: 10.1007/s10597004-6125-5
D’Arienzo, M. C., Boursier, V., & Griffiths, M. D. (2019). Addiction to social media and attachment styles: a systematic
literature review. International Journal of Mental Health and Addiction, 17(4), 1-25. Doi: 10.1007/s11469-019-00082-5
DOI: https://doi.org/10.1007/s11469-019-00082-5
Daer, A. R., Hoffman, R., & Goodman, S. (2014). Rhetorical functions of hashtag forms across social media applications. In: Proceedings of the 32nd ACM International Conference on The Design of Communication CD-ROM. ACM. Doi: 10.1145/2666216.2666231
DOI: https://doi.org/10.1145/2666216.2666231
Denzin, N. K., & Lincoln, Y. S. (2005). The SAGE handbook of qualitative research. Thousand Oaks: Sage.
De Meulemeester, C., Vansteelandt, K., Luyten, P., & Lowyck, B. (2018). Mentalizing as a mechanism of change in the treatment of patients with borderline personality disorder: A parallel process growth modeling approach. Personality Disorders: Theory, Research, and Treatment, 9(1), 22–29. Doi: 10.1037/per0000256
DOI: https://doi.org/10.1037/per0000256
Esposito, G., & Freda, M.F. (2016). Reflective and agentive functions of narrative writing: a qualitative study on the narratives of university students. Integrative Psychological and Behavioral Science, 50, 333-357. Doi: 10.1007/s12124-015-9323-5
DOI: https://doi.org/10.1007/s12124-015-9323-5
Esposito, G., Ribeiro, A.P., Gonçalves, M.M., Freda, M.F. (2017). Mirroring in Group Counseling: Analyzing Narrative
DOI: https://doi.org/10.1177/1046496417697149
Innovations. Small Group Research, 48(4), 1-29. Doi: 10.1177/10464964176971491238789.
Esposito, G., Passeggia, R., Cutolo, A. S., Karterud, S., Freda, M.F. (2020). Treatment Integrity and Members’ Change in Group Counseling: A Pilot Study on Counselor's Mentalizing Intervention. Professional Psychology: Research and Practice, in press. Doi: 10.1037/pro0000304
DOI: https://doi.org/10.1037/pro0000304
Estroff, S. E., Lachicotte, W. S., Illingworth, L. C., & Johnston, A. (1991). Everybody’s got a little mental illness: Accounts of illness and self among people with severe, persistent mental illnesses. Medical Anthropology Quarterly, 5(4), 331-369. Doi: 10.1525/maq.1991.5.4.02a00030
DOI: https://doi.org/10.1525/maq.1991.5.4.02a00030
Fertuck, E. A., Fischer, S., & Beeney, J. E. (2019). Social cognition and Borderline Personality Disorder: Splitting and Trust Impairment Findings. Psychiatric Clinics of North America, 41(4), 613-632. Doi: 10.1016/j.psc.2018.07.003
DOI: https://doi.org/10.1016/j.psc.2018.07.003
Fertuck, E. A., Mergenthaler, E., Target, M., Levy, K. N., & Clarkin, J. F. (2012). Development and criterion validity of a computerized text analysis measure of reflective functioning. Psychotherapy Research, 22(3), 298-305. Doi: 10.1080/10503307.2011.650654
DOI: https://doi.org/10.1080/10503307.2011.650654
Fonagy, P., & Bateman, A. (2008). The development of borderline personality disorder. A mentalizing model. Journal of Personality Disorders, 22(1), 4-21. Doi: 10.1521/pedi.2008.22.1.4
DOI: https://doi.org/10.1521/pedi.2008.22.1.4
Fonagy, P., Bateman, A., & Bateman, A. (2011). The widening scope of mentalizing: A discussion. Psychology and Psychotherapy: Theory, Research and Practice, 84(1), 98-110. Doi: 10.1111/j.2044-8341.2010.02005.x
DOI: https://doi.org/10.1111/j.2044-8341.2010.02005.x
Fonagy, P., & Luyten, P. (2009). A developmental, mentalization-based approach to the understanding and treatment of borderline personality disorder. Development and Psychopathology, 21(4), 1355-1381. Doi: 10.1017/S0954579409990198.
DOI: https://doi.org/10.1017/S0954579409990198
Fonagy, P., Luyten, P., & Bateman, A. (2015). Translation: Mentalizing as treatment target in borderline personality disorder. Personality Disorders: Theory, Research, and Treatment, 6(4), 380. Doi: 10.1037/per0000113
DOI: https://doi.org/10.1037/per0000113
Fonagy, P., Target, M., Steele, H., & Steele, M. (1998). Reflective-functioning manual, version 5.0, for application to adult attachment interviews. London: University College London.
