Adapting Dialectical Behavior Therapy for the Treatment of Dissociative Identity Disorder

Foote, Brad; Orden, Kim Van

doi:10.1176/appi.psychotherapy.2016.70.4.343

Cited by 19 publications

(8 citation statements)

References 35 publications

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“…Many patients with severe dissociative symptoms have a long history of hospitalizations, misdiagnoses, and inefficient pharmacological treatment [ 33 ], and it often takes years for patients to find adequate treatment [ 34 ]. Understanding the psychopathological context in which dissociation occurs (e.g., degree of emotion dysregulation and suicidality) may improve its treatment [ 35 , 36 ].…”

Section: Definitions Etiological Models and Clinical Presentation Of Dissociationmentioning

confidence: 99%

Dissociation in Borderline Personality Disorder: Recent Experimental, Neurobiological Studies, and Implications for Future Research and Treatment

Krause-Utz

Frost

Chatzaki

et al. 2021

Curr Psychiatry Rep

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Purpose of Review The aim of this review article is to give an overview over recent experimental neurobiological research on dissociation in borderline personality disorder (BPD), in order to inform clinicians and to stimulate further research. First, we introduce basic definitions and models that conceptualize dissociation from a transdiagnostic perspective. Then, we discuss recent findings in BPD. Recent Findings Stress-related dissociation is a key symptom of BPD, closely linked to other core domains of the disorder (emotion dysregulation, identity disturbances, and interpersonal disturbances). The understanding of neurobiological correlates of dissociation across different psychiatric disorders (e.g., dissociative disorders, post-traumatic stress disorder) is steadily increasing. At the same time, studies explicitly focusing on dissociation in BPD are still scarce. Summary There is evidence for adverse effects of dissociation on affective-cognitive functioning (e.g., interference inhibition), body perception, and psychotherapeutic treatment response in BPD. On the neural level, increased activity in frontal regions (e.g., inferior frontal gyrus) and temporal areas (e.g., inferior and superior temporal gyrus) during symptom provocation tasks and during resting state was observed, although findings are still diverse and need to be replicated. Conceptual differences and methodological differences in study designs and sample characteristics (e.g., comorbidities, trauma history) hinder a straightforward interpretation and comparison of studies. Given the potentially detrimental impact of dissociation in BPD, more research on the topic is strongly needed to deepen the understanding of this complex clinical condition.

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Section: Definitions Etiological Models and Clinical Presentation Of Dissociationmentioning

confidence: 99%

Dissociation in Borderline Personality Disorder: Recent Experimental, Neurobiological Studies, and Implications for Future Research and Treatment

Krause-Utz

Frost

Chatzaki

et al. 2021

Curr Psychiatry Rep

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“…In allowing room for significant introspection, the DBT approach promotes self-compassion and mindfulness, subsequently facilitating a more positive self-identity and increased sense of self-worth and purpose (Chapman, 2006). This attention to identity may be reflected in DBT’s successful effects in the treatment of clinical samples with identity problems (Foote & Van Orden, 2016).…”

Section: Discussionmentioning

confidence: 99%

Identity problems and suicidal ideation severity among women with bulimic-spectrum pathology.

Duffy¹,

Lieberman²,

Wonderlich³

et al. 2022

Personality Disorders: Theory, Research, and Treatment

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Individuals with bulimia nervosa often experience suicidal ideation. Identity disturbance, or unstable sense of self, has been connected both to eating disorders and to suicidality. This study sought to test whether identity problems were related to severity of current suicidal ideation in a sample of women with bulimic-spectrum pathology, above and beyond history of suicidal behavior and several symptoms of borderline personality disorder. Women (N ϭ 204; 90.7% Caucasian; M age ϭ 25.7 years [SD ϭ 8.8]) with bulimic-spectrum pathology completed self-report personality assessments and items evaluating suicidality. A hierarchical linear regression was utilized to examine the association between identity problems and severity of current suicidal ideation, before and after inclusion of relevant clinical features (i.e., suicide attempt history [Step 2], affective lability, stimulus seeking, and rejection [Step 3]). Identity problems were directly associated with severity of current suicidal ideation (␤ ϭ .481, p Ͻ .001). This relationship retained significance after inclusion of suicide attempt history (␤ ϭ .335, p Ͻ .001) as well as borderline personality disorder symptoms (␤ ϭ .324, p Ͻ .001). Identity problems displayed a robust relationship with suicidal ideation severity in women with bulimic-spectrum pathology. Findings suggest that identity problems may be a specifically relevant personality feature regarding presence and severity of suicidal ideation in this high-risk group, even after considering the contributions of history of suicidal behavior and various symptoms of borderline personality disorder. There may be value in attending to identity problems when considering suicidal ideation in this population.

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“…The clinician should be flexible in approaching such conditions before referring the patient to a treatment program strictly shaped for BPD, which a predominantly dissociative patient may not be able to adjust to unless modified accordingly. 76 …”

Section: Chronic Presentations Of Dissociative Disordersmentioning

confidence: 99%

Dissociation Across Cultures: A Transdiagnostic Guide for Clinical Assessment and Management

Şar¹

2023

ALPHA PSYCHIATRY

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Adapting Dialectical Behavior Therapy for the Treatment of Dissociative Identity Disorder

Cited by 19 publications

References 35 publications

Dissociation in Borderline Personality Disorder: Recent Experimental, Neurobiological Studies, and Implications for Future Research and Treatment

Dissociation in Borderline Personality Disorder: Recent Experimental, Neurobiological Studies, and Implications for Future Research and Treatment

Identity problems and suicidal ideation severity among women with bulimic-spectrum pathology.

Dissociation Across Cultures: A Transdiagnostic Guide for Clinical Assessment and Management

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