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Dissociative personality disorder

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https://www.readbyqxmd.com/read/28068498/adapting-dialectical-behavior-therapy-for-the-treatment-of-dissociative-identity-disorder
#1
Brad Foote, Kim Van Orden
Dialectical Behavior Therapy (DBT), created by Marsha Linehan, has been shown to be an effective therapy for the treatment of borderline personality disorder (BPD) and for suicidal and self-harming behavior. Dissociative identity disorder (DID) is a complex post-traumatic disorder which is highly comorbid with BPD, shares a number of clinical features with BPD, and which like BPD features a high degree of suicidality. The DID treatment literature emphasizes the importance of a staged approach, beginning with the creation of a safe therapeutic frame prior to addressing traumatic material; DBT is also a staged treatment, in which behavioral and safety issues are addressed in Stage 1, and trauma work reserved for Stage 2...
December 31, 2016: American Journal of Psychotherapy
https://www.readbyqxmd.com/read/28029435/assessment-of-complex-dissociative-disorder-patients-and-simulated-dissociation-in-forensic-contexts
#2
Bethany L Brand, Aliya R Webermann, A Steven Frankel
Few assessors receive training in assessing dissociation and complex dissociative disorders (DDs). Potential differential diagnoses include anxiety, mood, psychotic, substance use, and personality disorders, as well as exaggeration and malingering. Individuals with DDs typically elevate on many clinical and validity scales on psychological tests, yet research indicates that they can be distinguished from DD simulators. Becoming informed about the testing profiles of DD individuals and DD simulators can improve the accuracy of differential diagnoses in forensic settings...
October 29, 2016: International Journal of Law and Psychiatry
https://www.readbyqxmd.com/read/27935460/sensory-experience-memory-in-resource-therapy
#3
Gordon J Emmerson
A sensory experience memory (SEM) is an emotional memory that may be either connected to an intellectual memory or it may have become dissociated from its corresponding intellectual memory. Sensory experience memories are the cause of a number of pathologies, including PTSD, panic disorder, and anxiety. When a personality state that holds a negative SEM assumes the conscious, the client may display negative emotional reactions that appear unwarranted. SEMs can also play a central role in therapy to resolve pathology...
January 2017: International Journal of Clinical and Experimental Hypnosis
https://www.readbyqxmd.com/read/27918876/awareness-of-identity-alteration-and-diagnostic-preference-between-borderline-personality-disorder-and-dissociative-disorders
#4
Vedat Sar, Firdevs Alioğlu, Gamze Akyuz, Emre Tayakısı, Ezgi F Öğülmüş, Doğuş Sönmez
AIM: This study inquires into identity alteration among college students and its relationship to borderline personality disorder (BPD) and/or dissociative disorders (DDs). METHODS: Steinberg Identity Alteration Questionnaire (SIAQ), Childhood Trauma Questionnaire (CTQ), and self-report screening tool of the BPD section of the Structured Clinical Interview for DSM-IV (SCID-BPD) were administered to 1301 college students. Participants who fit the diagnostic criteria of BPD (n = 80) according to the clinician-administered SCID-BPD and 111 non-BPD controls were evaluated using the Structured Clinical Interview for DSM-IV DDs (SCID-D) by two psychiatrists blind to the group membership and scale scores...
December 5, 2016: Journal of Trauma & Dissociation
https://www.readbyqxmd.com/read/27914166/trauma-related-dissociation-psychological-features-and-psychophysiological-responses-to-script-driven-imagery-in-borderline-personality-disorder
#5
Dana Bichescu-Burian, Jürgen Steyer, Tilman Steinert, Benjamin Grieb, Stefan Tschöke
Defense reactions to threatening situations are vital adaptations to stress that protect organisms from injury and ensure survival. We retrospectively investigated the role of peritraumatic dissociation (PD) in the occurrence of severe psychopathology and dissociative patterns of reactions in borderline personality disorder (BPD). We recruited 28 patients with a clinical diagnosis of BPD and 15 healthy controls. The BPD group was divided according to the level of PD (low vs. high): BPD and PD (n = 15) and BPD only (n = 13)...
