Where pseudo-hallucinations meet dissociation: a cluster analysis

2017 ◽  
Vol 25 (4) ◽  
pp. 364-368 ◽  
Author(s):  
Deborah Wearne ◽  
Guy J Curtis ◽  
Amanda Genetti ◽  
Mathew Samuel ◽  
Justin Sebastian

Objectives: The possible link between cognitive areas of perception and integration of consciousness was examined using assessments of hallucinations and derealisation/depersonalization. Methods: Sixty-five subjects in three main diagnostic groups – posttraumatic stress disorder (PTSD), borderline personality disorder (BPD) and schizophrenia – identified by their treating psychiatrist as hearing voices were surveyed regarding characteristics of hallucinations, derealisation/depersonalization, delusions and childhood/adult trauma. Results: A cluster analysis produced two clusters predominantly determined by variables of hallucinations measures, childhood sexual abuse and derealisation/depersonalization scores. Conclusions: History of childhood trauma and variability in derealisation/depersonalization scores were better predictors of external, negative, uncontrollable voices than diagnosis of BPD or PTSD. The potential links between dissociative states and pseudo-hallucinations are discussed.

Author(s):  
Rodica Weihmann

Adults with a history of childhood sexual abuse often experience symptoms derived from lived traumatic experiences, which are analogous to many of the criteria of diagnosis of Borderline Personality Disorder (BPD) but also with those of stress disorder post-traumatic stress disorder (PTSD). We will briefly examine these symptoms in the context of a framework trauma, to conclude later whether symptomatic behaviors may be indicative more accurate for a post-traumatic response, especially in terms of behavior reconstitution or re-experience of trauma. Recognition of self-harm behavior or masochistic tendencies in adult survivors of sexual abuse trauma as an attempt to reconstitution of sexual trauma suffered in childhood, rather than as a manifestation characteristic of personality disorders, serves to establish an appropriate diagnosis, mental health professionals can continue to focus on the consequences of trauma unresolved sexual issues rather than personality restructuring. (Standardized intervention model SON, Delcea C ., 2019) Thus, seek to We understand clients in a trauma setting can provide a more objective treatment climate and can minimize the stigma that may result potentially from making an inappropriate diagnosis borderline personality disorder (BPD).


Author(s):  
Eunice Chen

Eating disorders (EDs) often arise from a complex interplay of biological, psychological, and social processes in which there is a dialectical tension between the overabundance of food and an obsession with thinness. The DSM-5 recognizes three specific types of EDs that are common in borderline personality disorder (BPD): anorexia nervosa (AN), bulimia nervosa (BN), and binge eating disorder (BED). The impulsive, self-destructive tendencies of those with BPD may also make them particularly vulnerable to developing an ED. Recent advances in neuroscience have resulted in great understanding of the brain mechanisms and processes that control behavior associated with EDs and BPD. Research has supported the idea that the co-occurrence of both disorders may be caused by an inability to tolerate and skillfully manage negative or unpleasant emotions. Other possible commonalities between EDs and BPD involve shared risk factors, such as a history of childhood trauma.


2012 ◽  
Vol 17 (2) ◽  
pp. 182-190 ◽  
Author(s):  
Francheska Perepletchikova ◽  
Emily Ansell ◽  
Seth Axelrod

This study examines the history of childhood maltreatment and Borderline Personality Disorder (BPD) symptoms in mothers whose children were removed from the home by Child Protective Services (CPS) to identify potential targets for future intervention efforts. Forty-one mothers of children removed from the home due to abuse and/or neglect and 58 community-control mothers without CPS involvement were assessed for history of childhood maltreatment, alcohol and drug use, and BPD features. CPS-involved mothers scored significantly higher on measures of childhood maltreatment history and BPD features than did control mothers. The highest BPD scores were associated with the most severe histories of mothers’ childhood maltreatment. In total, 50% of CPS-involved mothers reported elevated BPD features, compared with 15% of control mothers. Further, 19% of CPS-involved mothers had self-reported scores consistent with a BPD diagnosis, compared with 4% of control mothers. BPD features rather than maltreatment history per se predicted maternal involvement with CPS, controlling for alcohol and drug use predictors. The present data suggest that evidence-based treatments to address BPD symptoms may be indicated for some CPS-involved parents.


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