ABSTRACT
OBJECTIVE: To examine the relationship between dysfunctional schema modes, childhood trauma and dissociation in borderline personality disorder (BPD). METHOD: 30 BPD patients completed the Wessex Dissociation Scale (WDS), Childhood Trauma Questionnaire (CTQ), General Health Questionnaire (GHQ), and Schema Mode Questionnaire (SMQ). RESULTS: The 'Angry and Impulsive Child' and 'Abandoned and Abused Child' modes uniquely predicted dissociation scores. Childhood trauma did not predict dissociation scores. CONCLUSIONS: Findings support the schema mode model of BPD [Young, J. E., Klosko, J. S., & Weishaar, M. E. (2003). Schema therapy: A practitioners guide. London: Guilford Press] and its emphasis on the role of dissociation. Clinically they support the emphasis on the identification and integration of dysfunctional parts of the personality in working with individuals diagnosed with BPD.
Subject(s)
Borderline Personality Disorder/complications , Borderline Personality Disorder/psychology , Dissociative Disorders/etiology , Dissociative Disorders/psychology , Wounds and Injuries/psychology , Adult , Child , Child Abuse/psychology , Child Abuse, Sexual/psychology , Data Interpretation, Statistical , Female , Health Status , Humans , Male , Middle Aged , Psychiatric Status Rating Scales , Surveys and Questionnaires , Young AdultABSTRACT
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Background and objectives: Dissociative disorders remain relatively controversial diagnoses in British psychiatry. The aim of the current paper was to assess Northern Irish psychiatric patients with complex clinical presentations for dissociative disorders. Method: Twenty patients meeting operationally defined criteria for psychiatric complexity were blindly assessed by a psychiatrist in a diagnostic interview followed by a clinical psychologist in a structured interview. Results: Thirteen of the 20 participants were positive for at least one dissociative disorder. Those with a dissociative disorder had a range of co-morbid problems and all reported histories of childhood trauma and neglect. Conclusion: The psychiatric symptom profiles of dissociative disorders in Northern Ireland are similar to those reported in the literature. Complex psychiatric presentations offer a potential diagnostic clue for such conditions (AU)