December 3, 2016: Psychophysiology
https://www.readbyqxmd.com/read/27913716/single-and-multiple-clinical-syndromes-in-incarcerated-offenders
#6
Carlo Garofalo, Patrizia Velotti, Cristina Crocamo, Giuseppe Carrà
The present study examined the prevalence and correlates of clinical syndromes in a large group ( N = 438) of incarcerated violent offenders, looking at differences between inmates with one and those with more than one clinical syndromes. More than a half of the sample (57%) reported clinically relevant symptoms for at least one clinical syndrome ( n = 252), and the majority of them (38%) reported more syndromes in comorbidity ( n = 169). Increased severity of clinical conditions (none, one, more than one syndrome) corresponded with significantly greater levels of personality disorder traits, psychological symptoms, dissociation, and negative emotionality, with large effect sizes...
December 1, 2016: International Journal of Offender Therapy and Comparative Criminology
https://www.readbyqxmd.com/read/27812338/systemic-case-formulation-individualized-process-monitoring-and-state-dynamics-in-a-case-of-dissociative-identity-disorder
#7
Günter K Schiepek, Barbara Stöger-Schmidinger, Wolfgang Aichhorn, Helmut Schöller, Benjamin Aas
Objective: The aim of this case report is to demonstrate the feasibility of a systemic procedure (synergetic process management) including modeling of the idiographic psychological system and continuous high-frequency monitoring of change dynamics in a case of dissociative identity disorder. The psychotherapy was realized in a day treatment center with a female client diagnosed with borderline personality disorder (BPD) and dissociative identity disorder. Methods: A three hour long co-creative session at the beginning of the treatment period allowed for modeling the systemic network of the client's dynamics of cognitions, emotions, and behavior...
2016: Frontiers in Psychology
https://www.readbyqxmd.com/read/27808001/what-changes-when-the-course-of-improvement-during-a-stage-based-treatment-for-suicidal-and-self-injuring-women-with-borderline-personality-disorder-and-ptsd
#8
Melanie S Harned, Robert J Gallop, Helen R Valenstein-Mah
OBJECTIVE: Dialectical Behavior Therapy (DBT) with the DBT Prolonged Exposure (DBT PE) protocol is an integrated treatment for suicidal and self-injuring individuals with PTSD and borderline personality disorder (BPD) that occurs in three stages: Stage 1 targets behavioral dyscontrol, Stage 2 targets posttraumatic stress disorder (PTSD) via the DBT PE protocol, and Stage 3 addresses remaining problems. We evaluated the course of change in multiple outcomes across these three stages and compared them to changes found in DBT alone...
November 3, 2016: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/27799774/impact-of-dissociation-on-treatment-of-depressive-and-anxiety-spectrum-disorders-with-and-without-personality-disorders
#9
Jan Prasko, Ales Grambal, Petra Kasalova, Dana Kamardova, Marie Ociskova, Michaela Holubova, Kristyna Vrbova, Zuzana Sigmundova, Klara Latalova, Milos Slepecky, Marta Zatkova
OBJECTIVE: The central goal of the study was to analyze the impact of dissociation on the treatment effectiveness in patients with anxiety/neurotic spectrum and depressive disorders with or without comorbid personality disorders. METHODS: The research sample consisted of inpatients who were hospitalized in the psychiatric department and met the ICD-10 criteria for diagnosis of depressive disorder, panic disorder, generalized anxiety disorder, mixed anxiety-depressive disorder, agoraphobia, social phobia, obsessive compulsive disorder, posttraumatic stress disorder, adjustment disorders, dissociative/conversion disorders, somatoform disorder, or other anxiety/neurotic spectrum disorder...
2016: Neuropsychiatric Disease and Treatment
https://www.readbyqxmd.com/read/27798135/physiological-and-perceptual-sensory-attenuation-have-different-underlying-neurophysiological-correlates
#10
Clare E Palmer, Marco Davare, James M Kilner
: Sensory attenuation, the top-down filtering or gating of afferent information, has been extensively studied in two fields: physiological and perceptual. Physiological sensory attenuation is represented as a decrease in the amplitude of the primary and secondary components of the somatosensory evoked potential (SEP) before and during movement. Perceptual sensory attenuation, described using the analogy of a persons' inability to tickle oneself, is a reduction in the perception of the afferent input of a self-produced tactile sensation due to the central cancellation of the reafferent signal by the efference copy of the motor command to produce the action...
