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Emotion, Social Function, and Psychopathology

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The studies of emotion function and emotional disorders complement one another. In this article, the authors outline relations between the social functions of emotion and four psychological disorders. The authors first present a social-functional account of emotion and argue that emotions help coordinate social interactions through their informative, evocative, and incentive functions. They then review evidence concerning the emotional and social problems related to depression, schizophrenia, social anxiety, and borderline personality disorder and consider how the emotional disturbances related to these disorders disrupt interactions and relationships, thus contributing further to the maintenance of the disorder. They conclude by discussing research strategies relevant to the study of emotion, social interaction, and psychopathology. (PsycINFO Database Record (c) 2012 APA, all rights reserved)
Review of General Psychology
1998,
Vol. 2, No. 3, 320-342Copyright 1998 by the Educational Publishing Foundation
1089-2680»8/$3.00
Emotion, Social Function, and Psychopathology
Dacher Keltner
University of California, BerkeleyAnn M. Kring
Vanderbilt University
The studies of emotion function and emotional disorders complement one another. In
this article, the authors outline relations between the social functions of emotion and
four psychological disorders. The authors first present a social-functional account of
emotion and argue that emotions help coordinate social interactions through their
informative, evocative, and incentive functions. They then review evidence concerning
the emotional and social problems related to depression, schizophrenia, social anxiety,
and borderline personality disorder and consider how the emotional disturbances
related to these disorders disrupt interactions and relationships, thus contributing
further to the maintenance of the disorder. They conclude by discussing research
strategies relevant to the study of emotion, social interaction, and psychopathology.
We can be afraid... or get angry, or feel pity, in general
have pleasure or pain, both too much and too little, and
in both ways not well; but [having these feelings] at the
right times, about the right things, towards the right
people, for the right end, and in the right way, is the
intermediate and best condition, and proper to vir-
tue.
.. . Virtue, then, is a mean.
—Aristotle, Nicomachaen Ethics
The notion that many forms of psychopathol-
ogy include emotional disturbances dates back
to the classical philosophers, as is evident in
Aristotle's definition of virtue as a mean in
emotional response. Recent empirical research
lends credence to this general proposition.
Different psychological disorders have been
linked to "excesses" in emotion (e.g., depres-
sion, anxiety), "deficits" in emotion (e.g.,
depression, psychopathy), or the lack of coher-
ence among emotional response systems (e.g.,
schizophrenia; Barlow, 1988, 1991; Clark &
Watson, 1991; Kring & Bachorowski, in press;
Lazarus, 1991; Plutchik, 1993; Thoits, 1985,
1990).
Dacher Keltner, Department of Psychology, University of
California, Berkeley; Ann M. Kring, Department of
Psychology, Vanderbilt University.
During the preparation of this article, Ann M. Kring was
supported in part by a grant from the National Alliance for
Research on Schizophrenia and Depression.
We thank Jo-Anne Bachorowski for her helpful comments
on a draft of this article.
Correspondence concerning this article should be ad-
dressed to either Dacher Keltner, Department of Psychology,
3210 Tolman Hall, University of California, Berkeley,
California 94720, or Ann M. Kring, Department of
Psychology, 301 Wilson Hall, Vanderbilt University, Nash-
ville,
Tennessee 37240. Electronic mail may be sent to
keltner@socrates.berkeley.edu or ann.kring@vanderbilt.edu.
These connections between psychopathology
and emotion provide impetus for at least two
related lines of
inquiry.
A first approach is to rely
on what is known about the linkages between
emotion and autonomic and central nervous
system structures (e.g., Davidson,
1993;
LeDoux,
1996) as a guide in the discovery of physiologi-
cal mechanisms that contribute to psychopathol-
ogy. A second approach is to look outward at the
individual's social environment and, guided by
what is known about the social functions of
emotion, to document how emotional features of
psychological disorders relate to specific styles
of interaction and relationships, thus perpetuat-
ing the disorder. Our aim in this article is to
provide a conceptualization and research agenda
for this second approach to the study of emotion
and psychopathology.
The benefits of studying the relations between
the social functions of emotion and psychopa-
thology are twofold. First, given the prevalent
association between emotion disturbance and
psychopathology (e.g., Thoits, 1985), basic
research on emotion and social interaction
provides a conceptual framework for consider-
ing possible causes and consequences of emo-
tional disturbances as well as potential interven-
tions.
For example, many emotion researchers
assume that emotions involve multiple compo-
nents,
including behavior, communication, expe-
rience, and physiology, and find that these
components are often coordinated (e.g., Leven-
son, 1992). Moreover, the coordinated engage-
ment of these components is important for a
320
SPECIAL ISSUE: EMOTION AND SOCIAL FUNCTIONING321
number of emotion-based social interactions.
Interpreted within this framework, evidence that
the emotional responses of schizophrenic pa-
tients are not coordinated (e.g., Kring & Neale,
1996) allows us to make more specific predic-
tions about a number of social and interpersonal
consequences. Similarly, other basic emotion
research has found that the experience of anger
is linked to perceptions of unfairness (Keltner,
Ellsworth, & Edwards, 1993) and that the
expression of anger evokes fear in others
(Dimberg & Ohman, 1996) and communicates
dominance and hostility (Knutson, 1996). These
findings illuminate how the anger that figures so
prominently in borderline personality disorder
might be linked to troubled social interactions
and relationships.
Just as important, research on the emotional
features in psychopathology informs the study
of the functions of emotion (Keltner & Gross, in
press),
much as the study of brain dysfunction
informs studies on the functions of brain regions
and systems. Indeed, studying the social conse-
quences of emotional disturbances can elucidate
how emotions contribute to adaptive social
interactions and relationships. For example,
children who display little embarrassment in the
context of making mistakes tend more generally
to behave in antisocial ways (e.g., Keltner,
Moffitt, & Stouthamer-Loeber, 1995). This
finding is consistent with the notion that one
function of embarrassment is to motivate the
adherence to social norms and morals (Miller &
Leary, 1992).
To make connections between emotion, social
functioning, and psychopathology, we first
review theoretical and empirical evidence that
shows how emotions help coordinate interac-
tions related to the formation and maintenance
of social relationships. We then integrate evi-
dence relating four disorders to disturbances in
emotional processing and social interaction and
then discuss how these disturbances preclude
and harm important social relationships. We
conclude by discussing possible research strate-
gies relevant to the study of emotion, social
interaction, and psychopathology.
A Social Functional Account of Emotion
Initial theoretical and empirical interests in
emotion tended to center on the intrapersonal
characteristics of emotion, addressing such
questions as the determinants of emotional
experience, the patterns of emotion-specific
physiology, and the coordination of emotional
responses. Advances in the understanding of the
intrapersonal characteristics of emotions have
facilitated the complementary study of the
interpersonal functions of emotions. Relevant
research and theory has begun to address the
consequences of emotion beyond the individual
and focus on the ways that emotions are
embedded within ongoing social interactions
(e.g., Averill, 1980, 1982; Campos, Campos, &
Barrett, 1989; Ekman, 1992; Lazarus, 1991;
Lutz
&
Abu-Lughod, 1990).
This new emphasis on the interpersonal
characteristics of emotion can be summarized in
a social-functional approach to emotion. This
approach conceptualizes emotions as multichan-
nel responses that enable the individual to
respond adaptively to social problems and take
advantage of social opportunities in the context
of ongoing interactions (e.g., Campos et al.,
1989;
Ekman, 1992; Frijda & Mesquita, 1994;
Tooby & Cosmides, 1990). Four assumptions
are central to a social-functional approach to
emotion (Keltner & Haidt, 1997). First, it is
assumed that humans are social by nature and
meet many of the problems of survival in social
relationships (Baumeister & Leary, 1995; Fiske,
1992).
Humans respond to threats, generate and
distribute resources, and raise offspring in the
context of social relationships.
Second, it is assumed that emotions are
adaptations or solutions to specific problems
related to the formation and maintenance of
social relationships (Averill, 1992; Barrett &
Campos, 1987; Lutz & White, 1986; Tooby &
Cosmides, 1990). As Campos et al. (1989)
proposed, "Emotions are not mere feelings, but
rather are processes of establishing, maintain-
ing, or disrupting relations between the person
and the internal or external environment, when
such relations are significant to the individual"
(p.
