Original title: Altered Self-Other Distinction in Motor and Cognitive Domains in Individuals with Borderline Personality Disorder: Evidence from a Multi-Site Behavioral Study
Ekaterina Pronizius, Celine De Meulemeester, Nita Bislimi, Sarah Fineberg +6 · September 2026
People with borderline personality disorder, or BPD, often struggle in relationships. Researchers think this happens because they have trouble with self-other distinctionThe ability to keep your own thoughts, feelings, and actions separate from someone else's., which is the brain's ability to separate your own thoughts and actions from someone else's. To test this, scientists compared people with BPD to healthy adults on specific computer tasks. One test checked if people could stop themselves from automatically copying movements they saw. Another checked if they could step outside their own visual viewpoint to see what someone else sees. Overall, participants with BPD were slower and less accurate. They showed lower physical control, meaning they were more easily distracted into mimicking others. They also showed a stronger self-centered bias when trying to see another person's view, though this effect depended on other factors. Finally, in BPD, having more severe symptoms linked to this viewpoint bias specifically when people had also experienced more childhood maltreatment.
You are playing a game where you and a partner each have to draw a shape without looking at each other's paper. You keep accidentally drawing what you think they are drawing, and you also assume they are drawing the same shape you are. In this paper, researchers used similar tasks to measure how people with borderline personality disorder struggle to separate their own actions and perspectives from others'.
For the millions of people with borderline personality disorder, everyday interactions can feel confusing—they may unconsciously mimic others or assume others see things exactly as they do. This study shows these difficulties are not a single global problem but appear in specific ways, and that early trauma makes the cognitive version worse. That matters because it points toward more targeted treatments, like training to recognize and resist automatic imitation or to consciously adopt another person's viewpoint.
The cognitive SOD finding was not robust to all covariate adjustments, so it may be less reliable. The study also found no link between symptom severity and motor SOD, so the clinical relevance of that deficit is unclear. Because the study assessed participants at one time, it cannot show whether these differences cause BPD or are a consequence of it.
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Altered Self-Other Distinction in Motor and Cognitive Domains in Individuals with Borderline Personality Disorder: Evidence from a Multi-Site Behavioral Study — Ekaterina Pronizius, Celine De Meulemeester, Nita Bislimi et al. — PsyArXiv — doi:10.31234/osf.io/z768d_v2
Abstract licence: CC BY
Explanation generated by Synthesis from the abstract — it is not the original paper. This is a preprint, so it hasn't necessarily been peer reviewed.