Sole, S; (2014) Dissociative symptoms and the quality of structural integration in borderline personality disorder. Doctoral thesis (D.Clin.Psy), UCL (University College London).

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Abstract

Background Transient dissociation is a core feature of borderline personality disorder (BPD). Dissociation is characterized by detachment from reality, which can be mild (e.g. daydreaming) to severe (e.g. depersonalization, amnesia). High levels of dissociation are linked to more severe psychopathology and likely to impede therapy effectiveness. Objective Assessing the efficacy of psychological interventions in reducing dissociation in BPD and the impact of dissociation on therapy outcome. Results Psychological interventions were not found to be superior to treatment as usual. A small number of studies showed that higher dissociation at baseline predicted greater improvement. The use of narrative building techniques also showed related to reduce dissociation. Conclusion The evidence-base for treating dissociation is fairly limited. Standard interventions for BPD show promising results, but further research is required. Methods An electronic search of Psychinfo, Medline and Embase along with a hand search of relevant papers identified 20 studies.

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