395, 1989). Certain emotions (e.g., anxiety,
love,
desire, and gratitude) and emotional
dispositions (e.g., positive affectivity) motivate
individual and interactive behaviors that enable
individuals to form social bonds (e.g., Bowlby,
1969;
Buss, 1992; Hazan & Shaver, 1987;
Trivers, 1971; Watson, 1988; Watson, Clark,
Mclntyre, & Hamaker, 1992). Other emotions,
such as sympathy, anger, jealousy, amusement,
and embarrassment, are believed to enable
322KELTNER AND KR1NG
individuals to maintain, protect, and restore
social bonds in the face of immediate threats to
the individual or relationship (Averill, 1982;
Eisenbergetal., 1989;Keltner&Buswell, 1997;
Solomon, 1990).
Third, it is assumed that emotions are
dynamic, relational processes that coordinate
the actions of individuals in ways that guide
their interactions toward more preferred condi-
tions (Campos et al., 1989; Lazarus, 1991).
Thus,
not only do emotions organize physiologi-
cal,
behavioral, experiential, and cognitive
responses within the individual (e.g., Levenson,
1992),
they also organize the actions of
individuals in face-to-face interactions (e.g.,
Klinnert, Campos, Sorce, Emde, & Svejda,
1983;Ohman, 1986).
Fourth, a social-functional account presup-
poses that the experience and expression of
emotions bring about beneficial social conse-
quences for individuals and their relationships
(e.g., Barrett & Campos, 1987; Baumeister,
Stillwell, & Heatherton, 1994; Frijda, 1986;
Keltner & Gross, in press). For instance,
embarrassment evokes forgiveness in others and
produces reconciliation following social trans-
gressions (Keltner & Buswell, 1997). Sadness
and distress elicit sympathy, helping, and
increased proximity (Campos et al., 1989;
Eisenberg et al., 1989). Laughter and smiling
evoke affiliative tendencies (Keltner
&
Bonanno,
1997).
The experience and expression of emo-
tions are also associated with more cumulative,
long-term social benefits. For example, amuse-
ment has been linked to more satisfying
personal relations (for review, see Keltner &
Bonanno, 1997), and jealousy correlates with
the increased likelihood of maintaining long-
term intimate relations (Buss, 1992).
Emotion and the Coordination
of Social Interaction
A social-functional approach proposes that
emotions coordinate social interactions in ways
that help humans form and maintain beneficial
relationships. Several theorists have offered
different arguments about the role of emotions
in social relationships. For example, certain
theorists have characterized how emotions
follow from systematic changes in social
relationships (de Rivera & Grinkis, 1986). Other
theorists have portrayed emotions as social roles
in which individuals carry out scripted behavior
(Averill, 1980; Clark, 1990). Finally, a number
of theorists have argued that emotions are
elements in extensive social interactions, such
as courtship, flirtation, grieving, or play, that
help humans meet important social goals
(Eibl-Eiblsfeldt, 1989; Ekman, 1984; Lutz,
1988;
White, 1990).
Notwithstanding such theorizing, there has
been little integration of the research that has
examined the specific processes by which
emotions coordinate social interactions. In the
ensuing section we summarize research that
reveals three general processes by which
emotions shape social interactions. First, the
expression and experience of emotion signal
socially relevant information to individuals in
interactions about their own and their interaction
partners' emotions, intentions, and orientations
to the relationship. Second, emotions evoke
emotional responses in others that are associated
with beneficial responses to the emotional event.
Third, emotions serve as incentives for others'
actions, thus helping to structure interpersonal
interactions. Disturbances in these emotion-
based processes will contribute to the break-
down of social interactions, which will then
directly impact social and personal adjustment.
Informative Functions of Emotion
At least since Darwin's (1872) analysis of
facial expression, researchers have focused on
the informative functions of emotional expres-
sion, initially studying how facial displays of
emotion communicate information about the
sender's emotion to receivers in a fairly reliable
fashion across cultures (e.g., Ekman, 1993;
Izard, 1977; but see Russell, 1994). More
recently, researchers have documented that
facial, vocal, and verbal expressions of emotion
communicate other kinds of social information
in addition to the sender's current emotion,
including information about the status of
ongoing relations (e.g., Knutson, 1996), individu-
als'
social intentions and relational orientations
(e.g., Fridlund, 1991, 1992), and significant
objects or events in the environment (e.g.,
Mandler, 1975).
Emotional expression conveys information
about senders. Social interactions depend in
part on the knowledge of others' intentions and
emotions. The expression of emotion provides
SPECIAL ISSUE: EMOTION AND SOCIAL FUNCTIONING323
at least four kinds of information about others'
internal states and dispositions, which in turn
helps coordinate social interactions. First, facial
and vocal expressions of emotion more or less
reliably signal the sender's emotional state to
receivers (Ekman, 1993; Scherer, 1986). Sec-
ond, theorists have speculated that emotional
displays communicate the sender's social inten-
tions,
such as, for example, whether to strike or
flee,
offer comfort or play (e.g., Fridlund, 1992).
Third, the verbal and nonverbal expression of
emotion signals characteristics of the sender and
receiver's relationship, including the extent to
which it is defined by dominance and affiliation.
For example, displays of anger communicate the
sender's relative dominance and hostility to-
wards the receiver (Knutson, 1996), whereas
displays of embarrassment communicate the
sender's relative submissiveness and inclination
to affiliate (Keltner, 1995). Fourth, in certain
contexts the expression of emotion can signal
information about the sender's mental and
physical health. For example, in one study,
bereaved individuals' displays of anger and
disgust led observers to infer that the individuals
were suffering from poor psychological adjust-
ment and were in need of psychological
assistance (Keltner & Bonanno, 1997). In
addition, infants born in distress cry in a
characteristic way defined by a long latency,
high pitch, and unusually long duration, which
signals the infants' physical problems to observ-
ers (Zeskind & Lester, 1978).
Emotional expression conveys information
about objects and events in the social environ-
ment. Many social interactions revolve around
individuals' coordinated responses to events in
the environment. Humans respond to threats,
distribute resources, and negotiate conflicts in
interpersonal settings. Two lines of research
elegantly illustrate how the expression of
emotion conveys important information about
objects and events in the environment.
One line of research has documented that
fearful behavior facilitates observational learn-
ing of fearful responses in other individuals
(e.g., Mineka, Davidson, Cook, & Keir, 1984;
Mineka & Cook, 1993). In this research,
observer monkeys viewed model monkeys'
fearful, avoidant behavior, including tfieir facial
displays, in response to snakes or toy snakes. In
subsequent test sessions with the snakes, ob-
server monkeys demonstrated that they rapidly
acquired the model monkeys' fear of the real and
toy snakes. The correlations between models*
and observers' fearful behavior typically reached
the high .80s, even after just one observation of
the model monkey.
Studies of social referencing, the process by
which individuals use
others*
emotional displays
to interpret ambiguous stimuli, have also
documented that emotional displays provide
important information about the environment
(e.g., Klinnert et al., 1983; Walden & Ogan,
1988).
These now-classic studies have demon-
strated that parents' facial and vocal displays of
positive emotion or fear will determine whether
their infants will walk across a visual cliff
(Sorce & Emde, 1981), play in a novel context,
or respond to a stranger with positive emotion
(reviewed in Klinnert et al., 1983).
Emotional experience provides an assessment
of social relationships. Recently, theorists
have emphasized the relational nature of the
experience of emotion (e.g., Campos et al.,
1989;
Lazarus,
1991).
According to this perspec-
tive,
emotional experience provides information
about intraindividual events such as the activity
in the facial musculature or the autonomic
nervous system (e.g., Buck, 1984; Levenson,
Ekman, & Friesen, 1990), and the conditions of
current social relations.
Empirical evidence indicating that individu-
als rely on their emotional experience to assess
relationships along important dimensions is
consistent with this perspective on emotional
experience. For example, the experience of
anger and guilt relates to perceptions of the
fairness of personal relationships (e.gi, Walster,
Walster, & Berscheid, 1978; Solomon, 1990).
The experience of embarrassment and shame
relate to perceptions of social status vis-a-vis
others (Gilbert & Trower, 1990; Tangney,
Miller, Flicker, & Barlow, 1996). Theorists have
also speculated that the experience of emotion
provides an assessment of the level of commit-
ment to a relationship, in the case of love and
sympathy (Frank, 1988), and the extent to which
ongoing social relations are propitious for the
individual's reproductive success, in the case of
happy and sad mood states (Nesse, 1990).