Freda, M.F., Esposito, G. (2016). Promoting reflection and reflexivity through narrative devices: Narrative Mediation Path qualitative multimodal method. Qualitative Research Journal, 17(1), 2-19. Doi: 10.1108/QRJ-06-2016-0039.
Freda, M. F., & Esposito, G. (2020). Commentary: The role of mediational devices in promoting mentalizing. Clinical Psychology: Science & Practice, 2020;00e12371. Doi: 10.1111/cpsp.12371
DOI: https://doi.org/10.1111/cpsp.12371
Freda, M.F., Esposito, G., Quaranta, T. (2015). Promoting Mentalization in Clinical Psychology at Universities: A Linguistic Analysis of Student Accounts. Europe’s Journal of Psychology, 11(1), 34-49. Doi: 10.5964/ejop.v11i1.812.
DOI: https://doi.org/10.5964/ejop.v11i1.812
Freda, M.F., Gonzàlez-Monteagudo, J., Esposito, G. (2016) (Eds). Working with Underachieving Students in Higher Education: Fostering Inclusion through Narration and Reflexivity. Abingdon: Oxon; New York: NY; Routledge. Doi:
DOI: https://doi.org/10.4324/9781315659121
4324/9781315659121.
Freeman, C. (2016). What is mentalizing? An overview. British Journal of Psychotherapy, 32(2), 189-201. Doi: 10.1111/bjp.12220
DOI: https://doi.org/10.1111/bjp.12220
Gagliardini, G., Gullo, S., Caverzasi, E., Boldrini, A., Blasi, S., & Colli, A. (2018). Assessing mentalization in psychotherapy: first validation of the Mentalization Imbalances Scale. Research in Psychotherapy: Psychopathology, Process and Outcome, 21(3), 164-177. Doi: 10.4081/ripppo.2018.339
DOI: https://doi.org/10.4081/ripppo.2018.339
Gargiulo, A., & Margherita, G. (2019). Narratives of Self-harm: the experience of young women through the qualitative analysis of blogs. Mediterranean Journal of Clinical Psychology, 7(1), 1-19. Doi: 10.6092/2282-1619/2019.7.2055
George, C., Kaplan, N., & Main, M. (1996). The Adult Attachment Interview. Unpublished manuscript. Department of Psychology, University of California at Berkeley.
Gunderson, J. G., Herpertz, S. C., Skodol, A. E., Torgersen, S., & Zanarini, M. C. (2018). Borderline personality disorder. Nature Reviews Disease Primers, 4(1), 1-20. Doi: h10.1038/nrdp.2018.29
DOI: https://doi.org/10.1038/nrdp.2018.29
Holm AL, & Severinsson, E. (2011). Struggling to recover by changing suicidal behaviour: Narratives from women with borderline personality disorder. International Journal of Mental Health Nursing, 20(3), 165-173. Doi: 10.1111/j.
-0349.2010.00713.x
Hu, Y., Manikonda, L., & Kambhampati, S. (2014). What we instagram: A first analysis of instagram photo content and user types. In: Proceedings of the 8th International Conference on Weblogs and Social Media, ICWSM 2014 (pp. 595-598). The AAAI Press.
Jiang, L. C., Bazarova, N. N., & Hancock, J. T. (2011). The disclosure-intimacy link in computer-mediated communication: An attributional extension of the hyperpersonal model. Human Communication Research, 37(1), 58-77. Doi: 10.1111/j.1468-2958.2010.01393.x
DOI: https://doi.org/10.1111/j.1468-2958.2010.01393.x
Jinnie, O., Michael, J., Sakari, L., Butterfill, S., & Lukasz, W. (2020). Interpersonal functioning in borderline personality disorder traits: a social media perspective. Scientific Reports, 10(1), 1-8. Doi: 10.1038/s41598-020-58001-x
DOI: https://doi.org/10.1038/s41598-020-58001-x
Katsakou, C., Marougka, S., Barnicot, K., Savill, M., White, H., Lockwood, K., & Priebe, S. (2012). Recovery in borderline personality disorder (BPD): A qualitative study of service users’ perspectives. PLoS One, 7(5) Doi: 10.1371/journal.pone.0036517
DOI: https://doi.org/10.1371/journal.pone.0036517
Kverme, B., Natvik, E., Veseth, M., & Moltu, C. (2019). Moving toward connectedness - a qualitative study of recovery
processes for people with borderline personality disorder. Frontiers in psychology, 10:430. Doi: 10.3389/fpsyg.
DOI: https://doi.org/10.3389/fpsyg
00430
Khosravinik, M., & Unger, J. W. (2016). Critical discourse studies and social media: Power, resistance and critique in
changing media ecologies. In: Wodak R. & Meyer M. (Eds.) Methods of Critical Discourse Studies, pp. 205-233. Thousand Oaks, CA: Sage.
