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Borderline personality disorder: patterns of self-harm, reported childhood trauma and clinical outcome

McFetridge, Mark, Milner, Rebecca, Gavin, Victoria and Levita, Liat (2018) Borderline personality disorder: patterns of self-harm, reported childhood trauma and clinical outcome. BJPsych Open, 1 (1). pp. 18-20.

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Abstract

Consecutive admissions of 214 women with borderline personality disorder were investigated for patterns of specific forms of self-harm and reported developmental experiences. Systematic examination of clinical notes found that 75% had previously reported a history of childhood sexual abuse. These women were more likely to self-harm, and in specific ways that may reflect their past experiences. Despite this, treatment within a dialectical behaviour therapy-informed therapeutic community leads to relatively greater clinical gains than for those without a reported sexual abuse trauma history. Notably, greater behavioural and self-reported distress and dissociation were not found to predict poor clinical outcome.

Item Type: Article
Status: Published
DOI: https://doi.org/10.1192/bjpo.bp.115.000117
Subjects: B Philosophy. Psychology. Religion > BF Psychology
B Philosophy. Psychology. Religion > BF Psychology > BF511-593 Affection. Feeling. Emotion
B Philosophy. Psychology. Religion > BF Psychology > BF637 Counselling
B Philosophy. Psychology. Religion > BF Psychology > BF698-698.9 Personality
B Philosophy. Psychology. Religion > BF Psychology > BF712-724.85 Developmental psychology
School/Department: School of Education, Language and Psychology
URI: http://ray.yorksj.ac.uk/id/eprint/4861

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