These observations indicate that individuals
rely on their experience of emotion to assess
their relationships with individuals who are both
the cause and target of the emotion. Emotional
experience also provides information about the
324KELTNER AND KRING
condition of social relations in general. Specifi-
cally, individuals experiencing moods and emo-
tions elicited in one context will use those
feelings to evaluate their relationships, even
though the original cause of the emotion is
unrelated to the relationship (e.g., Clore, 1994;
Schwarz, 1990). For example, empirical studies
have documented evidence that current mood or
emotion influences individuals' evaluations of
their general relationship satisfaction (e.g.,
Keltner, Locke, & Audrain, 1993), anger influ-
ences fairness judgments of ongoing interac-
tions (Keltner et al., 1993), and fear influences
the perception of the possible risks and losses
associated with potential social interactions
(Lerner& Keltner, 1997).
To summarize, theory and research indicate
that emotional expression and experience pro-
vide important information about the sender's
emotions, intentions, orientation to the relation-
ship,
and well-being; events or objects in the
environment; and the conditions of social
relations. Because emotions provide such valu-
able social information, theorists have argued
that the communication of emotion is an
important component of more complex dis-
course processes in which individuals negotiate
interpersonal conflicts (e.g., Dunn & Munn,
1985) and reach a shared understanding about
concepts of right and wrong (e.g., Bretherton,
Fritz, Zahn-Waxler, & Ridgeway, 1986; White,
1990).
Disturbances in emotional experience
and expression, therefore, are likely to disrupt
relationships in important
ways.
Disturbances in
the intensity, type, and timing of emotional
expression, for example, would deprive interac-
tion partners of valuable information about
ongoing interactions. Disturbances in emotional
experience would likewise compromise the
nature of information about his or her current
relationships.
Evocative Functions of Emotions
Emotion theorists have long suggested that
humans evolved adaptive responses to the
emotional responses of others (e.g., Darwin,
1872;
Ohman & Dimberg, 1978). This claim is
consistent with the general assumption that the
communicative behavior of sender and receiver
co-evolved in reciprocal fashion (Eibl-Eibes-
feldt, 1989; Hauser, 1996; Owren & Rendall, in
press).
From this perspective, one individual's
emotional expression serves as a social affor-
dance that evokes "prepared" responses in
others (e.g., Ohman & Dimberg, 1978). Studies
of the evocative properties of emotional expres-
sions suggest that emotions can evoke both
complementary emotions and similar emotions
in others.
Evocation of complementary
emotions.
Em-
pirical studies have documented that emotional
displays evoke complementary emotions in
others, which we define as emotional responses
that differ from that of the sender but that
respond selectively to the sender's emotional
display. These complementary emotions moti-
vate important social behaviors, including help-
ing, soothing, and forgiveness. At least three
examples of the evocation of complementary
emotional responses can be found in the
empirical literature.
First, in a series of innovative conditioning
studies, Ohman and Dimberg have documented
how displays of anger evoke complementary
fear in observers (reviewed in Dimberg &
Ohman, 1996). For example, photographs of
angry facial displays paired with an aversive,
unconditioned stimulus were more resistant to
extinction than photos of facial displays of
happiness (Ohman & Dimberg, 1978). Strik-
ingly, one study found that this conditioning
effect was only observed when angry faces were
directed towards the subject (Dimberg &
Ohman, 1983). In subsequent research, anger
faces that were "masked" by a neutral face
presented immediately following the presenta-
tion of the anger faces, and presumably not
consciously represented by the observer, still
produced the conditioning effects described
above and evoked elevated electrodermal re-
sponses associated with fear (Esteves, Dimberg,
& Ohman, 1994).
Research on how distress displays elicit
sympathy in others illustrates a second comple-
mentary emotion
response.
Developmental stud-
ies find that children respond with signs of
distress, concern, and overt attempts to help in
response to others' distress beginning at as early
as 8 months of age (Zahn-Waxler & Radke-
Yarrow, 1982). Studies of adults find that
individuals feel sympathy and concern in
proportion to others' observable signs of emo-
tional distress (Batson & Shaw, 1991). Further-
more, there appears to be a pattern of sympathy-
related expressive and physiological responses
SPECIAL ISSUE: EMOTION AND SOCIAL FUNCTIONING325
that includes concerned gaze and oblique
eyebrows and reduced heart rate that predicts
helping behavior (Eisenberg et al., 1989).
A third complementary emotional response is
found in studies of the evocative effects of
embarrassment. These studies show that observ-
ers report high levels of affiliative emotions,
such as amusement and sympathy, in response to
others' displays of embarrassment and shame
following social transgressions (Keltner, Young,
& Buswell, 1997). In addition, a number of
studies have found that when an individual
displays embarrassment-related behavior follow-
ing a mistake, observers report greater liking of
the individual and, when relevant, more forgive-
ness (reviewed in Keltner & Buswell, 1997).
Evocation of similar emotions. Theorists
have long been interested in the tendency for
humans to respond to others' emotions with
similar emotions (for historical review, see
Hatfield, Rapson, & Cacioppo, 1994). Indeed,
there is a good deal of research on the related
phenomena of emotional mimicry (e.g., Davis,
1985),
empathy (e.g., Hoffman, 1984), and
vicarious emotional response (e.g., Miller,
1987).
Although researchers need to more
clearly specify the conditions under which
individuals reciprocate each other's emotions,
as well as the emotions that tend to be
reciprocated, empirical evidence indicates that
one individual's experience and display of
emotion evokes comparable emotional re-
sponses in others. Specifically, studies have
documented such reciprocal responses in the
case of embarrassment (Miller, 1987), laughter
(Provine, 1992), and distress or sadness (Batson
& Shaw,
1991;
Eisenberg et al., 1989).
Theorists have offered various speculations
about the social benefits of the reciprocation of
emotional response. First, the elicitation of
similar emotion in others increases the likeli-
hood that individuals will know one another's
emotional states (e.g., Hoffman, 1984). The
knowledge of others' emotional states in combi-
nation with empathic emotion, some theorists
allege, is the foundation of moral emotions
such as guilt (Hoffman, 1984) and moral
behavior such as altruistic helping (Batson &
Shaw, 1991). Second, just as alarm calls in
nonhuman species coordinate the responses
of conspecifics to a shared threat (e.g., Seyfarth
& Cheney, 1990), reciprocated emotions are
likely to coordinate the actions of several
individuals facing a similar object or event in
the environment.
In sum, a substantial body of evidence
indicates that emotional expression evokes
complementary and similar emotional responses
in others. Individuals predisposed to express
certain emotions, therefore, are likely to evoke
specific emotions in others with whom they
interact. In certain instances, these evocative
processes are beneficial for social relationships.
In other instances, however, the evocation of
emotion in others may prove to be problematic.
Incentive Functions of Emotions
Emotions coordinate social interactions in a
third way: an individual's expression and
experience of emotion may provide incentives
for or reinforce another individual's social
behavior within ongoing interactions (e.g.,
Klinnert et al., 1983). There have been few
empirical studies that have directly examined
the incentive functions of emotional expression.
Relevant studies and related theoretical observa-
tions,
however, suggest that individuals fre-
quently engage in social behaviors contingent
on or in anticipation of others' emotional
experience and expression.
Developmental researchers have speculated
that the display of positive emotion by both
parents and children rewards desired behaviors,
thus increasing the frequency of that behavior
(e.g., Tronick, 1989). For instance, as infants
carry out intentional behaviors with the assis-
tance of their parents, such as grabbing an
object, they will smile when their parents
engage in behavior that facilitates their own
goal-directed behavior and show signs of
distress when the parents do not act in such
fashion (Tronick, 1989). Other studies have
shown that parents use positive emotional
displays to direct the attention of their infants
(Cohn & Tronick, 1987). More generally, it has
been claimed that parental laughter facilitates
learning by rewarding appropriate behavior in
infants and children (Rothbart, 1973).
Studies of adult laughter reach similar conclu-
sions about the incentive function of emotional
behavior. For example, researchers have found
that the temporal location of laughs within the
ongoing stream of conversations is almost
exclusively at the end of the utterance (Provine,
1993).
Although there are several interpretations
326KELTNER AND KRING
of this finding (see Bachorowski, Smoski, &
Owren, 1998), one plausible interpretation is
that laughter serves as a reward for social
behavior preceding it, offering praise for desir-
able utterances in the context of conversations.
More generally, theorists have argued that
laughter rewards many forms of desirable social
behavior in the context of ongoing interactions
(Bachorowski etal., 1998).
Several emotion-centered social behaviors
seem to be motivated to elicit emotion in others.
For example, one motive of teasing interactions
is to embarrass the target of teasing (e.g.,
Keltner, Young, Oemig, Heerey, & Monarch,
1997).
Although the embarrassment and humili-
ation produced by teasing can have many
negative consequences (for review, see Keltner
et al., 1997), teasing also can have positive
outcomes. Specifically, teasing related to embar-
rassment often increases affiliation and can
provide important information about
the
relation-
ship,
for example, whether individuals are
romantically interested in one another.
