Borderline personality organization in violent offenders: Correlations of identity diffusion and primitive defense mechanisms with antisocial features, neuroticism, and interpersonal problems

Leichsenring, Falk; Kunst, Heike; Hoyer, Jürgen

doi:10.1521/bumc.67.4.314.26983

Cited by 41 publications

(28 citation statements)

References 23 publications

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“…We found high values of all IPO scales and frequent additional Axis II disorders in the BPD group with high identity diffusion, which supports the concept of a borderline personality organization with more or less severe personality disorder [53]. Positive correlations between high identity diffusion, primitive defense mechanisms, interpersonal problems, impulsivity, and antisocial personality traits have also been also shown in previous studies [54]. Moreover, a BPD subgroup has been found to be characterized by elevated levels of identity diffusion, aggression, and antisocial features [55].…”

Section: Discussionsupporting

confidence: 89%

Associations between Identity Diffusion, Axis II Disorder, and Psychopathology in Inpatients with Borderline Personality Disorder

et al. 2011

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Background: Patients with borderline personality disorder (BPD) suffer from instability in their relationships, their affectivity, and their identity. However, the associations between these dimensions are not clear. The purpose of the present study was to investigate the relation between identity diffusion and psychopathology in BPD. Methods: In the second week of inpatient treatment, 52 patients with BPD were assessed with the Inventory of Personality Organization (IPO) and questionnaires measuring general psychiatric symptoms, mood states, and negative affects (SCL-90-R, BDI, STAI, and STAXI). A median split was examined to differentiate BPD patients with high identity diffusion from those with low identity diffusion. Results: BPD patients with high identity diffusion did not differ in their social data from BPD patients with low identity diffusion. However, BPD patients with high identity diffusion showed significantly higher levels of psychiatric symptoms, as well as higher anxiety, anger, and depression scores (p < 0.01). Moreover, they suffered more frequently from concurrent personality disorders (p < 0.05). Conclusions: These findings indicate an association of identity diffusion with psychopathological symptoms and features of personality disorder and emphasize the clinical significance of identity diffusion for patients with BPD.

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Section: Discussionsupporting

confidence: 89%

Associations between Identity Diffusion, Axis II Disorder, and Psychopathology in Inpatients with Borderline Personality Disorder

et al. 2011

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“…The questionnaire contains 53 dichotomous items which cover the dimensions (1) identity diffusion, (2) primitive defense mechanisms and object relations, (3) reality testing, and (4) fear of closeness. Satisfactory reliability and validity have been demonstrated for the instrument [22,23,24]. …”

Section: Methodsmentioning

confidence: 99%

Assessment of Personality Functioning: Validity of the Operationalized Psychodynamic Diagnosis Axis IV (Structure)

Doering¹,

Burgmer²,

Heuft³

et al. 2013

Psychopathology

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Background: The assessment of personality functioning has recently become a focus of psychiatric diagnostics. The interview-based Operationalized Psychodynamic Diagnosis (OPD-2) provides a ‘structure axis' for the assessment of personality functioning. Methods: One hundred twenty-four psychiatric patients were diagnosed by means of the Structured Clinical Interviews for DSM-IV (SCID-I and SCID-II), underwent OPD-2 interviews, and completed 9 questionnaires. Results: The OPD-2 structure axis shows good interrater reliability (intraclass correlation = 0.793). Correlations between the OPD-2 structure axis domains and a priori selected questionnaire scales were of medium size and significant. Patients with a personality disorder (PD) showed significantly worse personality functioning than those without. In cluster B PD, personality functioning was more severely impaired than in cluster C PD. Discussion: The OPD-2 structure axis shows good reliability as well as concurrent and discriminant validity and can be recommended for clinical use and research purposes.

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“…One of the reasons for this could be that the rates of other personality disorders including borderline personality disorder were rather low in the present study, which could be due to the study sample's consisting only of male subjects. Nevertheless, in a recent study, Leichsenring et al [43] suggested that antisocial personality disorder is the equivalent of borderline personality disorder in a male sample of imprisoned violent offenders.…”

Section: Personality Disorders and Smmentioning

confidence: 98%

Clinical Correlates of Self-Mutilation in Turkish Male Substance-Dependent Inpatients

Evren

Kural²,

Çakmak³

2006

Psychopathology

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Objective: The aim of this study was to evaluate the prevalence of self-mutilation (SM) in male substance-dependent inpatients, and to investigate the relationship of SM with childhood abuse and neglect, axis I disorders and personality disorders. Methods: Participants were 112 consecutively admitted male substance dependents (56 alcohol and 56 drug). Substance dependence was diagnosed by means of the Structured Clinical Interview for DSM-IV (SCID-I, Turkish version). Patients were evaluated by the Childhood Abuse and Neglect Questionnaire, SCID-I, SCID-II, Beck Depression Inventory and Beck Anxiety Inventory. Results: Among substance-dependent patients, SM was found to be present in 33% (SM group). Mean age and educational status were lower in the SM group. Moreover rates of being single, history of childhood physical and emotional abuse and neglect, suicide attempt history and personality disorder were higher. Mean depression and anxiety scores were also higher in the SM group. Personality disorder, physical abuse, suicide attempt history and drug dependency were predictors for SM. Conclusions: SM is more common in drug dependents than alcohol dependents. Also results of this study suggest that among Turkish substance dependents SM might be related to the presence of personality disorder and childhood physical abuse and suicide attempts.

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Borderline personality organization in violent offenders: Correlations of identity diffusion and primitive defense mechanisms with antisocial features, neuroticism, and interpersonal problems

Cited by 41 publications

References 23 publications

Associations between Identity Diffusion, Axis II Disorder, and Psychopathology in Inpatients with Borderline Personality Disorder

Associations between Identity Diffusion, Axis II Disorder, and Psychopathology in Inpatients with Borderline Personality Disorder

Assessment of Personality Functioning: Validity of the Operationalized Psychodynamic Diagnosis Axis IV (Structure)

Clinical Correlates of Self-Mutilation in Turkish Male Substance-Dependent Inpatients

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