Kingod, N., Cleal, B., Wahlberg, A., & Husted, G. R. (2016). Online peer-to-peer communities in the daily lives of people with chronic illness. Qualitative Health Research, 27(1), 89-99. Doi: 10.1177/1049732316680203
DOI: https://doi.org/10.1177/1049732316680203
Konnelly, A. (2015). #Activism: identity, affiliation, and political discourse-making on Twitter. The Arbutus Review, 6(1), 1-16. Doi: 10.18357/ar.konnellya.612015
DOI: https://doi.org/10.18357/ar.konnellya.612015
Lamarre, A., & Rice, C. (2017). Hashtag recovery: #eating disorder recovery on Instagram. Social Sciences, 6(3), 1-15.
Doi: 10.3390/socsci6030068
DOI: https://doi.org/10.3390/socsci6030068
Larivière, N., Couture, É., Blackburn, C., Carbonneau, M., Lacombe, C., Schinck, S. A., David, P., & St-Cyr-Tribble, D.
(2015). Recovery, as experienced by women with borderline personality disorder. Psychiatric Quarterly, 86(4), 555-568. Doi:10.1007/s11126-015-9350-x
DOI: https://doi.org/10.1007/s11126-015-9350-x
Leamy, M., Bird, V., Le Boutillier, C., Williams, J., & Slade, M. (2011). Conceptual framework for personal recovery in
mental health: systematic review and narrative synthesis. Br J Psychiatry, 199(6), 445-452. Doi: 10.1192/bjp.bp.110.083733
DOI: https://doi.org/10.1192/bjp.bp.110.083733
Levy, K. N., Meehan, K. B., Kelly, K. M., Reynoso, J. S., Weber, M., Clarkin, J. F., & Kernberg, O. F. (2006). Change in attachment patterns and reflective function in a randomized control trial of transference-focused psychotherapy for borderline personality disorder. Journal of Consulting and Clinical Psychology, 74(6), 1027-1040. Doi: 10.1037/0022-006X.74.6.1027
DOI: https://doi.org/10.1037/0022-006X.74.6.1027
Liotti, G., & Gilbert, P. (2011). Mentalizing, motivation and social mentalities: Theoretical considerations and implications for psychotherapy. Psychology and Psychotherapy: Theory, Research and Practice, 84, 9-25. Doi: 10.1348/147608310X520094
DOI: https://doi.org/10.1348/147608310X520094
Maone, A., & D’Avanzo, B. (2015). Recovery. Nuovi paradigmi per la salute mentale [Recovery. New paradigms for mental health]. Milano: Raffaello Cortina Editore.
MacIntosh, H. B. (2017). Measuring reflective functioning in psychoanalytic psychotherapy. International Journal of Psychoanalysis and Education, 9(1), 5-21. http://www.psychoedu.org/index.php/IJPE/article/view/ 188
Margherita, G., & Gargiulo, A. (2018). A comparison between pro-anorexia and non-suicidal self-injury blogs: From symptom-based identity to sharing of emotions. Psychodynamic Practice, 24(4), 346-363. Doi: 10.1080/14753634.2018.1535326
DOI: https://doi.org/10.1080/14753634.2018.1535326
Mergenthaler, E. (1996). Emotion-abstraction patterns in verbatim protocols: A new way of describing psychotherapeutic processes. Journal of Consulting and Clinical Psychology, 64(6), 1306-1315. Doi:10.1037/0022-006X.64.6.1306
DOI: https://doi.org/10.1037/0022-006X.64.6.1306
Mergenthaler, E., & Bucci, W. (1999). Linking verbal and nonverbal representations: Computer analysis of referential activity. British Journal of Medical Psychology, 72(3), 339-354. Doi: 10.1348/000711299160040
DOI: https://doi.org/10.1348/000711299160040
Muller, C., G. Overbeck, & R. Grabhorn. (2006), The importance of RF to the diagnosis of psychic structure. Psychology and Psychotherapy: Theory, Research and Practice, 79, 485-494. Doi: 10.1348/147608305x68048
DOI: https://doi.org/10.1348/147608305X68048
Naslund, J. A., Aschbrenner, K. A., Marsch, L. A., & Bartels, S. J. (2016). The future of mental health care: peer-to-peer support and social media. Epidemiology and Psychiatric Sciences, 25(2), 113-122. Doi: 10.1017/S2045796015001067
DOI: https://doi.org/10.1017/S2045796015001067
Naslund, J. A., Aschbrenner, K. A., McHugo, G. J., Unützer, J., Marsch, L. A., & Bartels, S. J. (2019). Exploring opportunities to support mental health care using social media: A survey of social media users with mental illness. Early Intervention in Psychiatry, 13(3), 405-413. Doi: 10.1111/eip.12496
DOI: https://doi.org/10.1111/eip.12496
Naslund J. A., Grande S. W., Aschbrenner K. A., & Elwyn G. (2014). Naturally occurring peer support through social
media: the experiences of individuals with severe mental illness using YouTube. PLoS One, 9(10). Doi: 10.1371/journal.pone.0110171
DOI: https://doi.org/10.1371/journal.pone.0110171
Ng, F. Y., Bourke, M. E., & Grenyer, B. F. (2016). Recovery from borderline personality disorder: a systematic review of the perspectives of consumers, clinicians, family and cares. PLoS One, 11(8). Doi: 10.1371/journal.pone.0160515
DOI: https://doi.org/10.1371/journal.pone.0160515
Oldmeadow, J. A., Quinn, S., & Kowert, R. (2013). Attachment style, social skills, and Facebook use amongst adults. Computers in Human Behavior, 29(3), 1142-1149. Doi: 10.1016/j.chb.2012.10.006
DOI: https://doi.org/10.1016/j.chb.2012.10.006
Olszanowski, M. (2015). The 1x1 common: The role of Instagram’s hashtag in the development and maintenance of feminist exchange. In N. Rambukkana (Ed.), Hashtag Publics: The Power and Politics of Discursive Networks (pp. 229-242). New York, NY: Peter Lang.
