Dissociation and borderline personality disorder: an update for clinicians.
Dissociation occurs in about two thirds of people with borderline personality disorder (BPD) but is still not well understood by clinicians. In the past decade, however, research has used new measures of dissociation that provide some of the detail that clinicians need to understand and treat the dissociative symptoms of patients with BPD. In particular, this review examines BPD's comorbidity with the dissociative disorders, the neurobiology of dissociation in BPD, the role of trauma and disorganized attachment in the etiology of dissociation in BPD, and the clinical assessment and treatment of dissociation in BPD.
Korzekwa
Marilyn I
MI
Department of Psychiatry and Behavioural Neurosciences, McMaster University, St. Joseph's Hospital, 50 Charlton Avenue East, Hamilton, Ontario L8N 4A6, Canada. mkorzek@mcmaster.ca
Dell
Paul F
PF
Pain
Clare
C
D000328:Adult; D001883:Borderline Personality Disorder / Q000175:diagnosis* / Q000503:physiopathology / Q000523:psychology / Q000628:therapy; D001921:Brain / Q000503:physiopathology; D002648:Child; D002649:Child Abuse / Q000523:psychology; D002650:Child Abuse, Sexual / Q000523:psychology; D015897:Comorbidity; D003937:Diagnosis, Differential; D039721:Diagnostic and Statistical Manual of Mental Disorders; D004213:Dissociative Disorders / Q000175:diagnosis* / Q000503:physiopathology / Q000523:psychology / Q000628:therapy; D006801:Humans; D008279:Magnetic Resonance Imaging; D009769:Object Attachment; D018187:Personal Construct Theory; D010555:Personality Inventory; D011613:Psychotherapy / Q000379:methods; D013315:Stress, Psychological / Q000150:complications