Finally, to the extent that emotional displays
provide incentives that guide social behavior,
the reduction or absence of emotional displays
should reduce the likelihood of contingent social
behavior, A few studies provide indirect evi-
dence in support of this claim. For example,
experiments in which parents are instructed to
mute their expressive behavior find that infants
quickly become disturbed and disengaged (Tron-
ick,
Als,
Adamson, Wise, & Brazelton, 1978). In
conversations with individuals who are prone to
low levels of positive emotion, participants
engage in less responsive social behavior and
experience the conversations as unrewarding
(Thome, 1987).
Summary of the Social-Functional
Approach
We have argued that emotions coordinate
social interactions by serving at least three
functions. Emotions provide information about
interacting individuals' emotions, intentions,
and relational orientations. Emotions evoke
complementary and similar emotions in others
that motivate behaviors that benefit social
relationships. The perception of emotion and
anticipated elicitation of emotions in others
serve as incentives for certain social behaviors.
In these three ways, emotions provide structure
to social interactions, guiding, evoking, and
motivating the actions of individuals in interac-
tions in ways that enable individuals to meet
their respective goals. Disturbances in emo-
tional response, by implication, will have
important consequences for the quality of social
interactions and relationships.
Emotion and Social Interaction
Disturbances in Psychopathology
Although different kinds of emotional distur-
bances figure prominently in the descriptions
and manifestations of various psychological
disorders, there have been relatively few empiri-
cal studies on the nature of these disturbances.
By contrast, difficulties in social interactions,
variously referred to as social competence,
social skills, social support, and social adjust-
ment, have been studied more extensively across
a wide range of disorders. Although theorists
have recently recognized the importance of
linking the literatures on emotional and social
disturbances in psychopathology (Blanchard &
Panzarella, in press; Buck, 1991; Feldman,
Philippot, & Custrini, 1991), these literatures
remain largely unintegrated. By emphasizing
the social functions of emotions, including the
ways in which emotions coordinate social
interactions, we believe that researchers will be
able to more clearly make both conceptual and
empirical connections between the nature of emo-
tional and social disturbances in psychopathology.
In the following section, we first review the
evidence for emotional disturbances and social
interaction problems in four psychological
disorders. We then provide a framework for
integrating these two previously disparate litera-
tures by considering the emotional disturbances
in the context of a social-functional approach.
That is, we link the emotion disturbances to
informative, evocative, and incentive functions
of emotion and then point to specific expecta-
tions and hypotheses and, when possible,
relevant findings about the ways in which these
emotion disturbances interfere with social func-
tioning. Although many of the studies reviewed
in the first half of this article considered how
discrete emotions coordinate social interactions,
much of
the
research on emotion disturbances in
psychopathology has focused on broad dimen-
sions of emotion, primarily due to the pervasive
SPECIAL ISSUE: EMOTION AND SOCIAL FUNCTIONING327
nature of the emotion disturbances. Nonethe-
less,
links between emotion dimensions and
social interactions can also be made. For
example, positive affect is associated with
ratings of the frequency and duration of a
number of social interactions and activities
(Watson, 1988; Watson etal., 1992).
For several reasons, we chose to focus on four
disorders: unipolar depression, schizophrenia,
borderline personality disorder, and social pho-
bia. First, emotional symptoms and interper-
sonal difficulties, including the formation and
maintenance of relationships, figure promi-
nently in each of these disorders. Second, we
chose to focus on diagnosable disorders rather
than broader psychological dimensions (e.g.,
distress, well-being) in hopes of providing an
impetus for research on emotion and social
deficits in disorders. Third, these disorders serve
as exemplars of how disturbances in emotion
influence maladaptive social interaction pat-
terns.
Finally, space constraints limit our ability
to discuss other disorders, although we recog-
nize that many other disorders also are character-
ized by emotional and social disturbances.
Unipolar Depression
Emotional disturbances. The prominent
emotional features of unipolar depression in-
clude the phasic and enduring experience of
sadness and the inability to experience pleasure
(anhedonia). More broadly, depression is charac-
terized by low levels of positive affect and
heightened levels of negative affect (e.g.,
Watson, Clark, & Carey, 1988). People with low
levels of positive affect are likely to experience
emotions such as sadness and to be interperson-
ally disengaged. In contrast, people with high
levels of negative affect are likely to frequently
experience emotions such as anxiety, guilt, and
anger.
One line of theorizing relevant to our interests
holds that depression reflects deficits in a
reward-oriented approach motivation system
(Depue & Iacono, 1988; Depue, Krauss, &
Spoont, 1987; Tomarken & Keener, in press).
There is empirical support for this reasoning in
studies linking relative hypoactivation in the left
frontal hemisphere, which is thought to relate to
approach-related emotion and motivation sys-
tems,
to depression (e.g., Allen, Iacono, Depue,
& Arbisi, 1993; Davidson, SchafTer, & Saron,
1985;
Henriques & Davidson, 1991), risk for
depression (Tomarken, Garber, & Simien, 1997),
and low levels of positive affect (Tomarken,
Davidson, Wheeler, & Doss, 1992). Tomarken
and Keener (in press) have proposed that this
pattern of brain activity may be a marker of risk
for depression that is reflected by a number of
deficits, including the relative incapacity to
respond to positive emotional stimuli and
self-regulatory deficits in the capacity to use
positive events to shift into positive emotional
states.
Either of these deficits will likely
interfere with social interactions insofar as
social interaction requires goal-directed or
reward-oriented approach behavior. Thus de-
pressed people may not derive pleasure or
reward from interpersonal relationships or
interactions while currently depressed, perhaps
due primarily to a diminution in positive
affectivity. Moreover, depressed people may not
seek out social interactions if they fail to help
shift their mood from a predominantly negative
state into a more positive one.
Although most studies of depression and
emotional disturbance have concentrated on
emotional experience, some evidence indicates
that depressed patients may also exhibit flat,
dull, and slowed speech (Buck, 1984; Har-
greaves, Starkweather, & Blacker, 1965; Levin,
Hall, Knight, & Alpert, 1985; Murray & Amott,
1993;
Scherer, 1986) and limited facial expres-
sions,
particularly expressions of positive emo-
tions,
as well as a decrease in overall body
movement (Berenbaum & Oltmanns, 1992;
Ekman & Friesen, 1974; Gotlib & Robinson,
1982;
Jones & Pansa, 1979; Ulrich & Harms,
1985;
Waxer, 1974). For example, one study
found that depressed people showed fewer facial
expressions in response to positive stimuli (but
not to negative stimuli) than schizophrenic
patients without flat affect and nonpatient
controls (Berenbaum & Oltmanns, 1992).
Social disturbances. Empirical studies con-
sistently find that depression is marked by
disturbed relationships and social interactions
(for reviews, see Barnett
&
Gotlib, 1988; Gotlib,
1992;
Hokanson & Rubert, 1991). Specifically,
both dysphoric and clinically depressed individu-
als have been found to have fewer social skills
(e.g., Youngren & Lewinsohn, 1980), fewer
close relationships (e.g., Billings & Moos, 1985;
Brown & Harris, 1978; Gotlib & Lee, 1989),
less elaborated social networks (Gotlib, 1992),
328KELTNER AND KRING
less rewarding relationships (Hokanson, Loewen-
stein, Heden, & Howes, 1986; Joiner, 1996;
Joiner, Alfano, & Metalsky, 1992; Joiner &
Metalsky, 1995; Nezlak, Imbrie, & Shean,
1994),
fewer social contacts (Gotlib & Lee,
1989;
but see Nezlak et al., 1994), less social
support (e.g., Joiner, 1997; Lara, Leader, &
Klein, 1997), and more marital problems and
family arguments (e.g., Brown & Harris, 1978;
Gotlib & Hooley, 1988; Gotlib & Lee, 1989;
Monroe, Bromet, Connell, & Steiner, 1986; see
Beach, Smith, & Fincham, 1994, for a review).
Moreover, a number of these interpersonal
deficits remain stable across periods of depres-
sion and remission (Barnett & Gotlib, 1988;
Gotlib & Lee, 1989) and are predictive of future
symptomatology and course (Billings & Moos,
1985;
George, Blazer, Hughes, & Fowler, 1989;
Joiner, 1997; Joiner et al., 1992; Joiner &
Metalsky, 1995), even when controlling for
initial levels of depressed mood, neuroticism,
number of previous depressive episodes, and a
prior history of dysthymia (Lara et al., 1997).
Linking emotional and social disturbances.
