Comparing the symptoms and mechanisms of “dissociation” in dissociative identity disorder and borderline personality disorder

  title={Comparing the symptoms and mechanisms of “dissociation” in dissociative identity disorder and borderline personality disorder},
  author={Andreas Laddis and Paul F Dell and Marilyn I. Korzekwa},
  journal={Journal of Trauma \& Dissociation},
  pages={139 - 173}
ABSTRACT A total of 75 patients were diagnosed with the Structured Clinical Interview for DSM–IV Dissociative Disorders–Revised as having dissociative identity disorder (DID), and 100 patients were diagnosed with the Structured Interview for DSM–IV Personality as having borderline personality disorder (BPD). Both groups were administered the Multidimensional Inventory of Dissociation (MID). DID patients had significantly higher MID scores than BPD patients, different distributions of MID scores… 

Awareness of identity alteration and diagnostic preference between borderline personality disorder and dissociative disorders

An impression of personality disorder rather than a DD may seem more likely when identity alteration remains subtle in clinical assessment, notwithstanding its presence in self-report, which may lead to overdiagnosis of BPD among individuals who have a DD.

Brain functional integration: an epidemiologic study on stress-producing dissociative phenomena

This study confirms Janet’s theory that, mental disorders and psychopathologic experiences of patients can configure the chronic stress condition that produces functional damage to the adaptive executive system.

Revisiting False-Positive and Imitated Dissociative Identity Disorder

Clinicians should receive more systematic training in the assessment of dissociative disorders, enabling them to better understand subtle differences in the quality of symptoms and how dissociatives and non-dissociative patients report them, which would lead to a better understanding of how patients with and without a Dissociative disorder report core dissociation symptoms.

How to Assess Recovery in Borderline Personality Disorder: Psychosocial Functioning and Satisfaction With Life in a Sample of Former DBT Study Patients.

Examination of patients 12-18 years after their diagnosis of BPD shows that DSM symptom remission alone is an insufficient indicator for recovery from BPD, and replacing the GAF with patient-reported satisfaction with life offers an efficient alternative criterion for recovery.

Current Understanding of the Neural Mechanisms of Dissociation in Borderline Personality Disorder

Functional neuroimaging studies have provided preliminary evidence for an altered recruitment and interplay of fronto-limbic regions and temporoparietal areas which may underlie disrupted affective-cognitive processing during dissociation in BPD.

The Cognitive, Ecological, and Developmental Origins of Self-Disturbance in Borderline Personality Disorder

It is argued that the sense of agency is an important dimension to consider when characterizing self-disturbances in BPD and the idea that the effect of early life adversity on BPD symptomatology depends on the way individuals trade their limited resources between competing biological functions during development is put forward.

From brooding to detachment: Rumination longitudinally predicts an increase in depersonalization and derealisation.

The findings suggest that rumination may be an antecedent of DEP-DER, but not vice versa, and provide one possible explanation for the frequency of DEp-DER symptoms in anxiety and depressive disorders.

Borderline personality disorder: from understanding ontological addiction to psychotherapeutic revolution

Understanding BPD daily life experiences from the perspective of OAT; offering psychotherapeutic perspectives for this mental disorder appears to be a promising future direction.

Dissociative Identity Disorder: A Literature Review

Dissociative Identity Disorder (DID) is a disorder that has a big burden in the everyday life of the patient, and it’s not well-known because of the often-wrong idea portrayed by the media. To better

Is high hypnotizability a necessary diathesis for pathological dissociation?

  • P. Dell
  • Psychology
    Journal of trauma & dissociation : the official journal of the International Society for the Study of Dissociation
  • 2017
A review and analysis of the literature regarding the relationship between hypnotizability and dissociation indicates that high hypnotIZability is almost certainly a necessary diathesis for the development of a severe dissociative disorder.



Dissociation and Psychosis in Dissociative Identity Disorder and Schizophrenia

  • A. LaddisP. Dell
  • Psychology, Medicine
    Journal of trauma & dissociation : the official journal of the International Society for the Study of Dissociation
  • 2012
It is proposed that schizophrenia patients’ responses to the MID do not index the same pathology as do the responses of DID patients, and neither phenomenological definitions of dissociation nor the current generation of diss association instruments can distinguish between the dissociative phenomena of DID and what the authors suspect are just the dissociation-like phenomena of schizophrenia.

Dissociative Amnesia in Dissociative Disorders and Borderline Personality Disorder: Self-Rating Assessment in a College Population

Internal consistency analyses and test–retest evaluations suggested that the SDAQ is a reliable instrument for the population studied, and BPD was characterized by better awareness of DA in self-report than other dissociative disorders.

Borderline Personality Disorder and Dissociation

  • C. Ross
  • Psychology
    Journal of trauma & dissociation : the official journal of the International Society for the Study of Dissociation
  • 2007
The ninth DSM-IV-TR criterion for borderline personality disorder does not adequately describe the dissociative comorbidity in the disorder, and psychiatric inpatients with borderline Personality disorder reported significantly more dissociatives symptoms and disorders than non-borderline patients.

The Axis-I Dissociative Disorder Comorbidity of Borderline Personality Disorder Among Psychiatric Outpatients

ABSTRACT The aim of this study was to determine the frequency of dissociative disorders among psychiatric outpatients with borderline personality disorder (BPD). In order to ascertain the extent of

Axis I dissociative disorder comorbidity in borderline personality disorder and reports of childhood trauma.

Lack of interaction between dissociative disorder and borderline personality disorder diagnoses for any type of childhood trauma contradicts the opinion that both disorders together might be a single disorder.

Are Major Dissociative Disorders Characterized by a Qualitatively Different Kind of Dissociation?

The results of this study suggest that the dissociation that occurs in major dissociative disorders is qualitatively different from the Dissociative Experiences Scale, the Multidimensional Inventory of Dissociation, and the Symptom Checklist 90–Revised.

Dissociative phenomena in women with borderline personality disorder.

  • S. Shearer
  • Psychology
    The American journal of psychiatry
  • 1994
The 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.

Dissociative disorders in psychiatric inpatients.

A high proportion of psychiatric inpatients have significant dissociative pathology, and these symptoms are underrecognized by clinicians, and the proper diagnosis of these patients has important implications for their clinical course.

Co-Occurrence of Dissociative Identity Disorder and Borderline Personality Disorder

  • C. RossLynn FerrellE. Schroeder
  • Psychology
    Journal of trauma & dissociation : the official journal of the International Society for the Study of Dissociation
  • 2014
It is hypothesized that dissociative identity disorder commonly co-occurs with borderline personality disorder and vice versa, and individuals who meet criteria for both disorders have more comorbidity and trauma than individuals who met criteria for only 1 disorder.

The Multidimensional Inventory of Dissociation (MID): A Comprehensive Measure of Pathological Dissociation

  • P. Dell
  • Psychology
    Journal of trauma & dissociation : the official journal of the International Society for the Study of Dissociation
  • 2006
It was concluded that both the MID's 168 dissociation items and the construct of pathological dissociation have a second-order, unifactorial structure.