The relationship between traumatic experiences, dissociation, and borderline personality pathology among male forensic patients and prisoners.
In the present study the relationship between traumatic experiences, dissociation, and borderline personality disorder pathology is examined in a group of 39 male forensic patients and 192 male prisoners. Sexual and emotional abuse are significantly more common among forensic patients than among prisoners. Patients also report a broader range of different kinds of traumas. Prisoners report significantly more dissociative symptoms. Analyses of the relationship of type of trauma on the one hand and dissociation and borderline personality pathology on the other show that sexual abuse is significantly associated with borderline personality pathology but not with dissociation among the patients. In the prison sample these associations are found only for familial but not extrafamilial sexual abuse. When the subjects are grouped on account of presence or absence of a borderline personality disorder, highly significant differences on dissociation are found between both groups. The results from this study lend support to the hypothesis that sexual abuse is not related to dissociative symptoms but merely to borderline personality pathology. Because most subjects in this study are not patients, these findings are not likely to be confounded by false memories of traumatic events that are recovered by psychotherapy. Furthermore, dissociative symptoms are found to be related to borderline personality pathology and not to the experience of traumatic events.
Timmerman
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Forensic Psychiatric Clinic Veldzicht, P.O. Box 20, 7707 ZG Balkbrug, The Netherlands. fpc.veldzicht@planet.nl
Emmelkamp
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PM
D000328:Adult; D000368:Aged; D000987:Antisocial Personality Disorder / Q000175:diagnosis* / Q000523:psychology; D001883:Borderline Personality Disorder / Q000175:diagnosis* / Q000523:psychology; D002648:Child; D002649:Child Abuse / Q000523:psychology; D002650:Child Abuse, Sexual / Q000523:psychology; D004213:Dissociative Disorders / Q000175:diagnosis* / Q000523:psychology; D006778:Hospitals, Psychiatric; D006783:Hospitals, State; D006801:Humans; D008016:Life Change Events; D008297:Male; D008875:Middle Aged; D010553:Personality Development; D011329:Prisoners / Q000523:psychology*; D012307:Risk Factors; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis* / Q000523:psychology