The above findings suggest that depression is
marked by low levels of positive affect, high
levels of negative affect, diminished facial and
vocal expressivity, and troubled interpersonal
relationships. Our social-functional approach
suggests a number of lines of inquiry and
predictions concerning the relations between
emotional and social disturbances.
Although not yet fully tested, heightened
negative affect among depressed individuals
likely communicates information about the state
of interpersonal relationships that may further
damage those relationships. Several studies are
consistent with findings linking negative moods
and emotions to assessments of reduced relation-
ship satisfaction (e.g., Keltner et al., 1993). For
example, depressed individuals have been found
to be more pessimistic in expectations about
their current and future social relationships than
nondepressed individuals (e.g., Hokanson &
Rubert, 1991) and to perceive family relation-
ships as less supportive (Billings & Moos,
1985).
Studies have also shown college students
(particularly male participants) with depressive
symptoms who repeatedly seek reassurance
from their roommates to be more likely to be
rejected by their roommates (e.g., Joiner, 1996;
Joiner et al., 1992). In addition, to the extent that
positive affect reflects engagement with the
environment (e.g., Watson, 1988), we would
expect lowered levels of positive affect among
depressed people to be associated with fewer
initiations of social interaction. Although this
remains an empirical question, it can be
prospectively studied by assessing changes in
positive (and negative) affect before, during, and
after a depressive episode and then measuring
the extent to which these changes are linked to
increases or decreases in social interaction and
the extent to which these individuals derive
pleasure from interpersonal interactions and
relationships. An alternative approach would be
to predict changes in positive and negative affect
from changes (i.e., quantity, quality) in interper-
sonal relationships.
Studies that have documented a robust
relationship between marital dissatisfaction and
depression (Beach et al., 1994) provide addi-
tional evidence related to the informative and
evocative functions of emotion. Specifically,
vocally expressed negative affect (e.g., Smith,
Vivian, & O'Leary, 1990), self-reports of
negative affect (e.g., Gottman & Levenson,
1986;
Levenson, Carstenson, & Gottman, 1994),
and vocal expression of specific negative
emotions, such as contempt, anger, and fear
(e.g., Gottman &
Krokoff,
1989), during marital
problem solving interactions have been linked to
decreases in marital satisfaction. Beach and
Fincham (1994) have hypothesized that individu-
als who are higher in negative affectivity may be
more likely to evidence negative communica-
tion patterns in marital interactions and have
greater marital dissatisfaction. Based on these
findings, we would predict that negative affect
may be an important mediator of the link
between depression and marital discord. How-
ever, it is likely that increases in positive affect
may also be necessary to improve marital
communication in couples where one partner is
depressed. Thus interventions aimed at chang-
ing emotion and mood may indirectly affect
close relationships. By contrast, interventions
aimed at improving marital relationships may
also be beneficial for treating depression. In fact,
a number of studies have shown that behavior
marital therapy is not only effective for treating
troubled marriages, but it is also effective at
reducing depressive symptomatology in couples
where one partner is depressed (see Beach et al.,
1994,
for a review).
SPECIAL ISSUE: EMOTION AND SOCIAL FUNCTIONING329
Other recent evidence linked to the evocative
functions of emotion indicates that depression
elicits a number of predominantly negative
emotions in others, including depression (e.g.,
Joiner, 1994; Joiner et al., 1992). For example, a
recent study found that negative social interac-
tions between caregivers and depressed individu-
als predicted caregivers' reports of depression
and distress. Moreover, positive interactions did
not buffer the relationship between caregiver
demand and distress (Rauktis, Koeske, &
Tereshko, 1995). Several studies have found that
brief interactions with a depressed person elicit
feelings of distress, anxiety, depression, and
anger, even among strangers (e.g., Coyne, 1976;
Marks & Hammen, 1982). However, consistent
with the evidence concerning distress and
sympathy, individuals instructed to be "helpers"
to depressed people displayed support and
expressions of concern (Marks & Hammen,
1982;
Sacco, Milana, & Dunn, 1985). Continued
exposure to a depressed person, however, is
likely to induce more negative than positive
emotions, particularly in the context of close
relationships (Coyne, 1976; Joiner, 1994; Joiner
etal., 1992).
Finally, the tendency for depressed people to
display few positive expressions and to be
unexpressive in general suggests that they will
not provide positive incentive cues for others'
social behavior and, more generally, will fail to
provide important signals about emotional state,
intentions, and objects or events in the environ-
ment to interaction partners. Evidence from the
developmental literature suggests that depressed
caregivers' limited or inappropriate facial and
vocal emotional displays may have direct effects
on infants' learning, behavior, and emotional
regulation. For example, studies examining
interactions between depressed mothers and
their infants have shown that mothers often
exhibit flat or negative facial and vocal expres-
sions,
avoid eye contact, and are less likely to be
playful and attentive (e.g., Cohn & Cambell,
1992;
Field, 1995). In addition, infants of
depressed mothers have been found to be less
playful, be less active, display less positive
affect, and display more expressions of sadness
and anger (e.g., Field, 1995; Field, Healy,
Goldstein, & Guthertz, 1988; Pelaez-Nogueras
et al., 1994; Pickens & Field, 1993). Infant-
directed speech is believed to play a particularly
important role in promoting the development of
emotion regulation and attentional skills among
infants, and a recent study has shown that the
vocalizations of mothers with depressive symp-
toms failed to promote associative learning in
4-month-old infants (Kaplan, Bachorowski, &
Zarlengo-Strouse, in press).
Schizophrenia
Emotional disturbances. Two of the more
prominent emotional features of schizophrenia
include flat affect (a lack of outward expression
of emotion) and anhedonia (the inability to
experience pleasure in situations that normally
evoke pleasure). Experimental investigations
using emotionally evocative stimuli have found
that schizophrenic patients are less facially
expressive than nonpatients in response to
emotional films (Berenbaum & Oltmanns, 1992;
Kring, Kerr, Smith, & Neale, 1993; Kring &
Neale, 1996; Mattes, Schneider, Heimann, &
Birbaumer, 1995) and cartoons (Dworkin, Clark,
Amador, & Gorman, 1996) and during social
interactions (Krause, Steimer, Sanger-Alt, &
Wagner, 1989; Mattes et al., 1995), but report
experiencing the same or greater amount of
emotion and exhibit the same or greater amount
of skin conductance reactivity as nonpatients
(Kring, Germans, & Earnst, 1997; Kring &
Earnst, 1998; Kring & Neale, 1996).
Blanchard and colleagues have studied the
linkage among anhedonia, reports of experi-
enced emotion in response to emotional stimuli,
and reports of positive and negative affect
among schizophrenic patients. These studies
have documented the relationship of anhedonia
to lower levels of state-positive affect in
response to emotional films (Blanchard, Bel-
lack, & Mueser, 1994), low levels of trait-
positive affect and high levels of trait-negative
affect, and poorer social adjustment, which was
defined by interpersonal contacts, leisure, and
romantic involvement (Blanchard, Mueser, &
Bellack, in press).
Taken together, these findings suggest that
schizophrenic patients experience positive emo-
tion in response to emotionally evocative
material but report experiencing little positive
emotion more generally. The apparent contradic-
tion between observations of anhedonia in
schizophrenia and schizophrenic patients' re-
ports of positive emotional experience follow-
ing positive emotional stimuli may stem from
330KELTNER AND KRING
the possibility that anhedonia reflects more of a
deficit in approach or anticipatory pleasure
rather than consummatory pleasure (Germans &
Kring, 1997; Klein, 1984; Simons, MacMillian,
& Ireland, 1982). In other words, the attendant
behavioral deficit associated with anhedonia
may be the inability or lack of desire to approach
or participate in pleasurable activities, including
social interactions. Once in a pleasurable
situation, however, anhedonic individuals may
derive as much pleasure from the situation as
nonanhedonic individuals. Delespaul (1995)
noted that schizophrenic patients described
themselves as "doing nothing" five times more
often than nonpatient controls.
Social disturbances. Cumulative evidence
indicates that compared to nonpatients, schizo-
phrenic patients have poorer social adjustment
(e.g., Mueser, Bellack, Morrison, & Wixted,
1990),
fewer social skills (e.g., Liberman, 1982;
Mueser, Bellack, Douglas, & Morrison, 1991),
less elaborated social networks (e.g., Hammer,
1986),
poorer social functioning in the commu-
nity (e.g., Halford & Hayes, 1995), and less
overall social competence (Bellack, Morrison,
Wixted, & Mueser, 1990; Mueser et al., 1990).