October 19, 2016: Journal of Neuroscience: the Official Journal of the Society for Neuroscience
https://www.readbyqxmd.com/read/27788465/maladaptive-five-factor-model-personality-traits-associated-with-borderline-personality-disorder-indirectly-affect-susceptibility-to-suicide-ideation-through-increased-anxiety-sensitivity-cognitive-concerns
#11
Raymond P Tucker, Greg J Lengel, Caitlin E Smith, Dan W Capron, Stephanie N Mullins-Sweatt, LaRicka R Wingate
The current study investigated the relationship between maladaptive Five-Factor Model (FFM) personality traits, anxiety sensitivity cognitive concerns, and suicide ideation in a sample of 131 undergraduate students who were selected based on their scores on a screening questionnaire regarding Borderline Personality Disorder (BPD) symptoms. Those who endorsed elevated BPD symptoms in a pre-screen analyses completed at the beginning of each semester were oversampled in comparison to those with low or moderate symptoms...
December 30, 2016: Psychiatry Research
https://www.readbyqxmd.com/read/27785031/personality-features-dissociation-self-stigma-hope-and-the-complex-treatment-of-depressive-disorder
#12
Jan Prasko, Marie Ociskova, Ales Grambal, Zuzana Sigmundova, Petra Kasalova, Marketa Marackova, Michaela Holubova, Kristyna Vrbova, Klara Latalova, Milos Slepecky
OBJECTIVE: Identifying the predictors of response to psychiatric and psychotherapeutic treatments may be useful for increasing treatment efficacy in pharmacoresistant depressive patients. The goal of this study was to examine the influence of dissociation, hope, personality trait, and selected demographic factors in treatment response of this group of patients. METHODS: Pharmacoresistant depressive inpatients were enrolled in the study. All patients completed Clinical Global Impression - both objective and subjective form (CGI), Beck Depression Inventory (BDI), and Beck Anxiety Inventory (BAI) at baseline and after 6 weeks of combined pharmacotherapy and psychotherapy (group cognitive-behavioral or group psychodynamic) treatment as an outcome measures...
2016: Neuropsychiatric Disease and Treatment
https://www.readbyqxmd.com/read/27719869/prognosis-of-functional-neurologic-disorders
#13
J Gelauff, J Stone
The prognosis of functional (psychogenic) neurologic disorders is important in being able to help answer patients' and carers' questions, determine whether treatment is worthwhile, and to find out which factors predict outcome. We reviewed data on prognosis of functional neurologic disorders from two systematic reviews on functional motor disorders and dissociative (nonepileptic) seizures as well as additional studies on functional visual and sensory symptoms. Methodologic problems include heterogeneity in studied samples and outcome measures, diagnostic suspicion and referral bias, small size and retrospective design of available studies, possible treatments during follow-up, and literature review bias...
2017: Handbook of Clinical Neurology
https://www.readbyqxmd.com/read/27713819/attention-to-emotional-stimuli-in-borderline-personality-disorder%C3%A2-%C3%A2-a-review-of-the-influence-of-dissociation-self-reference-and-psychotherapeutic-interventions
#14
REVIEW
Dorina Winter
Interactions between attention and processing of emotional stimuli shed light on both sensitivity to emotional stimuli as well as emotion dysregulation. Both of the latter processes have been proposed as central characteristics of altered emotion processing in those with borderline personality disorder (BPD). This review first summarizes the conflicting behavioural, psychophysiological and neuroimaging evidence for the hypothesis that emotional dysregulation should be reflected by higher distractibility through emotional stimuli in those with BPD...
2016: Borderline Personality Disorder and Emotion Dysregulation
https://www.readbyqxmd.com/read/27681414/depersonalization-and-derealization-in-self-report-and-clinical-interview-the-spectrum-of-borderline-personality-disorder-dissociative-disorders-and-healthy-controls
#15
Vedat Sar, Firdevs Alioğlu, Gamze Akyuz
Depersonalization (DEP) and derealization (DER) were examined among college students with and without borderline personality disorder (BPD) and/or dissociative disorders (DDs) by self-report and clinician assessment. The Steinberg Depersonalization Questionnaire (SDEPQ), the Steinberg Derealization Questionnaire (SDERQ), the Childhood Trauma Questionnaire, and the screening tool of the BPD section of the Structured Clinical Interview for DSM-IV (SCID-BPD) were administered to 1,301 students. Those with BPD (n = 80) according to the SCID-BPD and 111 non-BPD controls were evaluated using the Structured Clinical Interview for DSM-IV Dissociative Disorders by a psychiatrist blind to the diagnosis...
