Post-traumatic stress disorder and attachment: possible links with borderline personality disorder

Zulueta, Felicity de

doi:10.1192/apt.bp.106.003418

Cited by 14 publications

(8 citation statements)

References 43 publications

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“…They are congruent with other findings showing links between different kinds of traumatic life events and borderline personality disorder [29,30], particularly with early disturbances of object relations and attachment [31][32][33]. They support arguments for a redefinition of the criteria of borderline functioning in terms of dimensional psychopathology [5,34].…”

Section: Vulnerabilitysupporting

confidence: 88%

Borderline functioning and life trauma: a structural approach

Schiltz¹,

Schiltz²

2016

Arch Psych Psych

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SummaryAim: The general aim of this multiannual research project was the exploration of the links between traumatizing life events and current functioning. Material and methods:The research project was based on a sequential design. It included an exploratory study with 206 persons experiencing exclusion and marginalization, followed by a confirmatory study with 195 persons. We present the confirmatory study results, as well as a meta-analysis of both studies. Both studies were based on an integrated quantitative and qualitative research methodology, combining a semi-structured biographical interview, psychometric scales (Hospital Anxiety and Depression Scale (HADS), Index of WellBeing) and a projective test (Rotter Incomplete Sentences Blank). We developed original rating scales for the semi-structured interview and the answers to the Rotter test, allowing a step from qualitative analysis to inferential and multidimensional statistics. Results:With the help of appropriate multidimensional statistical procedures applied to the semi-structured interview (linear principal components analysis) and the Rotter test (multiple correspondence analysis), we were able to draw out differential types of personality functioning based on the prevalent defense mechanisms and coping strategies, linked either to a succession of traumatic events, such as neglect, maltreatment and multiple losses occurring since childhood, or to recent catastrophes. The comparative study of the answers to the Rotter test in the first and third person pointed to differences in the expression of conscious and unconscious needs. Configural frequency analysis applied to HADS identified specific types that could correspond to variants of borderline functioning. The meta-analysis of the exploratory and confirmatory findings showed convergent results at several fundamental dimensions. Our results supported the traumatogenic hypothesis of borderline functioning and pointed towards a partial overlapping of the concepts of splitting and dissociation.Conclusions: More long-term evaluation studies of appropriate psychotherapeutic measures are needed. From the methodological point of view, the most appropriate strategy might be a mixed-methods design combining data from different sources (semi-structured interviews, psychometric scales, projective tests, etc.) and respecting the person-centered approach. This approach combines objectivity with subjectivity in an optimal manner. life traumas/borderline functioning/complex post-traumatic states/meta-analysis/sequential research designWe present some data of a confirmatory study belonging to a multi-annual research project. The overall research results were described in internal research reports. The aim of the study was to highlight the links between traumatizing life events occurring since childhood and current structural organization of personality, with dif-

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Section: Vulnerabilitysupporting

confidence: 88%

Borderline functioning and life trauma: a structural approach

Schiltz¹,

Schiltz²

2016

Arch Psych Psych

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“…Dietrich (2007) found that adults with PTSD who were maltreated as children were often revictimized later in life and that revictimization related closely to level of affect dysregulation. In addition, maltreatment, PTSD, and borderline personality disorder are commonly linked (de Zulueta 2009;Putman 2009). Such findings fit an integrated model of maltreatment effects and PTSD based on self-regulation deficits.…”

Section: Dissociation and Affect Dysregulationmentioning

confidence: 99%

Posttraumatic Stress Disorder in Maltreated Youth: A Review of Contemporary Research and Thought

Kearney

Wechsler

Kaur

et al. 2009

Clin Child Fam Psychol Rev

146

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Youths who have been maltreated often experience symptoms of posttraumatic stress disorder (PTSD), and this special population has received increased attention from researchers. Pathways toward maladaptive effects of maltreatment and PTSD are remarkably similar and reflect specific biological diatheses and psychological vulnerabilities that produce wide-ranging self-regulation deficits. Developmental models of effects of maltreatment and of PTSD are thus increasingly intertwined and have begun to inform specialized assessment and treatment strategies for this population. This review covers key aspects of posttraumatic stress disorder in maltreated youth, including epidemiology, symptomatology, outcome, and risk factors as well as assessment and treatment strategies and challenges for these youths.

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“…There may be some clues from current treatments for borderline personality disorder, BPD, because of the similarity in symptoms with complex PTSD (De Zulueta, 2009). Current treatments for BPD offered in the NHS include Mentalisation-based therapy, MBT, and Dialectical Behaviour Therapy, DBT, both of which aim to help patients with affect regulation, inter-personal relationships, and negative self-image.…”

Section: The Overlap With Borderline Personality Disordermentioning

confidence: 99%

A new diagnosis of complex Post-traumatic Stress Disorder, PTSD – a window of opportunity for the treatment of patients in the NHS?

Matheson

2016

Psychoanalytic Psychotherapy

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Post-traumatic stress disorder and attachment: possible links with borderline personality disorder

Cited by 14 publications

References 43 publications

Borderline functioning and life trauma: a structural approach

Borderline functioning and life trauma: a structural approach

Posttraumatic Stress Disorder in Maltreated Youth: A Review of Contemporary Research and Thought

A new diagnosis of complex Post-traumatic Stress Disorder, PTSD – a window of opportunity for the treatment of patients in the NHS?

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