Although few researchers have attempted to
study these social deficits in the context of
emotion dysfunction (but see Blanchard &
Panzarella, in press), a number of studies
indirectly support the usefulness of linking these
two research domains. For example, an impor-
tant component of social-skills interventions for
schizophrenic patients is the development of
nonverbal and emotion-related behaviors (e.g.,
Liberman, DeRisi, & Mueser, 1989; Mueser &
Sayers, 1992).
Linking emotional and social disturbances.
Perhaps the most salient emotional disturbance
in schizophrenia is diminished expressivity.
This is likely to have important consequences
for coordinated social interactions and interper-
sonal functioning. Although not designed to
directly assess relations between emotion and
marital relationships, a study by Hooley, Rich-
ters,
Weintraub, and Neale (1987) found that
spouses of schizophrenic patients with more
negative symptoms, including flat affect, re-
ported greater marital dissatisfaction than spouses
of patients with predominantly positive symp-
toms.
Hooley et al. speculated that symptoms
such as flat affect may be particularly likely to
contribute to nonsupportiveness from
others, including spouses. Although a number of
factors likely contributed to these differences in
marital satisfaction, it seems plausible to hypoth-
esize that schizophrenic patients' diminished
expressivity may have compromised the type of
information their spouses received about the
relationship.
Schizophrenic patients' lack of expressive-
ness also appears to evoke negative responses in
others. For example, Krause, Steimer-Krause,
and Hufnagel (1992) assessed facial expressions
during a discussion of an emotionally evocative
political topic in two different sets of stranger
dyads.
The first type of dyad comprised a
schizophrenic patient and a non-ill (healthy)
interaction partner; the second type of dyad
comprised two healthy interaction partners. In
findings similar to other studies, Krause et al.
found that schizophrenic patients were less
expressive than their healthy partners and the
other dyad participants. However, the patients'
healthy interaction partners were much less
expressive, and they reported experiencing more
sadness and fear than other healthy participants.
Moreover, a significant proportion of the vari-
ance in these interaction partners' facial expres-
sions and reports of experienced emotion was
accounted for by the patients' (lack of) facial
expressions.
As the evidence reviewed above suggests,
schizophrenic patients may experience height-
ened negative affect, although their inability to
express these feelings will likely preclude the
evocation of sympathy and distress from others.
Furthermore, insofar as schizophrenic patients
have a deficit in the experience of pleasurable
emotions, we would predict that schizophrenic
patients will not benefit from cues signaling
socially rewarding interactions that are provided
by the experience of positive emotion. In
addition, they will be less likely to provide cues
that serve as positive incentives for others'
social behavior.
One of the more robust predictors of relapse
in schizophrenia is a psychosocial construct
referred to as Expressed Emotion (EE; e.g., King
& Dixon, 1996; Linszen et al., 1997; Parker &
Hadzi-Pavlovic, 1990; see Hooley, 1985, and
Miklowitz, 1994, for reviews). EE is defined by
the amount of hostility, emotional overinvolve-
ment, and critical comments a family member
makes in reference to a schizophrenic relative
during the course of a structured interview, and
SPECIAL ISSUE: EMOTION AND SOCIAL FUNCTIONING331
cumulative evidence suggests that emotional
overinvolvement and critical comments may be
the most strongly linked to relapse. Although the
reasons for this link to relapse are not yet fully
understood (Jenkins & Karno, 1992), one
plausible hypothesis is that schizophrenic pa-
tients misinterpret these negative messages from
relatives, which may in turn contribute to a
vicious cycle of misunderstood communication
(Miklowitz, Goldstein, & Nuechterlein, 1995).
Indeed, a number of studies have found that
schizophrenic patients are not particularly skilled
at perceiving emotion in others (e.g., Kerr &
Neale, 1993; Mueseret al., 1996; Salem, Kring,
& Kerr, 1996).
Social Phobia
Emotional disturbances. Social phobia is
marked by extreme anxiety, fear, and avoidance
of social situations that involve social interac-
tion with other people, and performance and
evaluation, such as speaking or eating in front of
others (Liebowitz, 1987). It is important to note
that the fear of these interactions and situations
is truly social; individuals with social phobia do
not experience anxiety when performing these
behaviors while alone (Barlow, 1988). Several
theorists have argued that social anxiety is, in
some respects, an extreme manifestation of an
adaptive response that has evolved to promote
an individual's sensitivity to others' disapproval
(Barlow, 1988) or integration into a social group
(Baumeister & Leary, 1995; Miller & Leary,
1992),
or to negotiate power and status differ-
ences (Gilbert & Trower, 1990). Social phobia
arises,
it is further proposed, when biological or
psychological vulnerabilities to experience anxi-
ety interact with life events that involve social
interaction or performance (Barlow, 1988) or
when trait social anxiety reaches extreme levels
(Leary & Kowalski, 1995).
The most obvious emotional manifestation of
social phobia is the heightened experience of
anxiety, fear, and other negative emotions.
Wallace and Alden (1997) assessed reports of
positive and negative affect in social phobics
and nonclinical controls following successful
and unsuccessful social interactions. The suc-
cess of the interaction was manipulated by either
giving positive feedback throughout and follow-
ing the interaction (successful) or by withhold-
ing encouraging comments and appropriate
nonverbal behavior during the interaction and
providing negative feedback following the
interaction (unsuccessful). Not surprisingly,
both the social phobics and controls reported
more negative affect following the unsuccessful
social interaction than the successful one.
However, social phobics reported significantly
greater negative and less positive affect than
controls following both kinds of interactions.
To our knowledge, no study has systemati-
cally examined facial expressions of emotion
and other nonverbal behavior among individuals
with social phobia. One study, however, sug-
gests that individuals with social phobia display
nonverbal behaviors characteristic of anxiety.
Marcus and Wilson (1996) studied social
anxiety among college women during an
observed speaking task. Observers' ratings of
anxiety were significantly related to speakers'
reports of anxiety even though speakers rated
themselves as more anxious than they were
rated by observers. These findings indirectly
suggest that social anxiety comprises relatively
easily recognizable nonverbal behaviors and
cues.
Social disturbances. Cumulative evidence
suggests that when confronted with a social
interaction, individuals with high social anxiety
are less likely to be engaged in the interaction,
speak less, have reduced eye contact, and work
to exit the interaction rapidly (Leary & Kowal-
ski,
1995; Schlenker & Leary, 1982). Individu-
als with social phobia are likely to have fewer
sources of social support and fewer social
interactions than individuals without social
phobia (Davidson, Hughes, George, & Blazer,
1993).
In addition, observers perceive socially
anxious individuals to be less socially skilled
than low anxious individuals (Leary & Kowal-
ski,
1995). Similarly, people with social phobia
have less favorable perceptions of their own
social abilities than others do (Wallace & Alden,
1997).
However, perceptions of social skill and
ability likely have important and powerful
effects on their social behavior, the manifesta-
tion of extreme anxiety is probably more central
to disruptions in social interactions.
Linking emotional and social disturbances.
Although speculative, our social-functional ap-
proach suggests several predictions about the
manner in which the emotional disturbances in
social phobia may interfere with social interac-
tions and relationships. For example, given the
332KELTNER AND KRING
documented association between the experience
of fear and perceptions about the riskiness of
possible interactions (Lemer & Keltner, 1997),
one would expect heightened fear to bias the
person with social phobia's perceptions of
interactions, which would likely contribute to
their unwillingness to engage in various interac-
tions.
Ironically, acute fear and avoidance of
embarrassment may encourage them to avoid
certain interactions, such as teasing that, al-
though embarrassing, increase affiliation (Kelt-
ner etal.
,1997).
To the extent that people with social phobias
produce reliable displays of heightened fear and
anxiety, these displays should have an array of
important effects on interactions and relation-
ships.
One might expect such a person to
communicate to others the inordinate risk of
embarrassment in social interaction, thus preclud-
ing approach-related behavior in others. They
may evoke complementary fear and anxiety in
others, which would increase the likelihood that
interactions with people who are socially phobic
will be more frustrating and distressing and
perhaps eventually avoided.