September 28, 2016: Journal of Trauma & Dissociation
https://www.readbyqxmd.com/read/27681284/the-extent-of-dissociation-in-borderline-personality-disorder-a-meta-analytic-review
#16
Andrea Scalabrini, Marco Cavicchioli, Andrea Fossati, Cesare Maffei
Several authors have studied dissociation within the borderline personality disorder (BPD) population and postulated 3 dissociative subgroups. Conversely, other authors suggest that dissociation may play a central role in the development of trauma-related disorders and specifically in BPD. Nevertheless, the role of dissociation in BPD seems to be controversial. Our aim is to perform a meta-analytic review of the literature to evaluate the extent of dissociation in BPD compared to other psychopathological disorders to clarify its role in this specific condition...
September 28, 2016: Journal of Trauma & Dissociation
https://www.readbyqxmd.com/read/27647695/the-neurobiology-of-emotion-regulation-in-posttraumatic-stress-disorder-amygdala-downregulation-via-real-time-fmri-neurofeedback
#17
Andrew A Nicholson, Daniela Rabellino, Maria Densmore, Paul A Frewen, Christian Paret, Rosemarie Kluetsch, Christian Schmahl, Jean Théberge, Richard W J Neufeld, Margaret C McKinnon, Jim Reiss, Rakesh Jetly, Ruth A Lanius
Amygdala dysregulation has been shown to be central to the pathophysiology of posttraumatic stress disorder (PTSD) representing a critical treatment target. Here, amygdala downregulation was targeted using real-time fMRI neurofeedback (rt-fMRI-nf) in patients with PTSD, allowing us to examine further the regulation of emotional states during symptom provocation. Patients (n = 10) completed three sessions of rt-fMRI-nf with the instruction to downregulate activation in the amygdala, while viewing personalized trauma words...
January 2017: Human Brain Mapping
https://www.readbyqxmd.com/read/27637074/the-association-of-posttraumatic-stress-disorder-complex-posttraumatic-stress-disorder-and-borderline-personality-disorder-from-a-network-analytical-perspective
#18
Matthias Knefel, Ulrich S Tran, Brigitte Lueger-Schuster
BACKGROUND: Posttraumatic Stress Disorder (PTSD), Complex PTSD, and Borderline Personality Disorder (BPD) share etiological risk factors and an overlapping set of associated symptoms. Since the ICD-11 proposal for trauma-related disorders, the relationship of these disorders has to be clarified. A novel approach to psychopathology, network analysis, allows for a detailed analysis of comorbidity on symptom level. METHODS: Symptoms were assessed in adult survivors of childhood abuse (N=219) using the newly developed ICD-11 Trauma-Questionnaire and the SCID-II...
October 2016: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/27536074/quality-of-life-in-borderline-patients-comorbid-with-anxiety-spectrum-disorders-a-cross-sectional-study
#19
Ales Grambal, Jan Prasko, Dana Kamaradova, Klara Latalova, Michaela Holubova, Zuzana Sedláčková, Radovan Hruby
INTRODUCTION: Borderline personality disorder (BPD) significantly reduces the quality of life (QoL) in mental, social, and work domains. Patients with BPD often suffer from depressive anxiety symptoms. The purpose of this cross-sectional study was to compare the QoL and demographic and clinical factors of inpatients diagnosed with BPD and comorbid anxiety spectrum disorders, and healthy controls. METHODS: Ninety-two hospitalized patients treated in the psychotherapeutic department and 40 healthy controls were included...
2016: Patient Preference and Adherence
https://www.readbyqxmd.com/read/27491014/associations-of-emotional-arousal-dissociation-and-symptom-severity-with-operant-conditioning-in-borderline-personality-disorder
#20
Christian Paret, Steffen Hoesterey, Nikolaus Kleindienst, Christian Schmahl
Those with borderline personality disorder (BPD) display altered evaluations regarding reward and punishment compared to others. The processing of rewards is basal for operant conditioning. However, studies addressing operant conditioning in BPD patients are rare. In the current study, an operant conditioning task combining learning acquisition and reversal was used. BPD patients and matched healthy controls (HCs) were exposed to aversive and neutral stimuli to assess the influence of emotion on learning. Picture content, dissociation, aversive tension and symptom severity were rated...
October 30, 2016: Psychiatry Research
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