Levels of Depersonalization and Derealization Reported by Recovered and Non-recovered Borderline Patients Over 20 Years of Prospective Follow-up

Peer support for borderline personality disorder: A critical review of its feasibility, acceptability, and alignment with concepts of recovery.

“…Definitions ranged in complexity from those that used a single cutoff score from the Global Assessment Score to indicate recovery (Soloff, 2021; Stone, 1987) to those that required multiple thresholds on a single measure (i.e., using Jacobson & Truax’s, 1991, criteria for statistically reliable and clinically significant changes; Wilks et al, 2016), to those that required thresholds on multiple indicators to be met simultaneously (Bateman et al, 2021; Gad et al, 2019; Grenyer et al, 2022; Shah et al, 2020; Zanarini et al, 2010, 2012, 2013, 2014, 2015, 2018, 2020; Zeitler et al, 2020). Several articles reported outcomes from the prospective McLean Study of Adult Development, which required symptomatic remission and good social/vocational functioning to indicate recovery (Gad et al, 2019; Shah et al, 2020; Zanarini et al, 2010, 2012, 2013, 2014, 2015, 2020). Others adopted a similar approach, combining measures of psychosocial functioning, subjective well-being, and symptom burden to indicate recovery (Grenyer et al, 2022; Zeitler et al, 2020).…”

“…Definitions ranged in complexity from those that used a single cutoff score from the Global Assessment Score to indicate recovery (Soloff, 2021;Stone, 1987) to those that required multiple thresholds on a single measure (i.e., using Jacobson & Truax's, 1991, criteria for statistically reliable and clinically significant changes; Wilks et al, 2016), to those that required thresholds on multiple indicators to be met simultaneously (Bateman et al, 2021;Gad et al, 2019;Grenyer et al, 2022;Shah et al, 2020;Zanarini et al, 2010Zanarini et al, , 2012Zanarini et al, , 2013Zanarini et al, , 2014Zanarini et al, , 2015Zanarini et al, , 2018Zeitler et al, 2020). Several articles reported outcomes from the prospective McLean Study of Adult Development, which required symptomatic remission and good social/vocational functioning to indicate recovery (Gad et al, 2019;Shah et al, 2020;Zanarini et al, 2010Zanarini et al, , 2012Zanarini et al, , 2013Zanarini et al, , 2014Zanarini et al, , 2015. Others adopted a similar approach, combining measures of psychosocial functioning, subjective well-being, and symptom burden to indicate recovery (Grenyer et al, 2022;Zeitler et al, 2020).…”

Das entfremdete Selbst, die entfremdete Umwelt

“…Die Beeinträchtigung kognitiver Funktionen durch Dissoziationen sowie die Interferenz von Dissoziationen mit Lernprozessen, auf denen die kognitive Verhaltenstherapie beruht, könnten das ungünstigere Therapieergebnis erklären [47,66]. Allerdings zeigten auch BPS-Patienten mit höheren dissoziativen Basiswerten im Therapieverlauf eine Reduktion dissoziativer Symptome trotz geringer Reduktion der BPS-Symptomatik [65].…”

Dissociation, trauma, and borderline personality disorder

“…Thereby, they may either directly or indirectly improve dissociation [ 100 , 101 ]. In a prospective follow-up study over 20 years, a decrease of depersonalization and derealization symptoms was strongly associated with overall BPD recovery status [ 102 ].…”