Borderline Personality Disorder
Emotional disturbances. Deficient emotion
regulation is one of the cardinal manifestations
of borderline personality disorder (BPD). Theo-
rists, researchers, and clinicians have variously
referred to this disturbance in emotion regula-
tion as emotional
oversensitivity,
affective insta-
bility, or excessive mood fluctuations (e.g.,
Farchaus-Stein, 1996; Levine, Marziali, &
Hood, 1997; Lumsden, 1993), and some theo-
rists have speculated that individuals with BPD
have difficulty returning to an "emotional
baseline" following an emotional event (Line-
han, 1987; Snyder & Pitt, 1985; but see
Farchaus-Stein, 1996). Several of the DSM-IV
criteria for BPD involve emotion, such as
affective instability, inappropriate or intense
anger, difficulty controlling anger, and chronic
feelings of emptiness (American Psychiatric
Association [APA], 1994). Not surprisingly,
BPD patients report chronic and intense feelings
of a number of negative emotions, including
anger, hostility, depression, loneliness, and
anxiety (e.g., Coid, 1993; Farchaus-Stein, 1996;
Gunderson, Carpenter, & Strauss,
1975;
Gunder-
son & Phillips,
1991;
Kruedelbach, McCormick,
Schultz, & Grueneich, 1993;
Soloff,
1981;
Soloff & Ulrich, 1981; Snyder & Pitt, 1985).
BPD patients also exhibit a number of emotion-
related maladaptive behaviors, such as suicidal
gestures, aggression, avoidance, overreacting,
and other impulsive acts. Theorists have sug-
gested that these behaviors are enacted as a
means of attempting to regulate negative
emotions (e.g., Linehan, 1987; Paris, 1992;
Shearin & Linehan, 1994).
In one of the first studies to systematically
examine emotion-processing deficits in BPD,
Levine and colleagues administered self-report
measures of emotional awareness, emotional
intensity, and the ability to coordinate mixed
emotions, as well as a test of facial emotion
perception to BPD outpatients and nonpatient
controls. Compared to controls, BPD patients
were less aware of their own and others'
emotions, had fewer empathetic responses, had
fewer mixed valence responses, reported more
intense negative but not positive emotions, and
performed more poorly on a test of facia!
emotion perception (Levine et al., 1997).
Grounded in a dimensional perspective on
emotion, Farchaus-Stein (1996) assessed daily
reports of emotion among BPD patients using an
experience sampling method. Patients carried a
pager and were randomly paged 5 times a day
for 10 consecutive days. When paged, patients
filled out a self-report measure of emotion
adjectives making up the valence and activation
dimensions of emotion (cf. Larsen & Diener,
1992).
Compared to nonpatients, BPD patients
reported higher levels of unpleasant and acti-
vated unpleasant emotions across the 10
days.
In
addition, the variability of negative emotion
(unpleasant, activated unpleasant, unactivated
unpleasant) was greater among BPD patients
than nonpatients. It is important to note that no
differences between BPD patients and controls
were found for either level or variability of
positive emotion. Thus, not only do patients
with BPD report experiencing more negative
emotion than controls, their negative emotions
are also much more variable (see also Cowdry,
Gardner, O'Leary, Leibenluft, & Rubinow,
1991).
Trull and colleagues (e.g., Trull, 1995; Trull,
Useda, Conforti, & Doan, 1997) have studied
emotional, cognitive, and interpersonal features
of BPD among nonclinical college students who
were not seeking treatment for BPD but who
SPECIAL ISSUE: EMOTION AND SOCIAL FUNCTIONING333
nonetheless demonstrated a number of BPD
features. Individuals with a high number of BPD
features reported greater trait-negative affect,
hostility, anxiety, and depression, and less
trait-positive affect than control participants
who had no BPD features.
Social disturbances. Interpersonal difficul-
ties are also prevalent among BPD patients
(Benjamin, 1993; Millon & Davis, 1996), and
are included in the DSM-IV diagnostic criteria
for BPD (APA, 1994). For example, BPD
patients perceive both their current and past
relationships as more hostile and as lacking in
cohesion than patients with unipolar depression
or bipolar disorder (Benjamin & Wonderlich,
1994;
Soloff & Millward, 1983). Although it
remains unclear whether BPD patients are more
socially maladjusted than patients with other
personality disorders, their relationships are
often filled with conflict and often lack reciproc-
ity (e-g> Modestin & Villiger, 1989). Moreover,
evidence suggests that BPD individuals have
more avoidant, ambivalent, and hostile attach-
ment styles (Sack, Sperling, Fagen, & Foelsch,
1996).
Trull (1995) found that individuals with
many BPD features scored higher on measures
of interpersonal sensitivity and distress. In a
2-year follow-up, these individuals continued to
manifest interpersonal problems, even after
controlling for the contributions of gender and
other disorders (Trull et al., 1997).
Linking emotional and social disturbances.
Although the social and emotional disturbances
in BPD have not been as well studied as in other
disorders, the social-functional approach sug-
gests several lines of inquiry on the linkage
between emotion and social disturbances. The
displays of anger and hostility likely convey
important information about the status of
significant relationships, and may, for example,
initially elicit fear and avoidance in interaction
partners. Benjamin (1993) applied her interper-
sonal model, structural analysis of social behav-
ior (SASB), to the DSM-IV criteria for the
personality disorders, including borderline per-
sonality disorder. She defined interpersonal
aspects or regulators for nearly all BPD
symptoms. In her model, symptoms related to
anger are interpreted as interpersonal if a
caregiver or interaction partner is viewed by a
BPD patient as neglectful or abandoning. Anger,
Benjamin speculated, is expressed to gain a
loved one's attention. Based on Benjamin's
analysis, we might predict that a caregiver's
reactions of fear or avoidance may be misinter-
preted by a BPD individual as abandonment or
rejection, thus increasing the probability that
more anger will be experienced and likely
expressed. Unfortunately, Benjamin did not
apply the SASB model to the symptom of
affective instability.
Lumsden (1993) described a similar, recipro-
cal cycle of emotion and interpersonal distress
among BPD patients and loved ones that is
triggered by the experience of negative emotion
and negative interpersonal encounters. As noted
earlier, Frank (1988) suggested that the experi-
ence of positive emotions, such as love and
sympathy, provides an index of the level of
commitment to a relationship. For those people
who interact regularly with BPD patients, they
are likely to experience a number of negative
interactions marked by high levels of negative
emotions (e.g., anger, hostility). Lumsden ar-
gued that interaction partners will likely respond
with less affirmation and commitment than they
had responded with in previously positive
interactions and that BPD patients will be more
likely to attend to these negative reactions since
they will likely be congruent with their current
mood state. To break this cycle, BPD patients
may resort to impulsive behaviors, such as
suicide attempts, as a means of gaining more
attention and, in their eyes, more commitment
from loved ones. Thus the experience and
expression of anger may deter others' rewarding
social behavior, thus not providing incentive for
social approach and interaction. Moreover,
marked instability of negative emotion will
likely lead to a more guarded interaction style
by loved ones of BPD patients.
Summary and Prospects for Future
Research
We have argued that the study of emotion
function and dysfunction are necessarily inter-
twined and mutually informative. Studies of the
social functions of emotions offer the promise of
identifying potential origins and social conse-
quences of emotional disturbances in psychopa-
thology. Studies of the nature of emotional
disturbances in psychopathology can help to
delineate the manner in which various social
functions of emotion can be impeded.
334KELTNER AND KR1NG
Given the pervasive nature of emotional
disturbances in various forms of psychopathol-
ogy, it is surprising that psychopathology
researchers have only recently begun to study
emotional processing. Although this relative
dearth of research can be attributed in part to the
fact that reliable methods for measuring emotion
have only recently been developed, we believe
that the lack of a clear and readily applicable
conceptual framework for studying emotion and
psychopathology has also stalled empirical
research. Our social-functional account of emo-
tion provides a framework within which re-
searchers can develop and test hypotheses about
the nature of emotion disturbances in psychopa-
thology. Moreover, this approach facilitates the
integration of studies of emotional and social
dysfunction in psychopathology insofar as many
of the emotional features of different disorders
have important relational consequences. For
instance, this approach leads us to predict that an
individual with social phobia will display facial
expressions of fear and other negative emotions
that will discourage others from interacting with
that individual.
Finally, this conceptual framework has inter-
vention implications for psychopathology. Inter-
ventions initially targeted toward an emotional
disturbance in psychopathology may indirectly
modify some of the social-functional conse-
quences of that disturbance. On the other hand,
interventions aimed at alleviating social or
interpersonal difficulties, as is done in social-
skills training, for example, might also impact
emotional disturbances. An integrated interven-
tion approach, including both psychosocial and
psychopharmacologic interventions, that targets
the bidirectional influence of emotion and social
dysfunction will likely be most beneficial. For
example, recent evidence indicates that sleep
deprivation plus antidepressant medication is
selectively linked to an increase in positive
affect among depressed patients (Tomarken,
Elkins, Anderson, Shelton, & Hitt, 1997).