Piat, M., Seida K., & Sabetti J. (2017) Understanding everyday life and mental health recovery through CHIME. Mental Health and Social Inclusion, 21(5), 271-279. Doi: 10.1108/MHSI-08-2017-0034
DOI: https://doi.org/10.1108/MHSI-08-2017-0034
Pillai, A. M. (2019). Image vs. text in narratives: The case study of National Geographic’s Instagram (Doctoral dissertation, Dublin Business School).
Potthoff, P., & Moini-Afchari, U. (2014). Mentalization-based treatment in groups-a paradigm shift or old wine in new skin?. Group Analysis, 47(1), 3-16. Doi:10.1177/0533316413518488
DOI: https://doi.org/10.1177/0533316413518488
Reece, A. G., & Danforth, C. M. (2017). Instagram photos reveal predictive markers of depression. EPJ Data Science, 6(1), 15. Doi: 10.1140/epjds/s13688-017-0110-z
DOI: https://doi.org/10.1140/epjds/s13688-017-0110-z
Ridgway, P. (2001). ReStorying psychiatric disability: Learning from first person recovery narratives. Psychiatric Rehabilitation Journal, 24(4), 335-343. Doi:10.1037/h0095071
DOI: https://doi.org/10.1037/h0095071
Shepherd, A., Sanders C., Doyle, M., & Shaw, J. (2016). Personal recovery in personality disorder: systematic review and meta-synthesis of qualitative methods studies. International Journal of Social Psychiatry, 62(1), 41–50. Doi: 10.1177/0020764015589133
DOI: https://doi.org/10.1177/0020764015589133
Slade, M. (2009). Personal recovery and mental illness: A guide for mental health professionals. Cambridge: Cambridge University Press.
DOI: https://doi.org/10.1017/CBO9780511581649
Smahelova, M., Drtilova, H., Smahel, D., & Cevelicek, M. (2019). Internet Usage by Women with Eating Disorders during Illness and Recovery. Health Communication, 19, 1- 9. Doi: 10.1080/10410236.2019.1582135
DOI: https://doi.org/10.1080/10410236.2019.1582135
Topor, A., Borg, M., Di Girolamo, S., & Davidson, L. (2011). Not just an individual journey: Social aspects of recovery. International Journal of Social Psychiatry, 57(1), 90-99. Doi: 10.1177/0020764009345062
DOI: https://doi.org/10.1177/0020764009345062
Turel, O., He, Q., Brevers, D., & Bechara, A. (2018) Social networking sites use and the morphology of a social-semantic brain network. Social Neuroscience, 13(5), 628-636. Doi: 10.1080/17470919.2017.1382387
DOI: https://doi.org/10.1080/17470919.2017.1382387
Zanarini, M. C., Frankenburg, F. R., Reich, D. B., & Fitzmaurice, G. (2012). Attainment and stability of sustained symptomatic remission and recovery among patients with borderline personality disorder and axis II comparison subjects: a 16-year prospective follow-up study. American Journal of Psychiatry, 169(5), 476-483. Doi: 10.1176/appi.ajp.2011.11101550
DOI: https://doi.org/10.1176/appi.ajp.2011.11101550
How to Cite
Esposito, G., Perla, V., Passeggia, R., Fertuck, E., & Mergenthaler, E. (2021). Reflective functioning and personal recovery process of users with borderline personality disorder on Instagram: an explorative study using computerized and thematic analysis. Research in Psychotherapy: Psychopathology, Process and Outcome, 23(3). https://doi.org/10.4081/ripppo.2020.463
Copyright (c) 2020 Giovanna Esposito, Viviana Perla, Raffaella Passeggia, Erik Fertuck, Erhard Mergenthaler
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