Pathological dissociation and neuropsychological functioning in borderline personality disorder
Abstract
Objective: Transient, stress‐related severe dissociative symptoms or paranoid ideation is one of the criteria defining the borderline personality disorder (BPD). Examinations of the neuropsychological correlates of BPD reveal various findings. The purpose of this study was to investigate the association between dissociation and neuropsychological functioning in patients with BPD. Method: The performance on an extensive neuropsychological battery of patients with BPD with (n = 10) and without (n = 20) pathological dissociation was compared with that of healthy controls (n = 30). Results: Patients with pathological dissociation were found to have reduced functioning on every neuropsychological domain when compared with healthy controls. Patients without pathological dissociation were found to have reduced executive functioning, but no other differences were found. Conclusion: Pathological dissociation is a clinical variable that differentiates patients with BPD with regard to cognitive functioning.
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In BPD, dissociation is primarily stress-related and appears to have substantial impact on affective-cognitive functioning.
“In BPD, dissociation is primarily stress-related and appears to have substantial impact on affective–cognitive functioning [6–8].”
From Dissociation and Alterations in Brain Function and Structure: Implications for Borderline Personality Disorder (2017) · cites this paper as [8]
Among individuals with BPD, pathological dissociation was associated with reduced functioning on measures of attention, verbal memory, working memory, and executive functioning relative to healthy control performance.
“among individuals with BPD, pathological dissociation was associated with reduced functioning on measures of attention, verbal memory, working memory, and executive functioning relative to healthy control performance.”
From A review of the relation between dissociation, memory, executive functioning and social cognition in military members and civilians with neuropsychiatric conditions (2016) · cites this paper as Haaland and Landrø, 2009
Relative to healthy controls, individuals with BPD without pathological dissociation showed impairment on measures of executive functioning only.
“relative to healthy controls, individuals with BPD without pathological dissociation showed impairment on measures of executive functioning only (Haaland and Landrø, 2009)”
From A review of the relation between dissociation, memory, executive functioning and social cognition in military members and civilians with neuropsychiatric conditions (2016) · cites this paper as Haaland and Landrø, 2009
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Using Functional Neuroimaging to Refine the Diagnostic Construct of Borderline Personality Disorder
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De invloed van Dissociatie op Mentaliseren Bevorderende Therapie
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Das entfremdete Selbst, die entfremdete Umwelt
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D'Incalci, M. F., Congedo, C. M., Agostoni, G., Bechi, M., Lanzano, N., Cocchi, F., Guglielmino, C., Spangaro, M., Cavallaro, R., Sforzini, L., et al. (2026) · Journal of Clinical Psychopharmacology · doi:10.1097/jcp.0000000000002249
- Authors
- Haaland, V. Ø., & Landrø, N. I.
- Affiliations
- University of Oslo (NO)
- Corresponding author
- Haaland, V. Ø.
- Venue
- Acta Psychiatrica Scandinavica
- Publisher
- Wiley
- Published
- 2009-04-06
- Volume
- 119
- Issue
- 5
- Pages
- 383-392
- ISSN
- 0001-690X (ISSN-L)
- 1600-0447
- OpenAlex
- W2029106484
- Cited by
- 55
- References
- 56
- Citations by year
- 2026: 1 · 2025: 2 · 2023: 7 · 2022: 3 · 2021: 5 · 2020: 4 · 2018: 3 · 2017: 5 · 2016: 5 · 2015: 4 · 2014: 3 · 2013: 6 · 2012: 4
- FWCI
- 1.12
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Acta Psychiatrica Scandinavica (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Social Sciences › Psychology › Clinical Psychology › Psychopathy, Forensic Psychiatry, Sexual Offending
- Keywords
- borderline personality disorder, pathological dissociation, neuropsychological performance, executive function, cognitive function, paranoid ideation, dissociative symptoms
- MeSH terms
- Adolescent, Adult, Attention, Borderline Personality Disorder, Cognition Disorders, Demography, Dissociative Disorders, Female, Humans, Male, Neuropsychological Tests, Severity of Illness Index, Diagnostic and Statistical Manual of Mental Disorders, Young Adult
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