Dissociative phenomena in women with borderline personality disorder
Abstract
Objective This study was conducted to determine whether trauma variables and certain behavioral correlates are differentially prevalent in borderline personality disorder patients with greater and those with lesser dissociative experience. Method Subjects were 62 female inpatients, all meeting DSM-III-R criteria for borderline personality disorder, 14 of whom also had a concomitant dissociative disorder diagnosis. Structured interviews and published scales were used to collect data addressing a priori hypotheses. Results Univariate analyses supported hypotheses that patients with borderline personality disorder and greater dissociative experience are characterized by more self-reported traumatic experiences, posttraumatic symptoms, behavioral dyscontrol, self-injurious behavior, and alcohol abuse. Multivariate analyses suggested that scores on the Dissociative Experiences Scale were predicted particularly by adult sexual assault, behavioral dyscontrol, and both sexual and physical abuse in childhood. Conclusions These results support the use of the Dissociative Experience Scale as a brief screening instrument to aid in the identification of borderline personality disorder patients with prominent posttraumatic and dissociative disorders. Patients with borderline personality disorder seem to be characterized by somewhat different life experiences, treatment histories, and behavioral presentations depending on their level of dissociative experience, even though they meet the sam…
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Research in BPD has found reasonably strong relationships between dissociation and childhood trauma, especially sexual abuse, physical abuse, attachment difficulties, and parental neglect.
“Research in BPD has found reasonably strong relationships between dissociation and childhood trauma, especially sexual abuse [118, 121–124], physical abuse, attachment difficulties, and parental neglect [118, 125, 126]”
From Dissociation and Alterations in Brain Function and Structure: Implications for Borderline Personality Disorder (2017) · cites this paper as [123]
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- Authors
- Shearer, S. L.
- Corresponding author
- Steven L. Shearer
- Venue
- American Journal of Psychiatry
- Published
- 1994-09-01
- Volume
- 151
- Issue
- 9
- Pages
- 1324-1328
- ISSN
- 0002-953X (ISSN-L)
- 1535-7228
- OpenAlex
- W68989289
- Cited by
- 113
- References
- 2
- Citations by year
- 2025: 2 · 2024: 1 · 2023: 2 · 2022: 2 · 2020: 5 · 2019: 6 · 2018: 3 · 2017: 2 · 2016: 4 · 2015: 3 · 2014: 4 · 2013: 3 · 2012: 1
- FWCI
- 5.67
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Psychiatry (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 › Psychoanalysis and Psychopathology Research
- Keywords
- borderline personality disorder, dissociative experiences, dissociative disorders, trauma, child sexual abuse, child physical abuse, adult sexual assault, posttraumatic stress symptoms, behavioral dyscontrol, self-harm, alcohol abuse, Dissociative Experiences Scale, screening tool, women
- MeSH terms
- Adolescent, Adult, Alcoholism, Borderline Personality Disorder, Child Abuse, Child Abuse, Sexual, Diagnosis, Differential, Dissociative Disorders, Female, Hospitalization, Humans, Life Change Events, Middle Aged, Probability, Psychiatric Status Rating Scales, Sex Factors, Stress Disorders, Post-Traumatic, Comorbidity, Multivariate Analysis, Panic Disorder, Self-Injurious Behavior
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