Increases in positive affect among depressed
individuals may correspond to increases in
social activity, particularly if psychosocial
interventions (e.g., cognitive-behavioral or inter-
personal psychotherapy) are used in conjunction
with pharmacotherapy. Thus, pharmacologic
interventions that impact positive affect may
indirectly alter social approach and interaction
behaviors. However, including a psychosocial
treatment component to the intervention pack-
age would increase the likelihood that emotional
and social functioning would be positively
impacted.
In order for these intervention implications to
be more fully realized, however, researchers and
clinicians need to augment their outcome
assessment procedures to include measures of
emotional and social functioning. Moreover,
certain intervention strategies, such as social-
skills training, could be strengthened by includ-
ing components that target emotional distur-
bances (e.g., expressing emotion at the right
time in the appropriate contexts; interpreting
emotions in others) as well as the performance
of socially skilled behavior.
Research Recommendations
In order to move forward, many of the
speculations that we have summarized in this
article, research on the social functions of
emotion and emotional disorders needs to
progress in several ways. First, we believe that
researchers interested in the interface between
the social functions of emotion and social
interaction are best served by studying individu-
als in meaningful relationships in actual social
interactions. It is in the context of social
interactions where the social functions of
emotion are likely to be most apparent. Fortu-
nately, there are several models of this kind of
research, including work on marital relations
(Gottman & Levenson, 1986), depressed moth-
ers and children (Field, 1995), and siblings
(Dunn & Munn, 1985). Moreover, basic re-
search on emotion provides insight into which
interactions should be studied and how emotions
shape these interactions. For example, interac-
tions such as flirtation, teasing, disclosure,
conflict resolution, and appeasement, are critical
to the formation and maintenance of personal
relationships.
We also believe that, regarding the first
recommendation, it is important that researchers
examine emotion within the stream of behavior
in ongoing social interactions. That is, studying
the timing, context, and reciprocation of emo-
tion during interactions will provide valuable
information about how emotions shape those
interactions. We have followed the insights of
others (e.g., Averill, 1982; Campos et al., 1989;
Lazarus, 1991), and we have argued that
SPECIAL ISSUE: EMOTION AND SOCIAL FUNCTIONING335
emotions are relational processes. By implica-
tion, researchers should examine emotions as
dynamic processes within interactions. Years of
basic research on emotion have identified
different units of individual emotional response,
including characteristic facial displays, physi-
ological responses, action tendencies, evoked
responses, and correspondent inferences. Based
on this cumulative evidence, researchers can
examine how these units coalesce to form the
bases of social interactions (e.g., Fernandez-
Dols & Ruiz-Belda, 1997) and how specific
emotional disturbances result in maladaptive
social interactions.
Third, the emphasis on the relational nature of
emotion highlights the need for new measures of
emotion. Researchers have recently developed
several such measures, including those con-
cerned with the synchrony of individuals'
emotions (e.g., Field et al., 1988), the extent to
which negative emotions are reciprocated (Lev-
enson & Gottman, 1983), and the contingency
between one individual's emotion and another's
social behavior (Cohn & Tronick, 1987; Field,
1995).
Our analysis of emotion and the coordina-
tion of social interaction points to other possible
methods of studying relational emotion. Mea-
sures of the extent to which emotional expres-
sion predicts subsequent action (for example,
soothing, threat, avoidance, or disengagement)
and that observers' spontaneous inferences will
illuminate the informative properties of emotion
within social interactions. Measures of the
timing, intensity, and kind of emotional re-
sponse that one individual's emotion evokes in
an interaction partner will index the evocative
properties of his or her emotion within that
interaction. Measures of the contingencies
between social behavior and partners' positive
emotional response will index the incentive
properties of interaction partners' emotional
behavior.
In summary, a social-functional account of
emotion offers much promise toward an under-
standing of emotions more generally, and
emotion disturbances in psychopathology more
specifically. This approach provides a concep-
tual framework for studying both emotion and
social disturbances in psychopathology in ways
that advance and integrate these respective
fields. Whereas the mean in emotional response
may be most informative of personal virtue, as
Aristotle argued long ago, the study of devia-
tions from the mean may prove to yield several
insights into the nature of emotion and emo-
tional disorders.
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Currently, cyberbullying remains a problem globally. This issue is prevalent among teenagers. Several studies have explored this problem, but none have attempted to test the theoretical model of the dark triad personality, empathy, and emotional regulation on cyberbullying. This research aims to test a model involving cyberbullying, dark triad personality, empathy, and emotional regulation as mediators. A total of 309 out of 1205 high school students from two private schools (207 students) and one public school (102 students) in Yogyakarta voluntarily participated in this study. Purposive sampling was used to recruit respondents. The cyberbullying scale (α = .932), dark triad personality scale (α = .752), empathy scale (α = .785), and emotional regulation scale (α = .915) were used to collect data. Content validity and internal consistency reliability were applied. Data analysis was conducted using Structural Equation Modeling (SEM) with Amos 12 software. The results of this study indicate that the model of dark triad personality, empathy, and emotional regulation as mediators of cyberbullying behaviour produces a well-fitting model with its empirical data (CMIN=.747, p=862, RMSEA= .000, GFI= .999). Emotional regulation and empathy partially mediate the influence of psychopathy and narcissism on cyberbullying behaviour. Psychopathy is the only personality trait of the dark triad that directly or indirectly affects cyberbullying. The implications of the research are the need to develop interventions to reduce the dark triad personality traits and enhance empathy and emotional regulation in adolescents, in order to avoid cyberbullying behavior.
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Facial emotion expressions play a central role in interpersonal interactions; these displays are used to predict and influence the behavior of others. Despite their importance, quantifying and analyzing the dynamics of brief facial emotion expressions remains an understudied methodological challenge. Here, we present a method that leverages machine learning and network modeling to assess the dynamics of facial expressions. Using video recordings of clinical interviews, we demonstrate the utility of this approach in a sample of 96 people diagnosed with psychotic disorders and 116 never-psychotic adults. Participants diagnosed with schizophrenia tended to move from neutral expressions to uncommon expressions (e.g., fear, surprise), whereas participants diagnosed with other psychoses (e.g., mood disorders with psychosis) moved toward expressions of sadness. This method has broad applications to the study of normal and altered expressions of emotion and can be integrated with telemedicine to improve psychiatric assessment and treatment.
... 3 We additionally examined different types of positivity and how they may function, as "disentangling type-specific effects of positivity … [is] a high priority not only in scholarship on support elicitation but also in the broader literature on positive emotion (Keltner, 2019;Sauter, 2010)" (Walsh & Forest, 2021, p. 24). Drawing on socialfunctional perspectives on emotional expression, which suggest that people learn about an individual's internal states related to certain targets through the individual's emotional expressions (e.g., Keltner & Kring, 1998;Van Kleef, 2016, we reasoned that specific positive expressions that share the same referent (i.e., are directed at or are about the same person/thing) are likely to have similar effects on providers' support-relevant thoughts, feelings, and behavior. That is, positive expressions that are directed at/about the support provider (i.e., partner-oriented positivity; e.g., affection, gratitude), the stressor (i.e., stressor-oriented positivity; e.g., optimism, benefit-finding), or the self (i.e., self-oriented positivity; e.g., self-compassion, confidence in one's resilience) seem likely to convey to providers the same support-relevant information as other types within that subgroup (e.g., about the seeker's helpability, the nature of the seeker-provider relationship, the seeker's need for support), and therefore produce similar effects on providers' support efforts. ...
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... Socially anxious individuals thus find it hard to form and maintain close relationships; they are liked less and feel lonelier than people without SA ( [1][2][3][4]). It has been suggested that the interpersonal difficulties that characterize socially anxious individuals are partly related to deficits in empathy ( [5][6][7]). ...
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While experiences of emotions emerge at the level of psychological description, they seem to be causally related to neurobiological processes. The exploration of the involvement of the neural system in the experience and expression of emotions has benefitted immensely by the technological innovations in the study of brain processes. A historical perspective on the scholarship in this area has brought into focus the involvement of several subcortical and cortical centers and pathways as main contributors to emotion processes. In broad terms, the dominant models of emotions include basic emotion models, appraisal models, and constructionist models. The various lines of inquiry tend to suggest that an emotion is not an entity or a distinct faculty with its distinct mechanism. While the story is still unfolding, current understanding suggests that emotions and feelings do not have an essence and there is no one-to-one correspondence between a behavior, a physiological response pattern, and an emotion word. Emotions are constructed as experiences or perceptions in which interoception also plays an important role. Emotions are categories emerging from complex dynamics within the nervous system. They emerge as the brain makes meaning of sensory inputs from the body and the external world. The implications of this view are presented.
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